NR667 EXIT EXAM NEWEST 2025 COMPLETE 150 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
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? - DETAILED ANSWER-Systole
The initial workup for a patient with a new chief complaint of palpitations should include which
of the following tests first? - DETAILED ANSWER-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? - DETAILED ANSWER-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? - DETAILED ANSWER-12 months
minimum
What illness or diagnosis would localized egophony on auscultation over the left lower lobe
most likely imply? - DETAILED ANSWER-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? -
DETAILED ANSWER-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? - DETAILED ANSWER-Severe interstitial lung disease
In obstructive lung disease, a decreased level in which of the following spirometry parameters is
most suggestive of diagnosis? - DETAILED ANSWER-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? - DETAILED ANSWER-Graves' Disease
A 32-year-old female with a diagnosis of hyperthyroidism might exhibit which of the following
typical signs on exam? - DETAILED ANSWER-Exophthalmos
Your patient has Cushing's disease. Which of the following would you NOT expect to find during
examination? - DETAILED ANSWER-Low body temperature
In a patient with Diabetes Mellitus Type 2, the evaluation for end-organ dysfunction should
include which of the following? - DETAILED ANSWER-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? - DETAILED ANSWER-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? - DETAILED ANSWERDeep
palpitation
A 21-year-old female may have a perforated gastric ulcer with peritonitis. Which type of
bacteria is most likely the causative agent? - DETAILED ANSWER-Gram negative rods
, A 22-year-old male power lifter complains his scrotum is very enlarged and fluid-like. Which
diagnosis is most likely? - DETAILED ANSWER-Hydrocele
A 22-year-old female has sinus pressure and congestion. Which maneuver may help reproduce
sinus-related pain and support the diagnosis? - DETAILED ANSWER-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? - DETAILED
ANSWER-Lymphoma
Which of the following diseases is associated with vitreous detachment? - DETAILED
ANSWEREhlers-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? - DETAILED ANSWER-Homonymous hemianopia
An adolescent female with microcytic, hypochromic anemia and elevated RDW most likely has
iron deficiency. Which labs will you order first? - DETAILED ANSWER-TIBC and ferritin
A microcytic anemia with normal RDW is most likely which type of anemia? - DETAILED
ANSWERThalassemia trait
A 43-year-old male with macrocytic anemia should be evaluated for which lab level to help
narrow the etiology? - DETAILED ANSWER-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? - DETAILED ANSWER-Normal MCH,
hemoglobin 9.6
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
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? - DETAILED ANSWER-Systole
The initial workup for a patient with a new chief complaint of palpitations should include which
of the following tests first? - DETAILED ANSWER-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? - DETAILED ANSWER-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? - DETAILED ANSWER-12 months
minimum
What illness or diagnosis would localized egophony on auscultation over the left lower lobe
most likely imply? - DETAILED ANSWER-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? -
DETAILED ANSWER-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? - DETAILED ANSWER-Severe interstitial lung disease
In obstructive lung disease, a decreased level in which of the following spirometry parameters is
most suggestive of diagnosis? - DETAILED ANSWER-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? - DETAILED ANSWER-Graves' Disease
A 32-year-old female with a diagnosis of hyperthyroidism might exhibit which of the following
typical signs on exam? - DETAILED ANSWER-Exophthalmos
Your patient has Cushing's disease. Which of the following would you NOT expect to find during
examination? - DETAILED ANSWER-Low body temperature
In a patient with Diabetes Mellitus Type 2, the evaluation for end-organ dysfunction should
include which of the following? - DETAILED ANSWER-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? - DETAILED ANSWER-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? - DETAILED ANSWERDeep
palpitation
A 21-year-old female may have a perforated gastric ulcer with peritonitis. Which type of
bacteria is most likely the causative agent? - DETAILED ANSWER-Gram negative rods
, A 22-year-old male power lifter complains his scrotum is very enlarged and fluid-like. Which
diagnosis is most likely? - DETAILED ANSWER-Hydrocele
A 22-year-old female has sinus pressure and congestion. Which maneuver may help reproduce
sinus-related pain and support the diagnosis? - DETAILED ANSWER-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? - DETAILED
ANSWER-Lymphoma
Which of the following diseases is associated with vitreous detachment? - DETAILED
ANSWEREhlers-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? - DETAILED ANSWER-Homonymous hemianopia
An adolescent female with microcytic, hypochromic anemia and elevated RDW most likely has
iron deficiency. Which labs will you order first? - DETAILED ANSWER-TIBC and ferritin
A microcytic anemia with normal RDW is most likely which type of anemia? - DETAILED
ANSWERThalassemia trait
A 43-year-old male with macrocytic anemia should be evaluated for which lab level to help
narrow the etiology? - DETAILED ANSWER-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? - DETAILED ANSWER-Normal MCH,
hemoglobin 9.6
