SARAH MICHELLE NP REVIEW FINAL
EXAM STUDY GUIDE QUESTIONS &
ANSWERS 100% GUARANTEE PASS
1. A 65-year-old male presents with a harsh, crescendo-decrescendo systolic murmur heard
best at the second intercostal space, right sternal border, radiating to the carotid arteries.
What is the most likely diagnosis?
A. Mitral Regurgitation
B. Mitral Stenosis
C. Aortic Stenosis
D. Aortic Regurgitation
Answer: C
Conceptual Explanation: Aortic stenosis is characterized by a systolic murmur at the right
upper sternal border that radiates to the neck. Use the mnemonic MR. ASS for systolic
murmurs (Mitral Regurgitation, Aortic Stenosis).
2. Which of the following laboratory findings is most characteristic of Iron Deficiency Anemia?
A. Low Ferritin, Low TIBC, Normal RDW
B. High Ferritin, Low TIBC, Low RDW
C. Normal Ferritin, Normal TIBC, Low MCV
,D. Low Ferritin, High TIBC, High RDW
Answer: D
Conceptual Explanation: In iron deficiency anemia, iron stores (ferritin) are depleted, the
capacity to bind iron (TIBC) increases, and the variation in cell size (RDW) increases as the
body tries to produce cells with less iron.
3. A patient with a history of hypertension and asthma requires a new antihypertensive.
Which class of medication should be avoided?
A. Calcium Channel Blockers
B. ACE Inhibitors
C. Thiazide Diuretics
D. Non-selective Beta-blockers
Answer: D
Conceptual Explanation: Non-selective beta-blockers (like Propropanol) can cause
bronchoconstriction by blocking Beta-2 receptors in the lungs, making them
contraindicated or used with extreme caution in asthmatics.
4. According to the DSM-5, which symptom is required for a diagnosis of Major Depressive
Disorder?
A. Weight gain
B. Anhedonia or depressed mood
, C. Suicidal ideation
D. Hypersomnia
Answer: B
Conceptual Explanation: To diagnose MDD, at least one of the symptoms must be either
depressed mood or loss of interest/pleasure (anhedonia) for a minimum of 2 weeks.
5. A 45-year-old female presents with RUQ pain that radiates to the right shoulder after
eating a fatty meal. Which physical exam sign is most likely to be positive?
A. Rovsing sign
B. Psoas sign
C. Cullen sign
D. Murphy sign
Answer: D
Conceptual Explanation: Murphy sign (inspiratory arrest during RUQ palpation) is a
classic finding for acute cholecystitis, often triggered by fatty meals.
6. Which cranial nerve is primarily responsible for the extraocular movement of looking
downward and inward (toward the nose)?
A. CN III (Oculomotor)
B. CN V (Trigeminal)
C. CN VI (Abducens)
EXAM STUDY GUIDE QUESTIONS &
ANSWERS 100% GUARANTEE PASS
1. A 65-year-old male presents with a harsh, crescendo-decrescendo systolic murmur heard
best at the second intercostal space, right sternal border, radiating to the carotid arteries.
What is the most likely diagnosis?
A. Mitral Regurgitation
B. Mitral Stenosis
C. Aortic Stenosis
D. Aortic Regurgitation
Answer: C
Conceptual Explanation: Aortic stenosis is characterized by a systolic murmur at the right
upper sternal border that radiates to the neck. Use the mnemonic MR. ASS for systolic
murmurs (Mitral Regurgitation, Aortic Stenosis).
2. Which of the following laboratory findings is most characteristic of Iron Deficiency Anemia?
A. Low Ferritin, Low TIBC, Normal RDW
B. High Ferritin, Low TIBC, Low RDW
C. Normal Ferritin, Normal TIBC, Low MCV
,D. Low Ferritin, High TIBC, High RDW
Answer: D
Conceptual Explanation: In iron deficiency anemia, iron stores (ferritin) are depleted, the
capacity to bind iron (TIBC) increases, and the variation in cell size (RDW) increases as the
body tries to produce cells with less iron.
3. A patient with a history of hypertension and asthma requires a new antihypertensive.
Which class of medication should be avoided?
A. Calcium Channel Blockers
B. ACE Inhibitors
C. Thiazide Diuretics
D. Non-selective Beta-blockers
Answer: D
Conceptual Explanation: Non-selective beta-blockers (like Propropanol) can cause
bronchoconstriction by blocking Beta-2 receptors in the lungs, making them
contraindicated or used with extreme caution in asthmatics.
4. According to the DSM-5, which symptom is required for a diagnosis of Major Depressive
Disorder?
A. Weight gain
B. Anhedonia or depressed mood
, C. Suicidal ideation
D. Hypersomnia
Answer: B
Conceptual Explanation: To diagnose MDD, at least one of the symptoms must be either
depressed mood or loss of interest/pleasure (anhedonia) for a minimum of 2 weeks.
5. A 45-year-old female presents with RUQ pain that radiates to the right shoulder after
eating a fatty meal. Which physical exam sign is most likely to be positive?
A. Rovsing sign
B. Psoas sign
C. Cullen sign
D. Murphy sign
Answer: D
Conceptual Explanation: Murphy sign (inspiratory arrest during RUQ palpation) is a
classic finding for acute cholecystitis, often triggered by fatty meals.
6. Which cranial nerve is primarily responsible for the extraocular movement of looking
downward and inward (toward the nose)?
A. CN III (Oculomotor)
B. CN V (Trigeminal)
C. CN VI (Abducens)
