NURS 5220 ADVANCED PHYSICAL
ASSESSEMENT EXAM 2 2025 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+| |GUARANTEED PASS|LATEST
UPDATE
A pill-rolling tremor is an expected finding in patients with which disorder?
A. Multiple sclerosis
B. Parkinson disease
C. Hyperthyroidism
D. Hypoglycemia
B: CorrectParkinson disease is characterized by slow supination-pronation (pill-rolling) movements
when the limb is at rest.
By simultaneously touching the individual in two distinct areas of the body and asking the number and
location of stimuli, you are testing:
A. two-point discrimination.
B. superficial pain.
C. extinction phenomenon.
D. dermatome function.
C: CorrectThe extinction phenomenon is tested by simultaneously touching two areas on each side of
the body (e.g., cheek, hand, or other area) with the sharp edge of a broken tongue blade and asking
the patient to tell you the number of stimuli and where they are felt. Similar sensations should be felt
bilaterally.
When stroking the inner thigh of a male patient, which of the following is expected to occur?
A. The individual will experience an erection.
B. The scrotum and testicle on the stroked side will rise.
1|Page
,C. The penis will rotate toward the nonstroked side.
D. The urethral meatus will wink at you.
B: CorrectStroking the inner thigh of the male patient (proximal to distal) elicits the cremasteric reflex.
The testicle and scrotum rise on the stroked side.
The Babinski response of the plantar reflex is normally seen in individuals who:
A. have hyperreflexive deep tendon reflexes.
B. demonstrate clonus.
C. also demonstrate a cremasteric reflex.
D. are younger than 24 months of age.
D: CorrectThe plantar reflex is routinely performed as described in the adult examination. A positive
Babinski sign, fanning of the toes and dorsiflexion of the great toe, is expected until the infant is 16 to
24 months of age.
Pronation of the forearm and flexion of the elbow is an expected response of the:
A. biceps deep tendon reflex.
B. triceps deep tendon reflex.
C. brachioradial deep tendon reflex.
D. patellar deep tendon reflex.
C: CorrectThe brachioradial reflex results in pronation of the forearm and flexion of the elbow when
the brachioradial tendon is struck with the reflex hammer.
Clonus is associated with reflexes that are:
A. hyperactive.
B. sluggish.
C. superficial.
D. flaccid.
A: CorrectGrade IV reflexes are brisk, hyperactive, and with intermittent or transient clonus.
Mr. Arena is a 64-year-old patient. On examination, you note positive Brudzinski and Kernig signs. The
Brudzinski and Kernig signs are indicators of:
A. mental retardation.
B. peripheral neuropathy.
C. meningeal irritation.
D. facial nerve paralysis.
C: CorrectThe presence of Brudzinski and Kernig signs may indicate meningeal irritation.
Emilio Sanchez is a 12 year old who presents for evaluation after getting hit on the side of the head with
a fastball during a game. Which standardized tool would be appropriate to use to evaluate for
concussion?
2|Page
,A. Glasgow Coma Scale
B. Garrick 2-Minute Screening
C. SCAT3 form
D. Mini Mental Status Exam
C:CorrectA diagnosis of a concussion involves a comprehensive assessment of the following domains:
clinical symptoms, physical signs, behavior, balance, sleep, and cognition. These domains are covered
in the Sports Concussion Assessment Tool 3 (SCAT3) form, which is a standardized tool for evaluating
athletes 10 years and older for concussion.
What is the minimal amount of time that a child with mononucleosis must refrain from playing his or her
sport?
A. 2 weeks
B. 3 weeks
C. 4 weeks
D. 6 weeks
B: CorrectPatients with a current viral illness such as mononucleosis may return to play after 3 weeks
if no longer symptomatic and if no splenomegaly is present; fever at the time of the examination is an
absolute contraindication because of the association with viral myocarditis.
Mrs. Jones brings in her 16-year-old daughter for a routine preparticipation examination. Your concerns
include the female athlete triad. This triad includes:
A. eating disorder, amenorrhea, and osteoporosis.
B. thyroid dysfunction, eating disorder, and amenorrhea.
C. stress fractures, thyroid dysfunction, and oligomenorrhea.
D. eating disorder, thyroid dysfunction, and osteoporosis.
A: CorrectA trio of problems, disordered eating, amenorrhea, and osteoporosis, define the female
athlete triad. The greatest risk is for athletes whose sport stresses the need to be lean (gymnastics,
figure skating, diving, ballet) or to be able to endure (distance running, swimming, cross-country
skiing). Early recognition of a possible problem is essential, and the sports preparticipation physical
evaluation (PPE) is the right time to begin.
