Cea - Sample CEA Questions for Cardiac and Respiratory Assessments With
Complete Solutions
During a post-hospital discharge visit, you notice your 71 year old
female patient has been diagnosed with a "new murmur" found by the
hospitalist during their recent hospitalization for CHF exacerbation. In
evaluating the patient, during which phase of the cardiac cycle would
you anticipate auscultation of a S3 or S4 heart sound?
Diastole
The point of maximum impulse (PMI) is MOST often palpable in
healthy adults when positioned in the supine or left lateral decubitus
position. Which one of the following locations is most commonly
described as the PMI in a healthy adult?
Left 5th intercostal space, midclavicular line
The nurse practitioner assessing the patient with a rapid cardiac
rhythm may assess for a pulse deficit by auscultating the patient's
heart while watching the EKG rhythm. Where would the S1 heart
sounds correlate with the electrocardiographic waves?
Peak of the R wave.
Michael, a 72 year old male patient who previously presented
with stable cardiac-type chest pain has underwent a stress test.
He presents today to review the stress test results, which show
EKG findings of ST segment depression during the exam in leads
V3 and V4 as well as some concurrent chest discomfort. Based
on these findings, which of the following are NOT priority
medical decisions?
Cea - Sample CEA Questions for Cardiac and Respiratory Assessments With
Complete Solutions
, Cea - Sample CEA Questions for Cardiac and Respiratory Assessments With
Complete Solutions
Check for thyroid dysfunction
While examining a 53 year old female patient, you auscultate
abnormal breath sounds over all fields, and now assess
transmission of voice sounds by having the patient say "ee" while
auscultating the chest with the diaphragm of your stethoscope.
Normally, you should auscultate a muffled "e" sound, however, you
hear hear a nasally "a" sound. Which one of the following will you
document is present?
Positive for egophony
While assessing the 19 year old patient for a new onset cough, the
nurse practitioner may inspect, auscultate, palpate, and/or percuss.
How does performing percussion of the thorax assist the provider
during the physical examination?
To identify if underlying tissue are air-filled, fluid-filled
or consolidated
Your 42 year old male patient has been referred to your clinic for
establishing care and on his intake survey, you note he has
documented diagnosis of interstitial lung disease. You have decided
to perform a diaphragmatic excursion test on the patient. Which one
of the following results would you expect to see in this patient?
Approximately equal level of change in the descent of
the diaphragm bilaterally during maximal inspiration
and expiration. with a decreased overall inspiratory
capacity
Your 50 year old Caucasian male patient has not seen a primary care
giver in 20+ years and is here for a history and physical
examination. While examining the head and face, you see your
patient has nonpitting periorbital edema, particularly underneath
their eyes and very dry, thinned hair, including the lateral third of
Cea - Sample CEA Questions for Cardiac and Respiratory Assessments With
Complete Solutions
, Cea - Sample CEA Questions for Cardiac and Respiratory Assessments With
Complete Solutions
eyebrows (as pictured below: Sparse hairline,
Cea - Sample CEA Questions for Cardiac and Respiratory Assessments With
Complete Solutions
, Cea - Sample CEA Questions for Cardiac and Respiratory Assessments With
Complete Solutions
thin lateral eyebrows, Periorbital edema). Which one of the following
would you expect to cause this finding?
Severe hypothyroidism
A40 year old, female, African American patient presents for history
and physical. Upon your initial assessment, you notice she has
severe exophthalmos as pictured below. Which one of the following
diagnoses below would be the highest on your differential diagnosis
of this physical examination finding? (eyes bulging out of her head)
Hyperthyroidism.
Your patient with a suspected diagnosis of COPD has been seen
by pulmonology and has underwent a pulmonary function test
(PFT) with spirometry. As the patient's primary healthcare
provider, you have been asked to explain the findings of the PFT to
the patient in a follow-up visit at which time the patient asks what
the study was evaluating. To describe the PFT to the patient in
more useful terms, you state that the large inspiration of air to the
furthest extent they could reasonably accomplish followed by a full
exhalation is referred to as which of the following measurements
during the PFT?
Forced Vital Capacity.
Your newly established patient states in the past year, they have
progressively developed a noticeable bump on their neck and when
asked about symptoms, they report feeling very anxious, have
developed a tremor, and are commonly feeling palpitations in their
chest. On examination, you identify an enlarged thyroid gland
suspicious for a goiter. Of the following diagnoses, which is most
likely for the patient to develop based on these findings above?
