NSG6020 midterm Exam Questions/Answers
2025/2026Graded A+
A 12-year-old presents to the clinic with his father for evaluation of a painful lump in the left eye. It started this
morning. He denies any trauma or injury. There is no visual disturbance. Upon physical examination, there is a red
raised area at the margin of the eyelid that is tender to palpation; no tearing occurs with palpation of the lesion.
Based on this description, what is the most likely diagnosis? - ✔✔✔hordeolum
a 15 year old high school sophomore comes to the clinic for evaluation of a 3 week history of sneezing; itch, watery
eyes; clear nasal discharge; ear pain; and nonproductive cough. which is most likely pathological process -
✔✔✔allergic
A 15-year-old high school sophomore and her mother come to your clinic because the mother is concerned about
her daughter's weight. You measure her daughter's height and weight and obtain a BMI of 19.5 kg/m2. Based on
this information, which of the following is appropriate? - ✔✔✔Reassure the mother that this is a normal body
weight.
A 15-year-old high school sophomore presents to the emergency room with his mother for evaluation of an area of
blood in the left eye. He denies trauma or injury but has been coughing forcefully with a recent cold. He denies
visual disturbances, eye pain, or discharge from the eye. On physical examination, the pupils are equal, round, and
reactive to light, with a visual acuity of 20/20 in each eye and 20/20 bilaterally. There is a homogeneous, sharply
demarcated area at the lateral aspect of the base of the left eye. The cornea is clear. Based on this description,
what is the most likely diagnosis? - ✔✔✔subconjunctival hemorrhage
A 21-year-old college senior presents to your clinic, complaining of shortness of breath and a nonproductive
nocturnal cough. She states she used to feel this way only with extreme exercise, but lately she has felt this way
continuously. She denies any other upper respiratory symptoms, chest pain, gastrointestinal symptoms, or urinary
tract symptoms. Her past medical history is significant only for seasonal allergies, for which she takes a nasal
steroid spray but is otherwise on no other medications. She has had no surgeries. Her mother has allergies and
eczema and her father has high blood pressure. She is an only child. She denies smoking and illegal drug use but
drinks three to four alcoholic beverages per weekend. She is a junior in finance at a local university and she has
recently started a job as a bartender in town. On examination she is in no acute distress and her temperature is
98.6. Her blood pressure is - ✔✔✔asthma
a 22 year old advertising copywriter presents for evaluation of joint pain. The pain is new, located in the wrists and
fingers bilaterally, with some subjective fever. The patient denies a rash; she also denies recent travel or camping
activities. She has a family history significant for rheumatoid arthritis. Based on this information, which of the
following pathological processes would be most correct - ✔✔✔Inflammatory
, A 23-year-old graduate student comes to your clinic for evaluation of a urethral discharge. As the provider, you
need to get a sexual history. Which one of the following questions is inappropriate for eliciting the information? -
✔✔✔Are you sexually active?
A 25-year-old optical technician comes to your clinic for evaluation of fatigue. As part of your physical examination,
you listen to her heart and hear a murmur only at the cardiac apex. Which valve is most likely to be involved, based
on the location of the murmur? - ✔✔✔mitral
A 25-year-old radio announcer comes to the clinic for an annual examination. His BMI is 26.0 kg/m2. He is
concerned about his weight. Based on this information, what is appropriate counsel for the patient during the
visit? - ✔✔✔Give the patient information about reduction of fat, cholesterol, and calories because he is
overweight
A 27-year-old policewoman comes to your clinic, complaining of severe left-sided back pain radiating down into
her groin. It began in the middle of the night and woke her up suddenly. It hurts in her bladder to urinate but she
has no burning on the outside. She has had no frequency or urgency with urination but she has seen blood in her
urine. She has had nausea with the pain but no vomiting or fever. She denies any other recent illness or injuries.
Her past medical history is unremarkable. She denies tobacco or drug use and drinks alcohol rarely. Her mother
has high blood pressure and her father is healthy. On examination she looks her stated age and is in obvious pain.
She is lying on her left side trying to remain very still. Her cardiac, pulmonary, and abdominal examinations are
unremarkable. She has tenderness just inferior to the left costovertebral angle. Her urine pregnancy test is
negative and her urine anal - ✔✔✔ureteral pain from a kidney stone
A 29-year-old physical therapist presents for evaluation of an eyelid problem. On observation, the right eyeball
appears to be protruding forward. Based on this description, what is the most likely diagnosis? -
✔✔✔exophthalmos
A 36-year-old teacher presents to your clinic, complaining of sharp, knifelike pain on the left side of her chest for
the last 2 days. Breathing and lying down make the pain worse, while sitting forward helps her pain. Tylenol and
ibuprofen have not helped. Her pain does not radiate to any other area. She denies any upper respiratory or
gastrointestinal symptoms. Her past medical history consists of systemic lupus. She is divorced and has one child.
She denies any tobacco, alcohol, or drug use. Her mother has hypothyroidism and her father has high blood
pressure. On examination you find her to be distressed, leaning over and holding her left arm and hand to her left
chest. Her blood pressure is 130/70, her respirations are 12, and her pulse is 90. On auscultation her lung fields
have normal breath sounds with no rhonchi, wheezes, or crackles. Percussion and palpation are unremarkable.
Auscultation of the heart has an - ✔✔✔pericarditis
A 55-year-old smoker complains of chest pain and gestures with a closed fist over her sternum to describe it.
