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| CEA 603 FINAL EXAM 2026
Your 50 year old Caucasian male patient has not seen a primary care giver in
20+ years and is here for a history and physical examination. While examining
the head and face, you see your patient has nonpitting periorbital edema,
particularly underneath their eyes and very dry, thinned hair, including the
lateral third of eyebrows (as pictured below: Sparse hairline, thin lateral
eyebrows, Periobital edema). Which one of the folowing would you expect to
cause this finding?
*Severe hypothyroidism
*Addison's disease
*Grave's disease
*Alzhemiers.
Severe hypothyroidism
A40 year old, female, African American patient presents for history and
physical. Upon your initial assessment, you notice she has severe exophthalmos
as pictured below. Which one of the following diagnoses below would be the
highest on your differential diagnose of this physical examination finding? (eyes
bulging out of her head)
*Bilateral conjunctivitis.
,*Hyperthyroidism.
*hypothyroidism
*myexedma
Hyperthyroidism.
Your patient with a suspected diagnosis of COPD has been seen by
pulmonology and has underwent a pulmonary function test (PFT) with
spirometry. As the patient's primary healthcare provider, you have been asked to
explain the findings of the PFT to the patient in a
follow-up visit at which time the patient asks what the study was evaluating. To
describe the PFT to the patient in more useful terms, you state that the large
inspiration of air to the furthest extent they could reasonably accomplish
followed by a full exhalation is referred to as which of the following
measurements during the PFT?
*Forced Expiratory Volume over 1 second (FEV1).
*Functional Reserve Capacity.
*Inspiratory Reserve
*Forced Vital Capacity.
Forced Vital Capacity.
Your newly established patient states in the past year, they have progressively
developed a noticeable bump on their neck and when asked about symptoms,
they report feeling very anxious, have developed a tremor, and are commonly
feeling palpitations in their chest.
On examination, you identify an enlarged thyroid gland suspicious for a goiter.
Of the following diagnoses, which is most likely for the patient to develop
based on these findings above?
*Thyrotoxicosis.
*lodine Excess.
,*Myxedema Coma.
*Hashimotos Thyroiditis.
Thyrotoxicosis
Your 32 year old female patient presented for a routine health exam states they
have a diagnoses of hyperthyroidism by another
provider a year ago. In addition to evaluation with TSH and T4 labwork, which
of the following represent typical signs of hyperthyroidism expected on your
exam of this patient?
*Hypersomnia
*Tachycardia.
*Lethargy.
*Recent unplanned weight gain.
Tachycardia
Your patient has a diagnosis of Addison's disease. Which of the following might
you expect to find during examination?
*Abdominal striae.
*Dowager hump.
*Low body temperature.
*Moon face.
Low body temperature.
(other symptoms are Cushing's syndrome)* Addison's is Adrenal insuficiency
The nurse practitioner's evaluation of apatient with Diabetes Mellitus type 2
should include which of the folowing while evaluating
, for end organ dysfunction of the disease?
*Renal function panel.
*Urinalysis.
*Non-dilated eye exam.
*All of these are appropriate options.
All of these are appropriate options.
Your patient with a diagnosis of autoimmune hepatitis is being
seen in your clinic for routine liver serology and follow-up examination. Which
of the following correctly identifies the normal liver span when percussing the
liver of a HEALTHY adult?
*6-12 cm in the midsternal line
*4-8 in the left midclavicular line...not this one
*4-8 cm in the right midclavicular line
*6-12 cm in the right midclavicular line.
6-12 cm in the right midclavicular line
The 33 year old male patient presents with complaints of abdominal pain after a
recent birthday party where other guests also
suspected food borne illness and gastroenteritis. To elicit the most accurate
evaluation of this patient, which is the order of assessment which should be
done for the abdomen?
*Inspection, auscultation, palpation, percussion.
*Inspection, auscultation, percussion, palpation.
*Percussion, auscultation, palpation, inspection.
*Auscultation, palpation, percussion, inspection
Inspection, auscultation, palpation, percussion