Your 51-year-old female patient has Systole
been diagnosed with a "new
murmur" during a near syncopal
episode workup. In evaluating this
patient, during which phase of the
cardiac cycle would you anticipate
auscultation of an S1 heart sound?
The initial workup for a patient with a Basic metabolic profile
new chief complaint of palpitations
should include which of the
following tests first?
Which of the following locations is 2nd intercostal space, right sternal border
most commonly described as the
best location to identify the aortic
valve in a healthy adult?
Jason, a 63-year-old male who had a 12 months minimum
cardiac drug-eluting stent placed
and had an elevated troponin of 1.6,
asks how long he will need to be on
aspirin plus clopidogrel (Plavix). How
long should Jason be on dual
antiplatelet therapy after his stent?
What illness or diagnosis would Consolidation (pneumonia)
localized egophony on auscultation
over the left lower lobe most likely
imply?
, NR667 /NR 667 EXIT EXAM 2026 LATEST UPDATE
While assessing a 15-year-old patient To identify if underlying tissues are air-filled, fluid-
for a new onset of cough, how does filled, or consolidated
performing percussion of the thorax
assist the provider during the
physical examination?
Which of the following patients Severe interstitial lung disease
would you expect to show a less-
than-expected forced vital capacity
(FVC) on pulmonary function
testing?
In obstructive lung disease, a Forced Expiratory Volume in 1 second (FEV₁)
decreased level in which of the
following spirometry parameters is
most suggestive of diagnosis?
Your newly established patient Graves' Disease
developed a progressively enlarged
thyroid gland (goiter) along with
symptoms of anxiety, palpitations,
and tremor over the last year. Which
diagnosis is most likely based on
these findings?
A 32-year-old female with a Exophthalmos
diagnosis of hyperthyroidism might
exhibit which of the following typical
signs on exam?
Your patient has Cushing's disease. Low body temperature
Which of the following would you
NOT expect to find during
examination?
, NR667 /NR 667 EXIT EXAM 2026 LATEST UPDATE
In a patient with Diabetes Mellitus of these are appropriate
Type 2, the evaluation for end-organ
dysfunction should include which of
the following?
A patient with severe cirrhosis Model for End-Stage Liver Disease (MELD) Score
awaiting possible liver transplant
should be evaluated with which
scoring system to assess liver
function and prognosis?
You suspect mononucleosis in a 12- Deep palpitation
year-old with left upper quadrant
pain and likely splenomegaly. Which
examination step should be avoided
over that area?
A 21-year-old female may have a Gram negative rods
perforated gastric ulcer with
peritonitis. Which type of bacteria is
most likely the causative agent?
A 22-year-old male power lifter Hydrocele
complains his scrotum is very
enlarged and fluid-like. Which
diagnosis is most likely?
A 22-year-old female has sinus Leaning forward
pressure and congestion. Which
maneuver may help reproduce sinus-
related pain and support the
diagnosis?