CORRECT ANSWERS GRADED A+
FOR 2027 ASSURED EXCELL
• 1.Your 22 year old male patient states during his review of systems thathis scrotum is
very enlarged and feels like it is full a powerlifter and works as a trash collector. You
suspect the patient likely has which of the following diagnoses?
• A -Varicocele
• B -Meningocele
• C -Rectocele
• D -Hydrocele - CORRECT ANSWERS-A -Varicocele
• The point of maximum impulse (PMI) is MOST often palpable in healthy adults when
positioned in the supine or left lateral decubitus position. Which one of the following
locations is most commonly described as the PMI in a healthy adult?
• A -Left 2nd intercostal space, midaxillary line
• B -Left 5th intercostal space, midclavicular line
• C -Right 4th intercostal space, midaxillary line
• D -Right 2nd intercostal space, midclavicular line - CORRECT ANSWERS-B -Left 5th
intercostal space, midclavicular line
• A40 year old, female, African American patient presents for history and physical. Upon
your initial assessment, you notice she has severe exophthalmos as pictured below.
Which one of the following diagnoses below would be the highest on your differential
diagnose of this physical examination finding?
• A -Bilateral conjunctivitis
• B -Hyperthyroidism
• C -hypothyroidism
• D -Myexedma - CORRECT ANSWERS-B -Hyperthyroidism
,• Your patient with a suspected diagnosis of COPD has been seen by pulmonology and has
underwent a pulmonary 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 afollow-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 reasonably accomplish followed by a
full exhalation is referred to as which of the following measurements during the PFT?
• A -Forced Expiratory Volume over 1 second (FEV1)
• B -Functional Reserve Capacity
• C -Inspiratory Reserve
• D -Forced Vital Capacity - CORRECT ANSWERS-D -Forced vital capacity
• Your patient has a diagnosis of Addison's disease. Which of the following might you
expect to find during examination?
• A -Abdominal striae
• B -Dowager hump
• C -Low body temperature
• D -Moon face - CORRECT ANSWERS-B -Dowager hump
• The nurse practitioner's evaluation of a patient with Diabetes Mellitus type 2 should
include which of the following while evaluating for end organ dysfunction of the
disease?
• A -Renal function panel
• B -Urinalysis
• C -Non-dilated eye exam
• D -All of these are appropriate options - CORRECT ANSWERS-D -All of these are
appropriate options
• During your visit with a 19 year old patient for a college health physical, your health
history includes a diagnosis of angioedema. What of the following parts of the body are
were likely involved?
• A -Isolated to the colon
• B -Anywhere in the enteral tract
• C -Chest
,• D -Face and Lips - CORRECT ANSWERS-D -Face and Lips
• Which of the following dermatologic lesions is precancerous and likely due to prolonged
exposure to UV-B?
• A -Actinic Keratosis
• B -Basal cell carcinoma
• C -Verucca
• Dg-Seborrheicgdermatitisg-ggCORRECTgANSWERS-Ag-ActinicgKeratosis
• BasedgongyourgevaluationgofgABCDEgforgmelanoma,gwhichgofgthegfollowinggrepresentsgag
suspicousgfinding?
• Ag-Irregulargborders
• Bg-Symmetricalgnature
• Cg-Browngcolor
• Dg-Diametergofg0.4gcmg-ggCORRECTgANSWERS-Ag-Irregulargborders
• Yourgpatientgisgcomplaininggofghypersomnia,glackgofgmotivation,gweightggain,gandganhed
onia.gSuspectinggagdiagnosisgofgclinicalgdepression,gyouganticipategthegpatientgwillgbenefi
tgfromgtreatinggtheirgunderlyinggdeficitgofgwhichgofgthegfollowinggneurotransmitters?
• Ag-GABA
• Bg-Serotonin
• Cg-Dobutamine
• Dg-Glutamateg-ggCORRECTgANSWERS-Bg-Serotonin
• Asgagprudentgnursegpractitioner,gthegdiabetic,ghypertensivegpatientgyougaregseeinggshoul
dgbegevaluatedgforgearlygevidencegofgrenalgdamagegfromgbothgdiabetesgandghypertensio
n.gWhichgofgthegfollowinggassessmentgtoolsgshouldgthegnursegpractitionergordergfirstgforg
thegevaluationgofgearlygrenalgdysfunctiongsecondarygtogdiabetesgorghypertension?
• Ag-BUN/creatininegratio
• Bg-Urinalysisgwithgmicro/macrogalbumin
• Cg-Renalgbiopsy
• Dg-Urinegsodiumg-ggCORRECTgANSWERS-Bg-Urinalysisgwithgmicro/macrogalbumin
, • Whilegevaluatinggagpatientgingyourgclinicgforgagroutineghealthgvisit,gyougauscultategcrackl
esgingthegpostergleftglowerglobe,ghavegthegpatientgcough,gwithgfollow-
upgauscultationgrevealinggcleargbreathgsounds.gWhichgonegofgthegfollowinggwouldgyougs
uspect?
• Ag-Congestivegheartgfailure
• Bg-Atelectasis
• Cg-Laryngospasm
• Dg-Bronchiactasis.g-ggCORRECTgANSWERS-Bg-Atelectasis
• Yourg39gyeargoldgpatientgwhoghasgrecentlygbeenghospitalizedgforgangappendectomygandgi
sgbeinggseengingyourgclinicgforgpost-operativegfollow-
upgwithgprimarygcare.gOngassessment,gthegpatientgcomplainsgofgsomegincisionalgpaingan
dgotherwisegexaminationgisgnormal,gwithgthegexceptiongofgdullgpercussiongsoundsgnoted
gongthegthoraxgoverglunggtissue.gWhichgofgthegfollowinggdiagnosesgwouldgbegexplainedgb
ygthisgfindinggingpost-operativegpatient?
• Ag-Left-sidedgheartgfailure
• Bg-Chronicgbronchitis
• Cg-Atelectasis
• Dg-Healthygpatientgwithgnogcoexisinggdiseaseg-ggCORRECTgANSWERS-Cg-Atelectasis
• Yougaregevaluatinggag41gyeargoldgfemalegpatientgingyourgclinicgwithgsymptomsgofgrightgu
ppergquadrantgpaingwhichgworsensgwithgdeepgbreathing.gThegpatientgexhibitsgagpositiveg
Murphygsign.gThesegfindingsgaregmostgconsistentgwhichgonegofgthegfollowing?
• Ag-Appendicitis
• Bg-Cholecystitis
• Cg-Crohn'sgflare
• Dg-Pancreatitisg-ggCORRECTgANSWERS-Bg-Cholecystitis
• Ingeducatinggyourgpatientgaboutgthegnon-
pharmacologicgmanagementgofggastroesophagealgrefluxgdisease,gyougincludegteachinggt
ogthegpatientgthatgtheirgheartburngisgaggravatedgbygalgofgthegfollowinggexceptgwhichgone
?
• Ag-Activitiesgincludinggliftinggorgbendinggover
• Bg-Alcoholgintake