Thyrotoxicosis
Your 32 year old female patient presented for a routine health exam
states they have a diagnoses of hyperthyroidism by another provider
a year ago. In addition to evaluation with TSH and T4 lab work, which
of the following
Cea - Sample CEA Questions for Cardiac and Respiratory Assessments With
Complete Solutions
Complete Solutions
During a post-hospital discharge visit, you notice your 71 year old
female patient has been diagnosed with a "new murmur" found by the
hospitalist during their recent hospitalization for CHF exacerbation. In
evaluating the patient, during which phase of the cardiac cycle would
you anticipate auscultation of a S3 or S4 heart sound?
Diastole
The point of maximum impulse (PMI) is MOST often palpable in
healthy adults when positioned in the supine or left lateral decubitus
position. Which one of the following locations is most commonly
described as the PMI in a healthy adult?
Left 5th intercostal space, midclavicular line
The nurse practitioner assessing the patient with a rapid cardiac
rhythm may assess for a pulse deficit by auscultating the patient's
heart while watching the EKG rhythm. Where would the S1 heart
sounds correlate with the electrocardiographic waves?
Peak of the R wave.
Michael, a 72 year old male patient who previously presented
with stable cardiac-type chest pain has underwent a stress test.
He presents today to review the stress test results, which show
EKG findings of ST segment depression during the exam in leads
V3 and V4 as well as some concurrent chest discomfort. Based
on these findings, which of the following are NOT priority
medical decisions?
Cea - Sample CEA Questions for Cardiac and Respiratory Assessments With
Complete Solutions
, Cea - Sample CEA Questions for Cardiac and Respiratory Assessments With
Complete Solutions
Check for thyroid dysfunction
While examining a 53 year old female patient, you auscultate
abnormal breath sounds over all fields, and now assess
transmission of voice sounds by having the patient say "ee" while
auscultating the chest with the diaphragm of your stethoscope.
Normally, you should auscultate a muffled "e" sound, however, you
hear hear a nasally "a" sound. Which one of the following will you
document is present?
Positive for egophony
While assessing the 19 year old patient for a new onset cough, the
nurse practitioner may inspect, auscultate, palpate, and/or percuss.
How does performing percussion of the thorax assist the provider
during the physical examination?
To identify if underlying tissue are air-filled, fluid-filled
or consolidated
Your 42 year old male patient has been referred to your clinic for
establishing care and on his intake survey, you note he has
documented diagnosis of interstitial lung disease. You have decided
to perform a diaphragmatic excursion test on the patient. Which one
of the following results would you expect to see in this patient?
Approximately equal level of change in the descent of
the diaphragm bilaterally during maximal inspiration
and expiration. with a decreased overall inspiratory
capacity
Your 50 year old Caucasian male patient has not seen a primary care
giver in 20+ years and is here for a history and physical
examination. While examining the head and face, you see your
patient has nonpitting periorbital edema, particularly underneath
their eyes and very dry, thinned hair, including the lateral third of
Cea - Sample CEA Questions for Cardiac and Respiratory Assessments With
Complete Solutions
, Cea - Sample CEA Questions for Cardiac and Respiratory Assessments With
Complete Solutions
eyebrows (as pictured below: Sparse hairline,
Cea - Sample CEA Questions for Cardiac and Respiratory Assessments With
Complete Solutions
, Cea - Sample CEA Questions for Cardiac and Respiratory Assessments With
Complete Solutions
thin lateral eyebrows, Periorbital edema). Which one of the following
would you expect to cause this finding?
Severe hypothyroidism
A40 year old, female, African American patient presents for history
and physical. Upon your initial assessment, you notice she has
severe exophthalmos as pictured below. Which one of the following
diagnoses below would be the highest on your differential diagnosis
of this physical examination finding? (eyes bulging out of her head)
Hyperthyroidism.
Your patient with a suspected diagnosis of COPD has been seen
by pulmonology and has underwent a pulmonary function test
(PFT) with spirometry. As the patient's primary healthcare
provider, you have been asked to explain the findings of the PFT to
the patient in a follow-up visit at which time the patient asks what
the study was evaluating. To describe the PFT to the patient in
more useful terms, you state that the large inspiration of air to the
furthest extent they could reasonably accomplish followed by a full
exhalation is referred to as which of the following measurements
during the PFT?
Forced Vital Capacity.
Your newly established patient states in the past year, they have
progressively developed a noticeable bump on their neck and when
asked about symptoms, they report feeling very anxious, have
developed a tremor, and are commonly feeling palpitations in their
chest. On examination, you identify an enlarged thyroid gland
suspicious for a goiter. Of the following diagnoses, which is most
likely for the patient to develop based on these findings above?
Thyrotoxicosis
Your 32 year old female patient presented for a routine health exam
states they have a diagnoses of hyperthyroidism by another provider
a year ago. In addition to evaluation with TSH and T4 lab work, which
of the following
Cea - Sample CEA Questions for Cardiac and Respiratory Assessments With
Complete Solutions
