NR 667 EXIT EXAM 2026/2027 QUESTIONS AND
CORRECT ANSWERS GRADED A+
CHAMBERLAIN
What illness or diagnosis would localized egophony on auscultation over the left
lower lobe most likely imply?
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?
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?
Severe interstitial lung disease
In obstructive lung disease, a decreased level in which of the following spirometry
parameters is most suggestive of diagnosis?
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?
Graves' Disease
A 32-year-old female with a diagnosis of hyperthyroidism might exhibit which of
the following typical signs on exam?
Exophthalmos
Your patient has Cushing's disease. Which of the following would you NOT expect
to find during examination?
Low body temperature
In a patient with Diabetes Mellitus Type 2, the evaluation for end-organ
dysfunction should include which of the following?
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?
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?
, 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?
Gram negative rods
A 22-year-old male power lifter complains his scrotum is very enlarged and fluid-
like. Which diagnosis is most likely?
Hydrocele
A 22-year-old female has sinus pressure and congestion. Which maneuver may
help reproduce sinus-related pain and support the diagnosis?
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?
Lymphoma
Which of the following diseases is associated with vitreous detachment?
Ehlers-Danlos
CORRECT ANSWERS GRADED A+
CHAMBERLAIN
What illness or diagnosis would localized egophony on auscultation over the left
lower lobe most likely imply?
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?
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?
Severe interstitial lung disease
In obstructive lung disease, a decreased level in which of the following spirometry
parameters is most suggestive of diagnosis?
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?
Graves' Disease
A 32-year-old female with a diagnosis of hyperthyroidism might exhibit which of
the following typical signs on exam?
Exophthalmos
Your patient has Cushing's disease. Which of the following would you NOT expect
to find during examination?
Low body temperature
In a patient with Diabetes Mellitus Type 2, the evaluation for end-organ
dysfunction should include which of the following?
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?
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?
, 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?
Gram negative rods
A 22-year-old male power lifter complains his scrotum is very enlarged and fluid-
like. Which diagnosis is most likely?
Hydrocele
A 22-year-old female has sinus pressure and congestion. Which maneuver may
help reproduce sinus-related pain and support the diagnosis?
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?
Lymphoma
Which of the following diseases is associated with vitreous detachment?
Ehlers-Danlos
