CHAMBERLAIN UNIVERSITY NR 511 CEA
Exam 2026| Actual Exam Questions and Verified
Answers for Guaranteed Pass
Your patient has a diagnosis of Addison's disease. Which of the following might you expect to
find during examination?
A) Abdominal striae
B) Dowager hump
C) Low body temperature
D) Moon face
Correct Answer: C) Low body temperature
Explanation: Addison's disease (primary adrenal insufficiency) commonly causes hypothermia
due to cortisol deficiency. Abdominal striae, dowager hump, and moon face are features of
Cushing's syndrome (excess cortisol).
"What is that awful taste?" describes which hallucination?
A) Visual
B) Limbic
C) Olfactory
D) Gustatory
Correct Answer: D) Gustatory
Explanation: Gustatory hallucinations involve abnormal tastes (e.g., metallic or foul taste).
Olfactory = smells; visual = sights; limbic is not a hallucination type.
The most common comorbid diagnosis in suicide attempters is:
A) Depression
B) Anxiety
,C) Schizophrenia
D) Bipolar disorder
Correct Answer: A) Depression
Explanation: Major depressive disorder is the most common psychiatric diagnosis in patients
with suicide attempts (present in ~50–70% of cases).
Severe pain when reaching behind the neck suggests:
A) Humeral malignancy
B) Rotator cuff injury
C) Ulnar nerve injury
D) Biceps injury
Correct Answer: B) Rotator cuff injury
Explanation: Pain with internal rotation (reaching behind neck/back) is classic for rotator cuff
pathology (supraspinatus/infraspinatus tendinopathy/tear).
All are TMJ disorder symptoms EXCEPT:
A) Pain with chewing
B) Facial asymmetry
C) Joint swelling
D) Pain relief with displacement
Correct Answer: D) Pain relief with displacement
Explanation: TMJ disorders cause pain with chewing, clicking/popping, limited opening, facial
asymmetry/swelling. Pain is not relieved by jaw displacement.
Unequal shoulder height with spinal curvature indicates:
A) Scoliosis
B) RA
C) Kyphosis
,D) Lordosis
Correct Answer: A) Scoliosis
Explanation: Scoliosis presents with unequal shoulder/hip heights and lateral spinal curvature
(rotational component).
Left cheek sensory loss implicates which cranial nerve?
A) CN V
B) CN XI
C) CN VI
D) CN X
Correct Answer: A) CN V
Explanation: Trigeminal nerve (CN V) provides sensory innervation to the face (V2 maxillary
branch for cheek).
Cranial nerve I (olfactory) is best tested by:
A) Nostril airflow
B) Turbinate exam
C) Nasal pressure
D) Identifying scents
Correct Answer: D) Identifying scents
Explanation: CN I is tested by having the patient identify common non-irritating odors (e.g.,
coffee, vanilla) with each nostril occluded separately.
Identifying a key placed in the hand with eyes closed tests:
A) Graphesthesia
B) Two-point discrimination
C) Stereognosis
D) Monognometrics
, Correct Answer: C) Stereognosis
Explanation: Stereognosis is the ability to identify objects by touch alone (tactile agnosia testing
parietal lobe function).
An absent gag reflex indicates damage to:
A) CN VI
B) CN XII
C) CN IX
D) CN V
Correct Answer: C) CN IX
Explanation: Gag reflex afferent = CN IX (glossopharyngeal); efferent = CN X (vagus). Absent
reflex suggests CN IX/X lesion.
RBC casts on urinalysis in a patient with recent strep infection indicate:
A) Pyelonephritis
B) Bladder cancer
C) Glomerulonephritis
D) Gram-negative sepsis
Correct Answer: C) Glomerulonephritis
Explanation: RBC casts indicate glomerular bleeding (glomerulonephritis). Post-streptococcal
GN is classic after group A strep infection.
Which finding confirms pyelonephritis?
