NU 650 ACTUAL 2026/2027 EXAM TEST QUESTIONS
AND SOLUTIONS RATED A+
✔✔When crackles, wheezes, or rhonchi clear with a cough, which of the following is a
likely etiology?
A) Bronchitis
B) Simple asthma
C) Cystic fibrosis
D) Heart failure - ✔✔A
✔✔A patient with longstanding COPD was told by another practitioner that his liver was
enlarged and this needed to be assessed. Which of the following would be reasonable
to do next?
A) Percuss the lower border of the liver
B) Measure the span of the liver
C) Order a hepatitis panel
D) Obtain an ultrasound of the liver - ✔✔B
✔✔You are at your family reunion playing football when your uncle takes a hit to his
right lateral thorax and is in pain. He asks you if you think he has a rib fracture. You are
in a very remote area. What would your next step be?
A) Call a medevac helicopter
B) Drive him to the city (4 hours away)
C) Press on his sternum and spine simultaneously
D) Examine him for tenderness over the injured area - ✔✔C
✔✔A 38-year-old accountant comes to your clinic for evaluation of a headache. The
throbbing sensation is located in the right temporal region and is an 8 on a scale of 1 to
10. It started a few hours ago, and she has noted nausea with sensitivity to light; she
has had headaches like this in the past, < 1/wk, but not as severe. She does not know
of any inciting factors. There has been no change in the frequency of her headaches.
She usually takes an over-the counter analgesic and this results in resolution of the
headache. Based on this description, what is the most likely diagnosis of the type of
headache?
A) Tension
B) Migraine
C) Cluster
D) Analgesic rebound - ✔✔B
✔✔A 29-year-old computer programmer comes to your office for evaluation of a
headache. The tightening sensation is located all over the head and is of moderate
intensity. It used to last minutes, but this time it has lasted for 5 days. He denies
photophobia and nausea. He spends several hours each day at a computer
monitor/keyboard. He has tried over-the-counter medication; it has dulled the pain but
not taken it away. Based on this description, what is your most likely diagnosis?
, A) Tension
B) Migraine
C) Cluster
D) Analgesic rebound - ✔✔A
✔✔Which of the following is a symptom involving the eye?
A) Scotomas
B) Tinnitus
C) Dysphagia
D) Rhinorrhea - ✔✔A - specks in the vision or areas where the patient cannot see
✔✔A 49-year-old administrative assistant comes to your office for eval of dizziness. You
elicit the information that the dizziness is a spinning sensation of sudden onset, worse
with head position changes. The episodes last a few seconds and then go away, and
they are accompanied by intense nausea. Vomiting x1. She denies tinnitus. You
perform a physical exam of the head and neck and note that the patient's hearing is
intact to Weber and Rinne and that there is nystagmus. Her gait is normal. Based on
this description, what is the most likely diagnosis?
A) Benign positional vertigo
B) Vestibular neuronitis
C) Ménière's disease
D) Acoustic neuroma - ✔✔A
✔✔A 55-year-old bank teller comes to your office for persistent episodes of dizziness.
The first episode started suddenly and lasted 3 to 4 hours. He experienced a lot of
nausea with vomiting; the episode resolved spontaneously. He has had five episodes in
the past 1½ weeks. He does note some tinnitus that comes and goes. Upon physical
examination, you note that he has a normal gait. The Weber localizes to the right side
and the air conduction is equal to the bone conduction in the right ear. Nystagmus is
present. Based on this description, what is the most likely diagnosis?
A) Benign positional vertigo
B) Vestibular neuronitis
C) Ménière's disease
D) Acoustic neuroma - ✔✔C
✔✔A 73-year-old nurse comes to your office to evaluate new onset of tremors. She is
not on any medications and does not take herbs or supplements. She has no chronic
medical conditions. She does not smoke or drink alcohol. She walks into the
examination room with slow movements and shuffling steps. She has decreased facial
mobility and a blunt expression, without any changes in hair distribution on her face.
Based on this description, what is the most likely reason for the patient's symptoms?
