1. When examining the skin, multiple areas of circumscribed elevations of the skin filled with serous fluid measuring approximately 0.5cm were noted. These types of lesions could be seen in: a. Herpes simplex or varicella 2. The principal muscles involved when closing the mouth are innervated by which cranial nerve? a. Cranial nerve V (Trigeminal) 3. The structure that creates a channel for the vertebral artery is known as the: a. Transverse Foramen 4. Which of the following is NOT a compliant patient with type 1 diabetes? a. Polycythemia 5. When suspecting pediculosis capitis, the chief complaint is: a. Itching 6. The structure that appears as the large swelling posteriorly on the superior ramus of the ischium and bears most of the weight in sitting, is known as the: a. Ischial tuberosity 7. When percussing the posterior chest, which one of the following techniques would be omitted? a. Percuss areas over the scapulae 8. On examination of the pupils, both are round but the right pupil appears larger than the left and reacts much slower to light. This condition may be indicative of: a. A tonic pupil 9. During the type of seizure activity, the patient experiences partial seizures that resemble tonic-clonic seizures. The patient may recall the aura and unilateral neurologic deficit is present during the postictal period. This type of seizure activity is referred to as a: a. focal seizure that becomes generalized 10. A female patient complains of weakness in both arms when transferring the wet clothes from the washer and placing them in the dryer. This finding could be suggestive of which type of weakness pattern? a. Symmetric 11. To palpate the right ovary when performing the bimanual vaginal exam, the abdominal hand should be on the right lower quadrant and the pelvic hand needs to be: a. In the right lateral fornix 12. A serious disturbance in a person’s mental abilities that results in a decreased awareness of one’s environment and confused thinking is referred to as: a. Delirium 13. Which of the following screening tests for hearing loss can detect both sensorineural and conductive hearing loss? a. Weber test 14. Located on the anterior aspect of the distal femur, the patella slides on this groove during flexion and extension of the knee. The name of this groove is the: a. Trochlear groove 15. A 86-year-old man with uncontrolled hypertension presents with sudden, intense left lower abdominal pain that radiates to the back. The pain is associated with a tearing sensation. These findings are MOST likely associated with: a. An abdominal aortic aneurysm (AAA) 16. Ophthalmoscopic examination reveals dark specks noted between the fundus and the lens. These specks are most likely: a. Vitreous floaters 17. When performing the first Leopold maneuver on a pregnant woman, if the buttocks and head are not easily palpated at the fundus, the fetus is said to be in: a. Transverse lie 18. When performing a musculoskeletal examination, the nurse practitioner instructs the patient to move his arm in front of his body. This motion of the shoulder girdle would be an example of: a. Flexion 19. To locate the twelfth rib, palpate: a. Between the spine and the lateral chest 20. Walking on the toes and heels may reveal: a. Distal muscular weakness in the legs 21. When performing a bimanual exam of the vagina, the examiner should lubricate the index and middle fingers of a gloved hand. From a standing position, the fingers should be inserted into the vagina while exerting pressure primarily: a. Posteriorly 22. During pregnancy, which hormone results in increased blood viscosity? a. Erythropoietin 23. Resting tremors refer to those tremors that disappear: a. With voluntary movement 24. A patient presents with complaints of bright red stools over the past week. This symptom could be consistent with: a. Cancer of the sigmoid colon 25. Mydriasis is a term used to describe: a. Dilation of the pupils 26. When performing a musculoskeletal exam on a patient with mechanical low back pain, osteoporosis is suspected. Positive findings would include all of the following except: a. Calf wasting 27. Which stage of pressure is consistent with findings on dermatologic examination of a full thickness tissue loss and subcutaneous fat visible with mild slough on the right hip? a. Stage III 28. The vertebral column angles sharply posteriorly and becomes immovable at the: a. Lumbosacral junction 29. Which one of the following is at the HIGHEST risk for suicide? a. A 52-year-old white man 30. When auscultating heart sounds arising from the aortic valve in an adult patient, place the stethoscope: a. Between the 2 nd and 3 rd intercostal spaces at the right upper sternal border 31. Pain and crepitus over the patella suggests: a. Roughening of the patellar undersurface