NR602/603 CEA Verified Multiple Choice and
Conceptual Actual Emended Exam Questions
With Reviewed 100% Correct Detailed Answers
Guaranteed Pass!!Current Update
1. A 3-year-old boy presents with barking cough, inspiratory stridor, and
hoarseness. His symptoms worsened overnight. Which diagnosis is most
likely?
a) Epiglottitis
b) Foreign body aspiration
c) Croup
d) Asthma
Correct Answer: c) Croup
2. Marvin you're 47-year-old African American patient with a diagnosis of
severe COPD and coronary artery disease has been complaining of
shortness of breath and wheezing after initiation of a new medicine for his
coronary artery disease management. Given his health history which of the
following agents is considered the safest beta blocker for his CAD
management?
a) Propranolol
b) Labetalol
c) Metoprolol
d) Nadolol
Correct Answer: c) Metoprolol
,3. A 68-year-old woman with HTN and angina presents with bilateral leg edema
and constipation after starting a new drug. Which is the likely culprit?
a) Lisinopril
b) Amlodipine
c) Hydrochlorothiazide
d) Metoprolol
Correct Answer: b) Amlodipine
Rationale: Calcium channel blockers (especially dihydropyridines like amlodipine)
commonly cause peripheral edema and constipation.
4. A patient presents with severe dyspnea, orthopnea, crackles in both lung bases,
and 21 lbs of new weight gain after stopping diuretics. How would you document
this?
a) Localized edema
b) Ascites
c) Anasarca
d) Pleural effusion
Correct Answer: c) Anasarca
Rationale: Generalized severe edema including trunk, legs, and sacrum is
termed anasarca
5. A 12-year-old girl presents with fever, sore throat, and rash on the trunk
described as “sandpaper-like.” Rapid strep test is positive. Which
complication is the provider most concerned about if untreated?
a) Rheumatic fever
b) Infectious mononucleosis
c) Scarlet fever
d) Otitis externa
Correct Answer: a) Rheumatic fever
,6. A 22-year-old college student reports sudden onset pleuritic chest pain and
dyspnea. He is tall and thin, with decreased breath sounds on the left.
Which test should be ordered first?
a) ECG
b) Chest X-ray
c) Pulmonary function testing
d) CT angiogram
Correct Answer: b) Chest X-ray
7. A 27-year-old female presents with polyuria, polydipsia, and unintentional
weight loss. Labs show glucose 410 mg/dL, ketones in urine, and bicarb 15
mEq/L. What is the next step?
a) Start oral metformin
b) Begin IV fluids and insulin
c) Order a fasting lipid panel
d) Refer for outpatient endocrine evaluation
Correct Answer: b) Begin IV fluids and insulin
8. A 34-year-old man presents with right lower quadrant pain, fever, and
nausea. On exam, there is rebound tenderness. Which imaging is most
appropriate?
a) Abdominal X-ray
b) CT abdomen with contrast
c) MRI pelvis
d) Ultrasound RUQ
Correct Answer: b) CT abdomen with contrast
, 9. A 48-year-old man with a history of alcohol use disorder presents with
hematemesis. On exam, he has jaundice and ascites. Which condition is
most likely?
a) Peptic ulcer disease
b) Esophageal varices
c) Mallory-Weiss tear
d) Gastritis
Correct Answer: b) Esophageal varices
7. A 56-year-old woman presents with fatigue, pallor, and spoon-shaped nails.
Labs show Hgb 9.2, MCV 70, ferritin 8 ng/mL. Which is the most likely diagnosis?
a) Iron deficiency anemia
b) Vitamin B12 deficiency
c) Aplastic anemia
d) Anemia of chronic disease
Correct Answer: a) Iron deficiency anemia
8. A 61-year-old man presents with new onset painless gross hematuria. Which is
the most concerning possible diagnosis?
a) Urinary tract infection
b) Bladder cancer
c) Kidney stone
d) Benign prostatic hyperplasia
Correct Answer: b) Bladder cancer
9. A 67-year-old woman with history of atrial fibrillation presents with sudden
unilateral weakness and slurred speech. CT of the head is normal. What is the
next best step?
