NR667 Exit Exam
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? - correct answer ✔ ✔ Systole
The initial workup for a patient with a new chief complaint of
palpitations should include which of the following tests first? - correct
answer ✔ ✔ 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? - correct
answer ✔ ✔ 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? - correct answer ✔ ✔ 12 months
minimum
What illness or diagnosis would localized egophony on auscultation over
the left lower lobe most likely imply? - correct answer ✔ ✔
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? - correct answer ✔ ✔ 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? -
correct answer ✔ ✔ Severe interstitial lung disease
In obstructive lung disease, a decreased level in which of the following
spirometry parameters is most suggestive of diagnosis? - correct answer
✔ ✔ 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? - correct answer ✔ ✔ Graves' Disease
A 32-year-old female with a diagnosis of hyperthyroidism might exhibit
which of the following typical signs on exam? - correct answer ✔ ✔
Exophthalmos
, Your patient has Cushing's disease. Which of the following would you
NOT expect to find during examination? - correct answer ✔ ✔ Low
body temperature
In a patient with Diabetes Mellitus Type 2, the evaluation for end-organ
dysfunction should include which of the following? - correct answer ✔
✔ 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? - correct answer ✔ ✔ 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? - correct answer ✔ ✔ 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? -
correct answer ✔ ✔ Gram negative rods
A 22-year-old male power lifter complains his scrotum is very enlarged
and fluid-like. Which diagnosis is most likely? - correct answer ✔ ✔
Hydrocele
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? - correct answer ✔ ✔ Systole
The initial workup for a patient with a new chief complaint of
palpitations should include which of the following tests first? - correct
answer ✔ ✔ 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? - correct
answer ✔ ✔ 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? - correct answer ✔ ✔ 12 months
minimum
What illness or diagnosis would localized egophony on auscultation over
the left lower lobe most likely imply? - correct answer ✔ ✔
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? - correct answer ✔ ✔ 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? -
correct answer ✔ ✔ Severe interstitial lung disease
In obstructive lung disease, a decreased level in which of the following
spirometry parameters is most suggestive of diagnosis? - correct answer
✔ ✔ 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? - correct answer ✔ ✔ Graves' Disease
A 32-year-old female with a diagnosis of hyperthyroidism might exhibit
which of the following typical signs on exam? - correct answer ✔ ✔
Exophthalmos
, Your patient has Cushing's disease. Which of the following would you
NOT expect to find during examination? - correct answer ✔ ✔ Low
body temperature
In a patient with Diabetes Mellitus Type 2, the evaluation for end-organ
dysfunction should include which of the following? - correct answer ✔
✔ 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? - correct answer ✔ ✔ 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? - correct answer ✔ ✔ 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? -
correct answer ✔ ✔ Gram negative rods
A 22-year-old male power lifter complains his scrotum is very enlarged
and fluid-like. Which diagnosis is most likely? - correct answer ✔ ✔
Hydrocele
