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Your 22 year old male patient states dur-
ing his review of systems thathis scrotum
is very enlarged and feels like it is full
a powerlifter and works as a trash col-
lector. You suspect the patient likely has
A -Varicocele
which of the following diagnoses?
A -Varicocele
B -Meningocele
C -Rectocele
D -Hydrocele
The point of maximum impulse (PMI) is
MOST often palpable in healthy adults
when positioned in the supine or left lat-
eral decubitus position. Which one of the
following locations is most commonly de-
scribed as the PMI in a healthy adult?
A -Left 2nd intercostal space, midaxillary B -Left 5th intercostal space, midclavicu-
line lar line
B -Left 5th intercostal space, midclavicu-
lar line
C -Right 4th intercostal space, midaxil-
lary line
D -Right 2nd intercostal space, midclav-
icular line
A40 year old, female, African American
patient presents for history and physical.
Upon your initial assessment, you notice
she has severe exophthalmos as pic-
tured below. Which one of the following
diagnoses below would be the highest
B -Hyperthyroidism
on your differential diagnose of this phys-
ical examination finding?
A -Bilateral conjunctivitis
B -Hyperthyroidism
C -hypothyroidism
D -Myexedma
Your patient with a suspected diagnosis
of COPD has been seen by pulmonology
, NR 511 CEA exam
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and has underwent a pulmonary function
test (PFT) with spirometry. As the pa-
tient's primary healthcare provider, you
have been asked to explain the findings
of the PFT to the patient in afollow-up
visit at which time the patient asks what
the study was evaluating. To describe the
PFT to the patient in more useful terms,
you state that the large inspiration of air
D -Forced vital capacity
to the furthest extent they could reason-
ably accomplish followed by a full exha-
lation is referred to as which of the fol-
lowing measurements during the PFT?
A -Forced Expiratory Volume over 1 sec-
ond (FEV1)
B -Functional Reserve Capacity
C -Inspiratory Reserve
D -Forced Vital Capacity
Your patient has a diagnosis of Addison's
disease. Which of the following might you
expect to find during examination?
A -Abdominal striae B -Dowager hump
B -Dowager hump
C -Low body temperature
D -Moon face
The nurse practitioner's evaluation of a
patient with Diabetes Mellitus type 2
should include which of the following
while evaluating for end organ dysfunc-
tion of the disease? D -All of these are appropriate options
A -Renal function panel
B -Urinalysis
C -Non-dilated eye exam
D -All of these are appropriate options
During your visit with a 19 year old pa-
tient for a college health physical, your
health history includes a diagnosis of an-
gioedema. What of the following parts of
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the body are were likely involved?
A -Isolated to the colon
B -Anywhere in the enteral tract D -Face and Lips
C -Chest
D -Face and Lips
Which of the following dermatologic le-
sions is precancerous and likely due to
prolonged exposure to UV-B?
A -Actinic Keratosis A -Actinic Keratosis
B -Basal cell carcinoma
C -Verucca
D -Seborrheic dermatitis
Based on your evaluation of ABCDE for
melanoma, which of the following repre-
sents a suspicous finding?
A -Irregular borders A -Irregular borders
B -Symmetrical nature
C -Brown color
D -Diameter of 0.4 cm
Your patient is complaining of hypersom-
nia, lack of motivation, weight gain, and
anhedonia. Suspecting a diagnosis of
clinical depression, you anticipate the
patient will benefit from treating their un-
derlying deficit of which of the following B -Serotonin
neurotransmitters?
A -GABA
B -Serotonin
C -Dobutamine
D -Glutamate
As a prudent nurse practitioner, the dia-
betic, hypertensive patient you are see-
ing should be evaluated for early evi-
dence of renal damage from both dia-
B -Urinalysis with micro/macro albumin
betes and hypertension. Which of the
following assessment tools should the
nurse practitioner order first for the eval-
uation of early renal dysfunction sec-
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ondary to diabetes or hypertension?
A -BUN/creatinine ratio
B -Urinalysis with micro/macro albumin
C -Renal biopsy
D -Urine sodium
While evaluating a patient in your clin-
ic for a routine health visit, you aus-
cultate crackles in the poster left low-
er lobe, have the patient cough, with
follow-up auscultation revealing clear
breath sounds. Which one of the follow- B -Atelectasis
ing would you suspect?
A -Congestive heart failure
B -Atelectasis
C -Laryngospasm
D -Bronchiactasis.
Your 39 year old patient who has re-
cently been hospitalized for an appen-
dectomy and is being seen in your clinic
for post-operative follow-up with primary
care. On assessment, the patient com-
plains of some incisional pain and oth-
erwise examination is normal, with the
exception of dull percussion sounds not-
ed on the thorax over lung tissue. Which C -Atelectasis
of the following diagnoses would be ex-
plained by this finding in post-operative
patient?
A -Left-sided heart failure
B -Chronic bronchitis
C -Atelectasis
D -Healthy patient with no coexising dis-
ease
You are evaluating a 41 year old female
patient in your clinic with symptoms of
right upper quadrant pain which worsens
with deep breathing. The patient exhibits
a positive Murphy sign. These findings