MSN 570 EXAM SCRIPT 2025/2026 QUESTIONS AND
SOLUTIONS MARKED A+
✔✔Grey Turner's sign - ✔✔bruising in flank area (lower back area); highly suggestive of
acute pancreatitis
✔✔Murphy's sign - ✔✔pain with palpation of the RUQ during inspiration, indicative of
cholecystitis
✔✔ulcerative colitis - ✔✔chronic inflammation of the colon with ulcerations; bloody
stools w/ mucus and pus, system = low grade fever & fatigue
✔✔Zollinger-Ellison syndrome - ✔✔malignant islet cell tumor secreting gastrin; peptic
ulcers; left untreated causes sever ulceration of stomach
✔✔McBurney's point - ✔✔Pain in RLQ with appendicitis
✔✔Rosving's sign - ✔✔palpation of LLQ causes RUQ pain
seen in appendicitis
✔✔gastrectomy - ✔✔surgical removal of part or all of the stomach; results decrease
intrinsic factor needed for Vit B 12 absorption l/t b12 deficiency anemia
✔✔Urea breath test - ✔✔very sensitive test for H. pylori
✔✔Bronchiolitis - ✔✔viral infect; caused by RSV, sympt= inspiratory and expiratory
wheezing, non-prod couch, fever
✔✔croup - ✔✔acute viral infection of infants and children with obstruction of the larynx,
accompanied by BARKING COUGH
✔✔peak expiratory flow rate - ✔✔measure of the fastest flow of exhaled air after a
maximal inspiration; not determined by weight
✔✔Hemoglobin electrophoresis - ✔✔helps to identify abnormal hemoglobin which may
help diagnose disorders such as sickle cell anemia and beta thalassemia; gold standard
test
✔✔RBC w/ pernicious anemia - ✔✔will be microcytic and normochromic
✔✔symptoms of Vitamin B12 anemia - ✔✔Tingling, numbness of both feet
✔✔multiple myeloma - ✔✔malignancy of plasma cells
, ✔✔RBC of folate deficiency anemia - ✔✔microcytic and normochromic
✔✔Koilonychia - ✔✔Soft spoon nails with a concave shape that appear scooped out;
associated with iron deficiency anemia
✔✔Beta Thalassemia - ✔✔Microcytic anemia, splenomegaly, bone deformities
✔✔effect of aspirin on platelets - ✔✔irreversible for 7-10 days
✔✔sedimentation rate - ✔✔elevation causes inflammation of giant cell arteries, can
cause blindness; treatment = high dose steroid
✔✔migraine prophylaxis - ✔✔moderte Na restriction
✔✔Mini-Cognitive Assessment - ✔✔score 0-2 = Dementia
✔✔Raynaud's phenomenon - ✔✔Periodic ischemic attacks affecting the extremities of
the body, especially the fingers, toes, ears, and nose. The affected extremities become
cyanotic and very painful. These attacks are brought on by arterial constriction due to
extreme cold or emotional stress.
✔✔Brudzinski's sign - ✔✔Severe neck stiffness causes a patient's hips and knees to
flex when the neck is flexed.
✔✔mitral stenosis - ✔✔low pitched frequency heard best at 5th intercostal space w/ bell
of stethescope
✔✔aortic stenosis - ✔✔medium pitched harsh systolic murmer heard at 2nd intercostal
and can radiate to R side of neck.
