2024 NSG5003 MIDTERM EXAM
WITH CORRECT ANSWERS
Which of the following is the most important question to ask during
cardiovascular health history? - CORRECT-ANSWERSSudden death of a family
member
Rheumatic heart disease is a complication that can arise from which type of
infection? - CORRECT-ANSWERSGroup A beta hemolytic streptococcus
Which of the following is considered a "red flag" when diagnosing a patient
with pneumonia? - CORRECT-ANSWERSPleural effusion on chest x-ray
In examination of the nose, the clinician observes gray, pale mucous
membranes with clear, serous discharge. This is most likely indicative of: -
CORRECT-ANSWERSAllergic rhinitis
Your patient complains of a feeling of heaviness in the lower legs daily. You
note varicosities, edema, and dusky color of both ankles and feet. Which of
the following is the most likely cause for these symptoms? - CORRECT-
ANSWERSVenous insufficiency
Mr. Keenan is a 42-year-old man with a mild history of GERD and a remote
history of an appendectomy, presenting with an acute onset of significant
right upper-quadrant abdominal pain and vomiting. His pain began after a
large meal, was unrelieved by a proton-pump inhibitor, was unlike his
previous episodes of heartburn, but upon questioning, reports milder,
prodromal episodes of similar post-prandial pain. His pain seems to radiate
to his back. Despite a family history of cardiac disease, he reports no classic
anginal signs or chest pain. He furthermore denies respiratory or pleuritic
signs and denies fever, night sweats, and unintended weight loss. Finally,
there are no dermatologic signs, nor genitourinary symptoms.
Of the following lab studies, which would provide little help in determining
your differential diagnosis? - CORRECT-ANSWERSAbdominal plain films
In addition to the complete blood count (CBC) with differential, which of the
following laboratory tests is considered to be most useful in diagnosing ACD
and IDA? - CORRECT-ANSWERSSerum ferritin
, What is the most common valvular heart disease in the older adult? -
CORRECT-ANSWERSAortic stenosis
Iron Deficiency Anemia (IDA) is classified as a microcytic, hypochromic
anemia. This classification refers to which of the following laboratory data? -
CORRECT-ANSWERSMean Corpuscular Volume (MCV) and Mean Corpuscular
Hemoglobin (MCH)
A 22-year-old female comes to your office with complaints of right lower
quadrant abdominal pain, which has been worsening over the last 24 hours.
On examination of the abdomen, there is a palpable mass and rebound
tenderness over the right lower quadrant. The clinician should recognize the
importance of: - CORRECT-ANSWERSPelvic examination
Which of the following details are NOT considered while staging asthma? -
CORRECT-ANSWERSLong-acting beta agonist usage
Dan G., a 65-year-old man, presents to your primary care office for the
evaluation of chest pain and left-sided shoulder pain. Pain begins after
strenuous activity, including walking. Pain is characterized as dull, aching;
8/10 during activity, otherwise 0/10. Began a few months ago, intermittent,
aggravated by exercise, and relieved by rest. Has occasional nausea. Pain is
retrosternal, radiating to left shoulder, definitely affects quality of life by
limiting activity. Pain is worse today; did not go away after he stopped
walking. BP 120/80. Pulse 72 and regular. Normal heart sounds, S1 and S2,
no murmurs. Which of the following differential diagnoses would be most
likely? - CORRECT-ANSWERSCoronary artery disease with angina pectoris
The following criterion is considered a positive finding when determining
whether a patient with asthma can be safely monitored and treated at home:
- CORRECT-ANSWERSTachypnea greater than 30 breaths/minute
Your 2-year-old patient shows facial features, such as epicanthal folds, up-
slanted palpebral fissures, single transverse palmar crease, and a low nasal
bridge. These are referred to as: - CORRECT-ANSWERSDysmorphic features
related to genetic disease
A 26-year-old, non-smoker, male presented to your clinic with SOB with
exertion. This could be due to - CORRECT-ANSWERSAlpha-1 deficiency
Which of the following medications are commonly associated with the side
effect of cough? - CORRECT-ANSWERSACE inhibitor
When interpreting laboratory data, you would expect to see the following in a
patient with Anemia of Chronic Disease (ACD): - CORRECT-
ANSWERSHemoglobin <12 g/dl, MCV normal, MCH normal