A) Gram-positive bacteremia
B) RBC casts
C) Enterococcus in urine
D) WBC casts
Correct Answer: D) WBC casts
Exam 2026| Actual Exam Questions and Verified
Answers for Guaranteed Pass
Your patient has a diagnosis of Addison's disease. Which of the following might you expect to
find during examination?
A) Abdominal striae
B) Dowager hump
C) Low body temperature
D) Moon face
Correct Answer: C) Low body temperature
Explanation: Addison's disease (primary adrenal insufficiency) commonly causes hypothermia
due to cortisol deficiency. Abdominal striae, dowager hump, and moon face are features of
Cushing's syndrome (excess cortisol).
"What is that awful taste?" describes which hallucination?
A) Visual
B) Limbic
C) Olfactory
D) Gustatory
Correct Answer: D) Gustatory
Explanation: Gustatory hallucinations involve abnormal tastes (e.g., metallic or foul taste).
Olfactory = smells; visual = sights; limbic is not a hallucination type.
The most common comorbid diagnosis in suicide attempters is:
A) Depression
B) Anxiety
,C) Schizophrenia
D) Bipolar disorder
Correct Answer: A) Depression
Explanation: Major depressive disorder is the most common psychiatric diagnosis in patients
with suicide attempts (present in ~50–70% of cases).
Severe pain when reaching behind the neck suggests:
A) Humeral malignancy
B) Rotator cuff injury
C) Ulnar nerve injury
D) Biceps injury
Correct Answer: B) Rotator cuff injury
Explanation: Pain with internal rotation (reaching behind neck/back) is classic for rotator cuff
pathology (supraspinatus/infraspinatus tendinopathy/tear).
All are TMJ disorder symptoms EXCEPT:
A) Pain with chewing
B) Facial asymmetry
C) Joint swelling
D) Pain relief with displacement
Correct Answer: D) Pain relief with displacement
Explanation: TMJ disorders cause pain with chewing, clicking/popping, limited opening, facial
asymmetry/swelling. Pain is not relieved by jaw displacement.
Unequal shoulder height with spinal curvature indicates:
A) Scoliosis
B) RA
C) Kyphosis
,D) Lordosis
Correct Answer: A) Scoliosis
Explanation: Scoliosis presents with unequal shoulder/hip heights and lateral spinal curvature
(rotational component).
Left cheek sensory loss implicates which cranial nerve?
A) CN V
B) CN XI
C) CN VI
D) CN X
Correct Answer: A) CN V
Explanation: Trigeminal nerve (CN V) provides sensory innervation to the face (V2 maxillary
branch for cheek).
Cranial nerve I (olfactory) is best tested by:
A) Nostril airflow
B) Turbinate exam
C) Nasal pressure
D) Identifying scents
Correct Answer: D) Identifying scents
Explanation: CN I is tested by having the patient identify common non-irritating odors (e.g.,
coffee, vanilla) with each nostril occluded separately.
Identifying a key placed in the hand with eyes closed tests:
A) Graphesthesia
B) Two-point discrimination
C) Stereognosis
D) Monognometrics
, Correct Answer: C) Stereognosis
Explanation: Stereognosis is the ability to identify objects by touch alone (tactile agnosia testing
parietal lobe function).
An absent gag reflex indicates damage to:
A) CN VI
B) CN XII
C) CN IX
D) CN V
Correct Answer: C) CN IX
Explanation: Gag reflex afferent = CN IX (glossopharyngeal); efferent = CN X (vagus). Absent
reflex suggests CN IX/X lesion.
RBC casts on urinalysis in a patient with recent strep infection indicate:
A) Pyelonephritis
B) Bladder cancer
C) Glomerulonephritis
D) Gram-negative sepsis
Correct Answer: C) Glomerulonephritis
Explanation: RBC casts indicate glomerular bleeding (glomerulonephritis). Post-streptococcal
GN is classic after group A strep infection.
Which finding confirms pyelonephritis?
A) Gram-positive bacteremia
B) RBC casts
C) Enterococcus in urine
D) WBC casts
Correct Answer: D) WBC casts