a) Repeat CT in 24 hours
b) Start IV tPA (if within window)
Conceptual Actual Emended Exam Questions
With Reviewed 100% Correct Detailed Answers
Guaranteed Pass!!Current Update
1. A 3-year-old boy presents with barking cough, inspiratory stridor, and
hoarseness. His symptoms worsened overnight. Which diagnosis is most
likely?
a) Epiglottitis
b) Foreign body aspiration
c) Croup
d) Asthma
Correct Answer: c) Croup
2. Marvin you're 47-year-old African American patient with a diagnosis of
severe COPD and coronary artery disease has been complaining of
shortness of breath and wheezing after initiation of a new medicine for his
coronary artery disease management. Given his health history which of the
following agents is considered the safest beta blocker for his CAD
management?
a) Propranolol
b) Labetalol
c) Metoprolol
d) Nadolol
Correct Answer: c) Metoprolol
,3. A 68-year-old woman with HTN and angina presents with bilateral leg edema
and constipation after starting a new drug. Which is the likely culprit?
a) Lisinopril
b) Amlodipine
c) Hydrochlorothiazide
d) Metoprolol
Correct Answer: b) Amlodipine
Rationale: Calcium channel blockers (especially dihydropyridines like amlodipine)
commonly cause peripheral edema and constipation.
4. A patient presents with severe dyspnea, orthopnea, crackles in both lung bases,
and 21 lbs of new weight gain after stopping diuretics. How would you document
this?
a) Localized edema
b) Ascites
c) Anasarca
d) Pleural effusion
Correct Answer: c) Anasarca
Rationale: Generalized severe edema including trunk, legs, and sacrum is
termed anasarca
5. A 12-year-old girl presents with fever, sore throat, and rash on the trunk
described as “sandpaper-like.” Rapid strep test is positive. Which
complication is the provider most concerned about if untreated?
a) Rheumatic fever
b) Infectious mononucleosis
c) Scarlet fever
d) Otitis externa
Correct Answer: a) Rheumatic fever
,6. A 22-year-old college student reports sudden onset pleuritic chest pain and
dyspnea. He is tall and thin, with decreased breath sounds on the left.
Which test should be ordered first?
a) ECG
b) Chest X-ray
c) Pulmonary function testing
d) CT angiogram
Correct Answer: b) Chest X-ray
7. A 27-year-old female presents with polyuria, polydipsia, and unintentional
weight loss. Labs show glucose 410 mg/dL, ketones in urine, and bicarb 15
mEq/L. What is the next step?
a) Start oral metformin
b) Begin IV fluids and insulin
c) Order a fasting lipid panel
d) Refer for outpatient endocrine evaluation
Correct Answer: b) Begin IV fluids and insulin
8. A 34-year-old man presents with right lower quadrant pain, fever, and
nausea. On exam, there is rebound tenderness. Which imaging is most
appropriate?
a) Abdominal X-ray
b) CT abdomen with contrast
c) MRI pelvis
d) Ultrasound RUQ
Correct Answer: b) CT abdomen with contrast
, 9. A 48-year-old man with a history of alcohol use disorder presents with
hematemesis. On exam, he has jaundice and ascites. Which condition is
most likely?
a) Peptic ulcer disease
b) Esophageal varices
c) Mallory-Weiss tear
d) Gastritis
Correct Answer: b) Esophageal varices
7. A 56-year-old woman presents with fatigue, pallor, and spoon-shaped nails.
Labs show Hgb 9.2, MCV 70, ferritin 8 ng/mL. Which is the most likely diagnosis?
a) Iron deficiency anemia
b) Vitamin B12 deficiency
c) Aplastic anemia
d) Anemia of chronic disease
Correct Answer: a) Iron deficiency anemia
8. A 61-year-old man presents with new onset painless gross hematuria. Which is
the most concerning possible diagnosis?
a) Urinary tract infection
b) Bladder cancer
c) Kidney stone
d) Benign prostatic hyperplasia
Correct Answer: b) Bladder cancer
9. A 67-year-old woman with history of atrial fibrillation presents with sudden
unilateral weakness and slurred speech. CT of the head is normal. What is the
next best step?
a) Repeat CT in 24 hours
b) Start IV tPA (if within window)
