NR 509 ADVANCED PHYSICAL ASSESSMENT
CHAMBERLAIN MIDTERM TEST EXAM LATEST 2026
ALL STUDY QUESTIONS WITH VERIFIED ANSWERS
100% GUARANTEED PASS | RATED A+
A 58-year-old carpenter presents for his annual physical examination. The physician assistant
notes a systolic murmur on auscultation of the aorta. However, she does not immediately
conclude that this patient has aortic stenosis. Which of the following is the reason that she seeks
additional information?
a. Systolic murmurs have high sensitivity and high specificity for aortic stenosis.
b. Systolic murmurs have low sensitivity and low specificity for aortic stenosis.
c. Systolic murmurs have low sensitivity but high specificity for aortic stenosis.
d. Systolic murmurs have high sensitivity but low specificity for aortic stenosis.
e. Systolic murmurs are unrelated to aortic stenosis. - Answer>>> d. Systolic murmurs have high
sensitivity but low specificity for aortic stenosis.
A 13-year-old girl is brought by her mother to the clinic one day before the start of eighth grade
because of a 3-day history of episodes of shortness of breath. When she gets the shortness of
breath, she also notices tingling around her lips. She has no fever, cough, sputum production, or
chest pain. She has no history of serious illness and takes no medications. Vital signs are within
normal limits. Cardiac, lung, and extremity examinations show no abnormalities. Which of the
following is the most likely diagnosis?
a. Aspiration of a foreign body
b. Anxiety
c. Asthma
,d. Left-sided heart failure
e. Pneumonia - Answer>>> b. Anxiety
A 55-year-old air traffic control agent reports his home blood pressure log to clinic after he was
diagnosed with hypertension at a prior visit. He notes that he consistently measures within the
normal range at home, but seems to fall outside the normal range every time he comes to the
clinic. Which of the following blood pressure measurements is considered to be most accurate
(i.e., reflecting the patient's "true" blood pressure)?
a. Blood pressure recorded in three positions in the health practitioner's office
b. Three separate blood pressure measurements recorded by a medical technician within 90
minutes of awakening in the morning in an office setting using an automated device
c. Blood pressure recorded in three positions in the health practitioner's office after resting for a
10-minute period in a supine position
d. Regular ambulatory monitoring recorded outside of the office setting
e. A total of six blood pre - Answer>>> d. Regular ambulatory monitoring recorded outside of
the office setting
A 42-year-old female mathematician presents for follow-up care regarding a new diagnosis of
systemic lupus erythematosus 6 months ago after a lengthy diagnostic process during which she
was debilitated with fatigue and joint pain. Since her diagnosis, she has been minimally
compliant with medications and has switched her rheumatology provider twice. She continues to
feel ill, and, in explanation for her lack of adherence to the prescribed treatment, she simply says,
"I don't like it." At this initial visit with her third rheumatology provider, the clinician elects to
explore the issues behind her noncompliance before engaging in diagnostics and treatment using
the FIFE model. Which of the following best defines the elements of the FIFE model?
a. Focus, intensity, function, and evaluation
b. Facts, intensity, focus, and evidence
,c. Feelings, ideas, function, and expectations
d. Feelings, impression, fantasy, and em - Answer>>> c. Feelings, ideas, function, and
expectations
Concerning a patient that may demonstrate a diagnosis of aphasia, which of the following
statements is true?
a. It involves a loss of the voice or a slurring or hoarseness of speech secondary to pathology of
the larynx or its nerve supply.
b. It is best characterized by slurred speech with an associated defect in language control.
c. It is best characterized by involuntary, rhythmic, repetitive movements involving the tongue
and jaws making speech difficult to comprehend.
d. The ability to write a full correct sentence does not rule out the presence of aphasia in a
patient.
e. It is defined as an inability to produce or understand language. - Answer>>> e. It is defined as
an inability to produce or understand language.
A 39-year-old nurse who is a well-established patient complains of irregular menstrual periods
and pelvic pain. She says that she is having trouble sleeping and asks whether she could be given
a "sleeping pill." The patient also says she is thinking of leaving her job. What is the best "next
step" in caring for this patient?
a. Perform a pelvic examination.
b. Obtain a urine sample for testing.
c. Obtain a more complete description of problems.
d. Obtain blood for testing.
, e. Ask about recent travel destinations. - Answer>>> c. Obtain a more complete description of
problems.
A 47-year-old fitness trainer visits the physician assistant (PA) because of skin dryness, night
sweats, and irregular menstrual periods. It is the PA's first contact with this patient. The patient
notes that "My sex life has really gone downhill lately" and says that she is considering divorcing
her husband of 20 years, stating that "He's not a bad guy. I just think that I can do better." In
which of the following ways should the clinician proceed?
a. Obtain a menstrual history for the previous 6 months.
b. Help the patient review the pros and cons of divorce.
c. Inform the patient that menopause is a normal part of aging.
d. Conduct a breast examination.
e. Determine the patient's out-of-country travel history. - Answer>>> a. Obtain a menstrual
history for the previous 6 months.
One important examination technique involves using the third fingers of each hand to determine
the health of internal organs. What is the name of this technique?
a. Auscultation
b. Percussion
c. Inspection
d. Palpation
e. Listening - Answer>>> b. Percussion
An 82-year-old gentleman seems to be speaking loudly during an examination, suggesting that
he may not be hearing well. What is a good question to ask him to help identify whether or not
he has hearing loss?
