NR667 FNP CAPSTONE PRACTICUM AND
INTENSIVE COMPREHENSIVE EXAMINATION
TEST WITH COMPLETE 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? Answer: Systole
◉ The initial workup for a patient with a new chief complaint of
palpitations should include which of the following tests first? 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?
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? Answer: 12
months minimum
,◉ What illness or diagnosis would localized egophony on
auscultation over the left lower lobe most likely imply? 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? 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? Answer: Severe interstitial lung disease
◉ In obstructive lung disease, a decreased level in which of the
following spirometry parameters is most suggestive of diagnosis?
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? Answer: Graves' Disease
◉ A 32-year-old female with a diagnosis of hyperthyroidism might
exhibit which of the following typical signs on exam? Answer:
Exophthalmos
, ◉ Your patient has Cushing's disease. Which of the following would
you NOT expect to find during examination? Answer: Low body
temperature
◉ In a patient with Diabetes Mellitus Type 2, the evaluation for end-
organ dysfunction should include which of the following? 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? 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? 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?
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? Answer:
Hydrocele
◉ A 22-year-old female has sinus pressure and congestion. Which
maneuver may help reproduce sinus-related pain and support the
diagnosis? Answer: Leaning forward
INTENSIVE COMPREHENSIVE EXAMINATION
TEST WITH COMPLETE 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? Answer: Systole
◉ The initial workup for a patient with a new chief complaint of
palpitations should include which of the following tests first? 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?
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? Answer: 12
months minimum
,◉ What illness or diagnosis would localized egophony on
auscultation over the left lower lobe most likely imply? 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? 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? Answer: Severe interstitial lung disease
◉ In obstructive lung disease, a decreased level in which of the
following spirometry parameters is most suggestive of diagnosis?
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? Answer: Graves' Disease
◉ A 32-year-old female with a diagnosis of hyperthyroidism might
exhibit which of the following typical signs on exam? Answer:
Exophthalmos
, ◉ Your patient has Cushing's disease. Which of the following would
you NOT expect to find during examination? Answer: Low body
temperature
◉ In a patient with Diabetes Mellitus Type 2, the evaluation for end-
organ dysfunction should include which of the following? 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? 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? 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?
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? Answer:
Hydrocele
◉ A 22-year-old female has sinus pressure and congestion. Which
maneuver may help reproduce sinus-related pain and support the
diagnosis? Answer: Leaning forward
