Question 1
Your 22-year-old male patient states during his review of systems that his scrotum is very
enlarged and feels like it is full of a powerlifter and works as a trash collector. Which of the
following diagnoses do you suspect the patient likely has?
CORRECT ANSWER
Varicocele
Question 2
The point of maximum impulse (PMI) is MOST often palpable in healthy adults when
positioned in the supine or left lateral decubitus position. Which one of the following
locations is most commonly described as the PMI in a healthy adult?
CORRECT ANSWER
Left 5th intercostal space midclavicular line
Question 3
A 40-year-old female, African American patient presents for history and physical. Upon
your initial assessment, you notice she has severe exophthalmos as pictured below. Which
one of the following diagnoses below would be the highest on your differential diagnosis
of this physical examination finding?
CORRECT ANSWER
Hyperthyroidism
1
@THE STUDY VAULT
,Question 4
Your patient with a suspected diagnosis of COPD has been seen by pulmonology and has
undergone a pulmonary function test (PFT) with spirometry. As the patient's primary
healthcare provider, you have been asked to explain the findings of the PFT to the patient
in a follow-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 to the furthest extent they could reasonably accomplish, followed by a full exhalation,
is referred to as which of the following measurements during the PFT?
CORRECT ANSWER
Forced vital capacity
Question 5
Your patient has a diagnosis of Addison's disease. Which of the following might you expect
to find during an examination?
CORRECT ANSWER
Low body temperature
Question 6
The nurse practitioner's evaluation of a patient with Diabetes Mellitus type 2 should
include which of the following while evaluating for end-organ dysfunction of the disease?
CORRECT ANSWER
Renal function panel
Urinalysis
Non-dilated eye exam
D -All of these are appropriate options
Question 7
2
@THE STUDY VAULT
,During your visit with a 19-year-old patient for a college health physical, your health
history includes a diagnosis of angioedema. Which of the following parts of the body was
likely involved?
CORRECT ANSWER
Face and lips
Question 8
Which of the following dermatologic lesions is precancerous and likely due to prolonged
exposure to UV-B?
CORRECT ANSWER
Actinic keratosis
Question 9
Based on your evaluation of ABCDE for melanoma, which of the following represents a
suspicious finding?
CORRECT ANSWER
Irregular borders
Question 10
Your patient is complaining of hypersomnia, lack of motivation, weight gain, and
anhedonia. Suspecting a diagnosis of clinical depression, you anticipate the patient will
benefit from treating their underlying deficit of which of the following neurotransmitters?
CORRECT ANSWER
Serotonin
3
@THE STUDY VAULT
, Question 11
As a prudent nurse practitioner, the diabetic, hypertensive patient you are seeing should
be evaluated for early evidence of renal damage from both diabetes and hypertension.
Which of the following assessment tools should the nurse practitioner order first for the
evaluation of early renal dysfunction secondary to diabetes or hypertension?
CORRECT ANSWER
Urinalysis with micro/macro albumin
Question 12
While evaluating a patient in your clinic for a routine health visit, you auscultate crackles
in the posterolateral left lower lobe and have the patient cough. Follow-up auscultation
reveals clear breath sounds. Which one of the following would you suspect?
CORRECT ANSWER
Atelectasis- condition where one or more areas of the lungs collapse or don't inflate
properly, leading to reduced oxygen levels in the blood
Question 13
Your 39-year-old patient, who has recently been hospitalized for an appendectomy, is
being seen in your clinic for post-operative follow-up with primary care. On assessment,
the patient complains of some incisional pain, and otherwise examination is standard,
with the exception of dull percussion sounds noted on the thorax over lung tissue. Which
of the following diagnoses would be explained by this finding in a post-operative patient?
CORRECT ANSWER
Atelectasis
Question 14
4
@THE STUDY VAULT
Your 22-year-old male patient states during his review of systems that his scrotum is very
enlarged and feels like it is full of a powerlifter and works as a trash collector. Which of the
following diagnoses do you suspect the patient likely has?
CORRECT ANSWER
Varicocele
Question 2
The point of maximum impulse (PMI) is MOST often palpable in healthy adults when
positioned in the supine or left lateral decubitus position. Which one of the following
locations is most commonly described as the PMI in a healthy adult?
CORRECT ANSWER
Left 5th intercostal space midclavicular line
Question 3
A 40-year-old female, African American patient presents for history and physical. Upon
your initial assessment, you notice she has severe exophthalmos as pictured below. Which
one of the following diagnoses below would be the highest on your differential diagnosis
of this physical examination finding?
CORRECT ANSWER
Hyperthyroidism
1
@THE STUDY VAULT
,Question 4
Your patient with a suspected diagnosis of COPD has been seen by pulmonology and has
undergone a pulmonary function test (PFT) with spirometry. As the patient's primary
healthcare provider, you have been asked to explain the findings of the PFT to the patient
in a follow-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 to the furthest extent they could reasonably accomplish, followed by a full exhalation,
is referred to as which of the following measurements during the PFT?
CORRECT ANSWER
Forced vital capacity
Question 5
Your patient has a diagnosis of Addison's disease. Which of the following might you expect
to find during an examination?
CORRECT ANSWER
Low body temperature
Question 6
The nurse practitioner's evaluation of a patient with Diabetes Mellitus type 2 should
include which of the following while evaluating for end-organ dysfunction of the disease?
CORRECT ANSWER
Renal function panel
Urinalysis
Non-dilated eye exam
D -All of these are appropriate options
Question 7
2
@THE STUDY VAULT
,During your visit with a 19-year-old patient for a college health physical, your health
history includes a diagnosis of angioedema. Which of the following parts of the body was
likely involved?
CORRECT ANSWER
Face and lips
Question 8
Which of the following dermatologic lesions is precancerous and likely due to prolonged
exposure to UV-B?
CORRECT ANSWER
Actinic keratosis
Question 9
Based on your evaluation of ABCDE for melanoma, which of the following represents a
suspicious finding?
CORRECT ANSWER
Irregular borders
Question 10
Your patient is complaining of hypersomnia, lack of motivation, weight gain, and
anhedonia. Suspecting a diagnosis of clinical depression, you anticipate the patient will
benefit from treating their underlying deficit of which of the following neurotransmitters?
CORRECT ANSWER
Serotonin
3
@THE STUDY VAULT
, Question 11
As a prudent nurse practitioner, the diabetic, hypertensive patient you are seeing should
be evaluated for early evidence of renal damage from both diabetes and hypertension.
Which of the following assessment tools should the nurse practitioner order first for the
evaluation of early renal dysfunction secondary to diabetes or hypertension?
CORRECT ANSWER
Urinalysis with micro/macro albumin
Question 12
While evaluating a patient in your clinic for a routine health visit, you auscultate crackles
in the posterolateral left lower lobe and have the patient cough. Follow-up auscultation
reveals clear breath sounds. Which one of the following would you suspect?
CORRECT ANSWER
Atelectasis- condition where one or more areas of the lungs collapse or don't inflate
properly, leading to reduced oxygen levels in the blood
Question 13
Your 39-year-old patient, who has recently been hospitalized for an appendectomy, is
being seen in your clinic for post-operative follow-up with primary care. On assessment,
the patient complains of some incisional pain, and otherwise examination is standard,
with the exception of dull percussion sounds noted on the thorax over lung tissue. Which
of the following diagnoses would be explained by this finding in a post-operative patient?
CORRECT ANSWER
Atelectasis
Question 14
4
@THE STUDY VAULT