A) Cushing's syndrome
B) Nephrotic syndrome
C) Myxedema
D) Parkinson's disease - ✔✔D
AND SOLUTIONS RATED A+
✔✔When crackles, wheezes, or rhonchi clear with a cough, which of the following is a
likely etiology?
A) Bronchitis
B) Simple asthma
C) Cystic fibrosis
D) Heart failure - ✔✔A
✔✔A patient with longstanding COPD was told by another practitioner that his liver was
enlarged and this needed to be assessed. Which of the following would be reasonable
to do next?
A) Percuss the lower border of the liver
B) Measure the span of the liver
C) Order a hepatitis panel
D) Obtain an ultrasound of the liver - ✔✔B
✔✔You are at your family reunion playing football when your uncle takes a hit to his
right lateral thorax and is in pain. He asks you if you think he has a rib fracture. You are
in a very remote area. What would your next step be?
A) Call a medevac helicopter
B) Drive him to the city (4 hours away)
C) Press on his sternum and spine simultaneously
D) Examine him for tenderness over the injured area - ✔✔C
✔✔A 38-year-old accountant comes to your clinic for evaluation of a headache. The
throbbing sensation is located in the right temporal region and is an 8 on a scale of 1 to
10. It started a few hours ago, and she has noted nausea with sensitivity to light; she
has had headaches like this in the past, < 1/wk, but not as severe. She does not know
of any inciting factors. There has been no change in the frequency of her headaches.
She usually takes an over-the counter analgesic and this results in resolution of the
headache. Based on this description, what is the most likely diagnosis of the type of
headache?
A) Tension
B) Migraine
C) Cluster
D) Analgesic rebound - ✔✔B
✔✔A 29-year-old computer programmer comes to your office for evaluation of a
headache. The tightening sensation is located all over the head and is of moderate
intensity. It used to last minutes, but this time it has lasted for 5 days. He denies
photophobia and nausea. He spends several hours each day at a computer
monitor/keyboard. He has tried over-the-counter medication; it has dulled the pain but
not taken it away. Based on this description, what is your most likely diagnosis?
, A) Tension
B) Migraine
C) Cluster
D) Analgesic rebound - ✔✔A
✔✔Which of the following is a symptom involving the eye?
A) Scotomas
B) Tinnitus
C) Dysphagia
D) Rhinorrhea - ✔✔A - specks in the vision or areas where the patient cannot see
✔✔A 49-year-old administrative assistant comes to your office for eval of dizziness. You
elicit the information that the dizziness is a spinning sensation of sudden onset, worse
with head position changes. The episodes last a few seconds and then go away, and
they are accompanied by intense nausea. Vomiting x1. She denies tinnitus. You
perform a physical exam of the head and neck and note that the patient's hearing is
intact to Weber and Rinne and that there is nystagmus. Her gait is normal. Based on
this description, what is the most likely diagnosis?
A) Benign positional vertigo
B) Vestibular neuronitis
C) Ménière's disease
D) Acoustic neuroma - ✔✔A
✔✔A 55-year-old bank teller comes to your office for persistent episodes of dizziness.
The first episode started suddenly and lasted 3 to 4 hours. He experienced a lot of
nausea with vomiting; the episode resolved spontaneously. He has had five episodes in
the past 1½ weeks. He does note some tinnitus that comes and goes. Upon physical
examination, you note that he has a normal gait. The Weber localizes to the right side
and the air conduction is equal to the bone conduction in the right ear. Nystagmus is
present. Based on this description, what is the most likely diagnosis?
A) Benign positional vertigo
B) Vestibular neuronitis
C) Ménière's disease
D) Acoustic neuroma - ✔✔C
✔✔A 73-year-old nurse comes to your office to evaluate new onset of tremors. She is
not on any medications and does not take herbs or supplements. She has no chronic
medical conditions. She does not smoke or drink alcohol. She walks into the
examination room with slow movements and shuffling steps. She has decreased facial
mobility and a blunt expression, without any changes in hair distribution on her face.
Based on this description, what is the most likely reason for the patient's symptoms?
A) Cushing's syndrome
B) Nephrotic syndrome
C) Myxedema
D) Parkinson's disease - ✔✔D
