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NR 509 FINAL EXAM /NR509 ADVANCED PHYSICAL ASSESSMENT FINAL EXAM NEWEST ACTUAL EXAM COMPLETE ALL 100 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ $30.49   Add to cart

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NR 509 FINAL EXAM /NR509 ADVANCED PHYSICAL ASSESSMENT FINAL EXAM NEWEST ACTUAL EXAM COMPLETE ALL 100 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

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NR 509 FINAL EXAM /NR509 ADVANCED PHYSICAL ASSESSMENT FINAL EXAM NEWEST ACTUAL EXAM COMPLETE ALL 100 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

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  • August 28, 2024
  • 72
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NR 509
  • NR 509
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johnkabiru
1|Page


NR 509 FINAL EXAM /NR509 ADVANCED PHYSICAL
ASSESSMENT FINAL EXAM NEWEST 2024-2025
ACTUAL EXAM COMPLETE ALL 100 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+




FINAL
A 23-year-old woman comes to the respirology clinic for
follow-up of her chronic sinusitis and bronchiectasis that is
associated with a rare congenital condition called Kartagener
syndrome. The preceptor notes that she has situs inversus and
asks for a physical exam. Which of the following descriptions
best fits with findings on the abdominal exam?


a. Tympany to percussion in the right upper quadrant, dullness
to percussion of the left upper quadrant
b. Protuberant abdomen that has scattered areas of tympany and
dullness; stool is felt on palpation
c. Liver dullness in the right upper quadrant that is displaced
downward by the low diaphragm due to chronic obstructive
pulmonary disease

,2|Page


d. Dullness to percussion of the left lower anterior chest wall
roughly at the anterior axillary line
e. A change in percussion from tympany to dullness in the left
lower anterior chest wall on inspiration - ANSWER- a.
Tympany to percussion in the right upper quadrant, dullness to
percussion of the left upper quadrant


An otherwise healthy 28-year-old lawyer presents to the
Emergency Department with a 1-day history of severe
abdominal pain. The emergency physician suspects appendicitis
and general surgery is consulted. The resident believes the
patient has signs of peritonitis on exam. Which of the following
physical exam findings supports peritonitis?


a. Voluntary contraction of the abdominal wall that persists over
several examinations
b. Pressing down onto the abdomen firmly and slowly and
withdrawing the hand quickly produces pain
c. Abdominal pain that increases with hip flexion
d. Localized pain over McBurney point, which lies 2 inches
from the anterior superior iliac spinous process on a line drawn
from the umbilicus
e. Pain with internal rotation of the right hip - ANSWER- b.
Pressing down onto the abdomen firmly and slowly and
withdrawing the hand quickly produces pain

,3|Page




A 58-year-old man with a history of diabetes and alcohol
addiction has been sober for the last 10 months. He presents
with a 4-month history of increasing weakness, recurrent
epigastric pain radiating to his back, chronic diarrhea with stools
6-8 times daily, and weight loss of 18 lb over 4 months. What is
the mechanism of his most likely diagnosis?


a. Helicobacter pylori infection
b. Inflammation of the gallbladder
c. Inflammation of colonic diverticulum
d. Reduced blood supply to the bowel
e. Fibrosis of the pancreas - ANSWER- e. Fibrosis of the
pancreas


A 46-year-old executive who is obese and otherwise healthy
presents to a family medicine clinic with a 3-month course of
recurrent severe abdominal pain that usually resolves on its own
after a few hours. Her last episode was prolonged lasting 6
hours, and she is frustrated that she has had to leave or miss
work on three separate occasions. She would like a diagnosis
and the problem fixed. Which symptoms or signs would be most
suggestive of a diagnosis of biliary colic?


a. Exacerbating factor includes alcohol intake

, 4|Page


b. Positive McBurney point tenderness
c. Poorly localized periumbilical pain
d. Vomiting of bile
e. Associated right shoulder pain - ANSWER- e. Associated
right shoulder pain


A 67-year-old electronics technician with a history of
hypertension and type 2 diabetes presents for his yearly physical
examination and complains of progressively worsening erectile
dysfunction (ED). While counseling him, the clinician mentions
that multiple processes must take place to achieve an erection.
Which of the following structures would be most affected by
vascular deficiencies related to his preexisting medical
conditions and is likely contributing to his symptoms?


a. Corpora cavernosa
b. Ejaculatory duct
c. Epididymis
d. Seminal vesicle
e. Vas deferens - ANSWER- a. Corpora cavernosa


A 29-year-old graduate student states that he is able to achieve
an erection and ejaculate during sexual intercourse; however, he
does not experience any pleasurable sensation of orgasm. He is

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