RECENT EXAM 2026-2027 ACTUAL COMPLETE REAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
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A 42-year-old florist comes to your office, complaining of
chronic constipation for the last six months. She has had no
nausea, vomiting, or diarrhea, and no abdominal pain or
cramping. She denies any recent illnesses or injuries. She
denies any changes to her diet or exercise program. She is on
no new medications. During the review of systems (ROS), you
note that she has felt fatigued, had some weight gain, has
irregular periods, and has cold intolerance. Her past medical
history is significant for one vaginal delivery and two cesarean
sections. She is married, has three children, and owns a flower
shop. She denies tobacco, alcohol, or drug use. Her mother has
type 2 diabetes and her father has coronary artery disease.
There is no family history of cancers. On examination, she
appears her stated age. Her vital signs are normal. Her head,
eyes, ears, nose, throat, and neck examinations are normal. Her
cardiac, lung, - ANSWER -Hypothyroidism
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 sixteen, but 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? - ANSWER -
Intermittent claudication
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? -
ANSWER –Calf
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? - ANSWER -Radial pulse,
brachial pulse
Cody is a teenager with a history of leukemia and an enlarged
spleen. Today he
presents with fairly significant left upper quadrant (LUQ) pain.
On examination t
of this area, a rough grating noise is heard. What is this sound?
- ANSWER –I
is a splenic
rub.
, A 30-year-old woman with a history of mitral valve problems
states that she has been "very tired." She has started waking
up at night and feels like her "heart is pounding." During the
assessment, the nurse practitioner palpates a thrill and lift at
the fifth left intercostal space midclavicular line. In the same
area the nurse practitioner also auscultates a blowing,
swishing sound right after S1. These findings would be most
consistent with: - ANSWER -mitral regurgitation.
A patient presents with excruciating headache pain on one side
of his head, especially around his eye, forehead, and cheek that
lasts about 1/2 to 2 hours, occurring once or twice each day.
The nurse practitioner suspects: - ANSWER cluster headaches
A patient complains that while studying for an examination he
began to notice a
severe headache in the frontotemporal area of his head that is
throbbing and is
somewhat relieved when he lies down. He tells the nurse
practitioner that his
mother also had these headaches. The nurse practitioner
suspects that he may
be suffering from: - ANSWER -migraine
headaches
A patient tells the nurse practitioner that he is very nervous,
that he is nauseated, and that he "feels hot." This type of data
would be: - ANSWER subjective