NR 509 / NR509 Advanced Physical Assessment
Midterm Exam Study Guide
Questions with Verified Answers - Chamberlain
Consist of 250+ multiple choices Questions with Answers
1. A 62-year-old teacher presents to the clinic for evaluation of the following
symptoms: fever, headache, sinus congestion, sore throat, green nasal dis- charge,
and cough. This cluster of symptoms is best explained by:
A) One disease process
B) More than one disease process
ANS: A) One disease process
This cluster of symptoms is most consistent with sinusitis. The chance that all of these
symptoms are caused by multiple synchronous conditions in the same patientis much
less than the possibility of having one problem which accounts for all of them.
2. Steve has just seen a 5-year-old girl who wheezes when exposed to cats.The
,patient's family history is positive for asthma. You think the child most likely has
asthma. What have you just accomplished?
A) You have tested your hypothesis.
B) You have developed a plan.
C) You have established a working diagnosis.
D) You have created a hypothesis.
ANS: D) You have created a hypothesis.
As/you/go/through/a/history/and/examination,/you/will/start/to/generate/ideas/to/explain/t
he/patient's/symptoms./It/is/best/to/keep/an/open/mind/and/make/as/many/hypotheses
as/you/can,/to/avoid/missing/a/possibility./A/common/mistake/is/to/latch/onto/one/idea/too/
early.
3. Ms./Washington/is/a/67-year-
old/who/had/a/heart/attack/last/month./Now/she/complains/of/shortness/of/breath/and/
not/being/able/to/sleep/in/a/flat/position/(orthopnea)./On/examination/you/note/increa
sed/jugular/venous/pressure,/an/S3/gallop,/crackles/low/in/the/lung/fields,/and/swollen/
ankles/(edema)./This/is/an/example/of/a:
,A) Pathophysiologic/problem
B) Psychopathologic/problem
ANS:/A)/Pathophysiologic/problem
This/is/an/example/of/a/pathophysiologic/problem/because/Ms./Washington's/symptoms/a
re/consistent/with/a/pathophysiologic/process./The/heart/attack/reduced/the/ability/of/her/h
eart/to/handle/her/volume/status/and/subsequently/produced/the/many/features/of/conge
stive/heart/failure.
4. On/the/way/to/see/your/next/patient,/you/glance/at/the/calendar/and/make/a/mental/n
ote/to
buy/a/Mother's/Day/card./Your/patient/is/Ms./Hernandez,/a/76-year-
old/widow/who/lost/her
husband/in/May,/two/years/ago./She/comes/in/today/with/a/headaches,/abdom-
inal/pain,/and
/
general/malaise./This/happened/once/before,/about/a/year/ago,/according/to/your/detail
ed/office
notes./You/have/done/a/thorough/evaluation/but/are/unable/to/arrive/at/a/consistent/pict
ure/to
tie/these/symptoms/together./This/is/an/example/of/a:
A) Pathophysiologic/problem
B) Psychopathologic/problem
ANS:/B)/Psychopathologic/problem
3///104
, It/is/not/uncommon/for/patients/to/experience/psychopathologic/symptoms/around/the/a
nniversary/of/a/traumatic/event./The/time/of/year/and/the/lack/of/an/obvious/connection
between/Ms./Hernandez's/symptoms/would/make/you/consider/this/as/a/possibility./You/wi
ll/note/that/although/this/might/have/been/an/early/consideration/in/your/hypothesis/gene
ration,/it/is
key/to/convince/yourself/that/there/is/not/a/physiologic/explanation/for/these/symp-
toms,/by
/
performing/a/careful/history/and/examination.
5. Mr./Larson/is/a/42-year-old/widowed/father/of/two/children,/ages/4/and/11.
He/works/in/a
sales/office/to/support/his/family./Recently/he/has/injured/his/back/and/you/are/thinking/
he
would/benefit/from/physical/therapy,/three/times/a/week,/for/an/hour/per/session./
What/would
be/your/next/step?
A) Write/the/physical/therapy/prescription.
B) Have/your/office/staff/explain/directions/to/the/physical/therapy/center.
C) Discuss/the/plan/with/Mr./Larson.
D) Tell/Mr./Larson/that/he/will/be/going/to/physical/therapy/three/times/a/week.
ANS:/C)/Discuss/the/plan/with/Mr./Larson.
