NU673 MIDTERM PMHNP EXAMINATION
TEST 2026 MOST TESTED QUESTIONS AND
ANSWERS WITH FULL RATIONALES
GRADED A+
⩥ A patient with a known history of CV disease including MI and
positive ABI with PVD in his left leg now has issues with erectile
dysfunction. If the symptoms are related to vascular disease, where
would the lesion be located? Answer: Iliac pudenal (major blood supply
for penis)
P. 518
⩥ A 73-year-old presents to the ED complaining of chest pain that
started about 2 hours ago. EKG, cardiac enzymes and CXR are normal
but his BP is lower in his right arm compared to his left arm. What can
explain his symptoms? Answer: Dissecting aortic aneurysm
"Tearing" type pain
P. 522
⩥ A 19-year-old sustained a laceration to the ulnar aspect o his mid-
forearm while at work last week and is now noticing purulent discharge,
,pain, fever and chills. Where would the clinician expect to find the first
signs of lymphadenopathy? Answer: Epitrochlear nodes
First nodes in drainage region from ulnar surface of forearm and hand,
little and ring fingers and adjacent surfaces of middle finger
P. 523
⩥ When assessing for femoral pulse, where should the clinician begin
deeply palpating? Answer: Below the inguinal ligament, midway
between the anterior superior iliac spine and symphysis pubis
Palpating above inguinal ligament will assess external iliac artery
P. 526
⩥ Which pulse is located on the dorsum of the foot, just lateral to the
extensor tendon of the big toe? Answer: Dorsalis pedis
P. 528
⩥ A 61-year-old was recently diagnosed with ovarian cancer. She
presents to the clinic with a cough and mild shortness of breath. She has
pain and swelling in her right groin and leg with 2+ edema of the right
,leg up to the thigh. What is the chief concern? Answer: Pulmonary
embolism (PE)
Cancer patients have a high risk of DVT/PE
P. 534-535
⩥ A 32-year-old notes a small wound on the lateral aspect of his mid-
shin. Upon exam, some mild erythema surround the wound and flat,
non-palpable red streaks progressing up his leg are noted. What do these
streaks represent? Answer: Draining lymphatic channels (acute
lymphangitis)
P. 534-535
⩥ A clinician, evaluating a patient for valvular competency in the
communicating veins of the saphenous system, starts with the patient
supine then elevates one leg to about 90 degrees to empty it of venous
blood. Next, the great saphenous vein is occluded with manual
compression and the patient stands. The clinician keeps the vein
occluded while watching for venous filling in the leg. Which test is
being performed? Answer: Trendelenburg (retrograde filling test)
P. 532
, ⩥ A 44-year-old noticed an increasing dilation of the veins in her legs. It
is noted that she has significant varicosities on the posterior aspects of
both legs which begin in the lateral side of the foot and pass upward
along the posterior calf. Which veins are currently affected? Answer:
Small saphenous veins
P. 514, 516
⩥ A 42-year old fair-skinned woman presents with an abnormal skin
growth first noted 7 years ago. Which of the following historical
elements most increases the suspicion that the lesion is malignant?
A. Mild intermittent pruritis over the last 2 years
B. Proximal location over the bicep vs distal arm
C. Similar pinkish tan lesion on sun-exposed areas of face and hands
D. Uniformly darkly pigmented color
E. Minimal but discernible increase in size over last 6 months Answer:
E. Minimal but discernible increase in size over past 6 months
P. 178-180
⩥ A 17-year-old presents to the clinic because she desires to use a
tanning facility ahead of an upcoming event. Which of the following is
true regarding UV exposure and subsequent risk of skin cancer?
TEST 2026 MOST TESTED QUESTIONS AND
ANSWERS WITH FULL RATIONALES
GRADED A+
⩥ A patient with a known history of CV disease including MI and
positive ABI with PVD in his left leg now has issues with erectile
dysfunction. If the symptoms are related to vascular disease, where
would the lesion be located? Answer: Iliac pudenal (major blood supply
for penis)
P. 518
⩥ A 73-year-old presents to the ED complaining of chest pain that
started about 2 hours ago. EKG, cardiac enzymes and CXR are normal
but his BP is lower in his right arm compared to his left arm. What can
explain his symptoms? Answer: Dissecting aortic aneurysm
"Tearing" type pain
P. 522
⩥ A 19-year-old sustained a laceration to the ulnar aspect o his mid-
forearm while at work last week and is now noticing purulent discharge,
,pain, fever and chills. Where would the clinician expect to find the first
signs of lymphadenopathy? Answer: Epitrochlear nodes
First nodes in drainage region from ulnar surface of forearm and hand,
little and ring fingers and adjacent surfaces of middle finger
P. 523
⩥ When assessing for femoral pulse, where should the clinician begin
deeply palpating? Answer: Below the inguinal ligament, midway
between the anterior superior iliac spine and symphysis pubis
Palpating above inguinal ligament will assess external iliac artery
P. 526
⩥ Which pulse is located on the dorsum of the foot, just lateral to the
extensor tendon of the big toe? Answer: Dorsalis pedis
P. 528
⩥ A 61-year-old was recently diagnosed with ovarian cancer. She
presents to the clinic with a cough and mild shortness of breath. She has
pain and swelling in her right groin and leg with 2+ edema of the right
,leg up to the thigh. What is the chief concern? Answer: Pulmonary
embolism (PE)
Cancer patients have a high risk of DVT/PE
P. 534-535
⩥ A 32-year-old notes a small wound on the lateral aspect of his mid-
shin. Upon exam, some mild erythema surround the wound and flat,
non-palpable red streaks progressing up his leg are noted. What do these
streaks represent? Answer: Draining lymphatic channels (acute
lymphangitis)
P. 534-535
⩥ A clinician, evaluating a patient for valvular competency in the
communicating veins of the saphenous system, starts with the patient
supine then elevates one leg to about 90 degrees to empty it of venous
blood. Next, the great saphenous vein is occluded with manual
compression and the patient stands. The clinician keeps the vein
occluded while watching for venous filling in the leg. Which test is
being performed? Answer: Trendelenburg (retrograde filling test)
P. 532
, ⩥ A 44-year-old noticed an increasing dilation of the veins in her legs. It
is noted that she has significant varicosities on the posterior aspects of
both legs which begin in the lateral side of the foot and pass upward
along the posterior calf. Which veins are currently affected? Answer:
Small saphenous veins
P. 514, 516
⩥ A 42-year old fair-skinned woman presents with an abnormal skin
growth first noted 7 years ago. Which of the following historical
elements most increases the suspicion that the lesion is malignant?
A. Mild intermittent pruritis over the last 2 years
B. Proximal location over the bicep vs distal arm
C. Similar pinkish tan lesion on sun-exposed areas of face and hands
D. Uniformly darkly pigmented color
E. Minimal but discernible increase in size over last 6 months Answer:
E. Minimal but discernible increase in size over past 6 months
P. 178-180
⩥ A 17-year-old presents to the clinic because she desires to use a
tanning facility ahead of an upcoming event. Which of the following is
true regarding UV exposure and subsequent risk of skin cancer?
