NU 673 Final Exam Question and Answer
(2026) Grade A+ Proven Pass Guide
• A patient with a known history of CV disease including MI and positive ABI with PVD in
his left leg now has issues with erectile dysfunction. If the symptoms are related to
vascular disease, where would the lesion be located? -✓✓Iliac pudenal (major blood
supply for penis)
P. 518
• A 73-year-old presents to the ED complaining of chest pain that started about 2 hours
ago. EKG, cardiac enzymes and CXR are normal but his BP is lower in his right arm
compared to his left arm. What can explain his symptoms? -✓✓Dissecting aortic
aneurysm
"Tearing" type pain
P. 522
• A 19-year-old sustained a laceration to the ulnar aspect o his mid-forearm while at
work last week and is now noticing purulent discharge, pain, fever and chills. Where
would the clinician expect to find the first signs of lymphadenopathy? -✓✓Epitrochlear
nodes
First nodes in drainage region from ulnar surface of forearm and hand, little and ring
fingers and adjacent surfaces of middle finger
P. 523
• When assessing for femoral pulse, where should the clinician begin deeply palpating?
-✓✓Below the inguinal ligament, midway between the anterior superior iliac spine and
symphysis pubis
Palpating above inguinal ligament will assess external iliac artery
P. 526
• Which pulse is located on the dorsum of the foot, just lateral to the extensor tendon of
the big toe? -✓✓Dorsalis pedis
P. 528
• A 61-year-old was recently diagnosed with ovarian cancer. She presents to the clinic
with a cough and mild shortness of breath. She has pain and swelling in her right groin
,and leg with 2+ edema of the right leg up to the thigh. What is the chief concern? -
✓✓Pulmonary embolism (PE)
Cancer patients have a high risk of DVT/PE
P. 534-535
• A 32-year-old notes a small wound on the lateral aspect of his mid-shin. Upon exam,
some mild erythema surround the wound and flat, non-palpable red streaks progressing
up his leg are noted. What do these streaks represent? -✓✓Draining lymphatic channels
(acute lymphangitis)
P. 534-535
• A clinician, evaluating a patient for valvular competency in the communicating veins of
the saphenous system, starts with the patient supine then elevates one leg to about 90
degrees to empty it of venous blood. Next, the great saphenous vein is occluded with
manual compression and the patient stands. The clinician keeps the vein occluded
while watching for venous filling in the leg. Which test is being performed? -
✓✓Trendelenburg (retrograde filling test)
P. 532
• A 44-year-old noticed an increasing dilation of the veins in her legs. It is noted that she
has significant varicosities on the posterior aspects of both legs which begin in the
lateral side of the foot and pass upward along the posterior calf. Which veins are
currently affected? -✓✓Small saphenous veins
P. 514, 516
• A 42-year old fair-skinned woman presents with an abnormal skin growth first noted 7
years ago. Which of the following historical elements most increases the suspicion that
the lesion is malignant?
A. Mild intermittent pruritis over the last 2 years
B. Proximal location over the bicep vs distal arm
C. Similar pinkish tan lesion on sun-exposed areas of face and hands
D. Uniformly darkly pigmented color
E. Minimal but discernible increase in size over last 6 months -✓✓E. Minimal but
discernible increase in size over past 6 months
P. 178-180
• A 17-year-old presents to the clinic because she desires to use a tanning facility ahead
of an upcoming event. Which of the following is true regarding UV exposure and
subsequent risk of skin cancer?
, A. Tanning beds do not increase risk of skin cancer
B. Water resistant sunscreen has no advantage over water-soluble products
C. Target messaging and practitioner reinforcement in primary care amplify sun-
protective behaviors
D. Chronic sun exposure confers greater risk than intermittent intense exposure
E. Sunscreen SPF 15 blocks about 50% of UV-B light. -✓✓C. Target messaging and
practitioner reinforcement in primary care amplify sun-protective behaviors
SPF 15 blocks about 90% of UV-B rays
P. 177
• Which of the following skin lesions is LEAST likely to metastasize?
A. Actinic keratosis
B. SCC
C. Melanoma
D. Seborrheic keratosis
E. BCC -✓✓D. Seborrheic keratosis - entirely benign lesions that do not carry any risk of
metastasis
P. 176, 197t, 198t
• What is the best advice according to the USPSTF recommendations on skin cancer
screening from 2009? -✓✓Recommends against routine screening for skin cancer due
to lack of evidence for this intervention across the general population
P. 178
• Concerning the initial recognition of melanoma, what is considered to be true? -
✓✓About 50% of melanomas are noticed first by patients then brought to the attention
of a practitioner (as opposed to the majority being discovered at annual exams)
P. 176-180
• A mother brings her 9-year-old daughter to the clinic with several days of a diffuse
rash on the trunk. She has a decreased appetite, easy fatigue and low grade fevers.
