Midterm Exam: NR509 NR 509

Midterm Exam: NR509 / NR 509

(Latest Update 2025 / 2026) Advanced Physical Assessment | Questions and Answers | 100% Correct | Grade A - Chamberlain

Question:

Bleeding or Swollen Gum

Answer:

Usually caused by gingivitis

Question:

Hoarseness

Answer:

causes range from disease of the larynx to extralaryngeal lesions that press on the laryngeal nerves

if hoarseness is acute, consider voice overuse, acute viral laryngitis, and possible neck trauma.

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Question:

Key Components of the Mouth and Pharynx Examination

Answer:

Inspect the lips (color, moisture, lumps, ulcers, cracking, or scaliness).Inspect the oral mucosa (discoloration, ulcers, white patches, nodules).Palpate the oral mucosa (if indicated for any lesions, thickening).Inspect the gingiva (erythema, discoloration, ulceration, swelling).Inspect the gum margins and interdental papillae (swelling, ulceration).Inspect the teeth (missing, discolored, misshapen, or abnormally positioned).Inspect the roof (hard palate) and floor of the mouth (erythema, discoloration, nodules, ulcerations, or deformities).Test the hypoglossal nerve, or CN XII (symmetry of tongue protrusion).Inspect the tongue (color, texture, lesions).Palpate the tongue (if indicated for any lesions, thickening).Inspect the soft palate, anterior and posterior pillars, uvula, tonsils, and pharynx (color, symmetry, exudate, swelling, ulceration, or tonsillar enlargement).Test the vagus nerve, or CN X (symmetry of uvula).

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Question:

Lips and Oral Mucosa

Answer:

watch for central cyanosis or pallor from anemia

Question:

Gums and Teeth

Answer:

Redness of the gingiva suggest gingivitis

black line might indicated lead poisoning

Question:

Roof/ Floor of the mouth and tongue

Answer:

Men age > 50 years, smokers, and heavy users of chewing tobacco and alcohol are at highest risk of cancers of the tongue and oral cavity > usually sqaumous cell carcinomas on the side or the base of the tongue.

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Question:

Pharynx

Answer:

In CN X paralysis, the soft palate fails to rise and the uvula deviates to the opposite side and "points away from the lesion."

Asymmetric tonsils, with other symptoms, may indicated lymphoma.

Tonsillar exdates with beefy red uvula are common in streptococcal pharyngitis but warrant rapid antigen-detection testing or throat culture for dx.

Question:

Grading Tonsils

Answer:

1+ visible 2+ halfway between tonsillar pillars and uvula 3+ touching the uvula 4+ touching each other

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