603 CEA Exam
Study online at https://quizlet.com/_hipks0
1. During a post-hospital discharge visit, you notice your Diastole
71 year old female patient has been diagnosed with
a "new murmur" found by the hospitalist during their
recent hospitalization for CHF exacerbation. In evalu-
ating the patient, during which phase of the cardiac
cycle would you anticipate auscultation of a S3 or S4
heart sound?
*Diastole
*53 in systole while S4 in diastole
*Systole
*S4 in diastole while S3 in systole
2. The point of maximum impulse (PMI) is MOST often Left 5th intercostal space,
palpable in healthy adults when positioned in the midclavicular line
supine or left lateral decubitus position. Which one of
the following locations is most commonly described
as the PMI in a healthy adult?
*Left 2nd intercostal space, midaxillary line.
*Left 5th intercostal space, midclavicular line.
*Right 4th intercostal space, midaxillary line.
*Right 2nd intercostal space, midclavicular line.
3. The nurse practitioner assessing the patient with a Peak of the R wave.
rapid cardiac rhythm may assess for a pulse deficit
by auscultating the patient's heart while watching the
EKG rhythm. Where would the S1 heart sounds corre-
late with the electrocardiographic waves?
*At the end of the T wave.
*At the start of the T wave.
*Peak of the R wave.
*At the start of the P wave.
, 603 CEA Exam
Study online at https://quizlet.com/_hipks0
4. Michael, a 72 year old male patient who previously Check for thyroid dysfunc-
presented with stable cardiac-type chest pain has un- tion
derwent a stress test. He presents today to review
the stress test results, which show EKG findings of
ST segment depression during the exam in leads V3
and V4 as well as some concurrent chest discomfort.
Based on these findings, which of the following are
NOT priority medical decisions?
*Prescribe metoprolol (Lopressor) 12.5mg PO BID
*Prescribe aspirin 81mg PO daily
*Refer to cardiology for angiography
• Check for thyroid dysfunction
5. While examining a 53 year old female patient, you Positive for egophony
auscultate abnormal breath sounds over all fields, and
now assess transmission of voice sounds by having
the patient say "ee" while auscultating the chest with
the diaphragm of your stethoscope. Normally, you
should auscultate a muffled "e" sound, however, you
hear hear a nasally "a" sound. Which one of the follow-
ing will you document is present?
*Positive stereognosis.
*Positive for egophony.
*Negative for bronchophony.
*Negative for egophony
6. While assessing the 19 year old patient for a new To identify if underlying
onset cough, the nurse practitioner may inspect, aus- tissue are air-filled, flu-
cultate, palpate, and/or percuss. id-filled or consolidated
How does performing percussion of the thorax assist
the provider during the physical examination?
*To assist with the confirmation of cardiac origin of
, 603 CEA Exam
Study online at https://quizlet.com/_hipks0
angina.
*To assess for deep-seated lesion and tumors.
*To assess for any pain or discomfort prior to palpita-
tion of the chest wall.
*To identify if underlying tissue are air-filled, flu-
id-filled or consolidated
7. Your 42 year old male patient has been referred to Approximately equal level
your clinic for establishing care and on his intake sur- of change in the descent
vey, you note he has documented diagnosis of inter- of the diaphragm bilater-
stitial lung disease. You have decided to perform a ally during maximal inspi-
diaphragmatic excursion test on the patient. Which ration and expiration. with
one of the following results would you expect to see a decreased overall inspi-
in this patient? ratory capacity
*Approximately equal level of change in the descent
of the diaphragm bilaterally during maximal inspira-
tion and expiration. with a decreased overall inspira-
tory capacity.
*Ascension of 8-12 inches of the diaphragm noted
bilaterally on expiration, though often much less on
the right side due to the location of the heart and
great vessels.
*Much greater descent of the diaphragm on the right
side due to the liver present (two-three times larger).
*Absent or no change in movement of the diaphragm
noted between full inspiration and full expiration
measurement.
8. Your 50 year old Caucasian male patient has not seen Severe hypothyroidism
a primary care giver in 20+ years and is here for a
history and physical examination. While examining
the head and face, you see your patient has nonpitting
, 603 CEA Exam
Study online at https://quizlet.com/_hipks0
periorbital edema, particularly underneath their eyes
and very dry, thinned hair, including the lateral third
of eyebrows (as pictured below: Sparse hairline, thin
lateral eyebrows, Periobital edema). Which one of the
folowing would you expect to cause this finding?
*Severe hypothyroidism
*Addison's disease
*Grave's disease
*Alzhemiers.
9. A40 year old, female, African American patient pre- Hyperthyroidism.
sents for history and physical. Upon your initial as-
sessment, you notice she has severe exophthalmos
as pictured below. Which one of the following diag-
noses below would be the highest on your differential
diagnose of this physical examination finding? (eyes
bulging out of her head)
*Bilateral conjunctivitis.
*Hyperthyroidism.
*hypothyroidism
*myexedma
10. Your patient with a suspected diagnosis of COPD has Forced Vital Capacity.
been seen by pulmonology and has underwent a pul-
monary function test (PFT) with spirometry. As the
patient's primary healthcare provider, you have been
asked to explain the findings of the PFT to the patient
in a
follow-up visit at which time the patient asks what
the study was evaluating. To describe the PFT to the
patient in more useful terms, you state that the large
inspiration of air to the furthest extent they could
Study online at https://quizlet.com/_hipks0
1. During a post-hospital discharge visit, you notice your Diastole
71 year old female patient has been diagnosed with
a "new murmur" found by the hospitalist during their
recent hospitalization for CHF exacerbation. In evalu-
ating the patient, during which phase of the cardiac
cycle would you anticipate auscultation of a S3 or S4
heart sound?
