!@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
NR667- CEA FNP
A patient currently undergoing concurrent chemotherapy/radiation treatment for glottic
squamous cell carcinoma is admitted to the rehab unit you oversee for management of
intractable nausea, vomiting, and dehydration. Admission CBC showed WBC 1.3, Hgb 7.5, PLT
45, ANC 0.8. Which of the following conditions is this patient at risk for?
A. Macrocytic anemia due to B12 deficiency
B. Iron deficiency anemia due to chronic blood loss
C. Microcytic anemia due to chronic kidney disease
D. Aplastic anemia due to bone marrow suppression
D
Your patient presents to the urgent care clinic with a swollen exudative pharynx, profound
fatigue, and a very tender left upper quadrant abdomen. What is the most likely diagnosis?
A. Strep pharyngitis
B. Tonsillitis
C. Epstein Barr virus (EBV)
D. Pancreatitis
C
!@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
,!@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
Which of the following best characterizes presbycusis in the older adult?
A. Bilateral low-frequency sensorineural hearing loss
B. Bilateral high-frequency sensorineural hearing loss
C. Unilateral high-frequency sensorineural hearing loss
D. Unilateral low-frequency sensorineural hearing loss
B
A 35-year-old woman presents with allergic rhinitis, experiencing significant nasal congestion,
sneezing, and itchy eyes. She has tried over-the-counter antihistamines with limited relief.
What is the most appropriate next step in management?
A. Oral decongestants
B. Nasal saline irrigation
C. Intranasal corticosteroids
D. Referral to an allergist for immunotherapy
C
A patient currently undergoing concurrent chemotherapy/radiation treatment for glottic
squamous cell carcinoma is admitted to the rehab unit you oversee for management of
intractable nausea, vomiting, and dehydration. Admission CBC showed WBC 1.3, Hgb 7.5, PLT
45, ANC 0.8. Which of the following conditions is this patient at risk for?
!@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
,!@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
A. Iron deficiency anemia due to chronic blood loss
B. Microcytic anemia due to chronic kidney disease
C. Macrocytic anemia due to B12 deficiency
D. Aplastic anemia due to bone marrow suppression
D
A 78 y.o. M patient reports chronic infections, bruising, fatigue, SOB, and fevers. He has a
history of rectal adenocarcinoma and completed concurrent chemotherapy/radiation earlier
this year. His CBC shows Hgb 7.5, PLT 88, WBC 1.2, ANC 0.8, and peripheral smear shows
dysplasia. What additional work-up would you anticipate for this patient?
A. Colonoscopy and fecal occult blood test
B. Bone marrow biopsy and flow cytometry
C. No additional work-up is required, these are expected sequela of his oncologic treatment
D. Repeat CBC/CMP/peripheral smear in eight weeks
B
Progression to Acute Myelogenous Leukemia (AML) is a risk for untreated or poorly responsive:
A. Pancytopenia
B. Aplastic anemia
C. Macrocytic anemia
D. Myelodysplastic syndrome
!@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
, !@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
D
Treatment for symptomatic aplastic anemia includes all the following except:
A. Bone marrow transplant
B. PRBC/Platelet/WBC transfusions
C. Prophylactic antibiotics
D. Removal of bone marrow stimulants
D
A patient diagnosed with iron deficiency anemia requires iron supplementation. Which of the
following treatments would likely be ineffective?
A. Ferrous sulfate 325 mg PO BID for a 43 y.o. F s/p gastric bypass 2 years ago
B. Iron sucrose 200 mg IV infusion weekly x 8 weeks in a 26 y.o. F at 34 weeks of pregnancy
C. Ferrous sulfate 325 mg PO TID for a 25 y.o. F with menorrhagia
D. Ferrous sulfate 325 mg PO BID for a 63 y.o. M with ulcerative colitis
A
!@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
!@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
NR667- CEA FNP
A patient currently undergoing concurrent chemotherapy/radiation treatment for glottic
squamous cell carcinoma is admitted to the rehab unit you oversee for management of
intractable nausea, vomiting, and dehydration. Admission CBC showed WBC 1.3, Hgb 7.5, PLT
45, ANC 0.8. Which of the following conditions is this patient at risk for?
A. Macrocytic anemia due to B12 deficiency
B. Iron deficiency anemia due to chronic blood loss
C. Microcytic anemia due to chronic kidney disease
D. Aplastic anemia due to bone marrow suppression
D
Your patient presents to the urgent care clinic with a swollen exudative pharynx, profound
fatigue, and a very tender left upper quadrant abdomen. What is the most likely diagnosis?
A. Strep pharyngitis
B. Tonsillitis
C. Epstein Barr virus (EBV)
D. Pancreatitis
C
!@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
,!@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
Which of the following best characterizes presbycusis in the older adult?
A. Bilateral low-frequency sensorineural hearing loss
B. Bilateral high-frequency sensorineural hearing loss
C. Unilateral high-frequency sensorineural hearing loss
D. Unilateral low-frequency sensorineural hearing loss
B
A 35-year-old woman presents with allergic rhinitis, experiencing significant nasal congestion,
sneezing, and itchy eyes. She has tried over-the-counter antihistamines with limited relief.
What is the most appropriate next step in management?
A. Oral decongestants
B. Nasal saline irrigation
C. Intranasal corticosteroids
D. Referral to an allergist for immunotherapy
C
A patient currently undergoing concurrent chemotherapy/radiation treatment for glottic
squamous cell carcinoma is admitted to the rehab unit you oversee for management of
intractable nausea, vomiting, and dehydration. Admission CBC showed WBC 1.3, Hgb 7.5, PLT
45, ANC 0.8. Which of the following conditions is this patient at risk for?
!@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
,!@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
A. Iron deficiency anemia due to chronic blood loss
B. Microcytic anemia due to chronic kidney disease
C. Macrocytic anemia due to B12 deficiency
D. Aplastic anemia due to bone marrow suppression
D
A 78 y.o. M patient reports chronic infections, bruising, fatigue, SOB, and fevers. He has a
history of rectal adenocarcinoma and completed concurrent chemotherapy/radiation earlier
this year. His CBC shows Hgb 7.5, PLT 88, WBC 1.2, ANC 0.8, and peripheral smear shows
dysplasia. What additional work-up would you anticipate for this patient?
A. Colonoscopy and fecal occult blood test
B. Bone marrow biopsy and flow cytometry
C. No additional work-up is required, these are expected sequela of his oncologic treatment
D. Repeat CBC/CMP/peripheral smear in eight weeks
B
Progression to Acute Myelogenous Leukemia (AML) is a risk for untreated or poorly responsive:
A. Pancytopenia
B. Aplastic anemia
C. Macrocytic anemia
D. Myelodysplastic syndrome
!@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
, !@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
D
Treatment for symptomatic aplastic anemia includes all the following except:
A. Bone marrow transplant
B. PRBC/Platelet/WBC transfusions
C. Prophylactic antibiotics
D. Removal of bone marrow stimulants
D
A patient diagnosed with iron deficiency anemia requires iron supplementation. Which of the
following treatments would likely be ineffective?
A. Ferrous sulfate 325 mg PO BID for a 43 y.o. F s/p gastric bypass 2 years ago
B. Iron sucrose 200 mg IV infusion weekly x 8 weeks in a 26 y.o. F at 34 weeks of pregnancy
C. Ferrous sulfate 325 mg PO TID for a 25 y.o. F with menorrhagia
D. Ferrous sulfate 325 mg PO BID for a 63 y.o. M with ulcerative colitis
A
!@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
!@#()*$*(&@&(*%*&((%UNR667-
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
CEA FNP.pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
