NR 511 Final Exam (2026) | Chamberlain Diff
Diagnosis – Q&A (PDF)
1. A 58-year-old with substernal chest pressure when
walking uphill, relieved by rest.
a) Unstable angina
b) Stable angina
c) NSTEMI
d) Pericarditis
ANSWER: B
Rationale: Stable angina is provoked by exertion and
relieved by rest.
2. ECG finding most specific for acute pericarditis?
a) ST elevation in all leads except aVR and V1
b) ST depression in V1–V4
c) Q waves in II, III, aVF
d) T wave inversion in V5–V6
ANSWER: A
1
,Rationale: Diffuse ST elevation with PR depression is
classic for pericarditis.
3. Dyspnea, elevated JVP, S3 gallop, BNP 900. Next test?
a) Chest X-ray
b) Echocardiogram
c) Cardiac MRI
d) Stress test
ANSWER: B
Rationale: Echocardiogram confirms heart failure and
assesses ejection fraction.
4. Which medication reduces mortality in HFrEF?
a) Metoprolol succinate
b) Furosemide
c) Digoxin
d) Hydralazine
ANSWER: A
Rationale: Beta-blockers reduce mortality in HFrEF.
2
,5. BP 152/94 on two occasions, no diabetes or CKD.
First-line therapy?
a) Lisinopril
b) HCTZ
c) Amlodipine
d) Spironolactone
ANSWER: B
Rationale: JNC 8 recommends thiazide diuretic for
uncomplicated hypertension.
6. Murmur best heard at right upper sternal border
radiating to carotids?
a) Mitral stenosis
b) Aortic stenosis
c) Mitral regurgitation
d) Tricuspid regurgitation
ANSWER: B
Rationale: Aortic stenosis murmur is at right 2nd ICS
radiating to carotids.
3
, 7. Acute tearing chest pain radiating to back, BP 150/90
in right arm, 90/60 in left arm.
a) Acute MI
b) Pulmonary embolism
c) Aortic dissection
d) Pericarditis
ANSWER: C
Rationale: Aortic dissection presents with tearing pain and
pulse differential.
8. First-line rate control in atrial fibrillation with HFrEF?
a) Digoxin
b) Metoprolol
c) Diltiazem
d) Amiodarone
ANSWER: B
Rationale: Beta-blockers are first-line for rate control in
AF with HFrEF.
4
Diagnosis – Q&A (PDF)
1. A 58-year-old with substernal chest pressure when
walking uphill, relieved by rest.
a) Unstable angina
b) Stable angina
c) NSTEMI
d) Pericarditis
ANSWER: B
Rationale: Stable angina is provoked by exertion and
relieved by rest.
2. ECG finding most specific for acute pericarditis?
a) ST elevation in all leads except aVR and V1
b) ST depression in V1–V4
c) Q waves in II, III, aVF
d) T wave inversion in V5–V6
ANSWER: A
1
,Rationale: Diffuse ST elevation with PR depression is
classic for pericarditis.
3. Dyspnea, elevated JVP, S3 gallop, BNP 900. Next test?
a) Chest X-ray
b) Echocardiogram
c) Cardiac MRI
d) Stress test
ANSWER: B
Rationale: Echocardiogram confirms heart failure and
assesses ejection fraction.
4. Which medication reduces mortality in HFrEF?
a) Metoprolol succinate
b) Furosemide
c) Digoxin
d) Hydralazine
ANSWER: A
Rationale: Beta-blockers reduce mortality in HFrEF.
2
,5. BP 152/94 on two occasions, no diabetes or CKD.
First-line therapy?
a) Lisinopril
b) HCTZ
c) Amlodipine
d) Spironolactone
ANSWER: B
Rationale: JNC 8 recommends thiazide diuretic for
uncomplicated hypertension.
6. Murmur best heard at right upper sternal border
radiating to carotids?
a) Mitral stenosis
b) Aortic stenosis
c) Mitral regurgitation
d) Tricuspid regurgitation
ANSWER: B
Rationale: Aortic stenosis murmur is at right 2nd ICS
radiating to carotids.
3
, 7. Acute tearing chest pain radiating to back, BP 150/90
in right arm, 90/60 in left arm.
a) Acute MI
b) Pulmonary embolism
c) Aortic dissection
d) Pericarditis
ANSWER: C
Rationale: Aortic dissection presents with tearing pain and
pulse differential.
8. First-line rate control in atrial fibrillation with HFrEF?
a) Digoxin
b) Metoprolol
c) Diltiazem
d) Amiodarone
ANSWER: B
Rationale: Beta-blockers are first-line for rate control in
AF with HFrEF.
4
