NR667 Exit Exam Questions || || || ||
With Answers || ||
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(S)✔✔Systole
|| || || ||
The initial workup for a patient with a new chief
|| || || || || || || || || ||
complaint of palpitations should include which of the || || || || || || || ||
following tests first? - CORRECT ANSWER(S)✔✔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(S)✔✔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(S)✔✔12|| || || || || || ||
months minimum ||
,What illness or diagnosis would localized egophony on
|| || || || || || || ||
auscultation over the left lower lobe most likely imply? - || || || || || || || || || ||
CORRECT ANSWER(S)✔✔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(S)✔✔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(S)✔✔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(S)✔✔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(S)✔✔Graves' Disease || ||
A 32-year-old female with a diagnosis of hyperthyroidism
|| || || || || || ||
might exhibit which of the following typical signs on
|| || || || || || || || || ||
exam? - CORRECT ANSWER(S)✔✔Exophthalmos
|| || ||
Your patient has Cushing's disease. Which of the
|| || || || || || || ||
following would you NOT expect to find during || || || || || || || ||
examination? - CORRECT ANSWER(S)✔✔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(S)✔✔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(S)✔✔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
|| || || || || || ||
With Answers || ||
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(S)✔✔Systole
|| || || ||
The initial workup for a patient with a new chief
|| || || || || || || || || ||
complaint of palpitations should include which of the || || || || || || || ||
following tests first? - CORRECT ANSWER(S)✔✔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(S)✔✔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(S)✔✔12|| || || || || || ||
months minimum ||
,What illness or diagnosis would localized egophony on
|| || || || || || || ||
auscultation over the left lower lobe most likely imply? - || || || || || || || || || ||
CORRECT ANSWER(S)✔✔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(S)✔✔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(S)✔✔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(S)✔✔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(S)✔✔Graves' Disease || ||
A 32-year-old female with a diagnosis of hyperthyroidism
|| || || || || || ||
might exhibit which of the following typical signs on
|| || || || || || || || || ||
exam? - CORRECT ANSWER(S)✔✔Exophthalmos
|| || ||
Your patient has Cushing's disease. Which of the
|| || || || || || || ||
following would you NOT expect to find during || || || || || || || ||
examination? - CORRECT ANSWER(S)✔✔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(S)✔✔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(S)✔✔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
|| || || || || || ||