CHAMBERLAIN MIDTERM TEST EXAM LATEST 2026
ALL STUDY QUESTIONS WITH VERIFIED ANSWERS
100% GUARANTEED PASS | RATED A+
A 58-year-old carpenter presents for his annual physical examination. The physician assistant
notes a systolic murmur on auscultation of the aorta. However, she does not immediately
conclude that this patient has aortic stenosis. Which of the following is the reason that she seeks
additional information?
a. Systolic murmurs have high sensitivity and high specificity for aortic stenosis.
b. Systolic murmurs have low sensitivity and low specificity for aortic stenosis.
c. Systolic murmurs have low sensitivity but high specificity for aortic stenosis.
d. Systolic murmurs have high sensitivity but low specificity for aortic stenosis.
e. Systolic murmurs are unrelated to aortic stenosis. - Answer>>> d. Systolic murmurs have high
sensitivity but low specificity for aortic stenosis.
A 13-year-old girl is brought by her mother to the clinic one day before the start of eighth grade
because of a 3-day history of episodes of shortness of breath. When she gets the shortness of
breath, she also notices tingling around her lips. She has no fever, cough, sputum production, or
chest pain. She has no history of serious illness and takes no medications. Vital signs are within
normal limits. Cardiac, lung, and extremity examinations show no abnormalities. Which of the
following is the most likely diagnosis?
a. Aspiration of a foreign body
b. Anxiety
c. Asthma
,d. Left-sided heart failure
e. Pneumonia - Answer>>> b. Anxiety
A 55-year-old air traffic control agent reports his home blood pressure log to clinic after he was
diagnosed with hypertension at a prior visit. He notes that he consistently measures within the
normal range at home, but seems to fall outside the normal range every time he comes to the
clinic. Which of the following blood pressure measurements is considered to be most accurate
(i.e., reflecting the patient's "true" blood pressure)?
a. Blood pressure recorded in three positions in the health practitioner's office
b. Three separate blood pressure measurements recorded by a medical technician within 90
minutes of awakening in the morning in an office setting using an automated device
c. Blood pressure recorded in three positions in the health practitioner's office after resting for a
10-minute period in a supine position
d. Regular ambulatory monitoring recorded outside of the office setting
e. A total of six blood pre - Answer>>> d. Regular ambulatory monitoring recorded outside of
the office setting
A 42-year-old female mathematician presents for follow-up care regarding a new diagnosis of
systemic lupus erythematosus 6 months ago after a lengthy diagnostic process during which she
was debilitated with fatigue and joint pain. Since her diagnosis, she has been minimally
compliant with medications and has switched her rheumatology provider twice. She continues to
feel ill, and, in explanation for her lack of adherence to the prescribed treatment, she simply says,
"I don't like it." At this initial visit with her third rheumatology provider, the clinician elects to
explore the issues behind her noncompliance before engaging in diagnostics and treatment using
the FIFE model. Which of the following best defines the elements of the FIFE model?
a. Focus, intensity, function, and evaluation
b. Facts, intensity, focus, and evidence
,c. Feelings, ideas, function, and expectations
d. Feelings, impression, fantasy, and em - Answer>>> c. Feelings, ideas, function, and
expectations
Concerning a patient that may demonstrate a diagnosis of aphasia, which of the following
statements is true?
a. It involves a loss of the voice or a slurring or hoarseness of speech secondary to pathology of
the larynx or its nerve supply.
b. It is best characterized by slurred speech with an associated defect in language control.
c. It is best characterized by involuntary, rhythmic, repetitive movements involving the tongue
and jaws making speech difficult to comprehend.
d. The ability to write a full correct sentence does not rule out the presence of aphasia in a
patient.
e. It is defined as an inability to produce or understand language. - Answer>>> e. It is defined as
an inability to produce or understand language.
A 39-year-old nurse who is a well-established patient complains of irregular menstrual periods
and pelvic pain. She says that she is having trouble sleeping and asks whether she could be given
a "sleeping pill." The patient also says she is thinking of leaving her job. What is the best "next
step" in caring for this patient?
a. Perform a pelvic examination.
b. Obtain a urine sample for testing.
c. Obtain a more complete description of problems.
d. Obtain blood for testing.
, e. Ask about recent travel destinations. - Answer>>> c. Obtain a more complete description of
problems.
A 47-year-old fitness trainer visits the physician assistant (PA) because of skin dryness, night
sweats, and irregular menstrual periods. It is the PA's first contact with this patient. The patient
notes that "My sex life has really gone downhill lately" and says that she is considering divorcing
her husband of 20 years, stating that "He's not a bad guy. I just think that I can do better." In
which of the following ways should the clinician proceed?
a. Obtain a menstrual history for the previous 6 months.
b. Help the patient review the pros and cons of divorce.
c. Inform the patient that menopause is a normal part of aging.
d. Conduct a breast examination.
e. Determine the patient's out-of-country travel history. - Answer>>> a. Obtain a menstrual
history for the previous 6 months.
One important examination technique involves using the third fingers of each hand to determine
the health of internal organs. What is the name of this technique?
a. Auscultation
b. Percussion
c. Inspection
d. Palpation
e. Listening - Answer>>> b. Percussion
An 82-year-old gentleman seems to be speaking loudly during an examination, suggesting that
he may not be hearing well. What is a good question to ask him to help identify whether or not
he has hearing loss?
