NR 511 EXAM REVIEW QUESTIONS &
VERIFIED ANSWERS 2026/2027 UPDATE
1. A 45-year-old patient presents with a single ‘herald patch’ followed by a generalized
eruption in a ‘Christmas tree’ pattern on the trunk. What is the most likely diagnosis?
A. Tinea Corporis
B. Pityriasis Rosea
C. Secondary Syphilis
D. Psoriasis
Answer: B
Conceptual Explanation: Pityriasis Rosea typically begins with a herald patch and
develops into a Christmas tree distribution along the skin cleavage lines.
2. Which of the following physical examination findings is most characteristic of a meniscus
tear?
A. Positive Lachman test
B. Positive Anterior Drawer test
C. Positive Valgus Stress test
D. Positive McMurray test
,Answer: D
Conceptual Explanation: The McMurray test is used to evaluate for meniscus tears, while
Lachman and Anterior Drawer test the ACL.
3. A patient presents with a systolic murmur heard best at the 2nd right intercostal space that
radiates to the carotid arteries. This is most likely:
A. Aortic Stenosis
B. Mitral Regurgitation
C. Aortic Regurgitation
D. Mitral Stenosis
Answer: A
Conceptual Explanation: Aortic Stenosis is a systolic murmur best heard at the right
upper sternal border (2nd RIS) and characteristically radiates to the carotids.
4. In the treatment of Acute Otitis Media, what is the first-line antibiotic for a patient with no
recent antibiotic use and no allergies?
A. Ceftriaxone
B. Azithromycin
C. Amoxicillin
D. Levofloxacin
Answer: C
, Conceptual Explanation: Amoxicillin is the standard first-line treatment for AOM in
patients not recently exposed to beta-lactams.
5. Which of the following is a classic sign of acute appendicitis where pressure applied to the
left lower quadrant causes pain in the right lower quadrant?
A. Rovsing’s sign
B. Murphy’s sign
C. Psoas sign
D. Obturator sign
Answer: A
Conceptual Explanation: Rovsing’s sign is referred pain to the RLQ when the LLQ is
palpated, indicating peritoneal irritation typical of appendicitis.
6. A patient’s FEV1/FVC ratio is less than 0.70 after bronchodilator use. This finding is
diagnostic for which condition?
A. COPD
B. Restrictive Lung Disease
C. Asthma
D. Pneumonia
Answer: A
VERIFIED ANSWERS 2026/2027 UPDATE
1. A 45-year-old patient presents with a single ‘herald patch’ followed by a generalized
eruption in a ‘Christmas tree’ pattern on the trunk. What is the most likely diagnosis?
A. Tinea Corporis
B. Pityriasis Rosea
C. Secondary Syphilis
D. Psoriasis
Answer: B
Conceptual Explanation: Pityriasis Rosea typically begins with a herald patch and
develops into a Christmas tree distribution along the skin cleavage lines.
2. Which of the following physical examination findings is most characteristic of a meniscus
tear?
A. Positive Lachman test
B. Positive Anterior Drawer test
C. Positive Valgus Stress test
D. Positive McMurray test
,Answer: D
Conceptual Explanation: The McMurray test is used to evaluate for meniscus tears, while
Lachman and Anterior Drawer test the ACL.
3. A patient presents with a systolic murmur heard best at the 2nd right intercostal space that
radiates to the carotid arteries. This is most likely:
A. Aortic Stenosis
B. Mitral Regurgitation
C. Aortic Regurgitation
D. Mitral Stenosis
Answer: A
Conceptual Explanation: Aortic Stenosis is a systolic murmur best heard at the right
upper sternal border (2nd RIS) and characteristically radiates to the carotids.
4. In the treatment of Acute Otitis Media, what is the first-line antibiotic for a patient with no
recent antibiotic use and no allergies?
A. Ceftriaxone
B. Azithromycin
C. Amoxicillin
D. Levofloxacin
Answer: C
, Conceptual Explanation: Amoxicillin is the standard first-line treatment for AOM in
patients not recently exposed to beta-lactams.
5. Which of the following is a classic sign of acute appendicitis where pressure applied to the
left lower quadrant causes pain in the right lower quadrant?
A. Rovsing’s sign
B. Murphy’s sign
C. Psoas sign
D. Obturator sign
Answer: A
Conceptual Explanation: Rovsing’s sign is referred pain to the RLQ when the LLQ is
palpated, indicating peritoneal irritation typical of appendicitis.
6. A patient’s FEV1/FVC ratio is less than 0.70 after bronchodilator use. This finding is
diagnostic for which condition?
A. COPD
B. Restrictive Lung Disease
C. Asthma
D. Pneumonia
Answer: A
