MSN 622 FINAL EXAM QUESTIONS AND VERIFIED
ANSWERS (100% CORRECT) LATEST UPDATE
2026/2027 | GUARANTEED PASS | GRADED A+.
A 65-year-old man presents with an episode of gross hematuria. He has
no significant history. An abdominal CT incidentally demonstrates a 6
cm abdominal aortic aneurysm (AAA). What is the next step in the
management of the AAA? A.
Observation with annual follow-up. B.
Elective abdominal aortic aneurysm surgery. C.
Emergency surgery to replace the aneurysm. D.
Angiogram to determine the size of the abdominal aortic aneurysm. -
CORRECT ANSWER B.
Elective abdominal aortic aneurysm surgery.
A 65-year-old female is admitted to the hospital with palpitations and
shortness of breath. Her past medical history includes congestive heart
failure with an ejection fraction of 28%, hypertension, and asthma. She
reports smoking 4 to 5 cigarettes a day but no illicit drug use. She takes
amlodipine 10 mg once a day, lisinopril 10 mg a day and uses an
albuterol inhaler about once a month in the spring and fall). Physical
exam reveals blood pressure 140/80 mmHg, heart rate 164 bpm,
irregular, respiratory rate 20. EKG results are shown. What is an
appropriate rate control medication for her that would also be useful for
her congestive heart failure?(Click Image to Enlarge)
,1. Metoprolol
2. Digoxin
3. Ivabradine
4. Atropine - CORRECT ANSWER 1. Metoprolol
A 76-year-old male comes into the emergency department with a
complaint of chest pain. The patient was placed on telemetry monitoring
that showed an abnormal rhythm at a rate of 160 beats per minute. A 12
lead EKG was performed showing an irregularly irregular rhythm. He
has a history of atrial fibrillation and has been taking rivaroxaban for the
past four months. The patient soon becomes diaphoretic, unresponsive,
and hypotensive. What is the next best step?
1. Give 10 mg IV push of diltiazem bolus for rate control
2. Give 150 mg IV push of amiodarone for rhythm control
3. Immediate cardioversion
4. Begin transcutaneous pacing - CORRECT ANSWER 3. Immediate
cardioversion
A 65-year-old female patient presents with complaints of periodic,
intermittent, sudden-onset chest pain and shortness of breath, which
radiates to her left jaw and arm. She reports that she tires easily with
mild physical activity. Initially, she experienced chest pain with activity,
but now it occurs throughout the day. Medical history is significant for
hypertension and type 2 diabetes mellitus. An electrocardiogram (ECG)
and cardiac enzyme markers are ordered. Which of the following tests
,will be most helpful in differentiating unstable angina from a non-ST
segment elevation myocardial infarction (NSTEMI)?
A. Troponin I
B. Echocardiogram
C. Electrocardiogram
D. Creatine kinase (CK) - CORRECT ANSWER A. Troponin I
A 65-year-old female patient presents with complaints of progressive
dyspnea on exertion for the past two weeks. The patient has a past
medical history of hypertension. She has a 25-year smoking history but
quit smoking 4 years ago. The patient reveals further that she initially
had dyspnea only on moderate exertion, but now it occurs with activities
like showering. The patient denies chest pain, cough, or wheezing. Her
medications include metformin, amlodipine, and simvastatin. The
patient appears comfortable at rest. Currently, she is afebrile and
hemodynamically stable. Physical examination reveals bibasilar
crackles. The patient's troponin-T level is normal. What changes are
more likely to be seen on an electrocardiogram (ECG) if this patient is a
suspected case of unstable angina?
A. Diffuse ST-segment elevation in all the leads
B. Deep, symmetric T-wave inversions in V2 and V3 accompanied by
flat ST-segment
C. - CORRECT ANSWER B. Deep, symmetric T-wave inversions in
V2 and V3 accompanied by flat ST-segment
, A 73-year-old patient presents with a 6-month history of progressive
fatigue, with difficulty climbing stairs and brushing her hair. These
symptoms are different than her usual symptoms. Her medical history
is significant for rheumatoid arthritis diagnosed 15 years ago. During
this time, the patient has tried multiple biological agents with most of
these medications discontinued because of adverse effects or loss of
efficacy. The patient declined to try rituximab and requested to continue
steroids. She has been on 10 mg of prednisone daily for about 10 years.
Her dose is increased to 15 mg daily when the patient experiences an
increase in joint pain, which happens about twice a month. What is the
most likely etiology of the patient's symptoms? Well done!You
answered successfully
A.
The patient has overextended herself and pulled a muscle. B.
The patient most likely has an infection secondary to steroid use. C.
The pa - CORRECT ANSWER C.
The patient probably has proximal muscle weakness secondary to
corticosteroids.
What heart sound would one hear in a patient with systolic congestive
heart failure (CHF)?
