NR509-ADVANCED PHYSICAL
ASSESSMENT MIDTERM EXAM
QUESTIONS AND ANSWERS. VERIFIED
2025/2026.
Echoing, summarization, and transition are part of what interviewing technique - ANS guided
questioning
the FIFE mode - ANS Feelings
Ideas
Effect on Function
Expectation
when to do a comprehensive health history - ANS new patients, annual exams, hospital
admissions, complex cases
difference between comprehensive and focused health history - ANS Targeted ROS
What does a resonant sound upon percussion mean? - ANS normal lungs.
Resonant is air filled
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,what does a dull sound upon percussion mean? - ANS Solid organs (ex. liver)
Consolidated lungs (pneumonia)
what does a hyperresonant percussion sound mean - ANS increased air (ex emphysema)
5 steps of clinical reasoning process - ANS 1. Data Collection (hx, physical, tests)
2. Problem Identification (abnormals)
3. Synthesis (problem list/d dx)
4. Diagnostic Reasoning (evaluate possible conditions)
5. Assessment and Plan
the differential diagnosis list should be based on - ANS Pt hx, risk factors, dx test results, and
physical exam findings
Assessment (medical dx) format - ANS Final dx (primary and secondary)
Supporting evidence( hx, physical, results)
Rationale (why this dx was chosen over the other)
components of a clinical plan (5) - ANS Diagnostic testing
Pharm therapy
nonpharm therapy
specialist referrals
follow up plan
Sensitivity - ANS the ability of a test or finding to correctly identify those with a disease (true
positive rate)
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Specificity - ANS the ability of a test or finding to correctly identify those without a disease
(true negative rate)
Positive Predictive Value - ANS the likelihood that a patient with a positive result actually has
the disease
negative predictive value - ANS the likelihood that a patient with a negative result does not
have the disease
Characterisics of a high quality diagnostic test - ANS 1. high sensitivity and specificity
2. clinically useful
3. reproducible and standardized across different settings.
to determine whether evidence is valid, applicable, and useful, clinicians assess - ANS Study
design
Bias and confounding factors
statistical significance
relevance to patient care
parameters for orthostatic hypotension - ANS drop of more or equal to 20 mmHG systolic or
10mmhg diastolic within 3 mins of standing.
Nociceptive pain - ANS caused by tissue damage (somatic or visceral)
Neuropathic pain - ANS caused by nerve dysfunction (burning, tingling, shooting)
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
ASSESSMENT MIDTERM EXAM
QUESTIONS AND ANSWERS. VERIFIED
2025/2026.
Echoing, summarization, and transition are part of what interviewing technique - ANS guided
questioning
the FIFE mode - ANS Feelings
Ideas
Effect on Function
Expectation
when to do a comprehensive health history - ANS new patients, annual exams, hospital
admissions, complex cases
difference between comprehensive and focused health history - ANS Targeted ROS
What does a resonant sound upon percussion mean? - ANS normal lungs.
Resonant is air filled
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,what does a dull sound upon percussion mean? - ANS Solid organs (ex. liver)
Consolidated lungs (pneumonia)
what does a hyperresonant percussion sound mean - ANS increased air (ex emphysema)
5 steps of clinical reasoning process - ANS 1. Data Collection (hx, physical, tests)
2. Problem Identification (abnormals)
3. Synthesis (problem list/d dx)
4. Diagnostic Reasoning (evaluate possible conditions)
5. Assessment and Plan
the differential diagnosis list should be based on - ANS Pt hx, risk factors, dx test results, and
physical exam findings
Assessment (medical dx) format - ANS Final dx (primary and secondary)
Supporting evidence( hx, physical, results)
Rationale (why this dx was chosen over the other)
components of a clinical plan (5) - ANS Diagnostic testing
Pharm therapy
nonpharm therapy
specialist referrals
follow up plan
Sensitivity - ANS the ability of a test or finding to correctly identify those with a disease (true
positive rate)
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Specificity - ANS the ability of a test or finding to correctly identify those without a disease
(true negative rate)
Positive Predictive Value - ANS the likelihood that a patient with a positive result actually has
the disease
negative predictive value - ANS the likelihood that a patient with a negative result does not
have the disease
Characterisics of a high quality diagnostic test - ANS 1. high sensitivity and specificity
2. clinically useful
3. reproducible and standardized across different settings.
to determine whether evidence is valid, applicable, and useful, clinicians assess - ANS Study
design
Bias and confounding factors
statistical significance
relevance to patient care
parameters for orthostatic hypotension - ANS drop of more or equal to 20 mmHG systolic or
10mmhg diastolic within 3 mins of standing.
Nociceptive pain - ANS caused by tissue damage (somatic or visceral)
Neuropathic pain - ANS caused by nerve dysfunction (burning, tingling, shooting)
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
