NR 667 EXIT EXAM 2026/2027 FALL
QUESTIONS AND CORRECT ANSWERS
GRADED A+
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?
Systole
The initial workup for a patient with a new chief complaint of palpitations should
include which of the following tests first?
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?
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?
12 months minimum
,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
QUESTIONS AND CORRECT ANSWERS
GRADED A+
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?
Systole
The initial workup for a patient with a new chief complaint of palpitations should
include which of the following tests first?
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?
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?
12 months minimum
,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
