NR 511 WEEK 4 MIDTERM EXAM / NR511 WEEK 4
MIDTERM EXAM (LATEST 2021): ADVANCED
PHYSICAL ASSESSMENT
Question 1 . Janet is a 30-year-old woman who has been recently diagnosed with a
herniated disc at the level of L5-S1. She is currently in the emergency room with
suspicion of cauda equina compression. Which of the following is a sign or
symptom of cauda equina compression? (Points : 2)
Gastrocnemius weakness
x A reduced or absent ankle reflex
Numbness in the lateral foot
Paresthesia of the perineum and buttocks
2. A 58-year-old woman who had a total abdominal hysterectomy at the age of 45
is diagnosed with atrophic vaginitis. Which of the following is the most
appropriate treatment? (Points : 2)
Conjugated estrogen 0.625 mg/day oral
Estradiol 7.5 mcg/24 hr vaginal ring
Medroxyprogesterone 10 mg/day oral
x Conjugated estrogen 0.3 mg + medroxyprogesterone 1.5 mg/day oralWomen
are at the highest risk for developing postpartum depression for up to how long
after childbirth? (Points : 2)
2 weeks
1 month
, 3 months
6 months
3. CPT coding offers the uniformed language used for reporting medical services
and procedures performed by physician and nonphysician practitioners. Clinicians
are paid based on calculated resource costs that are calculated based on practice
components. Which of the following are part of the components used to calculate
the per CPT code payment rate? (Points : 2)
Clinician education loans
Clinician practice liability and malpractice expense
Clinician reported cost reduction efforts
x Clinician volume of patients treated
. 5. Which of the following is a specific test for multiple sclerosis (MS)? (Points :
2)
x Magnetic resonance imaging (MRI)
Computed tomography (CT) scan
A lumbar puncture
, There is no specific test.
. 6. Most adult poisonings are: (Points : 2)
intentional and self-inflicted.
x accidental.
caused by someone wishing to do harm to the person.
not attributed to any reason.
7. A 60-year-old man presents with an enlarged scrotum. The clinician uses a
penlight to transilluminate the scrotum. In a patient with a hydrocele, what would
the clinician expect to find? (Points : 2)
The scrotum will be dark.
x The scrotum will appear light pink or yellow.
The scrotum will appear milky white.
The internal structures will be clearly visible.
. 8. Which clinical feature is the first to be affected in increased intracranial
pressure (ICP)? (Points : 2)
Decrease in level of consciousness (LOC)
x Headache
Nausea
Widening pulse pressure
. 9. Mr. S presents in the clinic with pain, tenderness, erythema, and swelling of
his left great toe. The clinician suspects acute gout. Which of the following should
the clinician suspect in the initial test results for this patient? (Points : 2)
, x Elevated uric acid level
Elevated blood urea nitrogen (BUN)
Decreased urine pH
Decreased C-reactive protein (CRP)
10. Which solution should be used when irrigating lacerated tissue over a wound
on the arm? (Points : 2)
x Dilute povidone-iodine solution
Hydrogen peroxide (H2O2)
Saline solution infused with an antibiotic
Saline irrigation or soapy water
11. Which ethical principle reflects respect for all persons and their self-
determination? (Points : 2)
x Autonomy
Beneficence
Justice
Veracity
12. During a digital rectal exam (DRE) on a 75-year-old man, the clinician
suspects the patient has prostate cancer. What physical finding should make the
clinician suspicious? (Points : 2)
An enlarged rubbery gland
MIDTERM EXAM (LATEST 2021): ADVANCED
PHYSICAL ASSESSMENT
Question 1 . Janet is a 30-year-old woman who has been recently diagnosed with a
herniated disc at the level of L5-S1. She is currently in the emergency room with
suspicion of cauda equina compression. Which of the following is a sign or
symptom of cauda equina compression? (Points : 2)
Gastrocnemius weakness
x A reduced or absent ankle reflex
Numbness in the lateral foot
Paresthesia of the perineum and buttocks
2. A 58-year-old woman who had a total abdominal hysterectomy at the age of 45
is diagnosed with atrophic vaginitis. Which of the following is the most
appropriate treatment? (Points : 2)
Conjugated estrogen 0.625 mg/day oral
Estradiol 7.5 mcg/24 hr vaginal ring
Medroxyprogesterone 10 mg/day oral
x Conjugated estrogen 0.3 mg + medroxyprogesterone 1.5 mg/day oralWomen
are at the highest risk for developing postpartum depression for up to how long
after childbirth? (Points : 2)
2 weeks
1 month
, 3 months
6 months
3. CPT coding offers the uniformed language used for reporting medical services
and procedures performed by physician and nonphysician practitioners. Clinicians
are paid based on calculated resource costs that are calculated based on practice
components. Which of the following are part of the components used to calculate
the per CPT code payment rate? (Points : 2)
Clinician education loans
Clinician practice liability and malpractice expense
Clinician reported cost reduction efforts
x Clinician volume of patients treated
. 5. Which of the following is a specific test for multiple sclerosis (MS)? (Points :
2)
x Magnetic resonance imaging (MRI)
Computed tomography (CT) scan
A lumbar puncture
, There is no specific test.
. 6. Most adult poisonings are: (Points : 2)
intentional and self-inflicted.
x accidental.
caused by someone wishing to do harm to the person.
not attributed to any reason.
7. A 60-year-old man presents with an enlarged scrotum. The clinician uses a
penlight to transilluminate the scrotum. In a patient with a hydrocele, what would
the clinician expect to find? (Points : 2)
The scrotum will be dark.
x The scrotum will appear light pink or yellow.
The scrotum will appear milky white.
The internal structures will be clearly visible.
. 8. Which clinical feature is the first to be affected in increased intracranial
pressure (ICP)? (Points : 2)
Decrease in level of consciousness (LOC)
x Headache
Nausea
Widening pulse pressure
. 9. Mr. S presents in the clinic with pain, tenderness, erythema, and swelling of
his left great toe. The clinician suspects acute gout. Which of the following should
the clinician suspect in the initial test results for this patient? (Points : 2)
, x Elevated uric acid level
Elevated blood urea nitrogen (BUN)
Decreased urine pH
Decreased C-reactive protein (CRP)
10. Which solution should be used when irrigating lacerated tissue over a wound
on the arm? (Points : 2)
x Dilute povidone-iodine solution
Hydrogen peroxide (H2O2)
Saline solution infused with an antibiotic
Saline irrigation or soapy water
11. Which ethical principle reflects respect for all persons and their self-
determination? (Points : 2)
x Autonomy
Beneficence
Justice
Veracity
12. During a digital rectal exam (DRE) on a 75-year-old man, the clinician
suspects the patient has prostate cancer. What physical finding should make the
clinician suspicious? (Points : 2)
An enlarged rubbery gland
