NR667 STUDY SHEET 2026 DETAILED
SOLUTION BLUEPRINT
◉During a routine physical, a 12-year-old with a history of Reye
syndrome is noted. Which agent is most often implicated in causing
Reye syndrome? Answer: Aspirin use
◉Your patient is diagnosed with hepatitis A. Which immunoglobulin
is the first to be elevated in the serum? Answer: IgM
◉A patient had new onset hepatitis B about one year ago. Which
marker is most likely elevated now? Answer: Hepatitis Core
antibody
◉A 24-year-old female suspected of systemic lupus erythematosus
(SLE). Which useful lab aids diagnosis? Answer: Antinuclear
antibody
◉Which glands are commonly obstructed and may require incision
and drainage for abscess? Answer: Apocrine
◉When screening a suspicious mole for melanoma, which feature is
especially concerning? Answer: Irregular border
,◉Which dermatologic lesion is precancerous and due to UV-B
exposure? Answer: Actinic keratosis
◉Based on ABCDE for melanoma, which represents a suspicious
finding? Answer: Diameter of 0.8 cm
◉A patient actively experiencing delirium tremens after abrupt
alcohol cessation is likely suffering from deficit of which
neurotransmitter? Answer: GABA
◉To differentiate anxiety from hyperthyroidism, which test is most
useful? Answer: TSH and free T4
◉Your schizophrenic patient says, "What is that awful smell?" This is
an example of which type of hallucination? Answer: Olfactory
◉A 16-year-old who attempted self-harm must be evaluated for
which most common co-diagnosis? Answer: Depression
◉A 23-year-old male has severe pain raising his arm overhead.
Which diagnosis is most likely? Answer: Damage to the rotator cuff
, ◉A 16-year-old female has unilateral jaw pain and difficulty fully
opening her mouth. Which diagnosis is most likely? Answer:
Temporomandibular joint (TMJ) pain, treat with a bite guard
◉Limited lumbar spine movement with inflammation over the
sacroiliac joints. Which diagnosis fits best? Answer: Ankylosing
spondylitis
◉You perform a sensory exam of the face and notice abnormal
sensation to sharp/dull over the left cheek. Which cranial nerve is
most likely involved? Answer: Trigeminal nerve (CN V)
◉During a neurologic exam (cranial nerves), which is the most
effective for assessing cranial nerve II? Answer: Snellen chart for
visual acuity
◉Having the patient close their eyes and identify a familiar object in
their hand is known as which test? Answer: Stereognosis
◉A patient with a damaged glossopharyngeal nerve might exhibit
which clinical finding? Answer: Impaired gag reflex
◉A patient successfully treated for strep infection now has
hematuria with RBC casts. Which diagnosis is confirmed? Answer:
Glomerulonephritis
SOLUTION BLUEPRINT
◉During a routine physical, a 12-year-old with a history of Reye
syndrome is noted. Which agent is most often implicated in causing
Reye syndrome? Answer: Aspirin use
◉Your patient is diagnosed with hepatitis A. Which immunoglobulin
is the first to be elevated in the serum? Answer: IgM
◉A patient had new onset hepatitis B about one year ago. Which
marker is most likely elevated now? Answer: Hepatitis Core
antibody
◉A 24-year-old female suspected of systemic lupus erythematosus
(SLE). Which useful lab aids diagnosis? Answer: Antinuclear
antibody
◉Which glands are commonly obstructed and may require incision
and drainage for abscess? Answer: Apocrine
◉When screening a suspicious mole for melanoma, which feature is
especially concerning? Answer: Irregular border
,◉Which dermatologic lesion is precancerous and due to UV-B
exposure? Answer: Actinic keratosis
◉Based on ABCDE for melanoma, which represents a suspicious
finding? Answer: Diameter of 0.8 cm
◉A patient actively experiencing delirium tremens after abrupt
alcohol cessation is likely suffering from deficit of which
neurotransmitter? Answer: GABA
◉To differentiate anxiety from hyperthyroidism, which test is most
useful? Answer: TSH and free T4
◉Your schizophrenic patient says, "What is that awful smell?" This is
an example of which type of hallucination? Answer: Olfactory
◉A 16-year-old who attempted self-harm must be evaluated for
which most common co-diagnosis? Answer: Depression
◉A 23-year-old male has severe pain raising his arm overhead.
Which diagnosis is most likely? Answer: Damage to the rotator cuff
, ◉A 16-year-old female has unilateral jaw pain and difficulty fully
opening her mouth. Which diagnosis is most likely? Answer:
Temporomandibular joint (TMJ) pain, treat with a bite guard
◉Limited lumbar spine movement with inflammation over the
sacroiliac joints. Which diagnosis fits best? Answer: Ankylosing
spondylitis
◉You perform a sensory exam of the face and notice abnormal
sensation to sharp/dull over the left cheek. Which cranial nerve is
most likely involved? Answer: Trigeminal nerve (CN V)
◉During a neurologic exam (cranial nerves), which is the most
effective for assessing cranial nerve II? Answer: Snellen chart for
visual acuity
◉Having the patient close their eyes and identify a familiar object in
their hand is known as which test? Answer: Stereognosis
◉A patient with a damaged glossopharyngeal nerve might exhibit
which clinical finding? Answer: Impaired gag reflex
◉A patient successfully treated for strep infection now has
hematuria with RBC casts. Which diagnosis is confirmed? Answer:
Glomerulonephritis
