NR 509 / NR509 ADVANCED PHYSICAL ASSESSMENT
WEEK 1 MIDTERM EXAM
QUESTIONS WITH VERIFIED ANSWERS - CHAMBERLAIN
Consist of 100 multiple choices Questions with Answers
1. A young man feels something in his scrotum and comes to you for clarifi- cation.
On your examination, you note what feels like a "bag of worms" in theleft scrotum,
superior to the testicles. Which of the following is most likely?
A) Hydrocele of the spermatic cord
B) Varicocele
C) Testicular carcinoma
D) A normal vas deferens
ANS Varicocle
Varicoceles are common in normal men. They are often found in the left scrotum or
bilaterally and should normally resolve in the supine position. This is because they
represent varicosities within the scrotum. These require further investigation ifthey occur
only on the right side or do not resolve in the supine position. They can contribute to
infertility because the testicles are unable to achieve a cool enough temperature for sperm
production, due to increased blood flow from the varicocele.A hydrocele would be a
, @LECTJULIESOLUTIONSSTUVIA
painless mass on the spermatic cord and the vas deferens ispalpated as part of the spermatic
cord. You should lightly pinch the scrotum mediallyand move laterally until you feel the
spermatic cord pass between your fingers.
2. Which of the following changes are expected in vision as part of the normalaging
process?
A) Cataracts
B) Glaucoma
C) Macular degeneration
D) Blurring of near vision
ANS D
The lens loses its elasticity over time as part of the normal aging process, and the eye is
less able to accommodate and focus on near objects; therefore, the patientwill be expected
to have blurring of near vision.
3. A 68-year-old mechanic presents to the emergency room for shortness of breath.
You are concerned about a cardiac cause and measure his jugular venous pressure
(JVP). It is elevated. Which one of the following conditions isa potential cause of
elevated JVP?
A) Left-sided heart failure
B) Mitral stenosis
C) Constrictive pericarditis
D) Aortic aneurysm
ANS Constrictive pericarditis
, 4. Which of the following lymph node groups is most commonly involved inbreast
cancer?
A) Lateral
B) Subscapular
C) Pectoral
D) Central
ANS D.) Central
WEEK 1 MIDTERM EXAM
QUESTIONS WITH VERIFIED ANSWERS - CHAMBERLAIN
Consist of 100 multiple choices Questions with Answers
1. A young man feels something in his scrotum and comes to you for clarifi- cation.
On your examination, you note what feels like a "bag of worms" in theleft scrotum,
superior to the testicles. Which of the following is most likely?
A) Hydrocele of the spermatic cord
B) Varicocele
C) Testicular carcinoma
D) A normal vas deferens
ANS Varicocle
Varicoceles are common in normal men. They are often found in the left scrotum or
bilaterally and should normally resolve in the supine position. This is because they
represent varicosities within the scrotum. These require further investigation ifthey occur
only on the right side or do not resolve in the supine position. They can contribute to
infertility because the testicles are unable to achieve a cool enough temperature for sperm
production, due to increased blood flow from the varicocele.A hydrocele would be a
, @LECTJULIESOLUTIONSSTUVIA
painless mass on the spermatic cord and the vas deferens ispalpated as part of the spermatic
cord. You should lightly pinch the scrotum mediallyand move laterally until you feel the
spermatic cord pass between your fingers.
2. Which of the following changes are expected in vision as part of the normalaging
process?
A) Cataracts
B) Glaucoma
C) Macular degeneration
D) Blurring of near vision
ANS D
The lens loses its elasticity over time as part of the normal aging process, and the eye is
less able to accommodate and focus on near objects; therefore, the patientwill be expected
to have blurring of near vision.
3. A 68-year-old mechanic presents to the emergency room for shortness of breath.
You are concerned about a cardiac cause and measure his jugular venous pressure
(JVP). It is elevated. Which one of the following conditions isa potential cause of
elevated JVP?
A) Left-sided heart failure
B) Mitral stenosis
C) Constrictive pericarditis
D) Aortic aneurysm
ANS Constrictive pericarditis
, 4. Which of the following lymph node groups is most commonly involved inbreast
cancer?
A) Lateral
B) Subscapular
C) Pectoral
D) Central
ANS D.) Central
