MULTIPLE CHOICES 2025/2026 FULLY
UPDATED
WhatRisRtheRmostRcommonRindicationRforRgeneticRcounseling?
A)RmaternalRage
B)RdrugRexposureRduringRtheRfirstRtrimester?
C)RIncreasedRmaternalRalpha-fetoprotein
D)RhistoryRofRpreviousRstillRbirthR-RCORRECTRANSWER-A)RmaternalRage
TheRlargestRgroupRofRwomenRwhoRbenefitRfromRgeneticRcounselingRareRthoseRoverR theRag
eRofR35
TheRFNPRschedulesRaR38-year-
oldRprimigravidaR(firstRtimeRpregnancy)RforRanRamniocentesisRatR16RweeksRgestation.RThe
RFNP RwouldRexplainRthatRtheRpurpose RofRthisRprocedure RisRto:
A)RAssessRforRtheRpossibilityRofRtwins
B)RDeterimeRtheRbilirubenRlevel
C)RPerformRgeneticRstudies
D)RAssessRL/SRratioR-RCORRECTRANSWER-C)RPerformRgeneticRstudies
ThisRwomansRageRputsRherRatRriskRforRDownRSyndrome
InRtheRmostRcommonlyRseenRformRofR TurnerRSyndrome,R howRisRtheRXRchromosomeRaffect
ed?
A)REachRcellRhasRonlyRoneRXRchromosome?
B)RSomeRcellsRhaveRtwoRXRchromsomes,RwhileRtheRotherRcellsRhaveRonlyRone.
C)REachRcellRhasRtwoRXRchromsomes,RbutRpartRofR theRchromosomeRisRmissing.
D)REachRcellRhasRanRextraRXRchromosomeR-RCORRECTRANSWER-
A)REachRcellRhasRonlyRoneRXRchromsome
45%RofRpersonsRwithRTurnerRSyndromeR haveRmonosomyRXRmeaningR thereRisRonlyRoneRc
opyRofRtheRXRchromosomeRinReachRcell.
TheRFNPRisRassessingRaRnewbornRwhoRisRdemonstratingRaRhigh-
pitchedRcry,Rmicrocephaly,R hypertelorism,R hypotonia,RandRaRlowRbirthRweight.R TheRFNPRw
ouldRsuspectRwhichRofRtheRfollowingRgeneticRconditions?
A)RDownRSyndrome
B)RCri RduRchat
C)RChargeRsyndrome
D)RDuncanRdiseaseR-RCORRECTRANSWER-B)RCri RduRchat
TheRclinicalRsymptomsRofRcri RduRchatRsyndromeR usuallyRincludeRaRhigh-pitchedRcat-
likeRcry,RmentalRretardation,RdelayedRdevelopment,RdistinctiveRfacialR features,RsmallRhead
RsizeR(microcephaly),Rwidely-
,spacedReyesR(hypertelorism),RlowRbirthRweightRandRweakRmuscleR toneR(hypotonia)RinRinfa
ncy.
WhenRexplainingRtheRtypesRofRadaptiveRimmunity,RtheRFNPRstudentRisRawareRthat:
A)RAdaptiveRimmunityRisRaRcell-mediatedRimmuneRresponseRwhichRisR
B)RAdaptiveRimmunityRisRtheRlevelRofRimmunityRthatRallRpersonsRareRbornRwith.
C)RAdaptiveRimmunityRoccursRwhenRantibodiesRareRpassedRfromRtheRmotherRtoRtheRfetus.
D)RAdaptiveRimmunityRoccursRthroughRimmunization.R-RCORRECTRANSWER-
A)RAdaptiveRimmunityRisRaRcell-
mediatedRimmuneRresponseRwhichRisRcarriedRoutRbyR TRcellsRandRBRcells.
ThereRareRtwoRtypesRofRadaptiveRimmunityRresponses:RtheRcell-
mediatedRimmuneRresponse,RwhichRisRcarriedRoutRbyR TRcells,RandRtheR humoralRimmuneRr
esponse,RwhichRisRcontrolledRbyRactivatedRBRcellsRandRantibodies.
ARwomanRhasRsustainedRaRtraumaticRbrainRinjury.RSheRisRableRtoRfollowRsimpleRcommand
sRandRcanRmanipulateRobjects.RWhichRtermRdescribesRthisRstate?