WITH CORRECT ANSWERS
Which of the following is the most important question to ask during
cardiovascular health history? - CORRECT-ANSWERSSudden death of a family
member
Rheumatic heart disease is a complication that can arise from which type of
infection? - CORRECT-ANSWERSGroup A beta hemolytic streptococcus
Which of the following is considered a "red flag" when diagnosing a patient
with pneumonia? - CORRECT-ANSWERSPleural effusion on chest x-ray
In examination of the nose, the clinician observes gray, pale mucous
membranes with clear, serous discharge. This is most likely indicative of: -
CORRECT-ANSWERSAllergic rhinitis
Your patient complains of a feeling of heaviness in the lower legs daily. You
note varicosities, edema, and dusky color of both ankles and feet. Which of
the following is the most likely cause for these symptoms? - CORRECT-
ANSWERSVenous insufficiency
Mr. Keenan is a 42-year-old man with a mild history of GERD and a remote
history of an appendectomy, presenting with an acute onset of significant
right upper-quadrant abdominal pain and vomiting. His pain began after a
large meal, was unrelieved by a proton-pump inhibitor, was unlike his
previous episodes of heartburn, but upon questioning, reports milder,
prodromal episodes of similar post-prandial pain. His pain seems to radiate
to his back. Despite a family history of cardiac disease, he reports no classic
anginal signs or chest pain. He furthermore denies respiratory or pleuritic
signs and denies fever, night sweats, and unintended weight loss. Finally,
there are no dermatologic signs, nor genitourinary symptoms.
Of the following lab studies, which would provide little help in determining
your differential diagnosis? - CORRECT-ANSWERSAbdominal plain films
In addition to the complete blood count (CBC) with differential, which of the
following laboratory tests is considered to be most useful in diagnosing ACD
and IDA? - CORRECT-ANSWERSSerum ferritin
, What is the most common valvular heart disease in the older adult? -
CORRECT-ANSWERSAortic stenosis
Iron Deficiency Anemia (IDA) is classified as a microcytic, hypochromic
anemia. This classification refers to which of the following laboratory data? -
CORRECT-ANSWERSMean Corpuscular Volume (MCV) and Mean Corpuscular
Hemoglobin (MCH)
A 22-year-old female comes to your office with complaints of right lower
quadrant abdominal pain, which has been worsening over the last 24 hours.
On examination of the abdomen, there is a palpable mass and rebound
tenderness over the right lower quadrant. The clinician should recognize the
importance of: - CORRECT-ANSWERSPelvic examination
Which of the following details are NOT considered while staging asthma? -
CORRECT-ANSWERSLong-acting beta agonist usage
Dan G., a 65-year-old man, presents to your primary care office for the
evaluation of chest pain and left-sided shoulder pain. Pain begins after
strenuous activity, including walking. Pain is characterized as dull, aching;
8/10 during activity, otherwise 0/10. Began a few months ago, intermittent,
aggravated by exercise, and relieved by rest. Has occasional nausea. Pain is
retrosternal, radiating to left shoulder, definitely affects quality of life by
limiting activity. Pain is worse today; did not go away after he stopped
walking. BP 120/80. Pulse 72 and regular. Normal heart sounds, S1 and S2,
no murmurs. Which of the following differential diagnoses would be most
likely? - CORRECT-ANSWERSCoronary artery disease with angina pectoris
The following criterion is considered a positive finding when determining
whether a patient with asthma can be safely monitored and treated at home:
- CORRECT-ANSWERSTachypnea greater than 30 breaths/minute
Your 2-year-old patient shows facial features, such as epicanthal folds, up-
slanted palpebral fissures, single transverse palmar crease, and a low nasal
bridge. These are referred to as: - CORRECT-ANSWERSDysmorphic features
related to genetic disease
A 26-year-old, non-smoker, male presented to your clinic with SOB with
exertion. This could be due to - CORRECT-ANSWERSAlpha-1 deficiency
Which of the following medications are commonly associated with the side
effect of cough? - CORRECT-ANSWERSACE inhibitor
When interpreting laboratory data, you would expect to see the following in a
patient with Anemia of Chronic Disease (ACD): - CORRECT-
ANSWERSHemoglobin <12 g/dl, MCV normal, MCH normal
