NR667 EXAMINATION 2026 VERIFIED
SOLUTION COMPENDIUM
◉An adolescent female with microcytic, hypochromic anemia and
elevated RDW most likely has iron deficiency. Which labs will you
order first? Answer: TIBC and ferritin
◉A microcytic anemia with normal RDW is most likely which type of
anemia? Answer: Thalassemia trait
◉A 43-year-old male with macrocytic anemia should be evaluated
for which lab level to help narrow the etiology? Answer: Vitamin
B12
◉A 66-year-old female with end-stage renal disease on dialysis has
labs showing high creatinine/BUN. On CBC, you'd typically see
which result? Answer: Normal MCH, hemoglobin 9.6
◉During a routine physical, a 12-year-old with a history of Reye
syndrome is noted. Which agent is most often implicated in causing
Reye syndrome? Answer: Aspirin use
,◉Your patient is diagnosed with hepatitis A. Which immunoglobulin
is the first to be elevated in the serum? Answer: IgM
◉A patient had new onset hepatitis B about one year ago. Which
marker is most likely elevated now? Answer: Hepatitis Core
antibody
◉A 24-year-old female suspected of systemic lupus erythematosus
(SLE). Which useful lab aids diagnosis? Answer: Antinuclear
antibody
◉Which glands are commonly obstructed and may require incision
and drainage for abscess? Answer: Apocrine
◉When screening a suspicious mole for melanoma, which feature is
especially concerning? Answer: Irregular border
◉Which dermatologic lesion is precancerous and due to UV-B
exposure? Answer: Actinic keratosis
◉Based on ABCDE for melanoma, which represents a suspicious
finding? Answer: Diameter of 0.8 cm
, ◉A patient actively experiencing delirium tremens after abrupt
alcohol cessation is likely suffering from deficit of which
neurotransmitter? Answer: GABA
◉To differentiate anxiety from hyperthyroidism, which test is most
useful? Answer: TSH and free T4
◉Your schizophrenic patient says, "What is that awful smell?" This is
an example of which type of hallucination? Answer: Olfactory
◉A 16-year-old who attempted self-harm must be evaluated for
which most common co-diagnosis? Answer: Depression
◉A 23-year-old male has severe pain raising his arm overhead.
Which diagnosis is most likely? Answer: Damage to the rotator cuff
◉A 16-year-old female has unilateral jaw pain and difficulty fully
opening her mouth. Which diagnosis is most likely? Answer:
Temporomandibular joint (TMJ) pain, treat with a bite guard
◉Limited lumbar spine movement with inflammation over the
sacroiliac joints. Which diagnosis fits best? Answer: Ankylosing
spondylitis
SOLUTION COMPENDIUM
◉An adolescent female with microcytic, hypochromic anemia and
elevated RDW most likely has iron deficiency. Which labs will you
order first? Answer: TIBC and ferritin
◉A microcytic anemia with normal RDW is most likely which type of
anemia? Answer: Thalassemia trait
◉A 43-year-old male with macrocytic anemia should be evaluated
for which lab level to help narrow the etiology? Answer: Vitamin
B12
◉A 66-year-old female with end-stage renal disease on dialysis has
labs showing high creatinine/BUN. On CBC, you'd typically see
which result? Answer: Normal MCH, hemoglobin 9.6
◉During a routine physical, a 12-year-old with a history of Reye
syndrome is noted. Which agent is most often implicated in causing
Reye syndrome? Answer: Aspirin use
,◉Your patient is diagnosed with hepatitis A. Which immunoglobulin
is the first to be elevated in the serum? Answer: IgM
◉A patient had new onset hepatitis B about one year ago. Which
marker is most likely elevated now? Answer: Hepatitis Core
antibody
◉A 24-year-old female suspected of systemic lupus erythematosus
(SLE). Which useful lab aids diagnosis? Answer: Antinuclear
antibody
◉Which glands are commonly obstructed and may require incision
and drainage for abscess? Answer: Apocrine
◉When screening a suspicious mole for melanoma, which feature is
especially concerning? Answer: Irregular border
◉Which dermatologic lesion is precancerous and due to UV-B
exposure? Answer: Actinic keratosis
◉Based on ABCDE for melanoma, which represents a suspicious
finding? Answer: Diameter of 0.8 cm
, ◉A patient actively experiencing delirium tremens after abrupt
alcohol cessation is likely suffering from deficit of which
neurotransmitter? Answer: GABA
◉To differentiate anxiety from hyperthyroidism, which test is most
useful? Answer: TSH and free T4
◉Your schizophrenic patient says, "What is that awful smell?" This is
an example of which type of hallucination? Answer: Olfactory
◉A 16-year-old who attempted self-harm must be evaluated for
which most common co-diagnosis? Answer: Depression
◉A 23-year-old male has severe pain raising his arm overhead.
Which diagnosis is most likely? Answer: Damage to the rotator cuff
◉A 16-year-old female has unilateral jaw pain and difficulty fully
opening her mouth. Which diagnosis is most likely? Answer:
Temporomandibular joint (TMJ) pain, treat with a bite guard
◉Limited lumbar spine movement with inflammation over the
sacroiliac joints. Which diagnosis fits best? Answer: Ankylosing
spondylitis