Which is an example of a Special Olympics sport that is particularly risky for persons with atlantoaxial
instability?
A. Swimming
B. Badminton
C. Floor hockey
D. Basketball
A: CorrectAn increased risk for those with atlantoaxial instability is associated with alpine skiing,
diving, equestrian sports, gymnastics, high jump, soccer, and swimming.
3|Page
, Mrs. Planer brings in her 16-year-old daughter for a preparticipation examination for gymnastics. Her
concern is her daughter's weight and growth. As the examiner, you are aware that in the female athlete
during teenage years, a too-thin body frame encourages:
A. primary amenorrhea.
B. thyroid dysfunction.
C. an eating disorder.
D. a hypoestrogenic state.
D: CorrectA too-thin body encourages a low estrogen state and the possibility of menstrual
dysfunction and a resultant osteopenia or osteoporosis.
Mrs. Mills brings in her 17-year-old daughter for a preparticipation examination for field hockey. She has
stated that her daughter has a cardiac history. As the examiner, you know that sudden cardiac death in
athletes is a great concern. Which problem absolutely precludes an athlete from participation in sports?
A. Hypertension
B. Carditis
C. Heart murmur
D. Dysrhythmia
B: CorrectTwo conditions considered absolute contraindications to sports participation are carditis
and fever. Carditis (inflammation of the heart) can result in sudden death with exertion, and fever is
associated with an increased risk of heat-related illness (Rice, 2008).
Mr. Simmons brings in his 17-year-old son for a preparticipation examination for wrestling. What is the
importance of looking for asymmetries in range of motion, strength, and muscle bulk as part of the
orthopedic component of the examination?
A. Degree of physical development can be assessed.
B. Acute or old poorly rehabilitated injuries are identified.
C. Need for safety or supportive equipment can be determined.
D. Appropriate training exercises can be prescribed.
B: CorrectThe examination consists of observing the athlete in a variety of positions and postures that
highlight asymmetries in range of motion, strength, and muscle bulk. These asymmetries serve to
identify acute or old, poorly rehabilitated injuries.
The American Academy of Pediatrics recommends limiting participation in which sport until the
adolescent achieves sexual rating 5?
A. Wrestling
B. Tackle football
C. Bodybuilding
D. Curling
4|Page
ASSESSEMENT EXAM 2 2025 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+| |GUARANTEED PASS|LATEST
UPDATE
A pill-rolling tremor is an expected finding in patients with which disorder?
A. Multiple sclerosis
B. Parkinson disease
C. Hyperthyroidism
D. Hypoglycemia
B: CorrectParkinson disease is characterized by slow supination-pronation (pill-rolling) movements
when the limb is at rest.
By simultaneously touching the individual in two distinct areas of the body and asking the number and
location of stimuli, you are testing:
A. two-point discrimination.
B. superficial pain.
C. extinction phenomenon.
D. dermatome function.
C: CorrectThe extinction phenomenon is tested by simultaneously touching two areas on each side of
the body (e.g., cheek, hand, or other area) with the sharp edge of a broken tongue blade and asking
the patient to tell you the number of stimuli and where they are felt. Similar sensations should be felt
bilaterally.
When stroking the inner thigh of a male patient, which of the following is expected to occur?
A. The individual will experience an erection.
B. The scrotum and testicle on the stroked side will rise.
1|Page
,C. The penis will rotate toward the nonstroked side.
D. The urethral meatus will wink at you.
B: CorrectStroking the inner thigh of the male patient (proximal to distal) elicits the cremasteric reflex.
The testicle and scrotum rise on the stroked side.
The Babinski response of the plantar reflex is normally seen in individuals who:
A. have hyperreflexive deep tendon reflexes.
B. demonstrate clonus.
C. also demonstrate a cremasteric reflex.
D. are younger than 24 months of age.
D: CorrectThe plantar reflex is routinely performed as described in the adult examination. A positive
Babinski sign, fanning of the toes and dorsiflexion of the great toe, is expected until the infant is 16 to
24 months of age.
Pronation of the forearm and flexion of the elbow is an expected response of the:
A. biceps deep tendon reflex.
B. triceps deep tendon reflex.
C. brachioradial deep tendon reflex.
D. patellar deep tendon reflex.
C: CorrectThe brachioradial reflex results in pronation of the forearm and flexion of the elbow when
the brachioradial tendon is struck with the reflex hammer.
Clonus is associated with reflexes that are:
A. hyperactive.
B. sluggish.
C. superficial.
D. flaccid.
A: CorrectGrade IV reflexes are brisk, hyperactive, and with intermittent or transient clonus.
