Description

1. Question: During which phase of the cardiac cycle would you anticipate auscultation of an S3 or S4 heart sound?
2. Question: Where do S1 heart sounds correlate with the electrocardiographic waves?
3. Question: The point of maximal impulse (PMI) in a healthy adult is most often palpable at:
4. Question: Given stress test results with ST depression and concurrent chest discomfort, which is NOT a priority medical decision?
5. Question: Hearing a nasal “a” when the patient says “ee” indicates:
6. Question: Percussion of the thorax primarily helps to:
7. Question: In interstitial lung disease, diaphragmatic excursion typically shows:
8. Question: The large inspiration followed by a full forced exhalation on PFT is the:
9. Question: Symptoms of anxiety, tremor, palpitations and enlarged thyroid (goiter) most likely indicate:
10. Question: Typical exam signs of hyperthyroidism include:
11. Question: Which exam finding might be expected in Addison’s disease?
12. Question: Normal adult liver span on percussion in the right midclavicular line is:
13. Question: The correct order of abdominal exam for most accurate evaluation is:
14. Question: Which exam finding is NOT supportive of peritonitis from a perforated ulcer?
15. Question: Scrotal “full of worms” sensation suggests:
16. Question: Which sinus should be palpated for sinus pressure and congestion?
17. Question: Which lymph node finding is INCONSISTENT with lymphoma?
18. Question: The transparent gelatinous mass related to gas pneumopexy (retinal detachment repair) is found in which chamber?
19. Question: Covering one eye and bringing fingers into quadrants to test visual fields documents:
20. Question: For adolescent microcytic hypochromic anemia (most common cause), initial labs to order:
21. Question: Mediterranean descent with microcytic anemia and normal RDW—evaluate with gel electrophoresis for:
22. Question: Macrocytic anemia evaluation should include:
23. Question: ESRD patient on dialysis (Cr 4.3, BUN 62, phos 5.2)—anticipated CBC finding:
24. Question: Immediate evidence erythropoietin is working in ESRD anemia:
25. Question: For angioedema, the body parts most commonly involved are:
26. Question: In acute Hepatitis A, the first immunoglobulin to rise is:
27. Question: One year after Hepatitis A, the immunoglobulin likely elevated is:
28. Question: Useful lab in diagnosing SLE:
29. Question: Sweat glands concentrated in palms/soles involved in thermoregulation are:
30. Question: Suspicious melanoma feature:
31. Question: Which dermatologic lesion is precancerous due to prolonged UV-B exposure?
32. Question: ABCDE melanoma suspicious finding (example):
33. Question: Clinical depression symptoms (hypersomnia, anhedonia, weight gain) often reflect deficit in which neurotransmitter?
