NR-700: Health Policy, Finance, and Regulatory
Leadership – Advanced Analysis, Policy
Implementation, and Strategic Decision-Making in
Healthcare 2025-2026
1. A 65-year-old male presents with sudden onset chest pain
radiating to his left arm. Which is the most appropriate initial
diagnostic test?
A. Chest X-ray
B. ECG
C. Echocardiogram
D. Cardiac MRI
B. ECG
ECG is the first-line diagnostic test for suspected acute
myocardial infarction to detect ischemic changes.
2. A patient reports difficulty swallowing solid foods but not
liquids. This is most consistent with:
A. Esophageal spasm
B. Mechanical obstruction
C. GERD
D. Achalasia
B. Mechanical obstruction
Difficulty with solids more than liquids suggests a structural or
mechanical obstruction rather than a motility disorder.
,3. A 50-year-old female presents with fatigue, pallor, and
spoon-shaped nails. Which laboratory test is most useful for
initial evaluation?
A. Serum iron
B. Vitamin B12
C. Folate
D. TSH
A. Serum iron
Iron deficiency anemia often presents with fatigue, pallor, and
koilonychia; serum iron studies are the first step.
4. During cardiovascular exam, a mid-systolic click followed by
a late systolic murmur is heard. Most likely diagnosis:
A. Mitral valve prolapse
B. Aortic stenosis
C. Pulmonary stenosis
D. Tricuspid regurgitation
A. Mitral valve prolapse
Mid-systolic click with late systolic murmur is characteristic of
mitral valve prolapse.
5. A patient with a new, persistent cough and night sweats
should be evaluated for:
A. Asthma
B. COPD
C. Tuberculosis
D. Gastroesophageal reflux
,C. Tuberculosis
Night sweats, persistent cough, and systemic symptoms suggest
TB and warrant diagnostic testing.
6. In abdominal examination, shifting dullness indicates:
A. Intestinal obstruction
B. Ascites
C. Hepatomegaly
D. Splenomegaly
B. Ascites
Shifting dullness is a clinical sign of fluid accumulation in the
peritoneal cavity.
7. A 45-year-old female presents with proximal muscle
weakness and elevated creatine kinase. Most likely diagnosis:
A. Myasthenia gravis
B. Polymyositis
C. Multiple sclerosis
D. Guillain-Barré syndrome
B. Polymyositis
Polymyositis presents with symmetric proximal muscle
weakness and elevated CK levels.
8. Which of the following is the most sensitive test for early
detection of diabetes?
A. Fasting blood glucose
B. Random blood glucose
C. HbA1c
, D. Oral glucose tolerance test
C. HbA1c
HbA1c reflects average blood glucose over 2–3 months and is
sensitive for early detection.
9. A patient presents with exophthalmos, heat intolerance,
and palpitations. Most likely diagnosis:
A. Hypothyroidism
B. Hyperthyroidism
C. Cushing syndrome
D. Addison disease
B. Hyperthyroidism
Exophthalmos, heat intolerance, and palpitations are classic
features of Graves’ disease (hyperthyroidism).
10. A patient presents with unilateral facial droop, inability to
raise the eyebrow, and drooping mouth. The lesion is likely in:
A. Upper motor neuron
B. Lower motor neuron
C. Cerebellum
D. Brainstem (midbrain)
B. Lower motor neuron
Complete unilateral facial weakness including forehead
involvement indicates a lower motor neuron lesion, e.g., Bell’s
palsy.
Leadership – Advanced Analysis, Policy
Implementation, and Strategic Decision-Making in
Healthcare 2025-2026
1. A 65-year-old male presents with sudden onset chest pain
radiating to his left arm. Which is the most appropriate initial
diagnostic test?
A. Chest X-ray
B. ECG
C. Echocardiogram
D. Cardiac MRI
B. ECG
ECG is the first-line diagnostic test for suspected acute
myocardial infarction to detect ischemic changes.
2. A patient reports difficulty swallowing solid foods but not
liquids. This is most consistent with:
A. Esophageal spasm
B. Mechanical obstruction
C. GERD
D. Achalasia
B. Mechanical obstruction
Difficulty with solids more than liquids suggests a structural or
mechanical obstruction rather than a motility disorder.
,3. A 50-year-old female presents with fatigue, pallor, and
spoon-shaped nails. Which laboratory test is most useful for
initial evaluation?
A. Serum iron
B. Vitamin B12
C. Folate
D. TSH
A. Serum iron
Iron deficiency anemia often presents with fatigue, pallor, and
koilonychia; serum iron studies are the first step.
4. During cardiovascular exam, a mid-systolic click followed by
a late systolic murmur is heard. Most likely diagnosis:
A. Mitral valve prolapse
B. Aortic stenosis
C. Pulmonary stenosis
D. Tricuspid regurgitation
A. Mitral valve prolapse
Mid-systolic click with late systolic murmur is characteristic of
mitral valve prolapse.
5. A patient with a new, persistent cough and night sweats
should be evaluated for:
A. Asthma
B. COPD
C. Tuberculosis
D. Gastroesophageal reflux
,C. Tuberculosis
Night sweats, persistent cough, and systemic symptoms suggest
TB and warrant diagnostic testing.
6. In abdominal examination, shifting dullness indicates:
A. Intestinal obstruction
B. Ascites
C. Hepatomegaly
D. Splenomegaly
B. Ascites
Shifting dullness is a clinical sign of fluid accumulation in the
peritoneal cavity.
7. A 45-year-old female presents with proximal muscle
weakness and elevated creatine kinase. Most likely diagnosis:
A. Myasthenia gravis
B. Polymyositis
C. Multiple sclerosis
D. Guillain-Barré syndrome
B. Polymyositis
Polymyositis presents with symmetric proximal muscle
weakness and elevated CK levels.
8. Which of the following is the most sensitive test for early
detection of diabetes?
A. Fasting blood glucose
B. Random blood glucose
C. HbA1c
, D. Oral glucose tolerance test
C. HbA1c
HbA1c reflects average blood glucose over 2–3 months and is
sensitive for early detection.
9. A patient presents with exophthalmos, heat intolerance,
and palpitations. Most likely diagnosis:
A. Hypothyroidism
B. Hyperthyroidism
C. Cushing syndrome
D. Addison disease
B. Hyperthyroidism
Exophthalmos, heat intolerance, and palpitations are classic
features of Graves’ disease (hyperthyroidism).
10. A patient presents with unilateral facial droop, inability to
raise the eyebrow, and drooping mouth. The lesion is likely in:
A. Upper motor neuron
B. Lower motor neuron
C. Cerebellum
D. Brainstem (midbrain)
B. Lower motor neuron
Complete unilateral facial weakness including forehead
involvement indicates a lower motor neuron lesion, e.g., Bell’s
palsy.
