NUR600/NUR 600 Exam 4 V2 | Advanced
Health Assess Q&A with Rationale |
William Paterson University
1. Which assessment finding is most characteristic of a patient with Parkinson’s disease?
A. Intention tremor
B. Chorea
C. Hyperreflexia
D. Resting tremor
Correct Answer: D
Expert Explanation: Parkinson’s disease typically presents with a ‘pill-rolling’ tremor that
occurs when the limb is at rest. This tremor usually decreases with purposeful movement
or during sleep. It is one of the cardinal signs of the disease along with bradykinesia and
rigidity.
2. A positive McMurray test is used to identify which of the following?
A. Meniscal tear
B. Collateral ligament injury
C. Anterior cruciate ligament tear
D. Patellar subluxation
,Correct Answer: A
Expert Explanation: The McMurray test involves rotating the patient’s leg with the knee
flexed and then extending it to check for clicks or pain. A positive result strongly suggests a
tear in the medial or lateral meniscus. It is a fundamental orthopedic assessment tool for
evaluating knee stability.
3. What does a positive Phalen’s test indicate?
A. Carpal tunnel syndrome
B. Radial nerve palsy
C. Ulnar nerve entrapment
D. De Quervain’s tenosynovitis
Correct Answer: A
Expert Explanation: Phalen’s test requires the patient to hold their wrists in complete
flexion for 60 seconds. Numbness or tingling in the thumb, index, and middle fingers
indicates compression of the median nerve. This is a common clinical finding in patients
suffering from carpal tunnel syndrome.
4. Which physical exam finding is most consistent with acute appendicitis?
A. Murphy’s sign
B. Cullen’s sign
C. Grey Turner’s sign
, D. Psoas sign
Correct Answer: D
Expert Explanation: The Psoas sign is elicited by having the patient extend their right hip
against resistance while lying on their left side. Increased pain in the right lower quadrant
suggests inflammation of the psoas muscle due to an inflamed appendix. This maneuver
helps confirm a diagnosis of retrocecal appendicitis.
5. In a patient with suspected cholecystitis, which physical sign would most likely be positive?
A. Rovsing sign
B. McBurney sign
C. Blumberg sign
D. Murphy’s sign
Correct Answer: D
Expert Explanation: Murphy’s sign is performed by palpating the right upper quadrant
while the patient takes a deep breath. If the patient abruptly stops inhaling due to pain
when the gallbladder contacts the examiner’s hand, the test is positive. This finding is
highly specific for acute inflammation of the gallbladder.
6. Which of the following describes ‘peau d’orange’ in a breast examination?
A. Edema caused by lymphatic obstruction
B. A mobile fibroadenoma
Health Assess Q&A with Rationale |
William Paterson University
1. Which assessment finding is most characteristic of a patient with Parkinson’s disease?
A. Intention tremor
B. Chorea
C. Hyperreflexia
D. Resting tremor
Correct Answer: D
Expert Explanation: Parkinson’s disease typically presents with a ‘pill-rolling’ tremor that
occurs when the limb is at rest. This tremor usually decreases with purposeful movement
or during sleep. It is one of the cardinal signs of the disease along with bradykinesia and
rigidity.
2. A positive McMurray test is used to identify which of the following?
A. Meniscal tear
B. Collateral ligament injury
C. Anterior cruciate ligament tear
D. Patellar subluxation
,Correct Answer: A
Expert Explanation: The McMurray test involves rotating the patient’s leg with the knee
flexed and then extending it to check for clicks or pain. A positive result strongly suggests a
tear in the medial or lateral meniscus. It is a fundamental orthopedic assessment tool for
evaluating knee stability.
3. What does a positive Phalen’s test indicate?
A. Carpal tunnel syndrome
B. Radial nerve palsy
C. Ulnar nerve entrapment
D. De Quervain’s tenosynovitis
Correct Answer: A
Expert Explanation: Phalen’s test requires the patient to hold their wrists in complete
flexion for 60 seconds. Numbness or tingling in the thumb, index, and middle fingers
indicates compression of the median nerve. This is a common clinical finding in patients
suffering from carpal tunnel syndrome.
4. Which physical exam finding is most consistent with acute appendicitis?
A. Murphy’s sign
B. Cullen’s sign
C. Grey Turner’s sign
, D. Psoas sign
Correct Answer: D
Expert Explanation: The Psoas sign is elicited by having the patient extend their right hip
against resistance while lying on their left side. Increased pain in the right lower quadrant
suggests inflammation of the psoas muscle due to an inflamed appendix. This maneuver
helps confirm a diagnosis of retrocecal appendicitis.
5. In a patient with suspected cholecystitis, which physical sign would most likely be positive?
A. Rovsing sign
B. McBurney sign
C. Blumberg sign
D. Murphy’s sign
Correct Answer: D
Expert Explanation: Murphy’s sign is performed by palpating the right upper quadrant
while the patient takes a deep breath. If the patient abruptly stops inhaling due to pain
when the gallbladder contacts the examiner’s hand, the test is positive. This finding is
highly specific for acute inflammation of the gallbladder.
6. Which of the following describes ‘peau d’orange’ in a breast examination?
A. Edema caused by lymphatic obstruction
B. A mobile fibroadenoma