*Diastole
*53 in systole while S4 in diastole
*Systole
*S4 in diastole while S3 in systole
2. The point of maximum impulse (PMI) is MOST often Left 5th intercostal space,
palpable in healthy adults when positioned in the midclavicular line
supine or left lateral decubitus position. Which one of
the following locations is most commonly described
as the PMI in a healthy adult?
*Left 2nd intercostal space, midaxillary line.
*Left 5th intercostal space, midclavicular line.
*Right 4th intercostal space, midaxillary line.
*Right 2nd intercostal space, midclavicular line.
3. The nurse practitioner assessing the patient with a Peak of the R wave.
rapid cardiac rhythm may assess for a pulse deficit
by auscultating the patient's heart while watching the
EKG rhythm. Where would the S1 heart sounds corre-
late with the electrocardiographic waves?
*At the end of the T wave.
*At the start of the T wave.
*Peak of the R wave.
*At the start of the P wave.
, 603 CEA Exam
Study online at https://quizlet.com/_hipks0
4. Michael, a 72 year old male patient who previously Check for thyroid dysfunc-
presented with stable cardiac-type chest pain has un- tion
derwent a stress test. He presents today to review
the stress test results, which show EKG findings of
ST segment depression during the exam in leads V3
and V4 as well as some concurrent chest discomfort.
Based on these findings, which of the following are
NOT priority medical decisions?
*Prescribe metoprolol (Lopressor) 12.5mg PO BID
*Prescribe aspirin 81mg PO daily
*Refer to cardiology for angiography
• Check for thyroid dysfunction
5. While examining a 53 year old female patient, you Positive for egophony
auscultate abnormal breath sounds over all fields, and
now assess transmission of voice sounds by having
the patient say "ee" while auscultating the chest with
the diaphragm of your stethoscope. Normally, you
should auscultate a muffled "e" sound, however, you
hear hear a nasally "a" sound. Which one of the follow-
ing will you document is present?
*Positive stereognosis.
*Positive for egophony.
*Negative for bronchophony.
*Negative for egophony
6. While assessing the 19 year old patient for a new To identify if underlying
onset cough, the nurse practitioner may inspect, aus- tissue are air-filled, flu-
cultate, palpate, and/or percuss. id-filled or consolidated
How does performing percussion of the thorax assist
the provider during the physical examination?
*To assist with the confirmation of cardiac origin of
, 603 CEA Exam
Study online at https://quizlet.com/_hipks0
angina.
*To assess for deep-seated lesion and tumors.
*To assess for any pain or discomfort prior to palpita-
tion of the chest wall.
*To identify if underlying tissue are air-filled, flu-
id-filled or consolidated
7. Your 42 year old male patient has been referred to Approximately equal level
your clinic for establishing care and on his intake sur- of change in the descent
vey, you note he has documented diagnosis of inter- of the diaphragm bilater-
stitial lung disease. You have decided to perform a ally during maximal inspi-
diaphragmatic excursion test on the patient. Which ration and expiration. with
one of the following results would you expect to see a decreased overall inspi-
in this patient? ratory capacity
*Approximately equal level of change in the descent
of the diaphragm bilaterally during maximal inspira-
tion and expiration. with a decreased overall inspira-
tory capacity.
*Ascension of 8-12 inches of the diaphragm noted
bilaterally on expiration, though often much less on
the right side due to the location of the heart and
great vessels.
*Much greater descent of the diaphragm on the right
side due to the liver present (two-three times larger).
*Absent or no change in movement of the diaphragm
noted between full inspiration and full expiration
measurement.
8. Your 50 year old Caucasian male patient has not seen Severe hypothyroidism
a primary care giver in 20+ years and is here for a
history and physical examination. While examining
the head and face, you see your patient has nonpitting
, 603 CEA Exam
Study online at https://quizlet.com/_hipks0
periorbital edema, particularly underneath their eyes
and very dry, thinned hair, including the lateral third
of eyebrows (as pictured below: Sparse hairline, thin
lateral eyebrows, Periobital edema). Which one of the
folowing would you expect to cause this finding?
*Severe hypothyroidism
*Addison's disease
*Grave's disease
*Alzhemiers.
9. A40 year old, female, African American patient pre- Hyperthyroidism.
sents for history and physical. Upon your initial as-
sessment, you notice she has severe exophthalmos
as pictured below. Which one of the following diag-
noses below would be the highest on your differential
diagnose of this physical examination finding? (eyes
bulging out of her head)
*Bilateral conjunctivitis.
*Hyperthyroidism.
*hypothyroidism
*myexedma
10. Your patient with a suspected diagnosis of COPD has Forced Vital Capacity.
been seen by pulmonology and has underwent a pul-
monary function test (PFT) with spirometry. As the
patient's primary healthcare provider, you have been
asked to explain the findings of the PFT to the patient
in a
follow-up visit at which time the patient asks what
the study was evaluating. To describe the PFT to the
patient in more useful terms, you state that the large
inspiration of air to the furthest extent they could