1. A systolic murmur
2. A diastolic murmur
3. S3 heart sound
4. A snap in early diastole - CORRECT ANSWER 3. S3 heart sound
ANSWERS (100% CORRECT) LATEST UPDATE
2026/2027 | GUARANTEED PASS | GRADED A+.
A 65-year-old man presents with an episode of gross hematuria. He has
no significant history. An abdominal CT incidentally demonstrates a 6
cm abdominal aortic aneurysm (AAA). What is the next step in the
management of the AAA? A.
Observation with annual follow-up. B.
Elective abdominal aortic aneurysm surgery. C.
Emergency surgery to replace the aneurysm. D.
Angiogram to determine the size of the abdominal aortic aneurysm. -
CORRECT ANSWER B.
Elective abdominal aortic aneurysm surgery.
A 65-year-old female is admitted to the hospital with palpitations and
shortness of breath. Her past medical history includes congestive heart
failure with an ejection fraction of 28%, hypertension, and asthma. She
reports smoking 4 to 5 cigarettes a day but no illicit drug use. She takes
amlodipine 10 mg once a day, lisinopril 10 mg a day and uses an
albuterol inhaler about once a month in the spring and fall). Physical
exam reveals blood pressure 140/80 mmHg, heart rate 164 bpm,
irregular, respiratory rate 20. EKG results are shown. What is an
appropriate rate control medication for her that would also be useful for
her congestive heart failure?(Click Image to Enlarge)
,1. Metoprolol
2. Digoxin
3. Ivabradine
4. Atropine - CORRECT ANSWER 1. Metoprolol
A 76-year-old male comes into the emergency department with a
complaint of chest pain. The patient was placed on telemetry monitoring
that showed an abnormal rhythm at a rate of 160 beats per minute. A 12
lead EKG was performed showing an irregularly irregular rhythm. He
has a history of atrial fibrillation and has been taking rivaroxaban for the
past four months. The patient soon becomes diaphoretic, unresponsive,
and hypotensive. What is the next best step?
1. Give 10 mg IV push of diltiazem bolus for rate control
2. Give 150 mg IV push of amiodarone for rhythm control
3. Immediate cardioversion
4. Begin transcutaneous pacing - CORRECT ANSWER 3. Immediate
cardioversion
A 65-year-old female patient presents with complaints of periodic,
intermittent, sudden-onset chest pain and shortness of breath, which
radiates to her left jaw and arm. She reports that she tires easily with
mild physical activity. Initially, she experienced chest pain with activity,
but now it occurs throughout the day. Medical history is significant for
hypertension and type 2 diabetes mellitus. An electrocardiogram (ECG)
and cardiac enzyme markers are ordered. Which of the following tests
,will be most helpful in differentiating unstable angina from a non-ST
segment elevation myocardial infarction (NSTEMI)?
A. Troponin I
B. Echocardiogram
C. Electrocardiogram
D. Creatine kinase (CK) - CORRECT ANSWER A. Troponin I
A 65-year-old female patient presents with complaints of progressive
dyspnea on exertion for the past two weeks. The patient has a past
medical history of hypertension. She has a 25-year smoking history but
quit smoking 4 years ago. The patient reveals further that she initially
had dyspnea only on moderate exertion, but now it occurs with activities
like showering. The patient denies chest pain, cough, or wheezing. Her
medications include metformin, amlodipine, and simvastatin. The
patient appears comfortable at rest. Currently, she is afebrile and
hemodynamically stable. Physical examination reveals bibasilar
crackles. The patient's troponin-T level is normal. What changes are
more likely to be seen on an electrocardiogram (ECG) if this patient is a
suspected case of unstable angina?
A. Diffuse ST-segment elevation in all the leads
B. Deep, symmetric T-wave inversions in V2 and V3 accompanied by
flat ST-segment
C. - CORRECT ANSWER B. Deep, symmetric T-wave inversions in
V2 and V3 accompanied by flat ST-segment
, A 73-year-old patient presents with a 6-month history of progressive
fatigue, with difficulty climbing stairs and brushing her hair. These
symptoms are different than her usual symptoms. Her medical history
is significant for rheumatoid arthritis diagnosed 15 years ago. During
this time, the patient has tried multiple biological agents with most of
these medications discontinued because of adverse effects or loss of
efficacy. The patient declined to try rituximab and requested to continue
steroids. She has been on 10 mg of prednisone daily for about 10 years.
Her dose is increased to 15 mg daily when the patient experiences an
increase in joint pain, which happens about twice a month. What is the
most likely etiology of the patient's symptoms? Well done!You
answered successfully
A.
The patient has overextended herself and pulled a muscle. B.
The patient most likely has an infection secondary to steroid use. C.
The pa - CORRECT ANSWER C.
The patient probably has proximal muscle weakness secondary to
corticosteroids.
What heart sound would one hear in a patient with systolic congestive
heart failure (CHF)?
1. A systolic murmur
2. A diastolic murmur
3. S3 heart sound
4. A snap in early diastole - CORRECT ANSWER 3. S3 heart sound
