AG-ACNP BOARD STUDY QUESTIONS &
ANSWERS
Francine, 51-years-old, comes to your clinic complaining of fatigue, weakness, and shortness of
breath on exertion. On physical exam, you note hypotension, tachycardia, and pallor. You ask the
patient to stand up and close her eyes, after which the patient opened her eyes and sat down. Her
lab tests reveal low hemoglobin and hematocrit levels. Which of the following additional test
results would reflect the most likely diagnosis? Correct Ans-a. Mean corpuscular volume =
98 fL; mean corpuscular hemoglobin concentration = 33%
b. Mean corpuscular volume = 116 fL; mean corpuscular hemoglobin concentration = 34%
c. Mean corpuscular volume = 69 fL; mean corpuscular hemoglobin concentration = 42%
d. Mean corpuscular volume = 68 fL; mean corpuscular hemoglobin concentration = 35%
You are reviewing the hematologic workup of a 56-year-old male and find the presence of Reed-
Sternberg cells upon examining his lab data. This finding is a classic finding of which disease?
Correct Ans-a. Non Hodgkin's lymphoma
b. Chronic myelogenous leukemia
c. Hodgkin's disease
d. Acute myelogenous leukemia
Hal, 32, presents to your clinic with complaints of fever, night sweats, and unexplained weight
loss. Upon physical exam, you note a swollen cervical lymph node. A subsequent chest X-ray
reveals mediastinal adenopathy. Of the following, which is this patient's most likely diagnosis?
Correct Ans-a. Hodgkin's lymphoma
b. Mononucleosis
ANSWERS
Francine, 51-years-old, comes to your clinic complaining of fatigue, weakness, and shortness of
breath on exertion. On physical exam, you note hypotension, tachycardia, and pallor. You ask the
patient to stand up and close her eyes, after which the patient opened her eyes and sat down. Her
lab tests reveal low hemoglobin and hematocrit levels. Which of the following additional test
results would reflect the most likely diagnosis? Correct Ans-a. Mean corpuscular volume =
98 fL; mean corpuscular hemoglobin concentration = 33%
b. Mean corpuscular volume = 116 fL; mean corpuscular hemoglobin concentration = 34%
c. Mean corpuscular volume = 69 fL; mean corpuscular hemoglobin concentration = 42%
d. Mean corpuscular volume = 68 fL; mean corpuscular hemoglobin concentration = 35%
You are reviewing the hematologic workup of a 56-year-old male and find the presence of Reed-
Sternberg cells upon examining his lab data. This finding is a classic finding of which disease?
Correct Ans-a. Non Hodgkin's lymphoma
b. Chronic myelogenous leukemia
c. Hodgkin's disease
d. Acute myelogenous leukemia
Hal, 32, presents to your clinic with complaints of fever, night sweats, and unexplained weight
loss. Upon physical exam, you note a swollen cervical lymph node. A subsequent chest X-ray
reveals mediastinal adenopathy. Of the following, which is this patient's most likely diagnosis?
Correct Ans-a. Hodgkin's lymphoma
b. Mononucleosis
