NR 603 Week 4 Clinical Education Associates (CEA) Pre-Diagnostic Exam

B. Confirm cardiac origin of angina C. Identify if underlying tissues are air-filled, fluid-filled, or consolidated D. Assess for deep-seated lesions/tumors Answer: C 7. In interstitial lung disease, diaphragmatic excursion typically shows: A. Absent or no change in diaphragm movement between full inspiration and expiration B. Ascension of 8–12 inches of diaphragm on expiration C. Much greater descent on the right side due to the liver D. Approximately equal bilateral change with normal inspiratory capacity Answer: A 8. The large inspiration followed by a full forced exhalation on PFT is the: A. FEV1 B. Functional Residual Capacity C. Inspiratory Reserve D. Forced Vital Capacity (FVC) Answer: D 9. Symptoms of anxiety, tremor, palpitations and enlarged thyroid (goiter) most likely indicate: A. Iodine excess B. Thyrotoxicosis C. Hashimoto’s thyroiditis D. Myxedema coma Answer: B 10. Typical exam signs of hyperthyroidism include: A. Lethargy B. Hypersomnia C. Recent unplanned weight gain D. Tachycardia Answer: D 11. Which exam finding might be expected in Addison’s disease? A. Dowager hump B. Low body temperature C. Abdominal striae 17. Which lymph node finding is INCONSISTENT with lymphoma? A. Fixed nodes B. Hard nodes C. Non-tender, minimally palpable anterior cervical chain node D. Stationary/not movable with palpation Answer: C 18. The transparent gelatinous mass related to gas pneumopexy (retinal detachment repair) is found in which chamber? A. None; only with malignancy B. Posterior only C. Both but greater in the anterior chamber D. Anterior only Answer: B 19. Covering one eye and bringing fingers into quadrants to test visual fields documents: A. Normal visual acuity B. Normal confrontation C. Normal refractory reflexes D. Normal convergence test Answer: B 20. For adolescent microcytic hypochromic anemia (most common cause), initial labs to order: A. Serum lead B. B12 and folate C. Hemoglobin electrophoresis D. TIBC and ferritin Answer: D 21. Mediterranean descent with microcytic anemia and normal RDW—evaluate with gel electrophoresis for: A. Pernicious anemia B. Iron deficiency C. Thalassemia D. Aplastic anemia Answer: C 22. Macrocytic anemia evaluation should include: C. IgD D. IgG Answer: D 28. Useful lab in diagnosing SLE: A. Rheumatoid factor B. Gel electrophoresis C. Antinuclear antibody (ANA) D. Spectrophotometric assay Answer: C 29. Sweat glands concentrated in palms/soles involved in thermoregulation are: A. Epidermis B. Apocrine C. Eccrine D. Sebaceous Answer: C 30. Suspicious melanoma feature: A. Regular border B. Diameter 0.3 cm C. Symmetry D. Dual color (white-reddish or blue-black) Answer: D 31. Which dermatologic lesion is precancerous due to prolonged UV-B exposure? A. Basal cell carcinoma B. Seborrheic dermatitis C. Actinic keratosis D. Verruca Answer: C 32. ABCDE melanoma suspicious finding (example): A. Brown color B. Diameter 0.4 cm C. Irregular borders D. Symmetrical nature 38. Which is NOT common with TMJ disorder? A. Relief from pain with joint displacement B. Palpable swelling and tenderness of the joint C. Pain increased with chewing D. Facial asymmetry and unilateral pain with jaw clenching Answer: A 39. Unequal shoulder height with lateral/rotary spinal curvature indicates: A. Lordosis B. Scoliosis C. Rheumatoid arthritis