D027 PRACTICE TEST 2 EXAM (2025) comprehensive
questions and verified detailed solutions (MULTIPLE
CHOICES)|complete solutions |A+ GRADED |100%
CORRECT!!
1. 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?
aa. Endoscopy - (ANSWER)Colonoscopy with rectal biopsy
1. 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.
a. ALK mutation
b. EGFR mutation
c. BRCA mutation
d. MET amplification mutation - (ANSWER)ALK mutation and EGFR mutation
,1. 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?
a. Becker muscular dystrophy
b. Myotonic dystrophy
c. Facioscapulohumeral muscular dystrophy (FSHD)
d. Limb-girdle muscular dystrophy - (ANSWER)Becker muscular dystrophy
1. A patient with systemic lupus erythematosus (SLE) is diagnosed with idiopathic
thrombocytopenic purpura (ITP).Which statement should the provider give the
patient regarding the pathophysiology of SLE and its relation to
thrombocytopenia?
a. SLE disrupts immune homeostasis and promotes development of self-reactive
antibodies.
b. SLE causes a cross-reaction of antibodies with normal platelet antigens.
c. SLE causes a defect in the number and function of regulatory B cells.
d. SLE increases megakaryocyte maturation. - (ANSWER)SLE disrupts immune
homeostasis and promotes development of self-reactive antibodies.
, 1. A female patient presents to an office to establish 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 asymptomatic. 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 - (ANSWER)Order a liver function test
1. A 75-year-old female presents to the emergency department with an irregular
heart rate of 130.What can be ascertained about this patient's findings given the
limited information?
a. She has a normal sinus rhythm and needs her heart 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. - (ANSWER)She is diagnosed with atrial fibrillation and needs
her heart rate controlled with metoprolol (Lopressor).
1. A 75-year-old male presents with a history of transient ischemic attack, acute
myocardial infarction, angina, and atrial fibrillation. The patient's echocardiogram
questions and verified detailed solutions (MULTIPLE
CHOICES)|complete solutions |A+ GRADED |100%
CORRECT!!
1. 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?
aa. Endoscopy - (ANSWER)Colonoscopy with rectal biopsy
1. 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.
a. ALK mutation
b. EGFR mutation
c. BRCA mutation
d. MET amplification mutation - (ANSWER)ALK mutation and EGFR mutation
,1. 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?
a. Becker muscular dystrophy
b. Myotonic dystrophy
c. Facioscapulohumeral muscular dystrophy (FSHD)
d. Limb-girdle muscular dystrophy - (ANSWER)Becker muscular dystrophy
1. A patient with systemic lupus erythematosus (SLE) is diagnosed with idiopathic
thrombocytopenic purpura (ITP).Which statement should the provider give the
patient regarding the pathophysiology of SLE and its relation to
thrombocytopenia?
a. SLE disrupts immune homeostasis and promotes development of self-reactive
antibodies.
b. SLE causes a cross-reaction of antibodies with normal platelet antigens.
c. SLE causes a defect in the number and function of regulatory B cells.
d. SLE increases megakaryocyte maturation. - (ANSWER)SLE disrupts immune
homeostasis and promotes development of self-reactive antibodies.
, 1. A female patient presents to an office to establish 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 asymptomatic. 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 - (ANSWER)Order a liver function test
1. A 75-year-old female presents to the emergency department with an irregular
heart rate of 130.What can be ascertained about this patient's findings given the
limited information?
a. She has a normal sinus rhythm and needs her heart 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. - (ANSWER)She is diagnosed with atrial fibrillation and needs
her heart rate controlled with metoprolol (Lopressor).
1. A 75-year-old male presents with a history of transient ischemic attack, acute
myocardial infarction, angina, and atrial fibrillation. The patient's echocardiogram
