NR667 Exit Exam | Questions with 100% Verified Answers |
Latest Update 2026/2027
Question: 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
Question: 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
Question: 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
Question: 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
Question: What illness or diagnosis would localized egophony on
auscultation over the left lower lobe most likely imply?
Answer: Consolidation (pneumonia)
Question: 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
Question: 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
Question: 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)
, Question: 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
Question: A 32-year-old female with a diagnosis of hyperthyroidism
might exhibit which of the following typical signs on exam?
Answer: Exophthalmos
Question: Your patient has Cushing's disease. Which of the following
would you NOT expect to find during examination?
Answer: Low body temperature
Question: 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
Question: 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
Question: 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
Question: 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
Question: A 22-year-old male power lifter complains his scrotum is very
enlarged and fluid-like. Which diagnosis is most likely?
Answer: Hydrocele
Question: 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
Question: 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?
Answer: Lymphoma
Latest Update 2026/2027
Question: 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
Question: 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
Question: 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
Question: 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
Question: What illness or diagnosis would localized egophony on
auscultation over the left lower lobe most likely imply?
Answer: Consolidation (pneumonia)
Question: 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
Question: 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
Question: 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)
, Question: 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
Question: A 32-year-old female with a diagnosis of hyperthyroidism
might exhibit which of the following typical signs on exam?
Answer: Exophthalmos
Question: Your patient has Cushing's disease. Which of the following
would you NOT expect to find during examination?
Answer: Low body temperature
Question: 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
Question: 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
Question: 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
Question: 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
Question: A 22-year-old male power lifter complains his scrotum is very
enlarged and fluid-like. Which diagnosis is most likely?
Answer: Hydrocele
Question: 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
Question: 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?
Answer: Lymphoma
