NR509 FINAL EXAM - ADVANCED
PHYSICAL ASSESSMENT QUESTIONS
AND ANSWERS 2026/2027 UPDATE ||
100% GUARANTEED PASS
1. When assessing a patient for a suspected meniscus tear, which orthopedic maneuver
involves internal and external rotation of the knee while the patient is supine and the knee is
flexed?
A. Lachman test
B. Valgus stress test
C. Drawer test
D. McMurray test
Answer: D
Conceptual Explanation: The McMurray test is specifically used to evaluate for meniscus
tears by rotating the lower leg while extending the knee. Lachman and Drawer tests assess
the ACL, while Valgus stress assesses the MCL.
2. A 65-year-old patient presents with sudden onset of ‘curtain-like’ vision loss in the right
eye. What is the most likely diagnosis requiring immediate referral?
A. Cataracts
,B. Retinal detachment
C. Glaucoma
D. Macular degeneration
Answer: B
Conceptual Explanation: Retinal detachment often presents as a sudden, painless loss of
vision described as a curtain or shadow being pulled over the visual field. This is a medical
emergency.
3. During a cardiac auscultation, you hear a high-pitched, mid-systolic click followed by a late
systolic murmur at the apex. This finding is most consistent with:
A. Aortic stenosis
B. Mitral valve prolapse
C. Mitral stenosis
D. Tricuspid regurgitation
Answer: B
Conceptual Explanation: Mitral valve prolapse (MVP) is characteristically identified by a
mid-systolic click and a late systolic murmur.
4. Which cranial nerve is being tested when the provider asks the patient to shrug their
shoulders against resistance?
A. CN XI (Spinal Accessory)
, B. CN X (Vagus)
C. CN IX (Glossopharyngeal)
D. CN XII (Hypoglossal)
Answer: A
Conceptual Explanation: CN XI controls the trapezius and sternocleidomastoid muscles;
shrugging the shoulders is the standard test for its motor function.
5. A positive Murphy’s sign is highly suggestive of which condition?
A. Nephrolithiasis
B. Appendicitis
C. Pancreatitis
D. Acute cholecystitis
Answer: D
Conceptual Explanation: Murphy’s sign involves pain and sudden inspiratory arrest upon
deep palpation of the right upper quadrant, indicating gallbladder inflammation.
6. In the Rinne test, a patient with conductive hearing loss in the left ear will demonstrate:
A. Air conduction longer than bone conduction (AC > BC)
B. Equal time for both air and bone conduction
C. Lateralization to the right ear
PHYSICAL ASSESSMENT QUESTIONS
AND ANSWERS 2026/2027 UPDATE ||
100% GUARANTEED PASS
1. When assessing a patient for a suspected meniscus tear, which orthopedic maneuver
involves internal and external rotation of the knee while the patient is supine and the knee is
flexed?
A. Lachman test
B. Valgus stress test
C. Drawer test
D. McMurray test
Answer: D
Conceptual Explanation: The McMurray test is specifically used to evaluate for meniscus
tears by rotating the lower leg while extending the knee. Lachman and Drawer tests assess
the ACL, while Valgus stress assesses the MCL.
2. A 65-year-old patient presents with sudden onset of ‘curtain-like’ vision loss in the right
eye. What is the most likely diagnosis requiring immediate referral?
A. Cataracts
,B. Retinal detachment
C. Glaucoma
D. Macular degeneration
Answer: B
Conceptual Explanation: Retinal detachment often presents as a sudden, painless loss of
vision described as a curtain or shadow being pulled over the visual field. This is a medical
emergency.
3. During a cardiac auscultation, you hear a high-pitched, mid-systolic click followed by a late
systolic murmur at the apex. This finding is most consistent with:
A. Aortic stenosis
B. Mitral valve prolapse
C. Mitral stenosis
D. Tricuspid regurgitation
Answer: B
Conceptual Explanation: Mitral valve prolapse (MVP) is characteristically identified by a
mid-systolic click and a late systolic murmur.
4. Which cranial nerve is being tested when the provider asks the patient to shrug their
shoulders against resistance?
A. CN XI (Spinal Accessory)
, B. CN X (Vagus)
C. CN IX (Glossopharyngeal)
D. CN XII (Hypoglossal)
Answer: A
Conceptual Explanation: CN XI controls the trapezius and sternocleidomastoid muscles;
shrugging the shoulders is the standard test for its motor function.
5. A positive Murphy’s sign is highly suggestive of which condition?
A. Nephrolithiasis
B. Appendicitis
C. Pancreatitis
D. Acute cholecystitis
Answer: D
Conceptual Explanation: Murphy’s sign involves pain and sudden inspiratory arrest upon
deep palpation of the right upper quadrant, indicating gallbladder inflammation.
6. In the Rinne test, a patient with conductive hearing loss in the left ear will demonstrate:
A. Air conduction longer than bone conduction (AC > BC)
B. Equal time for both air and bone conduction
C. Lateralization to the right ear
