NU 650/ NU650 Midterm Exam | Health
Assessment (Latest 2025/ 2026 Update) |
Questions and Verified Answers | GRADED A |
100% Correct – Regis
Which valve lesion typically produces a murmur of equal intensity throughout systole?
A) Aortic stenosis
B) Mitral insufficiency
C) Pulmonic stenosis
D) Aortic insufficiency
B
You notice a patient has a strong pulse and then a weak pulse. This pattern continues. Which of
the following is likely?
A) Emphysema
B) Asthma exacerbation
C) Severe left heart failure
D) Cardiac tamponade
C
Suzanne is a 20-year-old college student who complains of chest pain. This is intermittent and is
located to the left of her sternum. There are no associated symptoms. On examination, you hear a
short, high-pitched sound in systole, followed by a murmur which increases in intensity until S2.
This is heard best over the apex. When she squats, this noise moves later in systole along with
the murmur. Which of the following is the most likely diagnosis?
A) Mitral stenosis
B) Mitral insufficiency
,C) Mitral valve prolapse
D) Mitral valve papillary muscle ischemia
C
A 57-year-old maintenance worker comes to your office for evaluation of pain in his legs. He has
smoked two packs per day since the age of 16, but he is otherwise healthy. You are concerned
that he may have peripheral vascular disease. Which of the following is part of common or
concerning symptoms for the peripheral vascular system?
A) Intermittent claudication
B) Chest pressure with exertion
C) Shortness of breath
D) Knee pain
A
./
A 72-year-old teacher comes to your clinic for an annual examination. She is concerned about
her risk for peripheral vascular disease and states that there is a place in town that does tests to
let her know if she has this or not. Which of the following disease process is a risk factor for
peripheral vascular disease?
A) Gastroesophageal reflux disease
B) Coronary artery disease
C) Migraine headaches
D) Osteoarthritis
B
A 68-year-old retired truck driver comes to your office for evaluation of swelling in his legs. He
is a smoker and has been taking medications to control his hypertension for the past 25 years.
,You are concerned about his risk for peripheral vascular disease. Which of the following tests are
appropriate to order to initially evaluate for this condition?
A) Venogram
B)CT scan of the lower legs
C) Ankle-brachial index (ABI)
D) PET sca
C
A 55-year-old secretary with a recent history of breast cancer, for which she underwent surgery
and radiation therapy, and a history of hypertension comes to your office for a routine checkup.
Which of the following aspects of the physical are important to note when assessing the patient
for peripheral vascular disease in the arms?
A) Femoral pulse, popliteal pulse
B) Dorsalis pedis pulse, posterior tibial pulse
C) Carotid pulse
D) Radial pulse, brachial pulse
D
./
You are a student in the vascular surgery clinic. You are asked to perform a physical
examination on a patient with known peripheral vascular disease in the legs. Which of the
following aspects is important to note when you perform your examinatio n?
A) Size, symmetry, and skin color
B) Muscle bulk and tone
C) Nodules in joints
D) Lower extremity strength
A
, ./
You are assessing a patient for peripheral vascular disease in the arms, secondary to a complaint
of increased weakness and a history of coronary artery disease and diabetes. You assess the
brachial and radial pulses and note that they are bounding. What does that translate to on a scale
of 0 to 3?
A) 0
B) 3+
C) 2+
D) 1+
B
You are obtaining an ABG in the radial artery on a retired cab driver who has been hospitalized
in the intensive care unit for a stroke. You are concerned about the possibility of arterial
insufficiency. You perform the Allen test. This means that you:
A) Checked for patency of the radial artery
B) Checked for patency of the brachial artery
C) Checked for patency of the ulnar artery
D) Checked for patency of the femoral artery
C
./
You are assessing a 59-year-old gas station owner for atherosclerosis in the lower extremities. In
which of the following locations would the patient's pain make you concerned for this disease
process?
