NR667- CEA FNP UPDATED
QUESTIONS WITH COMPLETE
ANSWERS
A 78 y.o. M patient reports chronic infections... 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
D. Repeat CBC/CMP/peripheral smear in eight weeks
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
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
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
,Which of the following is not a common mechanism of neutrophil expenditure and resultant
neutropenia?
A. Decreased neutrophil production in the bone marrow
B. Redistribution of neutrophils to the spleen or vascular endothelium
C. Loss of circulating neutrophils in acute blood loss
D. Immune destruction
Which of the following blood lead levels (BLL) would likely require chelation therapy?
A. < 80 mcg/dL
B. 35 mcg/dL
C. >100 mcg/dL
D. 75 mcg/dL
A geriatric patient with anemia, back pain, osteoporosis, and elevated ESR should be evaluated
for:
A. Cauda equina syndrome
B. Renal dystrophy
C. Paget's disease
D. Multiple myeloma
Overactivation of coagulation and fibrinolysis resulting in thrombosis and hemorrhage is a
trademark of:
A. Thrombocytopenia
B. Aplastic anemia
C. Myelodysplastic syndrome
D. Disseminated intravascular coagulation
A patient on warfarin therapy for recurrent DVT is about to have lumbar spinal fusion surgery...
The patient's postoperative warfarin dose should be restarted based on the:
A. Value of her morning Prothrombin time
B. Baseline PT and INR values
C. Target INR of 2.5
D. Loading dose of 20 mg, plus the previous warfarin dose
,Your patient presented yesterday to urgent care with symptoms of lower extremity weakness...
What is your priority intervention?
A. Order physical therapy evaluation and treatment
B. Immediate transportation to the hospital and monitor for airway involvement
C. Apply oxygen via nasal cannula
D. Assess muscular strength in bilateral lower extremities
Which of the following is a common symptom of Systemic Lupus Erythematosus (SLE)?
A. Joint pain and swelling
B. Frequent urination and thirst
C. Sudden weight gain and high blood pressure
D. Persistent cough and shortness of breath
Patients with Stevens-Johnson syndrome should be managed by:
A. Negative pressure isolation
B. Similarly to burn patients due to loss of fluid volume
C. Similarly to heart surgery patients
D. Off floor privileges
Which of the following categories of medication are not likely to be included in the medication
regimen for a patient with HIV?
A. NRTIs
B. Protease antagonists
C. NNRTIs
D. Protease inhibitors
A patient who has active herpes zoster is at risk of shedding which contagious virus?
A. Varicella zoster
B. Herpes simplex virus -2
C. Herpes simplex virus -1
D. Shingles
, Your patient presents with painless lymph node swelling, weight loss, night sweats, and asks
what is wrong with him. Which of the following represents a most appropriate intervention to
confirm a diagnosis of lymphoma?
A. Order a core needle biopsy
B. Order a CBC and TSH
C. Examine the patient
D. Consult pulmonology
A
The patient with anaphylaxis is experiencing which type of hypersensitivity response?
A. Type I
B. Type III
C. Type II
D. Type IV
A
Your patient has been diagnosed with HIV and wants to know the goal of treatment with “all
these medications”. Which of the following represents the most reasonable goal in the treatment
of HIV?
A. Ability to reduce to one medication as therapy rather than multiple agents
B. Reducing the CD4 count to an undetectable level
C. Reducing viral load to an undetectable level
D. Complete healing with no need for further medications
C
QUESTIONS WITH COMPLETE
ANSWERS
A 78 y.o. M patient reports chronic infections... 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
D. Repeat CBC/CMP/peripheral smear in eight weeks
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
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
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
,Which of the following is not a common mechanism of neutrophil expenditure and resultant
neutropenia?
A. Decreased neutrophil production in the bone marrow
B. Redistribution of neutrophils to the spleen or vascular endothelium
C. Loss of circulating neutrophils in acute blood loss
D. Immune destruction
Which of the following blood lead levels (BLL) would likely require chelation therapy?
A. < 80 mcg/dL
B. 35 mcg/dL
C. >100 mcg/dL
D. 75 mcg/dL
A geriatric patient with anemia, back pain, osteoporosis, and elevated ESR should be evaluated
for:
A. Cauda equina syndrome
B. Renal dystrophy
C. Paget's disease
D. Multiple myeloma
Overactivation of coagulation and fibrinolysis resulting in thrombosis and hemorrhage is a
trademark of:
A. Thrombocytopenia
B. Aplastic anemia
C. Myelodysplastic syndrome
D. Disseminated intravascular coagulation
A patient on warfarin therapy for recurrent DVT is about to have lumbar spinal fusion surgery...
The patient's postoperative warfarin dose should be restarted based on the:
A. Value of her morning Prothrombin time
B. Baseline PT and INR values
C. Target INR of 2.5
D. Loading dose of 20 mg, plus the previous warfarin dose
,Your patient presented yesterday to urgent care with symptoms of lower extremity weakness...
What is your priority intervention?
A. Order physical therapy evaluation and treatment
B. Immediate transportation to the hospital and monitor for airway involvement
C. Apply oxygen via nasal cannula
D. Assess muscular strength in bilateral lower extremities
Which of the following is a common symptom of Systemic Lupus Erythematosus (SLE)?
A. Joint pain and swelling
B. Frequent urination and thirst
C. Sudden weight gain and high blood pressure
D. Persistent cough and shortness of breath
Patients with Stevens-Johnson syndrome should be managed by:
A. Negative pressure isolation
B. Similarly to burn patients due to loss of fluid volume
C. Similarly to heart surgery patients
D. Off floor privileges
Which of the following categories of medication are not likely to be included in the medication
regimen for a patient with HIV?
A. NRTIs
B. Protease antagonists
C. NNRTIs
D. Protease inhibitors
A patient who has active herpes zoster is at risk of shedding which contagious virus?
A. Varicella zoster
B. Herpes simplex virus -2
C. Herpes simplex virus -1
D. Shingles
, Your patient presents with painless lymph node swelling, weight loss, night sweats, and asks
what is wrong with him. Which of the following represents a most appropriate intervention to
confirm a diagnosis of lymphoma?
A. Order a core needle biopsy
B. Order a CBC and TSH
C. Examine the patient
D. Consult pulmonology
A
The patient with anaphylaxis is experiencing which type of hypersensitivity response?
A. Type I
B. Type III
C. Type II
D. Type IV
A
Your patient has been diagnosed with HIV and wants to know the goal of treatment with “all
these medications”. Which of the following represents the most reasonable goal in the treatment
of HIV?
A. Ability to reduce to one medication as therapy rather than multiple agents
B. Reducing the CD4 count to an undetectable level
C. Reducing viral load to an undetectable level
D. Complete healing with no need for further medications
C