Which of the following diagnoses should you consider because of her gesture? - ✔✔✔angina pectoris
2025/2026Graded A+
A 12-year-old presents to the clinic with his father for evaluation of a painful lump in the left eye. It started this
morning. He denies any trauma or injury. There is no visual disturbance. Upon physical examination, there is a red
raised area at the margin of the eyelid that is tender to palpation; no tearing occurs with palpation of the lesion.
Based on this description, what is the most likely diagnosis? - ✔✔✔hordeolum
a 15 year old high school sophomore comes to the clinic for evaluation of a 3 week history of sneezing; itch, watery
eyes; clear nasal discharge; ear pain; and nonproductive cough. which is most likely pathological process -
✔✔✔allergic
A 15-year-old high school sophomore and her mother come to your clinic because the mother is concerned about
her daughter's weight. You measure her daughter's height and weight and obtain a BMI of 19.5 kg/m2. Based on
this information, which of the following is appropriate? - ✔✔✔Reassure the mother that this is a normal body
weight.
A 15-year-old high school sophomore presents to the emergency room with his mother for evaluation of an area of
blood in the left eye. He denies trauma or injury but has been coughing forcefully with a recent cold. He denies
visual disturbances, eye pain, or discharge from the eye. On physical examination, the pupils are equal, round, and
reactive to light, with a visual acuity of 20/20 in each eye and 20/20 bilaterally. There is a homogeneous, sharply
demarcated area at the lateral aspect of the base of the left eye. The cornea is clear. Based on this description,
what is the most likely diagnosis? - ✔✔✔subconjunctival hemorrhage
A 21-year-old college senior presents to your clinic, complaining of shortness of breath and a nonproductive
nocturnal cough. She states she used to feel this way only with extreme exercise, but lately she has felt this way
continuously. She denies any other upper respiratory symptoms, chest pain, gastrointestinal symptoms, or urinary
tract symptoms. Her past medical history is significant only for seasonal allergies, for which she takes a nasal
steroid spray but is otherwise on no other medications. She has had no surgeries. Her mother has allergies and
eczema and her father has high blood pressure. She is an only child. She denies smoking and illegal drug use but
drinks three to four alcoholic beverages per weekend. She is a junior in finance at a local university and she has
recently started a job as a bartender in town. On examination she is in no acute distress and her temperature is
98.6. Her blood pressure is - ✔✔✔asthma
a 22 year old advertising copywriter presents for evaluation of joint pain. The pain is new, located in the wrists and
fingers bilaterally, with some subjective fever. The patient denies a rash; she also denies recent travel or camping
activities. She has a family history significant for rheumatoid arthritis. Based on this information, which of the
following pathological processes would be most correct - ✔✔✔Inflammatory
, A 23-year-old graduate student comes to your clinic for evaluation of a urethral discharge. As the provider, you
need to get a sexual history. Which one of the following questions is inappropriate for eliciting the information? -
✔✔✔Are you sexually active?
A 25-year-old optical technician comes to your clinic for evaluation of fatigue. As part of your physical examination,
you listen to her heart and hear a murmur only at the cardiac apex. Which valve is most likely to be involved, based
on the location of the murmur? - ✔✔✔mitral
A 25-year-old radio announcer comes to the clinic for an annual examination. His BMI is 26.0 kg/m2. He is
concerned about his weight. Based on this information, what is appropriate counsel for the patient during the
visit? - ✔✔✔Give the patient information about reduction of fat, cholesterol, and calories because he is
overweight
A 27-year-old policewoman comes to your clinic, complaining of severe left-sided back pain radiating down into
her groin. It began in the middle of the night and woke her up suddenly. It hurts in her bladder to urinate but she
has no burning on the outside. She has had no frequency or urgency with urination but she has seen blood in her
urine. She has had nausea with the pain but no vomiting or fever. She denies any other recent illness or injuries.
Her past medical history is unremarkable. She denies tobacco or drug use and drinks alcohol rarely. Her mother
has high blood pressure and her father is healthy. On examination she looks her stated age and is in obvious pain.
She is lying on her left side trying to remain very still. Her cardiac, pulmonary, and abdominal examinations are
unremarkable. She has tenderness just inferior to the left costovertebral angle. Her urine pregnancy test is
negative and her urine anal - ✔✔✔ureteral pain from a kidney stone
A 29-year-old physical therapist presents for evaluation of an eyelid problem. On observation, the right eyeball
appears to be protruding forward. Based on this description, what is the most likely diagnosis? -
✔✔✔exophthalmos
A 36-year-old teacher presents to your clinic, complaining of sharp, knifelike pain on the left side of her chest for
the last 2 days. Breathing and lying down make the pain worse, while sitting forward helps her pain. Tylenol and
ibuprofen have not helped. Her pain does not radiate to any other area. She denies any upper respiratory or
gastrointestinal symptoms. Her past medical history consists of systemic lupus. She is divorced and has one child.
She denies any tobacco, alcohol, or drug use. Her mother has hypothyroidism and her father has high blood
pressure. On examination you find her to be distressed, leaning over and holding her left arm and hand to her left
chest. Her blood pressure is 130/70, her respirations are 12, and her pulse is 90. On auscultation her lung fields
have normal breath sounds with no rhonchi, wheezes, or crackles. Percussion and palpation are unremarkable.
Auscultation of the heart has an - ✔✔✔pericarditis
A 55-year-old smoker complains of chest pain and gestures with a closed fist over her sternum to describe it.
Which of the following diagnoses should you consider because of her gesture? - ✔✔✔angina pectoris
