CEA Exam
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1. During a post-hospital discharge visit, you notice your 71 year old female
patient has been diagnosed with a "new murmur" found by the hospitalist dur-
ing their recent hospitalization for CHF exacerbation. In evaluating 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: Diastole
2. 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?
*Left 2nd intercostal space, midaxillary line.
*Left 5th intercostal space, midclavicular line.
*Right 4th intercostal space, midaxillary line.
*Right 2nd intercostal space, midclavicular line.: Left 5th intercostal space,
midclavicular line
3. The nurse practitioner assessing the patient with a rapid cardiac rhythm
may assess for a pulse deficit by auscultating the patient's heart while watch-
ing the EKG rhythm. Where would the S1 heart sounds correlate 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.: Peak of the R wave.
4. Michael, a 72 year old male patient who previously presented with stable
cardiac-type chest pain has underwent a stress test. He presents today to
review the stress test results, which show EKG findings of ST segment de-
pression 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: Check for thyroid dysfunction
5. While examining a 53 year old female patient, you 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
, CEA Exam
Study online at https://quizlet.com/_fguesu
of your stethoscope. Normally, you should auscultate a muffled "e" sound,
however, you hear hear a nasally "a" sound. Which one of the following will
you document is present?
*Positive stereognosis.
*Positive for egophony.
*Negative for bronchophony.
*Negative for egophony: Positive for egophony
6. While assessing the 19 year old patient for a new onset cough, the nurse
practitioner may inspect, auscultate, palpate, and/or percuss.
How does performing percussion of the thorax assist the provider during the
physical examination?
*To assist with the confirmation of cardiac origin of angina.
*To assess for deep-seated lesion and tumors.
*To assess for any pain or discomfort prior to palpitation of the chest wall.
*To identify if underlying tissue are air-filled, fluid-filled or consolidated: To
identify if underlying tissue are air-filled, fluid-filled or consolidated
7. Your 42 year old male patient has been referred to your clinic for establish-
ing care and on his intake survey, you note he has documented diagnosis
of interstitial lung disease. You have decided to perform a diaphragmatic
excursion test on the patient. Which one of the following results would you
expect to see in this patient?
*Approximately equal level of change in the descent of the diaphragm bi-
laterally during maximal inspiration and expiration. with a decreased overall
inspiratory 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 inspi-
ration and full expiration measurement.: Approximately equal level of change in
the descent of the diaphragm bilaterally during maximal inspiration and expiration.
with a decreased overall inspiratory capacity
8. Your 50 year old Caucasian male patient has not seen 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 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
, CEA Exam
Study online at https://quizlet.com/_fguesu
cause this finding?
*Severe hypothyroidism
*Addison's disease
*Grave's disease
*Alzhemiers.: Severe hypothyroidism
9. A40 year old, female, African American patient presents for history and
physical. Upon your initial assessment, you notice she has severe exophthal-
mos as pictured below. Which one of the following diagnoses 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: Hyperthyroidism.
10. Your patient with a suspected diagnosis of COPD has been seen by pul-
monology and has underwent a pulmonary function test (PFT) with spirom-
etry. 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 reasonably accomplish
followed by a full exhalation is referred to as which of the following measure-
ments during the PFT?
*Forced Expiratory Volume over 1 second (FEV1).
*Functional Reserve Capacity.
*Inspiratory Reserve
*Forced Vital Capacity.: Forced Vital Capacity.
11. Your newly established patient states in the past year, they have progres-
sively developed a noticeable bump on their neck and when asked about
symptoms, they report feeling very anxious, have developed a tremor, and are
commonly feeling palpitations in their chest.
On examination, you identify an enlarged thyroid gland suspicious for a goiter.
Of the following diagnoses, which is most likely for the patient to develop
based on these findings above?
*Thyrotoxicosis.
*lodine Excess.
*Myxedema Coma.
*Hashimotos Thyroiditis...not this one: ?
, CEA Exam
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12. Your 32 year old female patient presented for a routine health exam states
they have a diagnoses of hyperthyroidism by another
provider a year ago. In addition to evaluation with TSH and T4 labwork, which
of the following represent typical signs of hyperthyroidism expected on your
exam of this patient?
*Hypersomnia
*Tachycardia.
*Lethargy.
*Recent unplanned weight gain.: Tachycardia
13. Your patient has a diagnosis of Addison's disease. Which of the following
might you expect to find during examination?
*Abdominal striae.
*Dowager hump.
*Low body temperature.
*Moon face...not this one: ?
14. The nurse practitioner's evaluation of apatient with Diabetes Mellitus type
2 should include which of the folowing while evaluating
for end organ dysfunction of the disease?
*Renal function panel.
*Urinalysis.
*Non-dilated eye exam.
*All of these are appropriate options.: All of these are appropriate options.
15. Your patient with a diagnosis of autoimmune hepatitis is being
seen in your clinic for routine liver serology and follow-up examination. Which
of the following correctly identifies the normal liver span when percussing the
liver of a HEALTHY adult?
*6-12 cm in the midsternal line
*4-8 in the left midclavicular line...not this one
*4-8 cm in the right midclavicular line
*6-12 cm in the right midclavicular line.: ?
16. The 33 year old male patient presents with complaints of abdominal pain
after a recent birthday party where other guests also
suspected food borne illness and gastroenteritis. To elicit the most accurate
evaluation of this patient, which is the order of assessment which should be
done for the abdomen?
*Inspection, auscultation, palpation, percussion.
*Inspection, auscultation, percussion, palpation.
*Percussion, auscultation, palpation, inspection.
