NR 667 CEA Final Assessment Review Questions and
Answers
Q1. Which finding is most consistent with bacterial pneumonia?
Answer: Egophony
Rationale: Consolidation enhances voice sounds, producing egophony.
Q2. Best initial diagnostic test for suspected stroke?
Answer: CT scan
Rationale: Rapid CT rules out hemorrhage before treatment begins.
Q3. Which cranial nerve controls lateral eye movement?
Answer: CN VI (Abducens)
Rationale: Abducens nerve controls the lateral rectus muscle.
Q4. Which heart sound indicates diastolic heart failure?
Answer: S4
Rationale: S4 is due to a stiff ventricle in diastolic dysfunction.
Q5. Which lab is most specific for myocardial infarction?
Answer: Troponin I
Rationale: Highly specific and sensitive for MI.
Q6. Which condition is associated with barrel chest?
Answer: COPD
Rationale: Hyperinflation leads to barrel chest.
Q7. Best test for suspected pulmonary embolism?
Answer: CT angiography
Rationale: Gold standard for PE diagnosis.
Q8. Which murmur is best heard at the apex with the patient in left lateral decubitus?
Answer: Mitral regurgitation
Rationale: Apex, left lateral position enhances MR sounds.
Q9. Which physical exam finding suggests pleural effusion?
Answer: Dullness to percussion
Rationale: Fluid dampens percussion sounds.
Q10. Which cranial nerve is tested by the gag reflex?
Answer: CN IX (Glossopharyngeal)
Rationale: Glossopharyngeal nerve mediates gag reflex.
Q11. Which condition presents with pitting edema?
, Answer: Venous insufficiency
Rationale: Venous stasis causes pitting edema.
Q12. Which lung sound is most associated with asthma?
Answer: Wheezing
Rationale: Narrowed airways produce wheezing.
Q13. Which test is most appropriate for suspected DVT?
Answer: Doppler ultrasound
Rationale: Non-invasive and reliable for DVT.
Q14. Which cranial nerve controls facial sensation?
Answer: CN V (Trigeminal)
Rationale: Trigeminal nerve controls facial sensation.
Q15. Which condition is associated with clubbing of fingers?
Answer: Lung cancer
Rationale: Chronic hypoxia and malignancy cause clubbing.
Q16. Which heart sound is normal in children but abnormal in adults?
Answer: S3
Rationale: Normal in youth, abnormal in adults (HF).
Q17. Which test is best for diagnosing appendicitis?
Answer: CT abdomen
Rationale: Most accurate for appendicitis.
Q18. Which cranial nerve controls tongue movement?
Answer: CN XII (Hypoglossal)
Rationale: Hypoglossal nerve controls tongue.
Q19. Which condition presents with bounding pulses?
Answer: Aortic regurgitation
Rationale: Wide pulse pressure causes bounding pulses.
Q20. Which lung sound indicates fluid in alveoli?
Answer: Crackles
Rationale: Fluid produces crackling sounds.
Q21. Which test is best for diagnosing meningitis?
Answer: Lumbar puncture
Rationale: CSF analysis confirms meningitis.
Q22. Which cranial nerve controls shoulder shrug?
Answer: CN XI (Spinal accessory)
Rationale: Controls trapezius and sternocleidomastoid.
Answers
Q1. Which finding is most consistent with bacterial pneumonia?
Answer: Egophony
Rationale: Consolidation enhances voice sounds, producing egophony.
Q2. Best initial diagnostic test for suspected stroke?
Answer: CT scan
Rationale: Rapid CT rules out hemorrhage before treatment begins.
Q3. Which cranial nerve controls lateral eye movement?
Answer: CN VI (Abducens)
Rationale: Abducens nerve controls the lateral rectus muscle.
Q4. Which heart sound indicates diastolic heart failure?
Answer: S4
Rationale: S4 is due to a stiff ventricle in diastolic dysfunction.
Q5. Which lab is most specific for myocardial infarction?
Answer: Troponin I
Rationale: Highly specific and sensitive for MI.
Q6. Which condition is associated with barrel chest?
Answer: COPD
Rationale: Hyperinflation leads to barrel chest.
Q7. Best test for suspected pulmonary embolism?
Answer: CT angiography
Rationale: Gold standard for PE diagnosis.
Q8. Which murmur is best heard at the apex with the patient in left lateral decubitus?
Answer: Mitral regurgitation
Rationale: Apex, left lateral position enhances MR sounds.
Q9. Which physical exam finding suggests pleural effusion?
Answer: Dullness to percussion
Rationale: Fluid dampens percussion sounds.
Q10. Which cranial nerve is tested by the gag reflex?
Answer: CN IX (Glossopharyngeal)
Rationale: Glossopharyngeal nerve mediates gag reflex.
Q11. Which condition presents with pitting edema?
, Answer: Venous insufficiency
Rationale: Venous stasis causes pitting edema.
Q12. Which lung sound is most associated with asthma?
Answer: Wheezing
Rationale: Narrowed airways produce wheezing.
Q13. Which test is most appropriate for suspected DVT?
Answer: Doppler ultrasound
Rationale: Non-invasive and reliable for DVT.
Q14. Which cranial nerve controls facial sensation?
Answer: CN V (Trigeminal)
Rationale: Trigeminal nerve controls facial sensation.
Q15. Which condition is associated with clubbing of fingers?
Answer: Lung cancer
Rationale: Chronic hypoxia and malignancy cause clubbing.
Q16. Which heart sound is normal in children but abnormal in adults?
Answer: S3
Rationale: Normal in youth, abnormal in adults (HF).
Q17. Which test is best for diagnosing appendicitis?
Answer: CT abdomen
Rationale: Most accurate for appendicitis.
Q18. Which cranial nerve controls tongue movement?
Answer: CN XII (Hypoglossal)
Rationale: Hypoglossal nerve controls tongue.
Q19. Which condition presents with bounding pulses?
Answer: Aortic regurgitation
Rationale: Wide pulse pressure causes bounding pulses.
Q20. Which lung sound indicates fluid in alveoli?
Answer: Crackles
Rationale: Fluid produces crackling sounds.
Q21. Which test is best for diagnosing meningitis?
Answer: Lumbar puncture
Rationale: CSF analysis confirms meningitis.
Q22. Which cranial nerve controls shoulder shrug?
Answer: CN XI (Spinal accessory)
Rationale: Controls trapezius and sternocleidomastoid.
