NR 509 / NR509 Advanced Physical Assessment
Final Exam
Questions with Verified Answers - Chamberlain
Consist of 100 multiple choices Questions with Answers
1. A young man feels something in his scrotum and comes to you for clarifi-
cation. On your examination, you note what feels like a "bag of worms" in
theleft scrotum, superior to the testicles. Which of the following is most
likely?
A) Hydrocele of the spermatic cord
B) Varicocele
C) Testicular carcinoma
D) A normal vas deferens
ANS Varicocle
,Varicoceles are common in normal men. They are often found in the left
scrotum or bilaterally and should normally resolve in the supine position. This
is because they represent varicosities within the scrotum. These require
further investigation ifthey occur only on the right side or do not resolve in
the supine position. They can contribute to infertility because the testicles are
unable to achieve a cool enough temperature for sperm production, due to
increased blood flow from the varicocele.A hydrocele would be a painless mass
on the spermatic cord and the vas deferens ispalpated as part of the spermatic
cord. You should lightly pinch the scrotum mediallyand move laterally until you
feel the spermatic cord pass between your fingers.
2. Which of the following changes are expected in vision as part of the
normalaging process?
A) Cataracts
B) Glaucoma
,C) Macular degeneration
D) Blurring of near vision
ANS D
The lens loses its elasticity over time as part of the normal aging process, and
theeye is less able to accommodate and focus on near objects; therefore, the
patientwill be expected to have blurring of near vision.
3. A 68-year-old mechanic presents to the emergency room for shortness of
breath. You are concerned about a cardiac cause and measure his jugular
venous pressure (JVP). It is elevated. Which one of the following conditions is
a potential cause of elevated JVP?
A) Left-sided heart failure
B) Mitral stenosis
C) Constrictive pericarditis
D) Aortic aneurysm
ANS Constrictive pericarditis
, 4. Which of the following lymph node groups is most commonly involved
inbreast cancer?
A) Lateral
B) Subscapular
C) Pectoral
D) Central
ANS D.) Central
5. You are beginning the examination of the skin on a 25-year-old teacher.
Youhave previously elicited that she came to the office for evaluation of
fatigue, weight gain, and hair loss. You strongly suspect that she has
hypothyroidism.What is the expected moisture and texture of the skin of a
patient with hypothyroidism?
A) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough
ANS D) Dry and rough
Final Exam
Questions with Verified Answers - Chamberlain
Consist of 100 multiple choices Questions with Answers
1. A young man feels something in his scrotum and comes to you for clarifi-
cation. On your examination, you note what feels like a "bag of worms" in
theleft scrotum, superior to the testicles. Which of the following is most
likely?
A) Hydrocele of the spermatic cord
B) Varicocele
C) Testicular carcinoma
D) A normal vas deferens
ANS Varicocle
,Varicoceles are common in normal men. They are often found in the left
scrotum or bilaterally and should normally resolve in the supine position. This
is because they represent varicosities within the scrotum. These require
further investigation ifthey occur only on the right side or do not resolve in
the supine position. They can contribute to infertility because the testicles are
unable to achieve a cool enough temperature for sperm production, due to
increased blood flow from the varicocele.A hydrocele would be a painless mass
on the spermatic cord and the vas deferens ispalpated as part of the spermatic
cord. You should lightly pinch the scrotum mediallyand move laterally until you
feel the spermatic cord pass between your fingers.
2. Which of the following changes are expected in vision as part of the
normalaging process?
A) Cataracts
B) Glaucoma
,C) Macular degeneration
D) Blurring of near vision
ANS D
The lens loses its elasticity over time as part of the normal aging process, and
theeye is less able to accommodate and focus on near objects; therefore, the
patientwill be expected to have blurring of near vision.
3. A 68-year-old mechanic presents to the emergency room for shortness of
breath. You are concerned about a cardiac cause and measure his jugular
venous pressure (JVP). It is elevated. Which one of the following conditions is
a potential cause of elevated JVP?
A) Left-sided heart failure
B) Mitral stenosis
C) Constrictive pericarditis
D) Aortic aneurysm
ANS Constrictive pericarditis
, 4. Which of the following lymph node groups is most commonly involved
inbreast cancer?
A) Lateral
B) Subscapular
C) Pectoral
D) Central
ANS D.) Central
5. You are beginning the examination of the skin on a 25-year-old teacher.
Youhave previously elicited that she came to the office for evaluation of
fatigue, weight gain, and hair loss. You strongly suspect that she has
hypothyroidism.What is the expected moisture and texture of the skin of a
patient with hypothyroidism?
A) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough
ANS D) Dry and rough