A)RComa
B)RPersistentRvegetativeRstate
C)RMinimallyRconscious
D)RLocked-inRsyndromeR-RCORRECTRANSWER-C)RMinimallyRconscious
WhenRresponsesRtoRtheRenvironmentRareRseen,RtheRpatientRisRsaidRtoRbeRinRaRminimallyRc
onsciousRstate
AgeRandRtheRadmissionRofRtheRGlasgowRComaRScaleR(GCS)RareRimportantRdiagnosticRfac
torsRinRTBI.RWhichRGCSRscoreRdescribesRaRsevereRTBI?
A)R13-15
B)R12-13
C)R9-12
D)R3-8R-RCORRECTRANSWER-D)R3-8
TheRGCSRisRscoredRbetweenR3RandR15,R3RbeingRtheRworstRandR15RtheRbest.
WhichRtermRdescribesRrecurrent,RintrusiveR thoughtsRorRimpulses?
A)RHallucinations
B)RCompulsions
C)RObsessions
ObsessionsRareRrecurrentRandRpersistentRthoughts,Rimpulses,RorRimagesRthatRcauseRdistr
essingRemotionsRsuchRasRanxietyRorRdisgust.
D)RDelusionsR-RCORRECTRANSWER-C)RObsessions
ObsessionsRareRrecurrentRandRpersistentRthoughts,Rimpulses,RorRimagesRthatRcauseRdistr
essingRemotionsRsuchRasRanxietyRorRdisgust.
DuringRanRintakeRinterviewRwithRaR26-year-
oldRmanRdiagnosedRwithRgeneralizedRanxietyRdisorder,RtheRFNPRmightRobserveR whatRtype
RofRbehavior?
A)RAnRinflatedRsenseRofRself
B)RConstantRrelationRtoRfutureRevents
,C)RInabilityRtoRconcentrateRandRirritabilityRwhenRquestioned
ImpairedRconcentrationRandRirritabilityRareRmajorRcharacteristicsRofRGAD.
D)RNervousnessRandRfearRofRtheRFNPRduringRtheRinterviewR -RCORRECTRANSWER-
C)RInabilityRtoRconcentrateRandRirritabilityRwhenRquestioned
ImpairedRconcentrationRandRirritabilityRareRmajorRcharacteristicsRofRGAD.
TheRFNPRwouldRexpectRwhichRsymptomsRinRaRpatientR withRaRdiagnosisRofRschizophrenia?
A)RHighRenergyRwithRvaryingRsleepRpatternsRandRnonRstopRconversation.
B)RExtremeRandRfrequentRmoodRswingsRwithR hyperactivityRandRdifficultyRconcentrating.
C)RParanoia,Rdelusions,Rhallucinations,RandRdiminishedRself-care.
D)RAnti-
socialRbehavior,RmanipulativeRbehavior,Rcharisma,RandRabilityR toRlieRconvincingly.R-
RCORRECTRANSWER-C)RParanoia,Rdelusions,Rhallucinations,RandRdiminished Rself-care.
TheRcharacteristicsRofRschizophreniaRareRparanoia,Rdelusions,RtangentialRthoughts,Rsuspi
ciousness,RdisorganizedRbehavior,RandRhallucinations.
TheRFNPRisRseeingRaR10RyearRoldRchildRwithRcomplaintsRofRotalgiaRandRmuffledRhearing.R T
heRmotherRstatesRtheRchildRrecentlyRrecoveredRfromRanR upperRrespiratoryRinfection.R TheRF
NPRsuspectsRthatRthisRchildRhas:
A)RAcuteRotitisRmedia
B)RAcuteRotitisRexterna
C)RCholesteatoma
D)RChronicRotitisRmediaR-RCORRECTRANSWER-A)RAcuteRotitisRmedia
TheRclassicRpresentationRofRotitisRmediaRisRotalgia,RmuffledR hearing,RpoppingRsensation,Ra
ndRaRrecentRhistoryRofRaRcoldRorRflareR upRofRallergicRrhinitis.
TheRFNPRunderstandsRthatRaRpotentialRcomplicationRofRtonsillarRinfections,RwhichRisRchara
cterizedRbyRsevereRsoreRthroat,RdifficultyRswallowing,Rodynophagia,Rtrismus,RandRaR"hotRp
otato"Rvoice;RaccompaniedRbyRfever,RchillsRandRmalaiseRisRindicativeRof:
A)RRetropharyngealRabscess
B)REpiglotitis
C)RPeritonsillarRcellulitis
D)RPeritonsillarRabscessR-RCORRECTRANSWER-D)RPeritonsillarRabscess
PeritonsillarRabscessRisRcharacterizedRbyRsevereRsoreRthroat,RpainRorRdifficultyRswallowing
,RjawRmuscleRspasms,RandRaRhotRpotatoR voice.