✔✔Ankle Brachial Index - ✔✔Arterial occlusive disease of Lower Extremities; way to
check for PVD
✔✔thiazide diuretics - ✔✔favorite used for its w/ osteoporosis or osteopenia
✔✔causes of secondary hypertension - ✔✔renal stenosis or adrenal tumors
✔✔Xanthelasma - ✔✔soft, raised yellow plaques occurring on the skin at the inner
corners of the eyes due to high cholesterol
✔✔BP goal for diabetes - ✔✔<140/90
✔✔isolated systolic hypertension of elderly - ✔✔treated with calcium channel blockers
and thiazide diuretics
SOLUTIONS MARKED A+
✔✔Grey Turner's sign - ✔✔bruising in flank area (lower back area); highly suggestive of
acute pancreatitis
✔✔Murphy's sign - ✔✔pain with palpation of the RUQ during inspiration, indicative of
cholecystitis
✔✔ulcerative colitis - ✔✔chronic inflammation of the colon with ulcerations; bloody
stools w/ mucus and pus, system = low grade fever & fatigue
✔✔Zollinger-Ellison syndrome - ✔✔malignant islet cell tumor secreting gastrin; peptic
ulcers; left untreated causes sever ulceration of stomach
✔✔McBurney's point - ✔✔Pain in RLQ with appendicitis
✔✔Rosving's sign - ✔✔palpation of LLQ causes RUQ pain
seen in appendicitis
✔✔gastrectomy - ✔✔surgical removal of part or all of the stomach; results decrease
intrinsic factor needed for Vit B 12 absorption l/t b12 deficiency anemia
✔✔Urea breath test - ✔✔very sensitive test for H. pylori
✔✔Bronchiolitis - ✔✔viral infect; caused by RSV, sympt= inspiratory and expiratory
wheezing, non-prod couch, fever
✔✔croup - ✔✔acute viral infection of infants and children with obstruction of the larynx,
accompanied by BARKING COUGH
✔✔peak expiratory flow rate - ✔✔measure of the fastest flow of exhaled air after a
maximal inspiration; not determined by weight
✔✔Hemoglobin electrophoresis - ✔✔helps to identify abnormal hemoglobin which may
help diagnose disorders such as sickle cell anemia and beta thalassemia; gold standard
test
✔✔RBC w/ pernicious anemia - ✔✔will be microcytic and normochromic
✔✔symptoms of Vitamin B12 anemia - ✔✔Tingling, numbness of both feet
✔✔multiple myeloma - ✔✔malignancy of plasma cells
, ✔✔RBC of folate deficiency anemia - ✔✔microcytic and normochromic
✔✔Koilonychia - ✔✔Soft spoon nails with a concave shape that appear scooped out;
associated with iron deficiency anemia
✔✔Beta Thalassemia - ✔✔Microcytic anemia, splenomegaly, bone deformities
✔✔effect of aspirin on platelets - ✔✔irreversible for 7-10 days
✔✔sedimentation rate - ✔✔elevation causes inflammation of giant cell arteries, can
cause blindness; treatment = high dose steroid
✔✔migraine prophylaxis - ✔✔moderte Na restriction
✔✔Mini-Cognitive Assessment - ✔✔score 0-2 = Dementia
✔✔Raynaud's phenomenon - ✔✔Periodic ischemic attacks affecting the extremities of
the body, especially the fingers, toes, ears, and nose. The affected extremities become
cyanotic and very painful. These attacks are brought on by arterial constriction due to
extreme cold or emotional stress.
✔✔Brudzinski's sign - ✔✔Severe neck stiffness causes a patient's hips and knees to
flex when the neck is flexed.
✔✔mitral stenosis - ✔✔low pitched frequency heard best at 5th intercostal space w/ bell
of stethescope
✔✔aortic stenosis - ✔✔medium pitched harsh systolic murmer heard at 2nd intercostal
and can radiate to R side of neck.
✔✔Ankle Brachial Index - ✔✔Arterial occlusive disease of Lower Extremities; way to
check for PVD
✔✔thiazide diuretics - ✔✔favorite used for its w/ osteoporosis or osteopenia
✔✔causes of secondary hypertension - ✔✔renal stenosis or adrenal tumors
✔✔Xanthelasma - ✔✔soft, raised yellow plaques occurring on the skin at the inner
corners of the eyes due to high cholesterol
✔✔BP goal for diabetes - ✔✔<140/90
✔✔isolated systolic hypertension of elderly - ✔✔treated with calcium channel blockers
and thiazide diuretics
