NR667 Exit Exam QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY
GRADED A+
Your 51-year-old female patient has been diagnosed with a "new murmur" during a near syncopal
episode workup. In evaluating this patient, during which phase of the cardiac cycle would you anticipate
auscultation of an S1 heart sound? - CORRECT ANSWERS Systole
The initial workup for a patient with a new chief complaint of palpitations should include which of the
following tests first? - CORRECT ANSWERS Basic metabolic profile
Which of the following locations is most commonly described as the best location to identify the aortic
valve in a healthy adult? - CORRECT ANSWERS 2nd intercostal space, right sternal border
Jason, a 63-year-old male who had a cardiac drug-eluting stent placed and had an elevated troponin of
1.6, asks how long he will need to be on aspirin plus clopidogrel (Plavix). How long should Jason be on
dual antiplatelet therapy after his stent? - CORRECT ANSWERS 12 months minimum
What illness or diagnosis would localized egophony on auscultation over the left lower lobe most likely
imply? - CORRECT ANSWERS Consolidation (pneumonia)
While assessing a 15-year-old patient for a new onset of cough, how does
performing percussion of the thorax assist the provider during the physical examination? - CORRECT
ANSWERS To identify if underlying tissues are air-filled, fluid-filled, or consolidated
Which of the following patients would you expect to show a less-than-expected forced vital capacity
(FVC) on pulmonary function testing? - CORRECT ANSWERS Severe interstitial lung disease
,In obstructive lung disease, a decreased level in which of the following spirometry parameters is most
suggestive of diagnosis? - CORRECT ANSWERS Forced Expiratory Volume in 1 second (FEV₁)
Your newly established patient developed a progressively enlarged thyroid gland (goiter) along with
symptoms of anxiety, palpitations, and tremor over the last year. Which diagnosis is most likely based
on these findings? - CORRECT ANSWERS Graves' Disease
A 32-year-old female with a diagnosis of hyperthyroidism might exhibit which of the following typical
signs on exam? - CORRECT ANSWERS Exophthalmos
Your patient has Cushing's disease. Which of the following would you NOT expect to find during
examination? - CORRECT ANSWERS Low body temperature
In a patient with Diabetes Mellitus Type 2, the evaluation for end-organ dysfunction should include
which of the following? - CORRECT ANSWERS of these are appropriate
A patient with severe cirrhosis awaiting possible liver transplant should be evaluated with which scoring
system to assess liver function and prognosis? - CORRECT ANSWERS Model for End-Stage
Liver Disease (MELD) Score
You suspect mononucleosis in a 12-year-old with left upper quadrant pain and likely splenomegaly.
Which examination step should be avoided over that area? - CORRECT ANSWERS Deep
palpitation
A 21-year-old female may have a perforated gastric ulcer with peritonitis. Which type of bacteria is most
likely the causative agent? - CORRECT ANSWERS Gram negative rods
A 22-year-old male power lifter complains his scrotum is very enlarged and fluid-like. Which diagnosis is
most likely? - CORRECT ANSWERS Hydrocele
, A 22-year-old female has sinus pressure and congestion. Which maneuver may help reproduce sinus-
related pain and support the diagnosis? - CORRECT ANSWERS Leaning forward
A 49-year-old male presents with weight loss, night sweats, anhedonia, and CXR showing profoundly
enlarged hilar adenopathy. Which diagnosis should be in your differential? - CORRECT ANSWERS
Lymphoma
Which of the following diseases is associated with vitreous detachment? - CORRECT ANSWERS
Ehlers-Danlos
A patient presents with a unilateral visual deficit described as loss of visual fields on the right side in
both eyes. This is known as what? - CORRECT ANSWERS Homonymous hemianopia
An adolescent female with microcytic, hypochromic anemia and elevated RDW most likely has iron
deficiency. Which labs will you order first? - CORRECT ANSWERS TIBC and ferritin
A microcytic anemia with normal RDW is most likely which type of anemia? - CORRECT ANSWERS
Thalassemia trait
A 43-year-old male with macrocytic anemia should be evaluated for which lab level to help narrow the
etiology? - CORRECT ANSWERS Vitamin B12
A 66-year-old female with end-stage renal disease on dialysis has labs showing high creatinine/BUN. On
CBC, you'd typically see which result? - CORRECT ANSWERS Normal MCH, hemoglobin 9.6
During a routine physical, a 12-year-old with a history of Reye syndrome is noted. Which agent is most
often implicated in causing Reye syndrome? - CORRECT ANSWERS Aspirin use
Your patient is diagnosed with hepatitis A. Which immunoglobulin is the first to be elevated in the
serum? - CORRECT ANSWERS IgM
