NUR631 Exam 3
neuro,musculoskeletal,mental health Exam
Questions and Answers (Latest 2026).
A 19-year-old college student, Todd, is brought to your clinic by his mother. She is concerned that there is something seriously
wrong with him. She states for the past 6 months his behavior has become peculiar and he has flunked out of college. Todd
denies any recent illness or injuries. His past medical history is remarkable only for a broken foot. His parents are both healthy.
He has a paternal uncle who had similar symptoms in college. The patient admits to smoking cigarettes and drinking alcohol. He
also admits to marijuana use but none in the last week. He denies using any other substances. He denies any feelings of
depression or anxiety. While speaking with Todd and his mother you do a complete physical examination, which is essentially
normal. When you question him on how he is feeling, he says that he is very worried that Microsoft has stolen his software for
creating a better browser. He tells you he has se - CORRECT ANSWERS D) Schizophrenia
A 24-year-old secretary comes to your clinic, complaining of difficulty sleeping, severe nightmares, and irritability. She states it
all began 6 months ago when she went to a fast food restaurant at midnight. While she was waiting in her car a man entered
through the passenger door and put a gun to her head. He had her drive to a remote area, where he took her money and
threatened to kill her. When the gun jammed he panicked and ran off. Ever since this occurred the patient has been having
these symptoms. She states she jumps at every noise and refuses to drive at night. She states her anxiety has had such a
marked influence on her job performance she is afraid she will be fired. She denies any recent illnesses or injuries. Her past
medical history is unremarkable. On examination you find a nervous woman appearing her stated age. Her physical
examination is unremarkable. You recommend medication and counseling.
What - CORRECT ANSWERS C) Post-traumatic stress disorder
A 75-year-old homemaker brings her 76-year-old husband to your clinic. She states that 4 months ago he had a stroke and ever
since she has been frustrated with his problems with communication. They were at a restaurant after church one Sunday when
he suddenly became quiet. When she realized something was wrong he was taken to the hospital by EMS. He spent 2 weeks in
the hospital with right-sided weakness and difficulty speaking. After hospitalization he was in a rehab center, where he
regained the ability to walk and most of the use of his right hand. He also began to speak more, but she says that much of the
time "he doesn't make any sense." She gives an example that when she reminded him the car needed to be serviced he told her
"I will change the Kool-Aid out of the sink myself with the ludrip." She says that these sayings are becoming frustrating. She
wants you to tell her what is wrong and what you can do about - CORRECT ANSWERS A) Wernicke's aphasia
A 32-year-old white female comes to your clinic, complaining of overwhelming sadness. She says for the past 2 months she has
had crying episodes, difficulty sleeping, and problems with overeating. She says she used to go out with her friends from work
but now she just wants to go home and be by herself. She also thinks that her work productivity has been dropping because she
just is too tired to care or concentrate. She denies any feelings of guilt or any suicidal ideation. She states that she has never felt
this way in the past. She denies any recent illness or injuries. Her past medical history consists of an appendectomy when she
was a teenager; otherwise, she has been healthy. She is single and works as a clerk in a medical office. She denies tobacco,
alcohol, or illegal drug use. Her mother has high blood pressure and her father has had a history of mental illness. On
examination you see a woman appearing her st - CORRECT ANSWERS C) Major depressive episode
,A 27-year-old woman is brought to your office by her mother. The mother tells you that her daughter has been schizophrenic
for the last 8 years and is starting to decompensate despite medication. The patient states that she has been taking her
antipsychotic and she is doing just fine. Her mother retorts that her daughter has become quite paranoid. When asked why, the
mother gives an example about the mailman. She says that her daughter goes and gets the mail every day and then microwaves
the letters. The patient agrees that she does this but only because she sees the mailman flipping through the envelopes and she
knows he's putting anthrax on the letters. Her mother turns to her and says, "He's only sorting the mail!"
Which best describes the patient's abnormality of perception?
