MSN 622 FINAL EXAM NEWEST 2024-2025
ACTUAL EXAM COMPLETE 116 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)
Save
Terms in this set (116)
A 67-year-old man with a blowing
history of hypertension
and tobacco use
presents with a two-day
history of hypogastric
pain. An examination
reveals a 5 cm, non-
tender, pulsatile
abdominal mass above
the umbilicus. Which of
the following type of
sounds might be heard
upon auscultation at the
midline, two inches
cephalad to the
umbilicus?
What is the ultrasound every 3 years
recommended
management for a patient
with a 3.5 cm abdominal
aortic aneurysm?
,A 75-year-old man immediate surgery
presents to the
emergency department
with complaints of severe
abdominal pain and
sweating. The pain
started about an hour
ago and is becoming
worse with time. He has
been diagnosed with
hypertension and
diabetes and is on
amlodipine and
metformin, respectively.
On presentation, the vital
signs show blood
pressure 70/40 mmHg,
pulse 140/min, respiratory
rate 32/min, temperature
38.5 C (101.3 F), and
oxygen saturation 87% at
room air. On physical
examination of the
abdomen, generalized
tenderness and guarding
are seen. There is a
midline pulsatile mass.
What is the next best
step in the management
of this patient?
,A 67-year-old male with a abdominal CT
history of hypertension
and nicotine
dependence presents to
the emergency
department with sudden
onset of abdominal pain
radiating to the back.
There is no history of
alcohol use. On
examination, he is thin,
pale, and diaphoretic. His
vital signs show a blood
pressure of 110/70 mmHg
and a heart rate of 95
bpm. Which of the
following is most likely to
confirm the diagnosis?
A 78-year-old is found to Surgery will improve 5-year survival
have an asymptomatic
pulsatile abdominal mass.
The ultrasound shows an
abdominal aortic
aneurysm measuring 5.5
cm. Which of the
following statements
concerning this patient's
condition is correct?
, A 65-year-old man stress electrocardiogram
presents to the office
with complaints of
occasional chest pain.
The patient has a past
medical history
significant for
hypertension, diabetes
mellitus, and
hyperlipidemia. The
patient states he
experiences chest pain
on exertion, which is only
relieved on rest. An
electrocardiogram is
normal. Which of the
following is the next step
in management?
A 65-year-old man Determining the precipitating factors for his
presents with complaints condition
of chest pain that started
30 mins ago but stopped
on his way to the
hospital. The patient has a
past medical history
significant for
hypertension and
diabetes mellitus. An
electrocardiogram (ECG)
is normal. A stress ECG
shows mild ST elevations
after 12 minutes of
exercise. A diagnosis of
stable angina is made.
Which of the following
should be the first step in
counseling the patient
about his condition?
ACTUAL EXAM COMPLETE 116 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)
Save
Terms in this set (116)
A 67-year-old man with a blowing
history of hypertension
and tobacco use
presents with a two-day
history of hypogastric
pain. An examination
reveals a 5 cm, non-
tender, pulsatile
abdominal mass above
the umbilicus. Which of
the following type of
sounds might be heard
upon auscultation at the
midline, two inches
cephalad to the
umbilicus?
What is the ultrasound every 3 years
recommended
management for a patient
with a 3.5 cm abdominal
aortic aneurysm?
,A 75-year-old man immediate surgery
presents to the
emergency department
with complaints of severe
abdominal pain and
sweating. The pain
started about an hour
ago and is becoming
worse with time. He has
been diagnosed with
hypertension and
diabetes and is on
amlodipine and
metformin, respectively.
On presentation, the vital
signs show blood
pressure 70/40 mmHg,
pulse 140/min, respiratory
rate 32/min, temperature
38.5 C (101.3 F), and
oxygen saturation 87% at
room air. On physical
examination of the
abdomen, generalized
tenderness and guarding
are seen. There is a
midline pulsatile mass.
What is the next best
step in the management
of this patient?
,A 67-year-old male with a abdominal CT
history of hypertension
and nicotine
dependence presents to
the emergency
department with sudden
onset of abdominal pain
radiating to the back.
There is no history of
alcohol use. On
examination, he is thin,
pale, and diaphoretic. His
vital signs show a blood
pressure of 110/70 mmHg
and a heart rate of 95
bpm. Which of the
following is most likely to
confirm the diagnosis?
A 78-year-old is found to Surgery will improve 5-year survival
have an asymptomatic
pulsatile abdominal mass.
The ultrasound shows an
abdominal aortic
aneurysm measuring 5.5
cm. Which of the
following statements
concerning this patient's
condition is correct?
, A 65-year-old man stress electrocardiogram
presents to the office
with complaints of
occasional chest pain.
The patient has a past
medical history
significant for
hypertension, diabetes
mellitus, and
hyperlipidemia. The
patient states he
experiences chest pain
on exertion, which is only
relieved on rest. An
electrocardiogram is
normal. Which of the
following is the next step
in management?
A 65-year-old man Determining the precipitating factors for his
presents with complaints condition
of chest pain that started
30 mins ago but stopped
on his way to the
hospital. The patient has a
past medical history
significant for
hypertension and
diabetes mellitus. An
electrocardiogram (ECG)
is normal. A stress ECG
shows mild ST elevations
after 12 minutes of
exercise. A diagnosis of
stable angina is made.
Which of the following
should be the first step in
counseling the patient
about his condition?
