NR 509 CHAMBERLAIN TESTS 2 ASSESSMENT
SCRIPT 2026 VERIFIED ANSWERS
COMPREHENSIVE REVIEW
◉ Mr. Larson is a 42-year-old widowed father of two children, ages 4
and 11. He works in a
sales office to support his family. Recently he has injured his back
and you are thinking he
would benefit from physical therapy, three times a week, for an hour
per session. What would
be your next step?
A) Write the physical therapy prescription.
B) Have your office staff explain directions to the physical therapy
center.
C) Discuss the plan with Mr. Larson.
D) Tell Mr. Larson that he will be going to physical therapy three
times a week..
Answer: C) Discuss the plan with Mr. Larson.
You should discuss your proposed plan with the patient before
implementing it. In this case, you and Mr. Larson will need to weigh
the benefit of physical therapy against the
,ability to provide for his family. You may need to consider other ways
of helping the patient,
perhaps through prescribed back exercises he can do at home. It is a
common mistake to
implement a plan without coming to an agreement with the patient
first.
◉ You are seeing an elderly man with multiple complaints. He has
chronic arthritis, pain from an old war injury, and headaches. Today
he complains of these pains, as well as dull chest pain under his
sternum. What would the order of priority be for your problem list?
A) Arthritis, war injury pain, headaches, chest pain
B) War injury pain, arthritis, headaches, chest pain
C) Headaches, arthritis, war injury pain, chest pain
D) Chest pain, headaches, arthritis, war injury pain.
Answer: D) Chest pain, headaches, arthritis, war injury pain
The problem list should have the most active and serious problem
first. This new complaint of chest pain is almost certainly a higher
priority than his other, more chronic
problems.
,◉ 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?
A) Consider not doing this test routinely.
B) Use this test when you have a higher suspicion for a certain
correlating condition.
C) Continue using the test, perhaps doing less laboratory work and
diagnostics.
D) Omit this test from future examinations..
Answer: C) Continue using the test, perhaps doing less laboratory
work and diagnostics.
This is an example of a specific test that lacks sensitivity. With this
scenario,
when you finally find a positive, you might be very certain that a
given condition is present.
We generally develop our examinations to fit our clinical
experiences. Sensitive tests are
, performed routinely on the screening examination, while specific
tests are usually saved for the
detailed or "branched" examinations. Branched examinations are
further maneuvers we can
perform to investigate positive findings on our screening
examinations. Save this type of
maneuver to confirm your hypothesis.
◉ You have recently returned from a medical missions trip to sub-
Saharan Africa, where you
learned a great deal about malaria. You decide to use some of the
same questions and
maneuvers in your "routine" when examining patients in the
midwestern United States. You
are disappointed to find that despite getting some positive answers
and findings, on further
workup, none of your patients has malaria except one, who recently
emigrated from Ghana. How should you next approach these
questions and maneuvers?
A) Continue asking these questions in a more selective way.
B) Stop asking these questions, because they are low yield.
C) Question the validity of the questions.
D) Ask these questions of all your patients..
SCRIPT 2026 VERIFIED ANSWERS
COMPREHENSIVE REVIEW
◉ Mr. Larson is a 42-year-old widowed father of two children, ages 4
and 11. He works in a
sales office to support his family. Recently he has injured his back
and you are thinking he
would benefit from physical therapy, three times a week, for an hour
per session. What would
be your next step?
A) Write the physical therapy prescription.
B) Have your office staff explain directions to the physical therapy
center.
C) Discuss the plan with Mr. Larson.
D) Tell Mr. Larson that he will be going to physical therapy three
times a week..
Answer: C) Discuss the plan with Mr. Larson.
You should discuss your proposed plan with the patient before
implementing it. In this case, you and Mr. Larson will need to weigh
the benefit of physical therapy against the
,ability to provide for his family. You may need to consider other ways
of helping the patient,
perhaps through prescribed back exercises he can do at home. It is a
common mistake to
implement a plan without coming to an agreement with the patient
first.
◉ You are seeing an elderly man with multiple complaints. He has
chronic arthritis, pain from an old war injury, and headaches. Today
he complains of these pains, as well as dull chest pain under his
sternum. What would the order of priority be for your problem list?
A) Arthritis, war injury pain, headaches, chest pain
B) War injury pain, arthritis, headaches, chest pain
C) Headaches, arthritis, war injury pain, chest pain
D) Chest pain, headaches, arthritis, war injury pain.
Answer: D) Chest pain, headaches, arthritis, war injury pain
The problem list should have the most active and serious problem
first. This new complaint of chest pain is almost certainly a higher
priority than his other, more chronic
problems.
,◉ 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?
A) Consider not doing this test routinely.
B) Use this test when you have a higher suspicion for a certain
correlating condition.
C) Continue using the test, perhaps doing less laboratory work and
diagnostics.
D) Omit this test from future examinations..
Answer: C) Continue using the test, perhaps doing less laboratory
work and diagnostics.
This is an example of a specific test that lacks sensitivity. With this
scenario,
when you finally find a positive, you might be very certain that a
given condition is present.
We generally develop our examinations to fit our clinical
experiences. Sensitive tests are
, performed routinely on the screening examination, while specific
tests are usually saved for the
detailed or "branched" examinations. Branched examinations are
further maneuvers we can
perform to investigate positive findings on our screening
examinations. Save this type of
maneuver to confirm your hypothesis.
◉ You have recently returned from a medical missions trip to sub-
Saharan Africa, where you
learned a great deal about malaria. You decide to use some of the
same questions and
maneuvers in your "routine" when examining patients in the
midwestern United States. You
are disappointed to find that despite getting some positive answers
and findings, on further
workup, none of your patients has malaria except one, who recently
emigrated from Ghana. How should you next approach these
questions and maneuvers?
A) Continue asking these questions in a more selective way.
B) Stop asking these questions, because they are low yield.
C) Question the validity of the questions.
D) Ask these questions of all your patients..