Mr. Arena is a 64-year-old patient. On examination, you note positive Brudzinski and Kernig signs. The
Brudzinski and Kernig signs are indicators of:
A. mental retardation.
B. peripheral neuropathy.
C. meningeal irritation.
D. facial nerve paralysis.
C: CorrectThe presence of Brudzinski and Kernig signs may indicate meningeal irritation.
Emilio Sanchez is a 12 year old who presents for evaluation after getting hit on the side of the head with
a fastball during a game. Which standardized tool would be appropriate to use to evaluate for
concussion?
2|Page
,A. Glasgow Coma Scale
B. Garrick 2-Minute Screening
C. SCAT3 form
D. Mini Mental Status Exam
C:CorrectA diagnosis of a concussion involves a comprehensive assessment of the following domains:
clinical symptoms, physical signs, behavior, balance, sleep, and cognition. These domains are covered
in the Sports Concussion Assessment Tool 3 (SCAT3) form, which is a standardized tool for evaluating
athletes 10 years and older for concussion.
What is the minimal amount of time that a child with mononucleosis must refrain from playing his or her
sport?
A. 2 weeks
B. 3 weeks
C. 4 weeks
D. 6 weeks
B: CorrectPatients with a current viral illness such as mononucleosis may return to play after 3 weeks
if no longer symptomatic and if no splenomegaly is present; fever at the time of the examination is an
absolute contraindication because of the association with viral myocarditis.
Mrs. Jones brings in her 16-year-old daughter for a routine preparticipation examination. Your concerns
include the female athlete triad. This triad includes:
A. eating disorder, amenorrhea, and osteoporosis.
B. thyroid dysfunction, eating disorder, and amenorrhea.
C. stress fractures, thyroid dysfunction, and oligomenorrhea.
D. eating disorder, thyroid dysfunction, and osteoporosis.
A: CorrectA trio of problems, disordered eating, amenorrhea, and osteoporosis, define the female
athlete triad. The greatest risk is for athletes whose sport stresses the need to be lean (gymnastics,
figure skating, diving, ballet) or to be able to endure (distance running, swimming, cross-country
skiing). Early recognition of a possible problem is essential, and the sports preparticipation physical
evaluation (PPE) is the right time to begin.
Which is an example of a Special Olympics sport that is particularly risky for persons with atlantoaxial
instability?
A. Swimming
B. Badminton
C. Floor hockey
D. Basketball
A: CorrectAn increased risk for those with atlantoaxial instability is associated with alpine skiing,
diving, equestrian sports, gymnastics, high jump, soccer, and swimming.
3|Page
, Mrs. Planer brings in her 16-year-old daughter for a preparticipation examination for gymnastics. Her
concern is her daughter's weight and growth. As the examiner, you are aware that in the female athlete
during teenage years, a too-thin body frame encourages:
A. primary amenorrhea.
B. thyroid dysfunction.
C. an eating disorder.
D. a hypoestrogenic state.
D: CorrectA too-thin body encourages a low estrogen state and the possibility of menstrual
dysfunction and a resultant osteopenia or osteoporosis.
Mrs. Mills brings in her 17-year-old daughter for a preparticipation examination for field hockey. She has
stated that her daughter has a cardiac history. As the examiner, you know that sudden cardiac death in
athletes is a great concern. Which problem absolutely precludes an athlete from participation in sports?
A. Hypertension
B. Carditis
C. Heart murmur
D. Dysrhythmia
B: CorrectTwo conditions considered absolute contraindications to sports participation are carditis
and fever. Carditis (inflammation of the heart) can result in sudden death with exertion, and fever is
associated with an increased risk of heat-related illness (Rice, 2008).
Mr. Simmons brings in his 17-year-old son for a preparticipation examination for wrestling. What is the
importance of looking for asymmetries in range of motion, strength, and muscle bulk as part of the
orthopedic component of the examination?
A. Degree of physical development can be assessed.
B. Acute or old poorly rehabilitated injuries are identified.
C. Need for safety or supportive equipment can be determined.
D. Appropriate training exercises can be prescribed.
B: CorrectThe examination consists of observing the athlete in a variety of positions and postures that
highlight asymmetries in range of motion, strength, and muscle bulk. These asymmetries serve to
identify acute or old, poorly rehabilitated injuries.
The American Academy of Pediatrics recommends limiting participation in which sport until the
adolescent achieves sexual rating 5?
A. Wrestling
B. Tackle football
C. Bodybuilding
D. Curling
4|Page
