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A 26-year-old female presents to urgent care with complaints of extreme
fatigue, muscle aches, abdominal pain, numbness and tingling in her
extremities, and bloating. She explains that she has been experiencing
gastrointestinal upset after meals and has not had a bowel movement for
the past four days. She reports 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? - 🧠ANSWER
✔✔Endoscopy with small intestine biopsy
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, 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. - 🧠ANSWER ✔✔ALK & EGFR mutation
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? - 🧠ANSWER
✔✔Becker Muscular Dystrophy
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