NR 509 EXAM 3: ADVANCED PHYSICAL
ASSESSMENT QUESTIONS WITH
VERIFIED ANSWERS (LATEST 2026/
2027)- CHAMBERLAIN
1. During a musculoskeletal examination, the practitioner performs the McMurray test. A
palpable click or pop along the medial joint line is indicative of which injury?
A. Medial Meniscus tear
B. Anterior Cruciate Ligament (ACL) tear
C. Lateral Collateral Ligament (LCL) strain
D. Patellofemoral syndrome
Answer: A
Conceptual Explanation: The McMurray test is specifically used to evaluate for meniscus
tears. A click or pop felt or heard during flexion and rotation of the knee suggests a tear of
the medial or lateral meniscus, depending on the rotation applied.
2. A patient presents with a ‘bag of worms’ sensation in the scrotum that increases with
standing and disappears when supine. This is most characteristic of:
A. Hydrocele
B. Spermatocele
,C. Epididymitis
D. Varicocele
Answer: D
Conceptual Explanation: A varicocele is a dilation of the pampiniform plexus of veins. It is
classically described as a ‘bag of worms’ and typically collapses when the patient lies down.
3. When assessing Cranial Nerve VII (Facial), the practitioner observes that the patient can
wrinkle their forehead but cannot smile on the right side of their face. This finding suggests:
A. Bell’s Palsy
B. Central lesion (e.g., Stroke)
C. Trigeminal Neuralgia
D. Peripheral nerve injury
Answer: B
Conceptual Explanation: In a central lesion (upper motor neuron), the upper face is often
spared because the forehead receives bilateral innervation. In Bell’s Palsy (lower motor
neuron), the entire side of the face, including the forehead, is affected.
4. Which of the following physical exam maneuvers is considered the most sensitive for
detecting an Anterior Cruciate Ligament (ACL) tear?
A. Anterior Drawer test
B. Lachman test
, C. Posterior Drawer test
D. Valgus stress test
Answer: B
Conceptual Explanation: The Lachman test, performed with the knee in 20-30 degrees of
flexion, is widely regarded as more sensitive and reliable than the Anterior Drawer test for
identifying ACL laxity.
5. A 65-year-old male reports a decrease in the force of his urinary stream and nocturnal
frequency. On Digital Rectal Exam (DRE), the prostate is found to be smooth, firm, and
nontender with a lost median sulcus. This most likely represents:
A. Prostate cancer
B. Benign Prostatic Hyperplasia (BPH)
C. Acute prostatitis
D. Chronic prostatitis
Answer: B
Conceptual Explanation: BPH typically presents as a symmetrically enlarged, smooth, and
firm prostate. The loss of the median sulcus is common as the lobes enlarge.
6. While testing sensory function, the practitioner places a familiar object in the patient’s
hand and asks them to identify it with their eyes closed. This tests for:
A. Graphesthesia
ASSESSMENT QUESTIONS WITH
VERIFIED ANSWERS (LATEST 2026/
2027)- CHAMBERLAIN
1. During a musculoskeletal examination, the practitioner performs the McMurray test. A
palpable click or pop along the medial joint line is indicative of which injury?
A. Medial Meniscus tear
B. Anterior Cruciate Ligament (ACL) tear
C. Lateral Collateral Ligament (LCL) strain
D. Patellofemoral syndrome
Answer: A
Conceptual Explanation: The McMurray test is specifically used to evaluate for meniscus
tears. A click or pop felt or heard during flexion and rotation of the knee suggests a tear of
the medial or lateral meniscus, depending on the rotation applied.
2. A patient presents with a ‘bag of worms’ sensation in the scrotum that increases with
standing and disappears when supine. This is most characteristic of:
A. Hydrocele
B. Spermatocele
,C. Epididymitis
D. Varicocele
Answer: D
Conceptual Explanation: A varicocele is a dilation of the pampiniform plexus of veins. It is
classically described as a ‘bag of worms’ and typically collapses when the patient lies down.
3. When assessing Cranial Nerve VII (Facial), the practitioner observes that the patient can
wrinkle their forehead but cannot smile on the right side of their face. This finding suggests:
A. Bell’s Palsy
B. Central lesion (e.g., Stroke)
C. Trigeminal Neuralgia
D. Peripheral nerve injury
Answer: B
Conceptual Explanation: In a central lesion (upper motor neuron), the upper face is often
spared because the forehead receives bilateral innervation. In Bell’s Palsy (lower motor
neuron), the entire side of the face, including the forehead, is affected.
4. Which of the following physical exam maneuvers is considered the most sensitive for
detecting an Anterior Cruciate Ligament (ACL) tear?
A. Anterior Drawer test
B. Lachman test
, C. Posterior Drawer test
D. Valgus stress test
Answer: B
Conceptual Explanation: The Lachman test, performed with the knee in 20-30 degrees of
flexion, is widely regarded as more sensitive and reliable than the Anterior Drawer test for
identifying ACL laxity.
5. A 65-year-old male reports a decrease in the force of his urinary stream and nocturnal
frequency. On Digital Rectal Exam (DRE), the prostate is found to be smooth, firm, and
nontender with a lost median sulcus. This most likely represents:
A. Prostate cancer
B. Benign Prostatic Hyperplasia (BPH)
C. Acute prostatitis
D. Chronic prostatitis
Answer: B
Conceptual Explanation: BPH typically presents as a symmetrically enlarged, smooth, and
firm prostate. The loss of the median sulcus is common as the lobes enlarge.
6. While testing sensory function, the practitioner places a familiar object in the patient’s
hand and asks them to identify it with their eyes closed. This tests for:
A. Graphesthesia