Additional findings include strawberry tongue and erythema (desquamation) on the
palms and soles. What is the most likely diagnosis and course of action? -✓✓Kawasaki
disease, for which close monitoring and possibly hospitalization might be required
Aka "mucocutaneous lymph node syndrome" treated with immune globulin
P. 208t
(2026) Grade A+ Proven Pass Guide
• A patient with a known history of CV disease including MI and positive ABI with PVD in
his left leg now has issues with erectile dysfunction. If the symptoms are related to
vascular disease, where would the lesion be located? -✓✓Iliac pudenal (major blood
supply for penis)
P. 518
• A 73-year-old presents to the ED complaining of chest pain that started about 2 hours
ago. EKG, cardiac enzymes and CXR are normal but his BP is lower in his right arm
compared to his left arm. What can explain his symptoms? -✓✓Dissecting aortic
aneurysm
"Tearing" type pain
P. 522
• A 19-year-old sustained a laceration to the ulnar aspect o his mid-forearm while at
work last week and is now noticing purulent discharge, pain, fever and chills. Where
would the clinician expect to find the first signs of lymphadenopathy? -✓✓Epitrochlear
nodes
First nodes in drainage region from ulnar surface of forearm and hand, little and ring
fingers and adjacent surfaces of middle finger
P. 523
• When assessing for femoral pulse, where should the clinician begin deeply palpating?
-✓✓Below the inguinal ligament, midway between the anterior superior iliac spine and
symphysis pubis
Palpating above inguinal ligament will assess external iliac artery
P. 526
• Which pulse is located on the dorsum of the foot, just lateral to the extensor tendon of
the big toe? -✓✓Dorsalis pedis
P. 528
• A 61-year-old was recently diagnosed with ovarian cancer. She presents to the clinic
with a cough and mild shortness of breath. She has pain and swelling in her right groin
,and leg with 2+ edema of the right leg up to the thigh. What is the chief concern? -
✓✓Pulmonary embolism (PE)
Cancer patients have a high risk of DVT/PE
P. 534-535
• A 32-year-old notes a small wound on the lateral aspect of his mid-shin. Upon exam,
some mild erythema surround the wound and flat, non-palpable red streaks progressing
up his leg are noted. What do these streaks represent? -✓✓Draining lymphatic channels
(acute lymphangitis)
P. 534-535
• A clinician, evaluating a patient for valvular competency in the communicating veins of
the saphenous system, starts with the patient supine then elevates one leg to about 90
degrees to empty it of venous blood. Next, the great saphenous vein is occluded with
manual compression and the patient stands. The clinician keeps the vein occluded
while watching for venous filling in the leg. Which test is being performed? -
✓✓Trendelenburg (retrograde filling test)
P. 532
• A 44-year-old noticed an increasing dilation of the veins in her legs. It is noted that she
has significant varicosities on the posterior aspects of both legs which begin in the
lateral side of the foot and pass upward along the posterior calf. Which veins are
currently affected? -✓✓Small saphenous veins
P. 514, 516
• A 42-year old fair-skinned woman presents with an abnormal skin growth first noted 7
years ago. Which of the following historical elements most increases the suspicion that
the lesion is malignant?
A. Mild intermittent pruritis over the last 2 years
B. Proximal location over the bicep vs distal arm
C. Similar pinkish tan lesion on sun-exposed areas of face and hands
D. Uniformly darkly pigmented color
E. Minimal but discernible increase in size over last 6 months -✓✓E. Minimal but
discernible increase in size over past 6 months
P. 178-180
• A 17-year-old presents to the clinic because she desires to use a tanning facility ahead
of an upcoming event. Which of the following is true regarding UV exposure and
subsequent risk of skin cancer?
, A. Tanning beds do not increase risk of skin cancer
B. Water resistant sunscreen has no advantage over water-soluble products
C. Target messaging and practitioner reinforcement in primary care amplify sun-
protective behaviors
D. Chronic sun exposure confers greater risk than intermittent intense exposure
E. Sunscreen SPF 15 blocks about 50% of UV-B light. -✓✓C. Target messaging and
practitioner reinforcement in primary care amplify sun-protective behaviors
SPF 15 blocks about 90% of UV-B rays
P. 177
• Which of the following skin lesions is LEAST likely to metastasize?
A. Actinic keratosis
B. SCC
C. Melanoma
D. Seborrheic keratosis
E. BCC -✓✓D. Seborrheic keratosis - entirely benign lesions that do not carry any risk of
metastasis
P. 176, 197t, 198t
• What is the best advice according to the USPSTF recommendations on skin cancer
screening from 2009? -✓✓Recommends against routine screening for skin cancer due
to lack of evidence for this intervention across the general population
P. 178
• Concerning the initial recognition of melanoma, what is considered to be true? -
✓✓About 50% of melanomas are noticed first by patients then brought to the attention
of a practitioner (as opposed to the majority being discovered at annual exams)
P. 176-180
• A mother brings her 9-year-old daughter to the clinic with several days of a diffuse
rash on the trunk. She has a decreased appetite, easy fatigue and low grade fevers.
Additional findings include strawberry tongue and erythema (desquamation) on the
palms and soles. What is the most likely diagnosis and course of action? -✓✓Kawasaki
disease, for which close monitoring and possibly hospitalization might be required
Aka "mucocutaneous lymph node syndrome" treated with immune globulin
P. 208t