A) Illusion
B) Hallucination
C) Fugue state - CORRECT ANSWERS A) Illusion
A 22-year-old man is brought to your office by his father to discuss his son's mental health disorder. The patient was diagnosed
with schizophrenia 6 months ago and has been taking medication since. The father states that his son's dose isn't high enough
and you need to raise it. He states that his son has been hearing things that don't exist. You ask the young man what is going on
and he tells you that his father is just jealous because his sister talks only to him. His father turns to him and says, "Son, you
know your sister died 2 years ago!" His son replies "Well, she still talks to me in my head all the time!"
Which best describes this patient's abnormality of perception?
A) Illusion
B) Hallucination
C) Fugue state - CORRECT ANSWERS B) Hallucination
A 26-year-old violinist comes to your clinic, complaining of anxiety. He is a first chair violinist in the local symphony orchestra
and has started having symptoms during performances, such as sweating, shaking, and hyperventilating. It has gotten so bad
that he has thought about giving up his first chair status so he does not have to play the solo during one of the movements. He
says that he never has these symptoms during rehearsals or when he is practicing. He denies having any of these symptoms at
any other time. His past medical history is unremarkable. He denies any tobacco use, drug use, or alcohol abuse. His parents are
both healthy. On examination you see a young man who appears worried. His vital signs and physical examination are
unremarkable.
What type of anxiety disorder best describes his situation?
A) Panic disorder
B) Specific phobia
C) Social phobia
D) Generalized anxiety disorder - CORRECT ANSWERS C) Social phobia
, A 23-year-old ticket agent is brought in by her husband because he is concerned about her recent behavior. He states that for
the last 2 weeks she has been completely out of control. He says that she hasn't showered in days, stays awake most of the
night cleaning their apartment, and has run up over $1,000 on their credit cards. While he is talking, the patient interrupts him
frequently and declares this is all untrue and she has never been so happy and fulfilled in her whole life. She speaks very
quickly, changing the subject often. After a longer than normal interview you find out she has had no recent illnesses or injuries.
Her past medical history is unremarkable. Both her parents are healthy but the husband has heard rumors about an aunt with
similar symptoms. She and her husband have no children. She smokes one pack of cigarettes a day (although she has been
chain-smoking in the last 2 weeks), drinks four to si - CORRECT ANSWERS B) Manic episode
A 72-year-old African-American male is brought to your clinic by his daughter for a follow-up visit after his recent
hospitalization. He had been admitted to the local hospital for speech problems and weakness in his right arm and leg. On
admission his MRI showed a small stroke. The patient was in rehab for 1 month following his initial presentation. He is now
walking with a walker and has good use of his arm. His daughter complains, however, that everyone is still having trouble
communicating with the patient. You ask the patient how he thinks he is doing. Although it is hard for you to make out his
words you believe his answer is "well . . . fine . . . doing . . . okay." His prior medical history involved high blood pressure and
coronary artery disease. He is a widower and retired handyman. He has three children who are healthy. He denies tobacco,
alcohol, or drug use. He has no other current symptoms. On examinati - CORRECT ANSWERS B) Broca's aphasia
A 35-year-old stockbroker comes to your office, complaining of feeling tired and irritable. She also says she feels like nothing
ever goes her way and that nothing good ever happens. When you ask her how long she has felt this way she laughs and says,
"Since when have I not?" She relates that she has felt pessimistic about life in general since she was in high school. She denies
any problems with sleep, appetite, or concentration, and states she hasn't thought about killing herself. She reports no recent
illnesses or injuries. She is single. She smokes one pack of cigarettes a day, drinks occasionally, and hasn't taken any illegal drugs
since college. Her mother suffers from depression and her father has high blood pressure. On examination her vital signs and
physical examination are unremarkable.
What mental health disorder best describes her symptoms?
A) Major depressive episode
B) Dysthymic disorder
C) Cyclothymi - CORRECT ANSWERS B) Dysthymic disorder
Susanne is a 27 year old who has had headaches, muscle aches, and fatigue for the last 2 months. You have completed a
thorough history, examination, and laboratory workup but have not found a cause. What would your next action be?
A) A referral to a neurologist
B) A referral to a rheumatologist
C) To tell the patient you can't find anything
D) To screen for depression - CORRECT ANSWERS D) To screen for depression
You ask a patient to draw a clock. He fills in all the numbers on the right half of the circle. What do you suspect?
neuro,musculoskeletal,mental health Exam
Questions and Answers (Latest 2026).
A 19-year-old college student, Todd, is brought to your clinic by his mother. She is concerned that there is something seriously
wrong with him. She states for the past 6 months his behavior has become peculiar and he has flunked out of college. Todd
denies any recent illness or injuries. His past medical history is remarkable only for a broken foot. His parents are both healthy.
He has a paternal uncle who had similar symptoms in college. The patient admits to smoking cigarettes and drinking alcohol. He
also admits to marijuana use but none in the last week. He denies using any other substances. He denies any feelings of
depression or anxiety. While speaking with Todd and his mother you do a complete physical examination, which is essentially
normal. When you question him on how he is feeling, he says that he is very worried that Microsoft has stolen his software for
creating a better browser. He tells you he has se - CORRECT ANSWERS D) Schizophrenia
A 24-year-old secretary comes to your clinic, complaining of difficulty sleeping, severe nightmares, and irritability. She states it
all began 6 months ago when she went to a fast food restaurant at midnight. While she was waiting in her car a man entered
through the passenger door and put a gun to her head. He had her drive to a remote area, where he took her money and
threatened to kill her. When the gun jammed he panicked and ran off. Ever since this occurred the patient has been having
these symptoms. She states she jumps at every noise and refuses to drive at night. She states her anxiety has had such a
marked influence on her job performance she is afraid she will be fired. She denies any recent illnesses or injuries. Her past
medical history is unremarkable. On examination you find a nervous woman appearing her stated age. Her physical
examination is unremarkable. You recommend medication and counseling.
What - CORRECT ANSWERS C) Post-traumatic stress disorder
A 75-year-old homemaker brings her 76-year-old husband to your clinic. She states that 4 months ago he had a stroke and ever
since she has been frustrated with his problems with communication. They were at a restaurant after church one Sunday when
he suddenly became quiet. When she realized something was wrong he was taken to the hospital by EMS. He spent 2 weeks in
the hospital with right-sided weakness and difficulty speaking. After hospitalization he was in a rehab center, where he
regained the ability to walk and most of the use of his right hand. He also began to speak more, but she says that much of the
time "he doesn't make any sense." She gives an example that when she reminded him the car needed to be serviced he told her
"I will change the Kool-Aid out of the sink myself with the ludrip." She says that these sayings are becoming frustrating. She
wants you to tell her what is wrong and what you can do about - CORRECT ANSWERS A) Wernicke's aphasia
A 32-year-old white female comes to your clinic, complaining of overwhelming sadness. She says for the past 2 months she has
had crying episodes, difficulty sleeping, and problems with overeating. She says she used to go out with her friends from work
but now she just wants to go home and be by herself. She also thinks that her work productivity has been dropping because she
just is too tired to care or concentrate. She denies any feelings of guilt or any suicidal ideation. She states that she has never felt
this way in the past. She denies any recent illness or injuries. Her past medical history consists of an appendectomy when she
was a teenager; otherwise, she has been healthy. She is single and works as a clerk in a medical office. She denies tobacco,
alcohol, or illegal drug use. Her mother has high blood pressure and her father has had a history of mental illness. On
examination you see a woman appearing her st - CORRECT ANSWERS C) Major depressive episode
,A 27-year-old woman is brought to your office by her mother. The mother tells you that her daughter has been schizophrenic
for the last 8 years and is starting to decompensate despite medication. The patient states that she has been taking her
antipsychotic and she is doing just fine. Her mother retorts that her daughter has become quite paranoid. When asked why, the
mother gives an example about the mailman. She says that her daughter goes and gets the mail every day and then microwaves
the letters. The patient agrees that she does this but only because she sees the mailman flipping through the envelopes and she
knows he's putting anthrax on the letters. Her mother turns to her and says, "He's only sorting the mail!"
Which best describes the patient's abnormality of perception?
