D027 Practice Test
D027 Practice Test
Study online at https://quizlet.com/_faeswq
1. 1. A 26-year-old female presents to urgent care with Colonoscopy with rectal
complaints of extreme fatigue, muscle aches, abdom- biopsy
inal pain, numbness and tingling in her extremities,
and bloating. She explains that she has been experi-
encing gastrointestinal upset after meals and has not
had a bowel movement for the past four days. She re-
ports using over-the-counter, anti-diarrheal products
last week to combat diarrhea. She denies having any
chronic diseases. The assessment findings include a
blood pressure of 108/71 mm Hg, pulse of 82 beats
per minute, and respirations of 20 breaths per minute.
The abdomen is distended and firm. Bowel sounds are
present in all four quadrants. The patient has a steady
gait, though verbally complains of feeling weak and off
balance upon ambulation. Following antibody testing,
Celiac disease is suspected.Which follow-up tissue test,
the gold standard for this suspected diagnosis, should
be ordered?
aa. Endoscopy
2. 1. A 44-year-old woman has recently been diagnosed ALK mutation and EGFR
with advanced metastatic non-small-cell lung cancer. mutation
Genetic testing is ordered to determine if the patient's
tumor has any genomic alterations and to guide treat-
ment 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 infor-
mation, what types of genetic mutation does this pa-
tient have? Choose 2 answers.
a. ALK mutation
b. EGFR mutation
1 of 24
, D027 Practice Test
D027 Practice Test
Study online at https://quizlet.com/_faeswq
c. BRCA mutation
d. MET amplification mutation
3. 1. A 20-year-old male meets with an advanced pro- Becker muscular dystro-
fessional nurse (APN) to discuss symptoms that have phy
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
4. 1. A patient with systemic lupus erythematosus (SLE) SLE disrupts immune
is diagnosed with idiopathic thrombocytopenic purpu- homeostasis and pro-
ra (ITP).Which statement should the provider give the motes development of
patient regarding the pathophysiology of SLE and its self-reactive antibodies.
relation to thrombocytopenia?
a. SLE disrupts immune homeostasis and promotes
development of self-reactive antibodies.
b. SLE causes a cross-reaction of antibodies with nor-
mal platelet antigens.
2 of 24
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D027 Practice Test
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c. SLE causes a defect in the number and function of
regulatory B cells.
d. SLE increases megakaryocyte maturation.
5. 1. A female patient presents to an office to establish Order a liver function test
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 asymp-
tomatic. 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
6. 1. A 75-year-old female presents to the emergency She is diagnosed with atri-
department with an irregular heart rate of 130.What al fibrillation and needs
can be ascertained about this patient's findings given her heart rate controlled
the limited information? with metoprolol (Lopres-
a. She has a normal sinus rhythm and needs her heart sor).
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.
7. 1. A 75-year-old male presents with a history of tran- Acute myocardial infarc-
sient ischemic attack, acute myocardial infarction, tion
3 of 24
D027 Practice Test
Study online at https://quizlet.com/_faeswq
1. 1. A 26-year-old female presents to urgent care with Colonoscopy with rectal
complaints of extreme fatigue, muscle aches, abdom- biopsy
inal pain, numbness and tingling in her extremities,
and bloating. She explains that she has been experi-
encing gastrointestinal upset after meals and has not
had a bowel movement for the past four days. She re-
ports using over-the-counter, anti-diarrheal products
last week to combat diarrhea. She denies having any
chronic diseases. The assessment findings include a
blood pressure of 108/71 mm Hg, pulse of 82 beats
per minute, and respirations of 20 breaths per minute.
The abdomen is distended and firm. Bowel sounds are
present in all four quadrants. The patient has a steady
gait, though verbally complains of feeling weak and off
balance upon ambulation. Following antibody testing,
Celiac disease is suspected.Which follow-up tissue test,
the gold standard for this suspected diagnosis, should
be ordered?
aa. Endoscopy
2. 1. A 44-year-old woman has recently been diagnosed ALK mutation and EGFR
with advanced metastatic non-small-cell lung cancer. mutation
Genetic testing is ordered to determine if the patient's
tumor has any genomic alterations and to guide treat-
ment 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 infor-
mation, what types of genetic mutation does this pa-
tient have? Choose 2 answers.
a. ALK mutation
b. EGFR mutation
1 of 24
, D027 Practice Test
D027 Practice Test
Study online at https://quizlet.com/_faeswq
c. BRCA mutation
d. MET amplification mutation
3. 1. A 20-year-old male meets with an advanced pro- Becker muscular dystro-
fessional nurse (APN) to discuss symptoms that have phy
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
4. 1. A patient with systemic lupus erythematosus (SLE) SLE disrupts immune
is diagnosed with idiopathic thrombocytopenic purpu- homeostasis and pro-
ra (ITP).Which statement should the provider give the motes development of
patient regarding the pathophysiology of SLE and its self-reactive antibodies.
relation to thrombocytopenia?
a. SLE disrupts immune homeostasis and promotes
development of self-reactive antibodies.
b. SLE causes a cross-reaction of antibodies with nor-
mal platelet antigens.
2 of 24
, D027 Practice Test
D027 Practice Test
Study online at https://quizlet.com/_faeswq
c. SLE causes a defect in the number and function of
regulatory B cells.
d. SLE increases megakaryocyte maturation.
5. 1. A female patient presents to an office to establish Order a liver function test
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 asymp-
tomatic. 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
6. 1. A 75-year-old female presents to the emergency She is diagnosed with atri-
department with an irregular heart rate of 130.What al fibrillation and needs
can be ascertained about this patient's findings given her heart rate controlled
the limited information? with metoprolol (Lopres-
a. She has a normal sinus rhythm and needs her heart sor).
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.
7. 1. A 75-year-old male presents with a history of tran- Acute myocardial infarc-
sient ischemic attack, acute myocardial infarction, tion
3 of 24