34. Question: To differentiate anxiety from hyperthyroidism, order:
35. Question: “Awful taste” hallucination is which type?
36. Question: Most common co-diagnosis in patients with self-harm history is:
37. Question: Pain with reaching up and over to touch opposite scapula suggests:
38. Question: Which is NOT common with TMJ disorder?
39. Question: Unequal shoulder height with lateral/rotary spinal curvature indicates:
40. Question: Abnormal sharp/dull sensation on the cheek implicates which cranial nerve?
41. Question: Best test for cranial nerve I (olfactory) assessment:
42. Question: Identifying a familiar object by touch with eyes closed is:
43. Question: Impaired gag reflex suggests damage to:
44. Question: Hematuria with RBC casts after streptococcal infection indicates:
45. Question: Which finding confirms pyelonephritis (in addition to symptoms)?
46. Question: Sensitive test to elicit confirmatory response in suspected pyelonephritis:
47. Question: First assessment tool for early renal dysfunction from diabetes/hypertension:
48. Question: Long-term untreated gonorrhea/chlamydia—consider evaluation with:
49. Question: For dysfunctional uterine bleeding (most common cause), initial lab to order:
50. Question: Which is NOT used to identify bacterial vaginosis?
51. Question: NYHA class: patient symptomatic on ADLs but none at rest is:
52. Question: Priority intervention for new onset irregularly irregular rapid HR (4 days):
53. Question: Exertional chest pressure relieved by rest, not increasing in frequency—diagnosis/plan:
54. Question: Near-syncope in patient with prior bioprosthetic aortic valve replacement—workup should include evaluation for:
55. Question: Crackles that clear after coughing in a post-op child suggest:
56. Question: For a 21-week pregnant patient after a fall, order:
57. Question: Post-op appendectomy with dull percussion over lung that clears with cough—diagnosis:
58. Question: Which patient most likely to complain of hemoptysis?
59. Question: Lab pattern TSH ↑ and Free T4 ↓ — expected symptom:
60. Question: Severe exophthalmos highest on differential:
61. Question: Sign suggesting hyperthyroid crisis (thyroid storm):
62. Question: Nonpitting periorbital edema with dry thinned hair and loss of lateral eyebrows—cause:
63. Question: Percussion finding that raises suspicion for splenomegaly:
64. Question: Acanthosis nigricans typical exam finding:
65. Question: RUQ pain worse with deep breathing and positive Murphy sign is most consistent with:
66. Question: Non-pharmacologic GERD aggravating factor EXCEPT:
67. Question: Floaters, flashes, curtain coming down indicate:
68. Question: Acute closed-angle glaucoma most consistent finding:
69. Question: Weber test lateralizes to the right—suspect:
70. Question: Heavy menses with long irregular periods and severe cramping in adolescent—consider:
71. Question: CBC in chronic alcoholism typically shows:
72. Question: Platelet count 80,000 diagnosis:
73. Question: Which is NOT a potential cause of elevated WBC (with fever, chills, malaise)?
74. Question: Enlarged anterior mediastinal mass in myasthenia gravis likely represents:
75. Question: Bee sting with facial swelling and difficulty breathing—most common diagnosis:
76. Question: Well-managed HIV patient (in addition to undetectable viral load) should have:
77. Question: SLE is most commonly identified by which finding?
78. Question: Darkened velvety neck/groin/axilla with skin tags suggests:
79. Question: Condyloma (genital warts) are caused by:
80. Question: Dark brown round raised “stuck on” benign lesion is:
81. Question: Erythema around nasolabial folds with fine dandruff most likely:
82. Question: Mood cycles of euphoria then depression—likely diagnosis:
83. Question: Post-major procedure patient despondent, low motivation but vitals stable—most likely:
84. Question: Veteran hypervigilant and insists facing the door—most suggestive of:
85. Question: Fear of abandonment, intense relationships, affective instability, recurrent self-harm—diagnosis:
86. Question: Claudication relieved by rest with hair loss on anterior tibia—leading diagnosis and plan:
87. Question: Stopped diuretics with massive edema and weight gain—term:
88. Question: Paresthesia of left hand from prior CVA—expected finding:
89. Question: Tongue deviates to the left on protrusion—diagnosis:
90. Question: Correct definition/etiology of TIA:
91. Question: Facial paralysis (entire left side)—suspect:
92. Question: Drowsy but responsive patient—best descriptor:
93. Question: Least likely bacteria to cause UTI with gram-negative rods:
94. Question: Hypotension after amlodipine overdose with AKI—likely renal cause:
95. Question: Hemodialysis removes solutes primarily by:
96. Question: Birth weight is expected to triple by:
97. Question: Tanner stage when pubic hair fully fills triangle:
98. Question: Migraine patient on propranolol and sumatriptan—priority question:
99. Question: SVT at rate 220—IV agent most likely to convert:
100. Question: HFrEF (EF 30%)—which agent should be avoided in optimal therapy?
101. Question: COPD + CAD patient — safest beta blocker given severe COPD
102. Question: New HTN regimen including amlodipine — lower extremity edema and constipation most likely caused by
103. Question: Which drug must never be used as monotherapy for asthma management
104. Question: First prescription for new asthma diagnosis (otherwise healthy 19-year-old)
105. Question: Status asthmaticus not responding to nebulized albuterol — IM agent that may help
106. Question: Which COPD/COPD-like agent requires rinsing mouth to prevent thrush
107. Question: First-line T2DM agent most commonly prescribed — common side effect to teach
108. Question: Abrupt withdrawal causing hypotension, pallor, hypothermia in trans female on gender-affirming meds — most likely culprit
109. Question: Consider adding a second oral agent for T2DM when A1C reaches
110. Question: T2DM patient with weight concerns — agent that helps weight loss and glycemic control
111. Question: Question most useful to probe serious cause of gnawing abdominal pain (ulcer risk)
112. Question: AML patient — agent likely to assist in anticipated tumor lysis syndrome
113. Question: Crohn’s patient on natalizumab presenting with distension, tenderness, bloody stools — medication decision
114. Question: 19-year-old with UTI and prior C. diff — best UTI treatment among typical options
115. Question: Tinnitus potential extrinsic cause among medications
116. Question: Isotretinoin (Accutane) unique obligation
117. Question: Community-acquired pneumonia (CAP) outpatient first-line antibiotic
118. Question: Penicillin G is especially considered for
119. Question: DVT anticoagulation patient understanding: which is correct
120. Question: Dabigatran (Pradaxa) directly inhibits
121. Question: Treating iron deficiency anemia — augment ferrous sulfate with
122. Question: Treatment options for type I hypersensitivity may include all EXCEPT (trick—choose statement reflecting inclusion)
123. Question: Class of medication typically used to manage underlying long-term autoimmune disease
124. Question: Isolated urticaria (no airway compromise) is reasonably managed with
125. Question: HIV management drug classes include
126. Question: Actinic keratosis treatment topical agent among options
127. Question: Determination of topical corticosteroid potency is largely based on
128. Question: Rosacea chronic treatment most appropriate among options
129. Question: First-line pharmacologic class for both PTSD and major depressive disorder
130. Question: Amitriptyline most common side effects to counsel
131. Question: New lip-smacking/abnormal movements after haloperidol — best strategy
132. Question: Muscle spasm from acute musculoskeletal strain—best agent among options
133. Question: Patients with peripheral arterial disease/intermittent claudication may benefit from
134. Question: Most common non-life-threatening side effect of statins
135. Question: Firm contraindication for combined oral contraceptives includes
136. Question: Concept describing small dose/concentration differences leading to serious therapeutic failures/adverse reactions
137. Question: Use of TED/compression stockings for lower extremity edema exemplifies
138. Question: Agent that dilates the efferent arteriole and may reduce creatinine elimination
139. Question: For ESRD anemia treated with erythropoietin, an immediate evidence of effect is an increase in
140. Question: Lisinopril initiation requires awareness of potential elevation of which lab that can be life-threatening
141. Question: For confirmed gonorrhea plus chlamydia, recommended treatment includes
142. Question: For newly diagnosed diabetes (A1C 7.2) patient, most commonly prescribed first-line agent side effect to counsel
143. Question: For Crohn’s on natalizumab with flare and bloody stools—appropriate decision
144. Question: A 35-year-old man diagnosed with bipolar disorder mentions to his PMHNP that he had felt a lump on his left testicle. He is concerned he has not had a physical exam in 10 years. What is the best action by the PMHNP
145. Question: In observing the appearance of the patient with depression and a history of systemic lupus erythematosus, the PMHNP notices a lesion on the neck of the patient about the size of a pencil eraser, flush with the skin, uniformly colored, with discrete borders, and consistent texture. The PMHNP should
146. Question: A 26-year-old man has been on an antipsychotic. He requires further titration for control of symptoms. Which of the following tests should be repeated
147. Question: Your client Jamie asks you about a mole of her forearm. You refer her to dermatology. As an APRN, you recognize that cancerous moles can be detected on exam. Which of the following would not be of concern
148. Question: Which of the following would be considered a risk factor for melanoma
149. Question: Gloria is a 68-year-old female with a chronic history of severe anxiety disorder presents with mild shortness of breath, fine crackles in the right lower lobe with auscultation and a nonproductive cough. She recently “ran out of pills”. Which medication omission most likely lead to her current presenting symptoms
150. Question: A mother of a teenage boy is unable to acknowledge that her son’s mental illness is perpetuated by his poly substance use disorder and is insisting that his father’s genes are to blame. Which defense mechanism is employed