NUR 6001/NUR6001 Exam 3 V1 | Advanced
Health Assessment Q&A with Rationale |
William Paterson University
1. When assessing for carpal tunnel syndrome, which maneuver involves holding the dorsal
surfaces of the hands together for 60 seconds?
A. Tinel sign
B. McMurray test
C. Phalen test
D. Lachman test
Correct Answer: C
Expert Explanation: The Phalen test is a clinical orthopedic test used to identify carpal
tunnel syndrome. In this procedure, the patient is asked to hold the wrists in deep flexion
for one minute. A positive result is recorded if the patient experiences tingling or numbness
in the distribution of the median nerve.
2. Which cranial nerve is primarily responsible for lateral movement of the eye?
A. CN III
B. CN IV
C. CN VI
D. CN V
,Correct Answer: C
Expert Explanation: Cranial Nerve VI, also known as the abducens nerve, controls the
lateral rectus muscle. This muscle is responsible for abducting the eye away from the
midline. Dysfunction of this nerve typically results in double vision or an inability to look
outward.
3. A patient presents with hard, non-tender nodules on the distal interphalangeal (DIP) joints.
What are these nodules called?
A. Boutonniere deformities
B. Bouchard nodes
C. Swan-neck deformities
D. Heberden nodes
Correct Answer: D
Expert Explanation: Heberden nodes are bony growths that occur in the distal
interphalangeal joints of the fingers. They are a classic sign of osteoarthritis rather than
rheumatoid arthritis. In contrast, Bouchard nodes are located at the proximal
interphalangeal joints.
4. Which physical exam finding is most consistent with testicular torsion?
A. Absence of the cremasteric reflex
B. Relief of pain with scrotal elevation
, C. Presence of a normal cremasteric reflex
D. A painless, transilluminating mass
Correct Answer: A
Expert Explanation: Testicular torsion is a surgical emergency characterized by the
twisting of the spermatic cord. One of the most sensitive physical findings is the absence of
the cremasteric reflex on the affected side. Relief of pain with elevation, known as Prehn’s
sign, is more characteristic of epididymitis.
5. A 22-year-old female presents with a single, firm, rubbery, mobile, and non-tender breast
mass. What is the most likely diagnosis?
A. Breast cancer
B. Mammary duct ectasia
C. Fibroadenoma
D. Intraductal papilloma
Correct Answer: C
Expert Explanation: Fibroadenomas are common benign breast tumors found most
frequently in young women. They are typically characterized as being mobile, firm, and
well-circumscribed upon palpation. While imaging is needed for confirmation, these
clinical features are highly suggestive of a benign process.
Health Assessment Q&A with Rationale |
William Paterson University
1. When assessing for carpal tunnel syndrome, which maneuver involves holding the dorsal
surfaces of the hands together for 60 seconds?
A. Tinel sign
B. McMurray test
C. Phalen test
D. Lachman test
Correct Answer: C
Expert Explanation: The Phalen test is a clinical orthopedic test used to identify carpal
tunnel syndrome. In this procedure, the patient is asked to hold the wrists in deep flexion
for one minute. A positive result is recorded if the patient experiences tingling or numbness
in the distribution of the median nerve.
2. Which cranial nerve is primarily responsible for lateral movement of the eye?
A. CN III
B. CN IV
C. CN VI
D. CN V
,Correct Answer: C
Expert Explanation: Cranial Nerve VI, also known as the abducens nerve, controls the
lateral rectus muscle. This muscle is responsible for abducting the eye away from the
midline. Dysfunction of this nerve typically results in double vision or an inability to look
outward.
3. A patient presents with hard, non-tender nodules on the distal interphalangeal (DIP) joints.
What are these nodules called?
A. Boutonniere deformities
B. Bouchard nodes
C. Swan-neck deformities
D. Heberden nodes
Correct Answer: D
Expert Explanation: Heberden nodes are bony growths that occur in the distal
interphalangeal joints of the fingers. They are a classic sign of osteoarthritis rather than
rheumatoid arthritis. In contrast, Bouchard nodes are located at the proximal
interphalangeal joints.
4. Which physical exam finding is most consistent with testicular torsion?
A. Absence of the cremasteric reflex
B. Relief of pain with scrotal elevation
, C. Presence of a normal cremasteric reflex
D. A painless, transilluminating mass
Correct Answer: A
Expert Explanation: Testicular torsion is a surgical emergency characterized by the
twisting of the spermatic cord. One of the most sensitive physical findings is the absence of
the cremasteric reflex on the affected side. Relief of pain with elevation, known as Prehn’s
sign, is more characteristic of epididymitis.
5. A 22-year-old female presents with a single, firm, rubbery, mobile, and non-tender breast
mass. What is the most likely diagnosis?
A. Breast cancer
B. Mammary duct ectasia
C. Fibroadenoma
D. Intraductal papilloma
Correct Answer: C
Expert Explanation: Fibroadenomas are common benign breast tumors found most
frequently in young women. They are typically characterized as being mobile, firm, and
well-circumscribed upon palpation. While imaging is needed for confirmation, these
clinical features are highly suggestive of a benign process.
