NR 603 CEA MIDTERM EXAM | ADVANCED DIAGNOSIS QUESTIONS AND ANSWERS ALREADY GRADED A+.
100% VERIFIED SOLUTIONS | UPDATED PER LATEST GUIDELINES | GRADED A+
Question 1
A 49-year-old male presents with weight loss, night sweats, and chest X-ray showing profound hilar
adenopathy. Based on these findings, lymphoma is in your differential. Which assessment finding when
palpating lymph nodes would be inconsistent with this diagnosis?
A. Hard, fixed, matted nodes >2 cm
B. Nontender, minimally palpable anterior cervical chain node
C. Supraclavicular lymphadenopathy
D. Axillary nodes with rubbery consistency
🟢 Correct Answer:
B. Nontender, minimally palpable anterior cervical chain node
🔴 RATIONALE:
Malignant lymphadenopathy (lymphoma) presents as firm, rubbery, fixed nodes >1-2 cm, often in posterior
cervical or supraclavicular chains. Small (<1 cm), mobile, nontender anterior cervical nodes are typically
benign/reactive and inconsistent with lymphomatous involvement.
Question 2
Your new patient intake history of an elderly man includes Ehlers-Danlos syndrome with complications of retinal
,detachment treated with gas pneumopexy. The transparent gelatinous material where the gas pneumopexy is
performed can be found in which chamber(s) of the eye?
A. Anterior and posterior
B. Posterior only
C. Anterior only
D. Vitreous chamber exclusively
🟢 Correct Answer:
B. Posterior only
🔴 RATIONALE:
Gas pneumopexy for retinal detachment involves injecting gas into the vitreous cavity (posterior segment) to
tamponade the retina against the choroid. The vitreous humor is the transparent gelatinous substance filling
the posterior chamber between the lens and retina.
Question 3
While assessing a patient, you cover their right eye while covering your left eye, then bring a set of fingers or
wiggling fingers into each quadrant of the patient's visual field, asking them to identify when they see
movement. A normal exam would be documented as which of the following?
A. Normal confrontation
B. Visual acuity 20/20
C. Normal accommodation
D. Intact extraocular movements
,🟢 Correct Answer:
A. Normal confrontation
🔴 RATIONALE:
Confrontation testing is a gross screening assessment of peripheral visual fields where examiner and patient
compare visual field detection. Normal confrontation suggests intact peripheral vision, though formal perimetry
is required for precise mapping of field defects.
Question 4
A late adolescent female patient presents with heavy menses and pale conjunctiva. Initial CBC with differential
shows microcytic hypochromic anemia with elevated RDW at 15%. Based on the most common cause of
microcytic hypochromic anemia, which lab will you order first?
A. TIBC and ferritin
B. Hemoglobin electrophoresis
C. Vitamin B12 and folate
D. Reticulocyte count
🟢 Correct Answer:
A. TIBC and ferritin
🔴 RATIONALE:
Iron deficiency anemia (IDA) is the most common microcytic hypochromic anemia in menstruating females.
Elevated RDW with low ferritin and elevated TIBC confirms IDA, warranting iron supplementation and
investigation for menorrhagia or occult bleeding sources.
, Question 5
Which sweat glands are concentrated in the palms of the hands and soles of the feet and involved in
temperature regulation?
A. Eccrine
B. Apocrine
C. Sebaceous
D. Ceruminous
🟢 Correct Answer:
A. Eccrine
🔴 RATIONALE:
Eccrine sweat glands are distributed throughout the body with high density on palms/soles and are responsible
for thermoregulation via watery sweat secretion. Apocrine glands (axillary/genital) produce odiferous secretions
and are not involved in temperature control.
Question 6
A schizophrenic patient is agitated during your exam and states, "What is that awful taste?" This is an example
of which type of hallucination?
A. Gustatory
B. Olfactory
C. Tactile
D. Auditory
100% VERIFIED SOLUTIONS | UPDATED PER LATEST GUIDELINES | GRADED A+
Question 1
A 49-year-old male presents with weight loss, night sweats, and chest X-ray showing profound hilar
adenopathy. Based on these findings, lymphoma is in your differential. Which assessment finding when
palpating lymph nodes would be inconsistent with this diagnosis?
A. Hard, fixed, matted nodes >2 cm
B. Nontender, minimally palpable anterior cervical chain node
C. Supraclavicular lymphadenopathy
D. Axillary nodes with rubbery consistency
🟢 Correct Answer:
B. Nontender, minimally palpable anterior cervical chain node
🔴 RATIONALE:
Malignant lymphadenopathy (lymphoma) presents as firm, rubbery, fixed nodes >1-2 cm, often in posterior
cervical or supraclavicular chains. Small (<1 cm), mobile, nontender anterior cervical nodes are typically
benign/reactive and inconsistent with lymphomatous involvement.
Question 2
Your new patient intake history of an elderly man includes Ehlers-Danlos syndrome with complications of retinal
,detachment treated with gas pneumopexy. The transparent gelatinous material where the gas pneumopexy is
performed can be found in which chamber(s) of the eye?
A. Anterior and posterior
B. Posterior only
C. Anterior only
D. Vitreous chamber exclusively
🟢 Correct Answer:
B. Posterior only
🔴 RATIONALE:
Gas pneumopexy for retinal detachment involves injecting gas into the vitreous cavity (posterior segment) to
tamponade the retina against the choroid. The vitreous humor is the transparent gelatinous substance filling
the posterior chamber between the lens and retina.
Question 3
While assessing a patient, you cover their right eye while covering your left eye, then bring a set of fingers or
wiggling fingers into each quadrant of the patient's visual field, asking them to identify when they see
movement. A normal exam would be documented as which of the following?
A. Normal confrontation
B. Visual acuity 20/20
C. Normal accommodation
D. Intact extraocular movements
,🟢 Correct Answer:
A. Normal confrontation
🔴 RATIONALE:
Confrontation testing is a gross screening assessment of peripheral visual fields where examiner and patient
compare visual field detection. Normal confrontation suggests intact peripheral vision, though formal perimetry
is required for precise mapping of field defects.
Question 4
A late adolescent female patient presents with heavy menses and pale conjunctiva. Initial CBC with differential
shows microcytic hypochromic anemia with elevated RDW at 15%. Based on the most common cause of
microcytic hypochromic anemia, which lab will you order first?
A. TIBC and ferritin
B. Hemoglobin electrophoresis
C. Vitamin B12 and folate
D. Reticulocyte count
🟢 Correct Answer:
A. TIBC and ferritin
🔴 RATIONALE:
Iron deficiency anemia (IDA) is the most common microcytic hypochromic anemia in menstruating females.
Elevated RDW with low ferritin and elevated TIBC confirms IDA, warranting iron supplementation and
investigation for menorrhagia or occult bleeding sources.
, Question 5
Which sweat glands are concentrated in the palms of the hands and soles of the feet and involved in
temperature regulation?
A. Eccrine
B. Apocrine
C. Sebaceous
D. Ceruminous
🟢 Correct Answer:
A. Eccrine
🔴 RATIONALE:
Eccrine sweat glands are distributed throughout the body with high density on palms/soles and are responsible
for thermoregulation via watery sweat secretion. Apocrine glands (axillary/genital) produce odiferous secretions
and are not involved in temperature control.
Question 6
A schizophrenic patient is agitated during your exam and states, "What is that awful taste?" This is an example
of which type of hallucination?
A. Gustatory
B. Olfactory
C. Tactile
D. Auditory
