Exit Exam Flashcards
The groove of the metacarpophalangeal joint can be palpated by having the patient:
a. Flex his hand
When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds are:
a. vesicular with late inspiratory crackles in the dependent portions of the lungs and resonant on percussion
The ankle-brachial index is a screening test used to assess a person’s risk for:
a. Peripheral artery disease
Olecranon bursitis may be caused by all of the following except:
a. Frozen shoulder
In patients who have allergic rhinitis, the nasal mucosa appears:
a. Pale
A term used to describe an increase in muscular bulk with diminished strength is:
a. Pseudohypertrophy
If abdominal pain persists when the patient raises his head and shoulders, the origin of the tenderness is probably:
a. In the abdominal wall
On auscultation of the abdomen, rushes of high-pitched sounds are audible and coincide with abdominal cramps. These findings are most consistent with:
a. Intestinal obstruction
Ophthalmoscopic examination of the fundus reveals tiny, round, red spots in and around the macular area. These findings are consistent with:
a. Microaneurysms
Symptoms of a subdural hematoma include:
a. Noticeable bleeding between the dura and the cerebrum on x-ray
On examination of the adult patient, symptoms of flexed posture, tremor, rigidity, and shuffling gait are observed. These findings are consistent with:
a. Parkinson’s disease
When discussing the musculoskeletal system, all of the following statements related to articular structure disease are true except which one?
a. Articular disease is usually due to stiffness or pain
Focal tenderness over the trochanter confirms:
a. Bursitis
a. Bursitis
Assessing the neurological status of a child with a ventriculoperitoneal shunt should include
a. Use of the Glasgow coma scale
The earliest recognizable clinical manifestation(s) of cystic fibrosis in an infant is:
a. Salty taste on the skin
A reddish blue, irregularly shaped, solid and spongy mass of blood vessels that may be present at birth and enlarge during the first 10 to 15 months is characteristic of a:
a. Cavernous hemangioma
The hamstring muscles flex the knee and are located on the:
a. Posterior aspect of the thigh
Ophthalmoscopic examination reveals dark specks noted between the fundus and the lens. These specks are most likely:
a. Vitreous floaters
When performing the first Leopold maneuver on a pregnant woman, if the buttocks and head are not easily palpated at the fundus, the fetus is said to be in:
a. Transverse lie
When performing a musculoskeletal examination, the nurse practitioner instructs the patient to move his arm in front of his body. This motion of the shoulder girdle would be an example of:
a. Flexion
To locate the twelfth rib, palpate:
a. Between the spine and the lateral chest
Walking on the toes and heels may reveal:
a. Distal muscular weakness in the legs
When performing a bimanual exam of the vagina, the examiner should lubricate the index and middle fingers of a gloved hand. From a standing position, the fingers should be inserted into the vagina while exerting pressure primarily:
a. Posteriorly
During pregnancy, which hormone results in increased blood viscosity?
a. Erythropoietin
Resting tremors refer to those tremors that disappear:
a. With voluntary movement
A patient presents with complaints of bright red stools over the past week. This symptom could be consistent with:
a. Cancer of the sigmoid colon
Mydriasis is a term used to describe:
a. Dilation of the pupils
When performing a musculoskeletal exam on a patient with mechanical low back pain, osteoporosis is suspected. Positive findings would include all of the following except:
a. Calf wasting
Which stage of pressure is consistent with findings on dermatologic examination of a full thickness tissue loss and subcutaneous fat visible with mild slough on the right hip?
a. Stage III
The vertebral column angles sharply posteriorly and becomes immovable at the:
a. Lumbosacral junction
Which one of the following is at the HIGHEST risk for suicide?
a. A 52-year-old white man
When auscultating heart sounds arising from the aortic valve in an adult patient, place the stethoscope:
a. Between the 2nd and 3rd intercostal spaces at the right upper sternal border
Pain and crepitus over the patella suggests:
a. Roughening of the patellar undersurface
Which one of the following findings is NOT typical in a patient who has delirium?
a. Intact attention and concentration
When examining the skin, multiple areas of circumscribed elevations of the skin filled with serous fluid measuring approximately 0.5cm were noted. These types of lesions could be seen in:
a. Herpes simplex or varicella
The principal muscles involved when closing the mouth are innervated by which cranial nerve?
a. Cranial nerve V (Trigeminal)
The structure that creates a channel for the vertebral artery is known as the:
a. Transverse Foramen
Which of the following is NOT a compliant patient with type 1 diabetes?
a. Polycythemia
When suspecting pediculosis capitis, the chief complaint is
a. Itching
The structure that appears as the large swelling posteriorly on the superior ramus of the ischium and bears most of the weight in sitting, is known as the:
a. Ischial tuberosity
When percussing the posterior chest, which one of the following techniques would be omitted?
a. Percuss areas over the scapulae
On examination of the pupils, both are round but the right pupil appears larger than the left and reacts much slower to light. This condition may be indicative of:
a. A tonic pupil
During the type of seizure activity, the patient experiences partial seizures that resemble tonic-clonic seizures. The patient may recall the aura and unilateral neurologic deficit is present during the postictal period. This type of seizure activity is referred to as a:
a. focal seizure that becomes generalized
A female patient complains of weakness in both arms when transferring the wet clothes from the washer and placing them in the dryer. This finding could be suggestive of which type of weakness pattern?
a. Symmetric
To palpate the right ovary when performing the bimanual vaginal exam, the abdominal hand should be on the right lower quadrant and the pelvic hand needs to be:
a. In the right lateral fornix
A serious disturbance in a person’s mental abilities that results in a decreased awareness of one’s environment and confused thinking is referred to as:
a. Delirium
Which of the following screening tests for hearing loss can detect both sensorineural and conductive hearing loss?
