Med Surg Certification Exam v4 Exam Questions
with Verified Answers
Which of the following is the location where fertilization occurs?
A. Ovaries
B. Fallopian tubes
C. Vagina
D. Uterus
Answer: Fallopian tubes
Rationale: The fallopian tubes are bilateral ducts that enter the uterus on either
side; they conduct ova via peristalsis from the space around the ovary to the
uterus, and fertilization usually occurs here, in the distal two-thirds of the tube
(ampulla).
The uterus is the site of fetal development; the ovaries secrete hormones and
develop and release eggs; the vagina serves as the birth canal, connecting the
uterus to the outside, and lies between the urethra and the rectum
Which of the following is least likely to contribute to the development of
nephrolithiasis?
A. Gender
B. Diet
C. Sedentary lifestyle
D. Infections
Answer: Gender
,Rationale: Gender may influence what type of kidney stone is likely to develop,
but will not normally significantly influence the development of nephrolithiasis.
Risk factors for developing nephrolithiasis include a diet high in calcium, oxalates,
or purines; a sedentary lifestyle; and frequent or severe infections, especially
infections affecting the urinary tract.
You are caring for a patient who experienced a spinal injury and is now paraplegic.
You understand that the highest vertebra in which a fracture affecting the spinal
column can occur while still only causing paraplegia instead of quadriplegia is
which of the following?
A. T1
B. T2
C. T6
D. C7
Answer: T1
Rationale: Spinal fractures that occur at C7 or above can cause quadriplegia
(paralysis of all four limbs). Fractures at T1 or below will cause only paraplegia
(paralysis of only the lower two limbs).
The other answers are incorrect. Not all vertebral fractures will lead to paralysis,
only vertebral fractures affecting the spinal cord.
Which of the following conditions is most likely to cause the trachea to shift
towards he affected side during inspiration?
,A. Atelectasis
B. There are no conditions that cause the trachea to shift toward the affected side
during inspiration
C. Pneumothorax
D. Pleural effusion
Answer: Atelectasis
Rationale: Tracheal shifts during inspiration tend to occur away from the lung with
the higher pressure and towards the lung with the lower pressure. In
pneumothorax and pleural effusion, this causes a shift away from the affected
lung. In severe atelectasis, this causes a shift towards the affected lung.
This non-specific enzyme found in the heart and skeletal muscle is released into
the bloodstream with myocardial damage, rising 30 minutes to 2 hours after onset
of myocardial infarction (MI). What is it?
A. Myoglobin
B. Brain natriuretic peptide (BNP)
C. Troponin
D. Creatinine phosphokinase (CPK)
Answer: Myoglobin
Rationale: Myoglobin is a small, oxygen-binding protein found in heart and
skeletal muscle. When heart or skeletal muscle is injured, myoglobin is released
into the blood. Blood levels of myoglobin can rise very quickly with severe muscle
damage (such as acute MI) and can be measured within a few hours following an
injury. Normal values are < 110 ng/mL.
, Troponin is a cardiac specific enzyme, and CPK does not rise until about 6 hours
after the initial injury.
You are assigned to care for Mr. O., a 65-year-old male, recently admitted to the
hospital with a diagnosis of left-sided congestive heart-failure. In your assessment,
you should expect to find:
A. Crushing chest pain
B. Dyspnea on exertion
C. Jugular vein distension
D. Extensive peripheral edema
answer: Dyspnea on exertion
Pulmonary congestion and edema occur because of fluid extravasation from the
pulmonary capillary bed, resulting in difficult breathing (dyspnea). Left-sided heart
failure creates a backward effect on the pulmonary system that leads to
pulmonary congestion.
The most common diagnostic study used to assess the musculoskeletal system
and monitor effects of treatment is:
A. MRI
B. Xray
C. CT scan
D. Bone scan
Answer: X-ray
with Verified Answers
Which of the following is the location where fertilization occurs?
A. Ovaries
B. Fallopian tubes
C. Vagina
D. Uterus
Answer: Fallopian tubes
Rationale: The fallopian tubes are bilateral ducts that enter the uterus on either
side; they conduct ova via peristalsis from the space around the ovary to the
uterus, and fertilization usually occurs here, in the distal two-thirds of the tube
(ampulla).
The uterus is the site of fetal development; the ovaries secrete hormones and
develop and release eggs; the vagina serves as the birth canal, connecting the
uterus to the outside, and lies between the urethra and the rectum
Which of the following is least likely to contribute to the development of
nephrolithiasis?
A. Gender
B. Diet
C. Sedentary lifestyle
D. Infections
Answer: Gender
,Rationale: Gender may influence what type of kidney stone is likely to develop,
but will not normally significantly influence the development of nephrolithiasis.
Risk factors for developing nephrolithiasis include a diet high in calcium, oxalates,
or purines; a sedentary lifestyle; and frequent or severe infections, especially
infections affecting the urinary tract.
You are caring for a patient who experienced a spinal injury and is now paraplegic.
You understand that the highest vertebra in which a fracture affecting the spinal
column can occur while still only causing paraplegia instead of quadriplegia is
which of the following?
A. T1
B. T2
C. T6
D. C7
Answer: T1
Rationale: Spinal fractures that occur at C7 or above can cause quadriplegia
(paralysis of all four limbs). Fractures at T1 or below will cause only paraplegia
(paralysis of only the lower two limbs).
The other answers are incorrect. Not all vertebral fractures will lead to paralysis,
only vertebral fractures affecting the spinal cord.
Which of the following conditions is most likely to cause the trachea to shift
towards he affected side during inspiration?
,A. Atelectasis
B. There are no conditions that cause the trachea to shift toward the affected side
during inspiration
C. Pneumothorax
D. Pleural effusion
Answer: Atelectasis
Rationale: Tracheal shifts during inspiration tend to occur away from the lung with
the higher pressure and towards the lung with the lower pressure. In
pneumothorax and pleural effusion, this causes a shift away from the affected
lung. In severe atelectasis, this causes a shift towards the affected lung.
This non-specific enzyme found in the heart and skeletal muscle is released into
the bloodstream with myocardial damage, rising 30 minutes to 2 hours after onset
of myocardial infarction (MI). What is it?
A. Myoglobin
B. Brain natriuretic peptide (BNP)
C. Troponin
D. Creatinine phosphokinase (CPK)
Answer: Myoglobin
Rationale: Myoglobin is a small, oxygen-binding protein found in heart and
skeletal muscle. When heart or skeletal muscle is injured, myoglobin is released
into the blood. Blood levels of myoglobin can rise very quickly with severe muscle
damage (such as acute MI) and can be measured within a few hours following an
injury. Normal values are < 110 ng/mL.
, Troponin is a cardiac specific enzyme, and CPK does not rise until about 6 hours
after the initial injury.
You are assigned to care for Mr. O., a 65-year-old male, recently admitted to the
hospital with a diagnosis of left-sided congestive heart-failure. In your assessment,
you should expect to find:
A. Crushing chest pain
B. Dyspnea on exertion
C. Jugular vein distension
D. Extensive peripheral edema
answer: Dyspnea on exertion
Pulmonary congestion and edema occur because of fluid extravasation from the
pulmonary capillary bed, resulting in difficult breathing (dyspnea). Left-sided heart
failure creates a backward effect on the pulmonary system that leads to
pulmonary congestion.
The most common diagnostic study used to assess the musculoskeletal system
and monitor effects of treatment is:
A. MRI
B. Xray
C. CT scan
D. Bone scan
Answer: X-ray
