N588 Quiz 6 Women’s Health, Ethics & Health Equity | Full Questions and Answers | 2026 Update |
100% Correct - Post University.
2. During a cardiovascular assessment, you auscultate a low-pitched sound immediately following S2 at
the apex using the bell of the stethoscope. This finding is most likely:
A) An S4 gallop associated with ventricular hypertrophy
B) An S3 gallop, which may indicate fluid volume overload or heart failure
C) A midsystolic click associated with mitral valve prolapse
D) A physiological split S2 heard during expiration
Answer: B
3 Which physical exam finding is most specific for a diagnosis of Chronic Obstructive Pulmonary Disease
(COPD)?
A) Scattered wheezing during forced expiration
,B) Resonance upon percussion of the lung fields
C) An increased anteroposterior (AP) diameter (barrel chest)
D) Vesicular breath sounds in the peripheral lung fields
Answer: C
4. When assessing cranial nerve function, you ask the patient to shrug their shoulders against resistance.
Which cranial nerve are you evaluating?
A) CN X (Vagus)
B) CN XI (Spinal Accessory)
C) CN XII (Hypoglossal)
D) CN IX (Glossopharyngeal)
Answer: B
. A 62-year-old patient with a history of Hypertension presents with a blood pressure of 155/94 mmHg.
According to JNC 8 guidelines, what is the target BP for this patient?
A) < 130/80 mmHg
B) < 140/90 mmHg
C) < 150/90 mmHg
D) < 120/80 mmHg
Answer: B
. Which laboratory finding is the most sensitive indicator for the early detection of diabetic
nephropathy?
A) Elevated Serum Creatinine
B) Decreased Blood Urea Nitrogen (BUN)
C) Presence of microalbuminuria
D) Glycosylated hemoglobin (A1c) > 9%
, Answer: C
6. A patient with suspected Heart Failure has a B-type Natriuretic Peptide (BNP) level of 850 pg/mL. How
should the clinician interpret this result?
A) This is a normal finding for an older adult.
B) It suggests a primary pulmonary etiology for the patient's dyspnea.
C) It is highly suggestive of acute decompensated heart failure.
D) It indicates the patient is at low risk for fluid volume overload.
Answer: C
7. During a respiratory exam, you note increased tactile fremitus over the right lower lobe. This finding is
typically associated with:
A) Lung consolidation, such as pneumonia
B) Pleural effusion
C) Pneumothorax
D) Emphysema
Answer: A
8. According to the GOLD guidelines, which of the following is required to confirm a diagnosis of COPD?
A) A chest X-ray showing hyperinflation
B) Post-bronchodilator FEV1/FVC ratio < 0.70
C) A history of smoking more than 20 pack-years
D) Presence of a chronic productive cough for 3 months
Answer: B
9. A patient with Type 2 Diabetes has an A1c of 8.2% despite taking Metformin 1000mg BID. According
to ADA guidelines, the next step in management should be:
100% Correct - Post University.
2. During a cardiovascular assessment, you auscultate a low-pitched sound immediately following S2 at
the apex using the bell of the stethoscope. This finding is most likely:
A) An S4 gallop associated with ventricular hypertrophy
B) An S3 gallop, which may indicate fluid volume overload or heart failure
C) A midsystolic click associated with mitral valve prolapse
D) A physiological split S2 heard during expiration
Answer: B
3 Which physical exam finding is most specific for a diagnosis of Chronic Obstructive Pulmonary Disease
(COPD)?
A) Scattered wheezing during forced expiration
,B) Resonance upon percussion of the lung fields
C) An increased anteroposterior (AP) diameter (barrel chest)
D) Vesicular breath sounds in the peripheral lung fields
Answer: C
4. When assessing cranial nerve function, you ask the patient to shrug their shoulders against resistance.
Which cranial nerve are you evaluating?
A) CN X (Vagus)
B) CN XI (Spinal Accessory)
C) CN XII (Hypoglossal)
D) CN IX (Glossopharyngeal)
Answer: B
. A 62-year-old patient with a history of Hypertension presents with a blood pressure of 155/94 mmHg.
According to JNC 8 guidelines, what is the target BP for this patient?
A) < 130/80 mmHg
B) < 140/90 mmHg
C) < 150/90 mmHg
D) < 120/80 mmHg
Answer: B
. Which laboratory finding is the most sensitive indicator for the early detection of diabetic
nephropathy?
A) Elevated Serum Creatinine
B) Decreased Blood Urea Nitrogen (BUN)
C) Presence of microalbuminuria
D) Glycosylated hemoglobin (A1c) > 9%
, Answer: C
6. A patient with suspected Heart Failure has a B-type Natriuretic Peptide (BNP) level of 850 pg/mL. How
should the clinician interpret this result?
A) This is a normal finding for an older adult.
B) It suggests a primary pulmonary etiology for the patient's dyspnea.
C) It is highly suggestive of acute decompensated heart failure.
D) It indicates the patient is at low risk for fluid volume overload.
Answer: C
7. During a respiratory exam, you note increased tactile fremitus over the right lower lobe. This finding is
typically associated with:
A) Lung consolidation, such as pneumonia
B) Pleural effusion
C) Pneumothorax
D) Emphysema
Answer: A
8. According to the GOLD guidelines, which of the following is required to confirm a diagnosis of COPD?
A) A chest X-ray showing hyperinflation
B) Post-bronchodilator FEV1/FVC ratio < 0.70
C) A history of smoking more than 20 pack-years
D) Presence of a chronic productive cough for 3 months
Answer: B
9. A patient with Type 2 Diabetes has an A1c of 8.2% despite taking Metformin 1000mg BID. According
to ADA guidelines, the next step in management should be: