Final Exam: NR509/ NR 509 (2023/ 2024 New
Update) Advanced Physical Assessment
Exam| Graded A Questions and Verified
Answers| 100% Correct-
... [Show More] Chamberlain
QUESTION
Mrs. Buckley is a 75-year-old widow who wants you to look at her teeth because over the past 2
weeks she has had right-sided jaw pain when eating. It does not occur otherwise. She also has
had a headache. Which of the following should be considered?
A) Palpation of her temples
B) Dental referral
C) Ultrasound of the gallbladder
D) Inquiry about anosmia
Answer:
A) Palpation of her temples
QUESTION
Mrs. Fletcher comes to your office with unilateral pain during chewing, which is chronic. She
does not have facial tenderness or tenderness of the scalp. Which of the following is the most
likely cause of her pain?
A) Trigeminal neuralgia
B) Temporomandibular joint syndrome
C) Temporal arteritis
D) Tumor of the mandible
Answer:
B) Temporomandibular joint syndrome
QUESTION
A 7-year-old boy is performing poorly in school. His teacher is frustrated because he is
frequently seen "staring off into space" and not paying attention. If this is a seizure, it most likely
represents which type?
A) Pseudoseizure
B) Tonic-clonic seizure
C) Absence
D) Myoclonus
Answer:
C) Absence
QUESTION
A 28-year-old book editor comes to your clinic, complaining of strange episodes. He states that
about once a week for the last 3 months his left hand and arm will stiffen and then start jerking.
He says that after a few seconds his whole left arm and then his left leg will also start to jerk. He
denies any loss of consciousness or loss of bowel or bladder control. When the symptoms
resolve, his arm and leg feel tired but otherwise he feels fine. His past medical history is
significant for a cyst in his brain that was removed 6 months ago. He is married and has two
children. His parents are both healthy. On examination you see a scar over the right side of his
head but otherwise his neurologic examination is unremarkable.
What type of seizure disorder is he most likely to have?
A) Generalized tonic-clonic seizure
B) Generalized absence seizure
C) Simple partial seizure (Jacksonian)
D) Complex partial seizure
Answer:
C) Simple partial seizure (Jacksonian)
QUESTION
A 7-year-old child is brought to your clinic by her mother. The mother states that her daughter is
doing poorly in school because she has some kind of "ADD" (attention deficit disorder). You ask
the mother what makes her think the child has ADD. The mother tells you that both at home and
at school her daughter will just zone out for several seconds and lick her lips. She states it
happens at least four to six times an hour. She says this has been happening for about a year.
After several seconds of lip-licking her daughter seems normal again. She states her daughter has
been generally healthy with just normal childhood colds and ear infections. The patient's parents
are both healthy and no other family members have had these symptoms.
What type of seizure disorder is she most likely to have?
A) Generalized tonic-clonic seizure
B) Generalized absence seizure
C) Simple partial seizure (Jacksonian)
D) Complex partial se
Answer:
B) Generalized absence seizure
QUESTION
Which of the following is a "red flag" regarding patients presenting with headache?
A) Unilateral headache
B) Pain over the sinuses
C) Age over 50
D) Phonophobia and photophobia
Answer:
C) Age over 50
QUESTION
Red flags for headaches
Answer:
1) Onset in, or after middle age
2) Sudden onset, rapid time to peak (seconds to 5 minutes)
3) First, or worst sudden headache ever
4) Accelerating pattern (getting worse)
5) Fever along with headache (could be meningitis)
6) Seizures
7) Change in LOC
8) Any abnormal neurological, physical or systemic findings
9) New headache in patients with cancer, immunosuppression, or pregnancy
QUESTION
A patient presents with a daily headache which has worsened over the past several months. On
funduscopic examination, you notice that the disk edge is indistinct and the veins do not pulsate.
Which is most likely?
A) Migraine
B) Glaucoma
C) Visual acuity problem
D) Increased intracranial pressure
Answer:
D) Increased intracranial pressure
QUESTION
A 41-year-old real estate agent comes to your office, complaining that he feels like his face is
paralyzed on the left. He states that last week he felt his left eyelid was drowsy and as the day
progressed he was unable to close his eyelid all the way. Later he felt like his smile became
affected also. He denies any recent injuries but had an upper respiratory viral infection last
month. His past medical history is unremarkable. He is divorced and has one child. He smokes
one pack of cigarettes a day, occasionally drinks alcohol, and denies any illegal drug use. His
mother has high blood pressure and his father has sarcoidosis. On examination you ask him to
close his eyes. He is unable to close his left eye. You ask him to open his eyes and raise his
eyebrows. His right forehead furrows but his left remains flat. You then ask him to give you a
big smile. The right corner of his mouth raises but the left side of his m
Answer:
A) Peripheral CN VII paralysis
QUESTION
A young woman undergoes cranial nerve testing. On touching the soft palate, her uvula deviates
to the left. Which of the following is likely?
A) CN IX lesion on the left
B) CN IX lesion on the right
C) CN X lesion on the left
D) CN X lesion on the right
Answer:
D) CN X lesion on the right
QUESTION
You are conducting a pupillary examination on a 34-year-old man. You note that both pupils
dilate slightly. Both are noted to constrict briskly when the light [Show Less]