NR667 EXIT EXAM QUESTIONS &
VERIFIED COMPLETE PASSED
SOLUTIONS
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
A 22-year-old female has sinus pressure and congestion. Which maneuver may help
reproduce sinus-related pain and support the diagnosis? - Correct Answer ✔✔ Leaning
forward
A 49-year-old male presents with weight loss, night sweats, anhedonia, and CXR
showing profoundly enlarged hilar adenopathy. Which diagnosis should be in your
differential? - Correct Answer ✔✔ Lymphoma
Which of the following diseases is associated with vitreous detachment? - Correct
Answer ✔✔ Ehlers-Danlos
A patient presents with a unilateral visual deficit described as loss of visual fields on the
right side in both eyes. This is known as what? - Correct Answer ✔✔ Homonymous
hemianopia
An adolescent female with microcytic, hypochromic anemia and elevated RDW most
likely has iron deficiency. Which labs will you order first? - Correct Answer ✔✔ TIBC
and ferritin
A microcytic anemia with normal RDW is most likely which type of anemia? - Correct
Answer ✔✔ Thalassemia trait
VERIFIED COMPLETE PASSED
SOLUTIONS
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
A 22-year-old female has sinus pressure and congestion. Which maneuver may help
reproduce sinus-related pain and support the diagnosis? - Correct Answer ✔✔ Leaning
forward
A 49-year-old male presents with weight loss, night sweats, anhedonia, and CXR
showing profoundly enlarged hilar adenopathy. Which diagnosis should be in your
differential? - Correct Answer ✔✔ Lymphoma
Which of the following diseases is associated with vitreous detachment? - Correct
Answer ✔✔ Ehlers-Danlos
A patient presents with a unilateral visual deficit described as loss of visual fields on the
right side in both eyes. This is known as what? - Correct Answer ✔✔ Homonymous
hemianopia
An adolescent female with microcytic, hypochromic anemia and elevated RDW most
likely has iron deficiency. Which labs will you order first? - Correct Answer ✔✔ TIBC
and ferritin
A microcytic anemia with normal RDW is most likely which type of anemia? - Correct
Answer ✔✔ Thalassemia trait