A) Thigh
B) Knee
C) Calf
D) Ankle
Assessment (Latest 2025/ 2026 Update) |
Questions and Verified Answers | GRADED A |
100% Correct – Regis
Which valve lesion typically produces a murmur of equal intensity throughout systole?
A) Aortic stenosis
B) Mitral insufficiency
C) Pulmonic stenosis
D) Aortic insufficiency
B
You notice a patient has a strong pulse and then a weak pulse. This pattern continues. Which of
the following is likely?
A) Emphysema
B) Asthma exacerbation
C) Severe left heart failure
D) Cardiac tamponade
C
Suzanne is a 20-year-old college student who complains of chest pain. This is intermittent and is
located to the left of her sternum. There are no associated symptoms. On examination, you hear a
short, high-pitched sound in systole, followed by a murmur which increases in intensity until S2.
This is heard best over the apex. When she squats, this noise moves later in systole along with
the murmur. Which of the following is the most likely diagnosis?
A) Mitral stenosis
B) Mitral insufficiency
,C) Mitral valve prolapse
D) Mitral valve papillary muscle ischemia
C
A 57-year-old maintenance worker comes to your office for evaluation of pain in his legs. He has
smoked two packs per day since the age of 16, but he is otherwise healthy. You are concerned
that he may have peripheral vascular disease. Which of the following is part of common or
concerning symptoms for the peripheral vascular system?
A) Intermittent claudication
B) Chest pressure with exertion
C) Shortness of breath
D) Knee pain
A
./
A 72-year-old teacher comes to your clinic for an annual examination. She is concerned about
her risk for peripheral vascular disease and states that there is a place in town that does tests to
let her know if she has this or not. Which of the following disease process is a risk factor for
peripheral vascular disease?
A) Gastroesophageal reflux disease
B) Coronary artery disease
C) Migraine headaches
D) Osteoarthritis
B
A 68-year-old retired truck driver comes to your office for evaluation of swelling in his legs. He
is a smoker and has been taking medications to control his hypertension for the past 25 years.
,You are concerned about his risk for peripheral vascular disease. Which of the following tests are
appropriate to order to initially evaluate for this condition?
A) Venogram
B)CT scan of the lower legs
C) Ankle-brachial index (ABI)
D) PET sca
C
A 55-year-old secretary with a recent history of breast cancer, for which she underwent surgery
and radiation therapy, and a history of hypertension comes to your office for a routine checkup.
Which of the following aspects of the physical are important to note when assessing the patient
for peripheral vascular disease in the arms?
A) Femoral pulse, popliteal pulse
B) Dorsalis pedis pulse, posterior tibial pulse
C) Carotid pulse
D) Radial pulse, brachial pulse
D
./
You are a student in the vascular surgery clinic. You are asked to perform a physical
examination on a patient with known peripheral vascular disease in the legs. Which of the
following aspects is important to note when you perform your examinatio n?
A) Size, symmetry, and skin color
B) Muscle bulk and tone
C) Nodules in joints
D) Lower extremity strength
A
, ./
You are assessing a patient for peripheral vascular disease in the arms, secondary to a complaint
of increased weakness and a history of coronary artery disease and diabetes. You assess the
brachial and radial pulses and note that they are bounding. What does that translate to on a scale
of 0 to 3?
A) 0
B) 3+
C) 2+
D) 1+
B
You are obtaining an ABG in the radial artery on a retired cab driver who has been hospitalized
in the intensive care unit for a stroke. You are concerned about the possibility of arterial
insufficiency. You perform the Allen test. This means that you:
A) Checked for patency of the radial artery
B) Checked for patency of the brachial artery
C) Checked for patency of the ulnar artery
D) Checked for patency of the femoral artery
C
./
You are assessing a 59-year-old gas station owner for atherosclerosis in the lower extremities. In
which of the following locations would the patient's pain make you concerned for this disease
process?
A) Thigh
B) Knee
C) Calf
D) Ankle