ARyoungRadultRfemaleRpatientRpresentsRtoRtheRclinicRwithRcomplaintsRofR nervousness,Rtre
mulousness,Rpalpitations,R heatRintolerance,Rfatigue,RweightRloss,RandRpolyphagia.RAfterRa
RcompleteRhistoryRandRphysical,RalongR withRthyroid RfunctionR tests,R theRFNP RmakesRtheRdia
gnosisRofRhyperthyroidism,RrecognizingR thatRtheRmostRcommonRcauseRofR thisRconditionRis:
A)RThyroidRcancer
B)RGraves'Rdisease
C)RPituitaryRadenoma
D)RPostpartumRthyroiditisR-RCORRECTRANSWER-B)RGraves'Rdisease
Graves'Rdisease,RanRautoimmuneRconditionRalsoRknownRasR"diffuseRtoxicRgoiter"RisRtheRm
ostRcommonRcauseRofRhyperthyroidismRinRthisRageRgroup.
, DuringRanRevaluationRofRaRpatientR withRprediabetes,RtheRFNPRidentifiesRwhichRfindingRinR th
eRpatient'sRobjectiveRdataRthatRisRassociatedRwithRtheRincreasingRinsulinR resistance?
A)RTriglyceridesR>R150mg/dL
B)RHDLR>R40Rmg/dLRinRmenRandR>50Rmg/dLRinRwomen
C)RBPR<R130/85RmmRHg
D)RFBSR<R110Rmg/dLR-RCORRECTRANSWER-A)RTriglyceridesR>R150mg/dL
ImproperRuseRofRglucoseRincreasesRtheRreleaseRofRfreeRfattyRacidsRwhichRelevatesRtriglyce
rides.
WhenRprescribingRaRmealRplanRforRtheRpatientRwithRtypeR2Rdiabetes,RtheRFNPRtellsRtheRpati
entRthatRtheRmacronutrientRwithRtheRmostRinfluenceRonRtheRpostprandialRglucoseRlevelRis:
A)RFiber
B)RFat
C)RProtein
D)RCarbohydrateR-RCORRECTRANSWER-D)RCarbohydrate
CarbohydrateRisRaRmacronutrientRwithRtheRgreatestRimpactRonR theRpostprandialRglucoseRle
vels.
WhichRofRtheRfollowingRcharacteristicsRappliesRtoRtypeR1RdiabetesRmellitus?
A)RSignificantRhyperglycemiaRandRketoacidosisRresultRfromRaRlackRofRinsulin.
B)RThisRconditionRisRcommonlyRdiagnosesRonRroutineRexaminationRorR work-
upRforRotherRhealthRproblems.
C)RInitialRresponseRtoRoralRsulfonylureasRisRusuallyRfavorable.
D)RInsulinRresistanceRisRaRsignificantRpartRofR theRdiease.R-RCORRECTRANSWER-
A)RSignificantRhyperglycemiaRandRketoacidosisRresultRfromRaRlackRofRinsulin.
TypeR1RDMRisRassociatedRwithRbetaRcellRdestructionRleadingRtoRabsoluteRinsulinRdeficiency
Rresulting RinRsignificantRhyperglycemia RandRpotentialR forRketoacidosis.
WhichRofRtheRfollowingRcharacteristicsRappliesRtoRtypeR2RdiabetesRmellitus?
A)RMajorRriskRfactorsRareRheredityRandRobesity
B)RPear-shapedRbodyRtypeRisRcommonlyRfound
C)RExogenousRinsulinRisRneededRforRcontrolRofRtheRdisease
D)RPhysicalRactivityRincreasesRinsulinRresistanceR -RCORRECTRANSWER-
A)RMajorRriskRfactorsRareRheredityRandRobesity
RiskRfactorsRofRtypeR2RDMRincludeRincreasingRage,Robesity,Rrace,RandRgenetics.
WhichRofRtheRfollowingRisRNOTRaRriskRfactorRforRendometrialRcancer?
A)RObesity
B)ROralRcontraceptiveRuse
C)RUnopposedRestrogenRuse
D)RAdvancingRage,RgreaterRthanR50RyearsR-RCORRECTRANSWER-
B)ROralRcontraceptiveRuse
OralRcontraceptivesRhaveRbeenRshownR toRreduceR theRincidenceRofRendometrialRcancer.