You/should/discuss/your/proposed/plan/with/the/patient/before/implementing/it./In/this/case,/y
4///104
Midterm Exam Study Guide
Questions with Verified Answers - Chamberlain
Consist of 250+ multiple choices Questions with Answers
1. A 62-year-old teacher presents to the clinic for evaluation of the following
symptoms: fever, headache, sinus congestion, sore throat, green nasal dis- charge,
and cough. This cluster of symptoms is best explained by:
A) One disease process
B) More than one disease process
ANS: A) One disease process
This cluster of symptoms is most consistent with sinusitis. The chance that all of these
symptoms are caused by multiple synchronous conditions in the same patientis much
less than the possibility of having one problem which accounts for all of them.
2. Steve has just seen a 5-year-old girl who wheezes when exposed to cats.The
,patient's family history is positive for asthma. You think the child most likely has
asthma. What have you just accomplished?
A) You have tested your hypothesis.
B) You have developed a plan.
C) You have established a working diagnosis.
D) You have created a hypothesis.
ANS: D) You have created a hypothesis.
As/you/go/through/a/history/and/examination,/you/will/start/to/generate/ideas/to/explain/t
he/patient's/symptoms./It/is/best/to/keep/an/open/mind/and/make/as/many/hypotheses
as/you/can,/to/avoid/missing/a/possibility./A/common/mistake/is/to/latch/onto/one/idea/too/
early.
3. Ms./Washington/is/a/67-year-
old/who/had/a/heart/attack/last/month./Now/she/complains/of/shortness/of/breath/and/
not/being/able/to/sleep/in/a/flat/position/(orthopnea)./On/examination/you/note/increa
sed/jugular/venous/pressure,/an/S3/gallop,/crackles/low/in/the/lung/fields,/and/swollen/
ankles/(edema)./This/is/an/example/of/a:
,A) Pathophysiologic/problem
B) Psychopathologic/problem
ANS:/A)/Pathophysiologic/problem
This/is/an/example/of/a/pathophysiologic/problem/because/Ms./Washington's/symptoms/a
re/consistent/with/a/pathophysiologic/process./The/heart/attack/reduced/the/ability/of/her/h
eart/to/handle/her/volume/status/and/subsequently/produced/the/many/features/of/conge
stive/heart/failure.
4. On/the/way/to/see/your/next/patient,/you/glance/at/the/calendar/and/make/a/mental/n
ote/to
buy/a/Mother's/Day/card./Your/patient/is/Ms./Hernandez,/a/76-year-
old/widow/who/lost/her
husband/in/May,/two/years/ago./She/comes/in/today/with/a/headaches,/abdom-
inal/pain,/and
/
general/malaise./This/happened/once/before,/about/a/year/ago,/according/to/your/detail
ed/office
notes./You/have/done/a/thorough/evaluation/but/are/unable/to/arrive/at/a/consistent/pict
ure/to
tie/these/symptoms/together./This/is/an/example/of/a:
A) Pathophysiologic/problem
B) Psychopathologic/problem
ANS:/B)/Psychopathologic/problem
3///104
, It/is/not/uncommon/for/patients/to/experience/psychopathologic/symptoms/around/the/a
nniversary/of/a/traumatic/event./The/time/of/year/and/the/lack/of/an/obvious/connection
between/Ms./Hernandez's/symptoms/would/make/you/consider/this/as/a/possibility./You/wi
ll/note/that/although/this/might/have/been/an/early/consideration/in/your/hypothesis/gene
ration,/it/is
key/to/convince/yourself/that/there/is/not/a/physiologic/explanation/for/these/symp-
toms,/by
/
performing/a/careful/history/and/examination.
5. Mr./Larson/is/a/42-year-old/widowed/father/of/two/children,/ages/4/and/11.
He/works/in/a
sales/office/to/support/his/family./Recently/he/has/injured/his/back/and/you/are/thinking/
he
would/benefit/from/physical/therapy,/three/times/a/week,/for/an/hour/per/session./
What/would
be/your/next/step?
A) Write/the/physical/therapy/prescription.
B) Have/your/office/staff/explain/directions/to/the/physical/therapy/center.
C) Discuss/the/plan/with/Mr./Larson.
D) Tell/Mr./Larson/that/he/will/be/going/to/physical/therapy/three/times/a/week.
ANS:/C)/Discuss/the/plan/with/Mr./Larson.
You/should/discuss/your/proposed/plan/with/the/patient/before/implementing/it./In/this/case,/y
4///104
