NR 509 CHAMBERLAIN TESTS 2 PRACTICE
EVALUATION 2026 QUESTION BANK FULL
SOLUTION SET
◉ 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?
Answer: 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?
Answer: 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?
Answer: Increased intracranial pressure
,◉ A patient complains of epistaxis. Which other cause should be
considered?
Answer: 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?
Answer: 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?
Answer: 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?
Answer: 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?
Answer: 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
EVALUATION 2026 QUESTION BANK FULL
SOLUTION SET
◉ 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?
Answer: 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?
Answer: 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?
Answer: Increased intracranial pressure
,◉ A patient complains of epistaxis. Which other cause should be
considered?
Answer: 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?
Answer: 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?
Answer: 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?
Answer: 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?
Answer: 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
