NR 509 MIDTERM CHAMBERLAIN
EXAM QUESTIONS AND ANSWERS
2026 VERIFIED.
An 18-year-old patient comes to the office for evaluation of a rash. At first there was only one
large patch, but then more lesions erupted suddenly on the back and torso; the lesions itch. On
physical examination, you note that the pattern of eruption is like a Christmas tree and that
there are a variety of erythematous papules and macules on the cleavage lines of the back.
Based on this description, what is the most likely diagnosis? - ANS Pityriasis rosea
A 19-year-old construction worker presents for evaluation of a rash. He notes that it started on
his back with a multitude of spots and is also on his arms, chest, and neck. It itches a lot. He
does sweat more than before because being outdoors is part of his job. On physical
examination, you note dark tan patches with a reddish cast that has sharp borders and fine
scales, scattered more prominently around the upper back, chest, neck, and upper arms as well
as under the arms. Based on this description, what is your most likely diagnosis? - ANS Tinea
versicolor
You are examining a child with severe cerebral palsy. When you suddenly move his foot dorsally,
a sustained "beating" of the foot against your hand ensues. What does this represent? -
ANS Clonus
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? - ANS Increased intracranial pressure
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 13
, A patient complains of epistaxis. Which other cause should be considered? -
ANS Hematemesis
A patient complains of shortness of breath for the past few days. On examination, you note late
inspiratory crackles in the lower third of the chest that were not present a week ago. What is
the most likely explanation for these? - ANS Heart failure
You are excited about a positive test finding you have just noticed on physical
examination of your patient. You go on to do more examination, laboratory work, and
diagnostic tests, only to find that there is no sign of the disease you thought would
correlate with the finding. This same experience happens several times. What should
you conclude? - ANS Continue using the test, perhaps doing less laboratory work and
diagnostics.
A 50-year-old woman presents with a new complaint of headache. The patient states,
"this is worst headache of my life". Her concurrent conditions includes hypertension. Her
history includes habitual ER visits for various complaints and panic attacks. Her most
recent ER visit was last week. Today her BP is 200/110 with a HR of 95. Of the
following diagnoses, which etiology has the highest priority? - ANS Subarachnoid
hemorrhage
A patient with alcoholism is brought in with confusion. You ask him to "stop traffic" with
his palms and notice that every few seconds his palms suddenly move toward the floor.
What does this indicate? - ANS Metabolic problems
A 29-year-old computer programmer comes to your office for evaluation of a headache.
The tightening sensation is located all over the head and is of moderate intensity. It
used to last minutes, but this time it has lasted for 5 days. He denies photophobia and
nausea. He spends several hours each day at a computer monitor/keyboard. He has
tried over-the-counter medication; it has dulled the pain but not taken it away. Based on
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 13
EXAM QUESTIONS AND ANSWERS
2026 VERIFIED.
An 18-year-old patient comes to the office for evaluation of a rash. At first there was only one
large patch, but then more lesions erupted suddenly on the back and torso; the lesions itch. On
physical examination, you note that the pattern of eruption is like a Christmas tree and that
there are a variety of erythematous papules and macules on the cleavage lines of the back.
Based on this description, what is the most likely diagnosis? - ANS Pityriasis rosea
A 19-year-old construction worker presents for evaluation of a rash. He notes that it started on
his back with a multitude of spots and is also on his arms, chest, and neck. It itches a lot. He
does sweat more than before because being outdoors is part of his job. On physical
examination, you note dark tan patches with a reddish cast that has sharp borders and fine
scales, scattered more prominently around the upper back, chest, neck, and upper arms as well
as under the arms. Based on this description, what is your most likely diagnosis? - ANS Tinea
versicolor
You are examining a child with severe cerebral palsy. When you suddenly move his foot dorsally,
a sustained "beating" of the foot against your hand ensues. What does this represent? -
ANS Clonus
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? - ANS Increased intracranial pressure
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 13
, A patient complains of epistaxis. Which other cause should be considered? -
ANS Hematemesis
A patient complains of shortness of breath for the past few days. On examination, you note late
inspiratory crackles in the lower third of the chest that were not present a week ago. What is
the most likely explanation for these? - ANS Heart failure
You are excited about a positive test finding you have just noticed on physical
examination of your patient. You go on to do more examination, laboratory work, and
diagnostic tests, only to find that there is no sign of the disease you thought would
correlate with the finding. This same experience happens several times. What should
you conclude? - ANS Continue using the test, perhaps doing less laboratory work and
diagnostics.
A 50-year-old woman presents with a new complaint of headache. The patient states,
"this is worst headache of my life". Her concurrent conditions includes hypertension. Her
history includes habitual ER visits for various complaints and panic attacks. Her most
recent ER visit was last week. Today her BP is 200/110 with a HR of 95. Of the
following diagnoses, which etiology has the highest priority? - ANS Subarachnoid
hemorrhage
A patient with alcoholism is brought in with confusion. You ask him to "stop traffic" with
his palms and notice that every few seconds his palms suddenly move toward the floor.
What does this indicate? - ANS Metabolic problems
A 29-year-old computer programmer comes to your office for evaluation of a headache.
The tightening sensation is located all over the head and is of moderate intensity. It
used to last minutes, but this time it has lasted for 5 days. He denies photophobia and
nausea. He spends several hours each day at a computer monitor/keyboard. He has
tried over-the-counter medication; it has dulled the pain but not taken it away. Based on
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 13