A) Illusion
B) Hallucination
C) Fugue state - CORRECT ANSWERS A) Illusion
A 22-year-old man is brought to your office by his father to discuss his son's mental health disorder. The patient was diagnosed
with schizophrenia 6 months ago and has been taking medication since. The father states that his son's dose isn't high enough
and you need to raise it. He states that his son has been hearing things that don't exist. You ask the young man what is going on
and he tells you that his father is just jealous because his sister talks only to him. His father turns to him and says, "Son, you
know your sister died 2 years ago!" His son replies "Well, she still talks to me in my head all the time!"
Which best describes this patient's abnormality of perception?
A) Illusion
B) Hallucination
C) Fugue state - CORRECT ANSWERS B) Hallucination
A 26-year-old violinist comes to your clinic, complaining of anxiety. He is a first chair violinist in the local symphony orchestra
and has started having symptoms during performances, such as sweating, shaking, and hyperventilating. It has gotten so bad
that he has thought about giving up his first chair status so he does not have to play the solo during one of the movements. He
says that he never has these symptoms during rehearsals or when he is practicing. He denies having any of these symptoms at
any other time. His past medical history is unremarkable. He denies any tobacco use, drug use, or alcohol abuse. His parents are
both healthy. On examination you see a young man who appears worried. His vital signs and physical examination are
unremarkable.
What type of anxiety disorder best describes his situation?
A) Panic disorder
B) Specific phobia
C) Social phobia
D) Generalized anxiety disorder - CORRECT ANSWERS C) Social phobia
, A 23-year-old ticket agent is brought in by her husband because he is concerned about her recent behavior. He states that for
the last 2 weeks she has been completely out of control. He says that she hasn't showered in days, stays awake most of the
night cleaning their apartment, and has run up over $1,000 on their credit cards. While he is talking, the patient interrupts him
frequently and declares this is all untrue and she has never been so happy and fulfilled in her whole life. She speaks very
quickly, changing the subject often. After a longer than normal interview you find out she has had no recent illnesses or injuries.
Her past medical history is unremarkable. Both her parents are healthy but the husband has heard rumors about an aunt with
similar symptoms. She and her husband have no children. She smokes one pack of cigarettes a day (although she has been
chain-smoking in the last 2 weeks), drinks four to si - CORRECT ANSWERS B) Manic episode
A 72-year-old African-American male is brought to your clinic by his daughter for a follow-up visit after his recent
hospitalization. He had been admitted to the local hospital for speech problems and weakness in his right arm and leg. On
admission his MRI showed a small stroke. The patient was in rehab for 1 month following his initial presentation. He is now
walking with a walker and has good use of his arm. His daughter complains, however, that everyone is still having trouble
communicating with the patient. You ask the patient how he thinks he is doing. Although it is hard for you to make out his
words you believe his answer is "well . . . fine . . . doing . . . okay." His prior medical history involved high blood pressure and
coronary artery disease. He is a widower and retired handyman. He has three children who are healthy. He denies tobacco,
alcohol, or drug use. He has no other current symptoms. On examinati - CORRECT ANSWERS B) Broca's aphasia
A 35-year-old stockbroker comes to your office, complaining of feeling tired and irritable. She also says she feels like nothing
ever goes her way and that nothing good ever happens. When you ask her how long she has felt this way she laughs and says,
"Since when have I not?" She relates that she has felt pessimistic about life in general since she was in high school. She denies
any problems with sleep, appetite, or concentration, and states she hasn't thought about killing herself. She reports no recent
illnesses or injuries. She is single. She smokes one pack of cigarettes a day, drinks occasionally, and hasn't taken any illegal drugs
since college. Her mother suffers from depression and her father has high blood pressure. On examination her vital signs and
physical examination are unremarkable.
What mental health disorder best describes her symptoms?
A) Major depressive episode
B) Dysthymic disorder
C) Cyclothymi - CORRECT ANSWERS B) Dysthymic disorder
Susanne is a 27 year old who has had headaches, muscle aches, and fatigue for the last 2 months. You have completed a
thorough history, examination, and laboratory workup but have not found a cause. What would your next action be?
A) A referral to a neurologist
B) A referral to a rheumatologist
C) To tell the patient you can't find anything
D) To screen for depression - CORRECT ANSWERS D) To screen for depression
You ask a patient to draw a clock. He fills in all the numbers on the right half of the circle. What do you suspect?