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY
GRADED A+
Your 51-year-old female patient has been diagnosed with a "new murmur" during a near syncopal
episode workup. In evaluating this patient, during which phase of the cardiac cycle would you anticipate
auscultation of an S1 heart sound? - CORRECT ANSWERS Systole
The initial workup for a patient with a new chief complaint of palpitations should include which of the
following tests first? - CORRECT ANSWERS Basic metabolic profile
Which of the following locations is most commonly described as the best location to identify the aortic
valve in a healthy adult? - CORRECT ANSWERS 2nd intercostal space, right sternal border
Jason, a 63-year-old male who had a cardiac drug-eluting stent placed and had an elevated troponin of
1.6, asks how long he will need to be on aspirin plus clopidogrel (Plavix). How long should Jason be on
dual antiplatelet therapy after his stent? - CORRECT ANSWERS 12 months minimum
What illness or diagnosis would localized egophony on auscultation over the left lower lobe most likely
imply? - CORRECT ANSWERS Consolidation (pneumonia)
While assessing a 15-year-old patient for a new onset of cough, how does
performing percussion of the thorax assist the provider during the physical examination? - CORRECT
ANSWERS To identify if underlying tissues are air-filled, fluid-filled, or consolidated
Which of the following patients would you expect to show a less-than-expected forced vital capacity
(FVC) on pulmonary function testing? - CORRECT ANSWERS Severe interstitial lung disease
,In obstructive lung disease, a decreased level in which of the following spirometry parameters is most
suggestive of diagnosis? - CORRECT ANSWERS Forced Expiratory Volume in 1 second (FEV₁)
Your newly established patient developed a progressively enlarged thyroid gland (goiter) along with
symptoms of anxiety, palpitations, and tremor over the last year. Which diagnosis is most likely based
on these findings? - CORRECT ANSWERS Graves' Disease
A 32-year-old female with a diagnosis of hyperthyroidism might exhibit which of the following typical
signs on exam? - CORRECT ANSWERS Exophthalmos
Your patient has Cushing's disease. Which of the following would you NOT expect to find during
examination? - CORRECT ANSWERS Low body temperature
In a patient with Diabetes Mellitus Type 2, the evaluation for end-organ dysfunction should include
which of the following? - CORRECT ANSWERS of these are appropriate
A patient with severe cirrhosis awaiting possible liver transplant should be evaluated with which scoring
system to assess liver function and prognosis? - CORRECT ANSWERS Model for End-Stage
Liver Disease (MELD) Score
You suspect mononucleosis in a 12-year-old with left upper quadrant pain and likely splenomegaly.
Which examination step should be avoided over that area? - CORRECT ANSWERS Deep
palpitation
A 21-year-old female may have a perforated gastric ulcer with peritonitis. Which type of bacteria is most
likely the causative agent? - CORRECT ANSWERS Gram negative rods
A 22-year-old male power lifter complains his scrotum is very enlarged and fluid-like. Which diagnosis is
most likely? - CORRECT ANSWERS Hydrocele
, A 22-year-old female has sinus pressure and congestion. Which maneuver may help reproduce sinus-
related pain and support the diagnosis? - CORRECT ANSWERS Leaning forward
A 49-year-old male presents with weight loss, night sweats, anhedonia, and CXR showing profoundly
enlarged hilar adenopathy. Which diagnosis should be in your differential? - CORRECT ANSWERS
Lymphoma
Which of the following diseases is associated with vitreous detachment? - CORRECT ANSWERS
Ehlers-Danlos
A patient presents with a unilateral visual deficit described as loss of visual fields on the right side in
both eyes. This is known as what? - CORRECT ANSWERS Homonymous hemianopia
An adolescent female with microcytic, hypochromic anemia and elevated RDW most likely has iron
deficiency. Which labs will you order first? - CORRECT ANSWERS TIBC and ferritin
A microcytic anemia with normal RDW is most likely which type of anemia? - CORRECT ANSWERS
Thalassemia trait
A 43-year-old male with macrocytic anemia should be evaluated for which lab level to help narrow the
etiology? - CORRECT ANSWERS Vitamin B12
A 66-year-old female with end-stage renal disease on dialysis has labs showing high creatinine/BUN. On
CBC, you'd typically see which result? - CORRECT ANSWERS Normal MCH, hemoglobin 9.6
During a routine physical, a 12-year-old with a history of Reye syndrome is noted. Which agent is most
often implicated in causing Reye syndrome? - CORRECT ANSWERS Aspirin use
Your patient is diagnosed with hepatitis A. Which immunoglobulin is the first to be elevated in the
serum? - CORRECT ANSWERS IgM
