NR667 Exit Exam review questions
and answers.
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? - n
ANS ✔
Systole
Qs
The initial workup for a patient with a new chief complaint of palpitations should
include which of the following tests first? - n
ANS ✔
Basic metabolic profile
Qs
Which of the following locations is most commonly described as the best location to
identify the aortic valve in a healthy adult? - n
ANS ✔
2nd intercostal space, right sternal border
Qs
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? - n
ANS ✔
12 months minimum
Qs
What illness or diagnosis would localized egophony on auscultation over the left
lower lobe most likely imply? - n
ANS ✔
,Consolidation (pneumonia)
Qs
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? - n
ANS ✔
To identify if underlying tissues are air-filled, fluid-filled, or consolidated
Qs
Which of the following patients would you expect to show a less-than-expected
forced vital capacity (FVC) on pulmonary function testing? - n
ANS ✔
Severe interstitial lung disease
Qs
In obstructive lung disease, a decreased level in which of the following spirometry
parameters is most suggestive of diagnosis? - n
ANS ✔
Forced Expiratory Volume in 1 second (FEV₁)
Qs
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? - n
ANS ✔
Graves' Disease
Qs
A 32-year-old female with a diagnosis of hyperthyroidism might exhibit which of the
following typical signs on exam? - n
ANS ✔
, Exophthalmos
Qs
Your patient has Cushing's disease. Which of the following would you NOT expect
to find during examination? - n
ANS ✔
Low body temperature
Qs
In a patient with Diabetes Mellitus Type 2, the evaluation for end-organ dysfunction
should include which of the following? - n
ANS ✔
of these are appropriate
Qs
A patient with severe cirrhosis awaiting possible liver transplant should be
evaluated with which scoring system to assess liver function and prognosis? - n
ANS ✔
Model for End-Stage Liver Disease (MELD) Score
Qs
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? - n
ANS ✔
Deep palpitation
Qs
A 21-year-old female may have a perforated gastric ulcer with peritonitis. Which
type of bacteria is most likely the causative agent? - n
ANS ✔
Gram negative rods
and answers.
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? - n
ANS ✔
Systole
Qs
The initial workup for a patient with a new chief complaint of palpitations should
include which of the following tests first? - n
ANS ✔
Basic metabolic profile
Qs
Which of the following locations is most commonly described as the best location to
identify the aortic valve in a healthy adult? - n
ANS ✔
2nd intercostal space, right sternal border
Qs
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? - n
ANS ✔
12 months minimum
Qs
What illness or diagnosis would localized egophony on auscultation over the left
lower lobe most likely imply? - n
ANS ✔
,Consolidation (pneumonia)
Qs
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? - n
ANS ✔
To identify if underlying tissues are air-filled, fluid-filled, or consolidated
Qs
Which of the following patients would you expect to show a less-than-expected
forced vital capacity (FVC) on pulmonary function testing? - n
ANS ✔
Severe interstitial lung disease
Qs
In obstructive lung disease, a decreased level in which of the following spirometry
parameters is most suggestive of diagnosis? - n
ANS ✔
Forced Expiratory Volume in 1 second (FEV₁)
Qs
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? - n
ANS ✔
Graves' Disease
Qs
A 32-year-old female with a diagnosis of hyperthyroidism might exhibit which of the
following typical signs on exam? - n
ANS ✔
, Exophthalmos
Qs
Your patient has Cushing's disease. Which of the following would you NOT expect
to find during examination? - n
ANS ✔
Low body temperature
Qs
In a patient with Diabetes Mellitus Type 2, the evaluation for end-organ dysfunction
should include which of the following? - n
ANS ✔
of these are appropriate
Qs
A patient with severe cirrhosis awaiting possible liver transplant should be
evaluated with which scoring system to assess liver function and prognosis? - n
ANS ✔
Model for End-Stage Liver Disease (MELD) Score
Qs
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? - n
ANS ✔
Deep palpitation
Qs
A 21-year-old female may have a perforated gastric ulcer with peritonitis. Which
type of bacteria is most likely the causative agent? - n
ANS ✔
Gram negative rods