Study online at https://quizlet.com/_fguesu
1. During a post-hospital discharge visit, you notice your 71 year old female
patient has been diagnosed with a "new murmur" found by the hospitalist dur-
ing their recent hospitalization for CHF exacerbation. In evaluating 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: Diastole
2. 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?
*Left 2nd intercostal space, midaxillary line.
*Left 5th intercostal space, midclavicular line.
*Right 4th intercostal space, midaxillary line.
*Right 2nd intercostal space, midclavicular line.: Left 5th intercostal space,
midclavicular line
3. The nurse practitioner assessing the patient with a rapid cardiac rhythm
may assess for a pulse deficit by auscultating the patient's heart while watch-
ing the EKG rhythm. Where would the S1 heart sounds correlate 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.: Peak of the R wave.
4. Michael, a 72 year old male patient who previously presented with stable
cardiac-type chest pain has underwent a stress test. He presents today to
review the stress test results, which show EKG findings of ST segment de-
pression 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: Check for thyroid dysfunction
5. While examining a 53 year old female patient, you 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
, CEA Exam
Study online at https://quizlet.com/_fguesu
of your stethoscope. Normally, you should auscultate a muffled "e" sound,
however, you hear hear a nasally "a" sound. Which one of the following will
you document is present?
*Positive stereognosis.
*Positive for egophony.
*Negative for bronchophony.
*Negative for egophony: Positive for egophony
6. While assessing the 19 year old patient for a new onset cough, the nurse
practitioner may inspect, auscultate, palpate, and/or percuss.
How does performing percussion of the thorax assist the provider during the
physical examination?
*To assist with the confirmation of cardiac origin of angina.
*To assess for deep-seated lesion and tumors.
*To assess for any pain or discomfort prior to palpitation of the chest wall.
*To identify if underlying tissue are air-filled, fluid-filled or consolidated: To
identify if underlying tissue are air-filled, fluid-filled or consolidated
7. Your 42 year old male patient has been referred to your clinic for establish-
ing care and on his intake survey, you note he has documented diagnosis
of interstitial lung disease. You have decided to perform a diaphragmatic
excursion test on the patient. Which one of the following results would you
expect to see in this patient?
*Approximately equal level of change in the descent of the diaphragm bi-
laterally during maximal inspiration and expiration. with a decreased overall
inspiratory 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 inspi-
ration and full expiration measurement.: Approximately equal level of change in
the descent of the diaphragm bilaterally during maximal inspiration and expiration.
with a decreased overall inspiratory capacity
8. Your 50 year old Caucasian male patient has not seen 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 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
, CEA Exam
Study online at https://quizlet.com/_fguesu
cause this finding?
*Severe hypothyroidism
*Addison's disease
*Grave's disease
*Alzhemiers.: Severe hypothyroidism
9. A40 year old, female, African American patient presents for history and
physical. Upon your initial assessment, you notice she has severe exophthal-
mos as pictured below. Which one of the following diagnoses 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: Hyperthyroidism.
10. Your patient with a suspected diagnosis of COPD has been seen by pul-
monology and has underwent a pulmonary function test (PFT) with spirom-
etry. 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 reasonably accomplish
followed by a full exhalation is referred to as which of the following measure-
ments during the PFT?
*Forced Expiratory Volume over 1 second (FEV1).
*Functional Reserve Capacity.
*Inspiratory Reserve
*Forced Vital Capacity.: Forced Vital Capacity.
11. Your newly established patient states in the past year, they have progres-
sively developed a noticeable bump on their neck and when asked about
symptoms, they report feeling very anxious, have developed a tremor, and are
commonly feeling palpitations in their chest.
On examination, you identify an enlarged thyroid gland suspicious for a goiter.
Of the following diagnoses, which is most likely for the patient to develop
based on these findings above?
*Thyrotoxicosis.
*lodine Excess.
*Myxedema Coma.
*Hashimotos Thyroiditis...not this one: ?
, CEA Exam
Study online at https://quizlet.com/_fguesu
12. Your 32 year old female patient presented for a routine health exam states
they have a diagnoses of hyperthyroidism by another
provider a year ago. In addition to evaluation with TSH and T4 labwork, which
of the following represent typical signs of hyperthyroidism expected on your
exam of this patient?
*Hypersomnia
*Tachycardia.
*Lethargy.
*Recent unplanned weight gain.: Tachycardia
13. Your patient has a diagnosis of Addison's disease. Which of the following
might you expect to find during examination?
*Abdominal striae.
*Dowager hump.
*Low body temperature.
*Moon face...not this one: ?
14. The nurse practitioner's evaluation of apatient with Diabetes Mellitus type
2 should include which of the folowing while evaluating
for end organ dysfunction of the disease?
*Renal function panel.
*Urinalysis.
*Non-dilated eye exam.
*All of these are appropriate options.: All of these are appropriate options.
15. Your patient with a diagnosis of autoimmune hepatitis is being
seen in your clinic for routine liver serology and follow-up examination. Which
of the following correctly identifies the normal liver span when percussing the
liver of a HEALTHY adult?
*6-12 cm in the midsternal line
*4-8 in the left midclavicular line...not this one
*4-8 cm in the right midclavicular line
*6-12 cm in the right midclavicular line.: ?
16. The 33 year old male patient presents with complaints of abdominal pain
after a recent birthday party where other guests also
suspected food borne illness and gastroenteritis. To elicit the most accurate
evaluation of this patient, which is the order of assessment which should be
done for the abdomen?
*Inspection, auscultation, palpation, percussion.
*Inspection, auscultation, percussion, palpation.
*Percussion, auscultation, palpation, inspection.