a. Weber test
Located on the anterior aspect of the distal femur, the patella slides on this groove during flexion and extension of the knee. The name of this groove is the:
a. Trochlear groove
A 86-year-old man with uncontrolled hypertension presents with sudden, intense left lower abdominal pain that radiates to the back. The pain is associated with a tearing sensation. These findings are MOST likely associated with:
a. An abdominal aortic aneurysm (AAA)
Men between the ages of 40 and 64 years should be screened yearly for:
a. Hypertension
A term used to describe drainage from the nose is:
a. Rhinorrhea
Tenderness over the scapulohumeral muscle group with the inability to abduct the arm above the shoulder level would be consistent with all of the following except:
a. Synovitis of the glenohumeral joint
In the older adult, the test for leg mobility is known as the:
a. Timed “get up and go test”
Which one of the following procedures would confirm a definitive medical diagnosis of Hirschsprung’s disease?
a. A rectal biopsy
Hypofunctioning of the thyroid gland would lead to all the following disorders except:
a. Graves’ disease
The fleshy projection of the earlobe is known as the:
a. Lobule
A 50-year-old male describes difficulty emptying his bladder. On exam, a distended bladder is noted following urination. This finding may be associated with:
a. Overflow incontinence
When performing an examination of the external genitalia of a female patient, a small firm, round cystic nodule in the labia is identified. This lesion is most consistent with:
a. Epidermoid cyst
Passive flexion, varus stress, and external rotation of the lower leg evaluates the:
a. Medial meniscus
When examining the knee, swelling above and adjacent to the patella was noted. This finding could be suggestive of:
a. Synovial thickening over the knee joint
While assessing the cranial nerves, the NP touches the cornea lightly with a wisp of cotton. This maneuver assesses which cranial nerve?
a. Cranial nerve V, Trigeminal
The NP instructs the patient to look over one shoulder, then the other. This maneuver would assess cervical:
a. Rotation
During a speculum exam of the cervix the speculum is maintained in an open position by:
a. Gently tightening the thumb screw on the speculum
The NP is examining the elbow of a 16-year-old male athlete. Increased pain is noted when he tries to extend his wrist against resistance. This finding is most consistent with:
a. Lateral epicondylitis
Which examination finding is defined as a congenital ventral displacement of the meatus on the penis?
a. Hypospadias
Bowel sounds may be increased in the presence of:
a. early intestinal obstruction
Eversion of the upper eyelid can be performed by placing the cotton applicator on the upper lid above the level of the internal tarsal plates and then:
a. Gently push down with the stick and lift the lashes up and flip the lid inside out
Anticipatory guidance for the family of a pre-adolescent with cognitive impairment should include information about:
a. Sexual development
Asymmetry, irregular borders, variation in color, diameter greater than 6 mm, and elevation represent the “ABCDEs” of:
a. Malignant melanoma
When performing a spinal exam, the NP noted the appearance of poor posture and a “hump” appearance of the upper back. This finding could be suggestive of:
a. Thoracic kyphosis
The area where the iliac crest terminates anteriorly on the ilium is known as the:
a. Anterior superior iliac spine
Following injury to the extremities, assessment for neurovascular competency should include the:
a. Skin color, temperature, movement, and sensation of the extremity
A patient is experiencing a dull achy pain in the epigastric area with eating. This type of pain is consistent with:
a. A gastric ulcer
Which of the following conditions is NOT related to Polyuria?
a. Hyperkalemic nephropathy
When examining the elbow for range of motion, the NP instructs the patient to turn his palm upward. This motion is an example of:
a. Supination
The forward slippage of one vertebrae resulting in spinal cord compression is referred to as:
a. Spondylolisthesis
Skin conditions such as pruritis, hyperpigmentation, and calciphylaxis may be seen in patients who have:
a. Chronic renal failure
The extension of the spine of the scapula located at the highest point of the shoulder is referred to as the:
a. Acromion process
A 60-year-old patient presents with severe, deep left eye pain. Findings reveal dilated and fixed left dilated and fixed left pupil and the cornea is cloudy. There is no ocular discharge noted. These findings are most likely consistent with:
a. Acute angle closure glaucoma
A patient has a papule with an ulcerated center on the lower lid and medial canthus of the eye. This is consistent with:
a. A basal cell carcinoma
Patients with prior hypospadias surgery who develop slow and painful urination as well as prostatitis are experiencing symptoms of:
a. Urethral stricture
Which substance used during pregnancy accounts for one third of all low birth-weight infants, placental abruption, and preterm labor?
a. Tobacco
When screening for bladder cancer in a primary care setting, the test that would be LEAST appropriate is:
a. Cystoscopy
The axioscapular group of muscles include which on of the following?
a. Trapezius
A mental health condition characterized by over-the-top behavior such as emotional outbursts, noisy displays of temper, compulsive attention seeking and self-centered actions is:
a. Histrionic
Social phobia, panic disorder, and post-traumatic stress disorder (PTSD) are all examples of:
a. Generalized anxiety disorder (GAD)
In older adults, the presence of heart sound S3 suggests:
a. Heart failure
Depigmented macules appearing on the face, hands, feet, and other parts of the body due to the lack of melanin are termed:
a. Vitiligo
Restrictions of internal and external rotation of the hip are sensitive indicators of:
a. Arthritis
Which of the following neurological findings indicate the need for further evaluation?
a. Weak and ineffective sucking movements
