D027 ACTUAL TEST PAPER FULL
QUESTIONS AND ACCURATE ANSWERS
GRADED APLUS
●● 1. A 44-year-old woman has recently been diagnosed with advanced
metastatic non-small-cell lung cancer. Genetic testing is ordered to
determine if the patient's tumor has any genomic alterations and to guide
treatment decisions. A few weeks later, the patient's test results come
back positive for a genetic mutation. The APN starts osimertinib
(Tagrisso).Based on this information, what types of genetic mutation
does this patient have? Choose 2 answers.
a. ALK mutation
b. EGFR mutation
c. BRCA mutation
d. MET amplification mutation
Answer: ALK mutation and EGFR mutation
●● 1. A 20-year-old male meets with an advanced professional nurse
(APN) to discuss symptoms that have been slowly progressing over the
past several years. He is mainly concerned because he has been falling
frequently. Since childhood, his gait has consisted of walking on his
toes. During middle school, he was able to participate in sports but was
unable to participate in high school sports due to difficulty with running
and jumping. Lately, he has noticed it takes longer and is more difficult
to change positions from sitting to standing than it used to in the past. He
,has also been waking up with muscle and joint stiffness. The APRN
notes that his family history is not significant for any chronic or genetic
diseases.Which condition is likely to be the cause of these symptoms?
a. Becker muscular dystrophy
b. Myotonic dystrophy
c. Facioscapulohumeral muscular dystrophy (FSHD)
d. Limb-girdle muscular dystrophy
Answer: Becker muscular dystrophy
●● 1. A patient with systemic lupus erythematosus (SLE) is diagnosed
with idiopathic thrombocytopenic purpura (ITP).Which statement should
the provider give the patient regarding the pathophysiology of SLE and
its relation to thrombocytopenia?
a. SLE disrupts immune homeostasis and promotes development of self-
reactive antibodies.
b. SLE causes a cross-reaction of antibodies with normal platelet
antigens.
c. SLE causes a defect in the number and function of regulatory B cells.
d. SLE increases megakaryocyte maturation.
Answer: SLE disrupts immune homeostasis and promotes development
of self-reactive antibodies.
●● 1. A female patient presents to an office to establish care. Her
previous primary care provider told her to follow up regarding an
elevated ferritin level. She has no previous medical history and is
, currently asymptomatic. She is concerned about the elevated ferritin and
would like to know if she should be worried.What should the provider
do next for this patient?
a. Order a liver function test
b. Order a renal ultrasound
c. Refer her for a bone marrow biopsy
d. Order a thyroid panel
Answer: Order a liver function test
●● 1. A 75-year-old female presents to the emergency department with
an irregular heart rate of 130.What can be ascertained about this patient's
findings given the limited information?
a. She has a normal sinus rhythm and needs her heart rate controlled
with metoprolol (Lopressor).
b. She is diagnosed with atrial fibrillation and needs her heart rate
controlled with metoprolol (Lopressor).
c. She is diagnosed with ventricular tachycardia and needs her heart
rhythm controlled with metoprolol (Lopressor).
d. She is diagnosed with torsades de pointes and needs her heart rate
controlled with magnesium.
Answer: She is diagnosed with atrial fibrillation and needs her heart rate
controlled with metoprolol (Lopressor).
●● 1. A 75-year-old male presents with a history of transient ischemic
attack, acute myocardial infarction, angina, and atrial fibrillation. The
QUESTIONS AND ACCURATE ANSWERS
GRADED APLUS
●● 1. A 44-year-old woman has recently been diagnosed with advanced
metastatic non-small-cell lung cancer. Genetic testing is ordered to
determine if the patient's tumor has any genomic alterations and to guide
treatment decisions. A few weeks later, the patient's test results come
back positive for a genetic mutation. The APN starts osimertinib
(Tagrisso).Based on this information, what types of genetic mutation
does this patient have? Choose 2 answers.
a. ALK mutation
b. EGFR mutation
c. BRCA mutation
d. MET amplification mutation
Answer: ALK mutation and EGFR mutation
●● 1. A 20-year-old male meets with an advanced professional nurse
(APN) to discuss symptoms that have been slowly progressing over the
past several years. He is mainly concerned because he has been falling
frequently. Since childhood, his gait has consisted of walking on his
toes. During middle school, he was able to participate in sports but was
unable to participate in high school sports due to difficulty with running
and jumping. Lately, he has noticed it takes longer and is more difficult
to change positions from sitting to standing than it used to in the past. He
,has also been waking up with muscle and joint stiffness. The APRN
notes that his family history is not significant for any chronic or genetic
diseases.Which condition is likely to be the cause of these symptoms?
a. Becker muscular dystrophy
b. Myotonic dystrophy
c. Facioscapulohumeral muscular dystrophy (FSHD)
d. Limb-girdle muscular dystrophy
Answer: Becker muscular dystrophy
●● 1. A patient with systemic lupus erythematosus (SLE) is diagnosed
with idiopathic thrombocytopenic purpura (ITP).Which statement should
the provider give the patient regarding the pathophysiology of SLE and
its relation to thrombocytopenia?
a. SLE disrupts immune homeostasis and promotes development of self-
reactive antibodies.
b. SLE causes a cross-reaction of antibodies with normal platelet
antigens.
c. SLE causes a defect in the number and function of regulatory B cells.
d. SLE increases megakaryocyte maturation.
Answer: SLE disrupts immune homeostasis and promotes development
of self-reactive antibodies.
●● 1. A female patient presents to an office to establish care. Her
previous primary care provider told her to follow up regarding an
elevated ferritin level. She has no previous medical history and is
, currently asymptomatic. She is concerned about the elevated ferritin and
would like to know if she should be worried.What should the provider
do next for this patient?
a. Order a liver function test
b. Order a renal ultrasound
c. Refer her for a bone marrow biopsy
d. Order a thyroid panel
Answer: Order a liver function test
●● 1. A 75-year-old female presents to the emergency department with
an irregular heart rate of 130.What can be ascertained about this patient's
findings given the limited information?
a. She has a normal sinus rhythm and needs her heart rate controlled
with metoprolol (Lopressor).
b. She is diagnosed with atrial fibrillation and needs her heart rate
controlled with metoprolol (Lopressor).
c. She is diagnosed with ventricular tachycardia and needs her heart
rhythm controlled with metoprolol (Lopressor).
d. She is diagnosed with torsades de pointes and needs her heart rate
controlled with magnesium.
Answer: She is diagnosed with atrial fibrillation and needs her heart rate
controlled with metoprolol (Lopressor).
●● 1. A 75-year-old male presents with a history of transient ischemic
attack, acute myocardial infarction, angina, and atrial fibrillation. The
