ACTUAL EXAM TEST BANK 100
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALESAGRADE
1. What is the gold standard for the suspected diagnosis of Celiac Disease?
Answer En- doscopy with small intestine biopsy
2. 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 pa-
tient'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 type of genetic mutation does this patient have?
Answer EGFR mutation
3. 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
--Becker muscular dystrophy (often called Becker MD or BMD) is a form of muscular dystrophy, a genetic disorder that
gradually makes the body's muscles weaker and smaller. It causes less severe problems than the most common type,
Duchenne muscular dystrophy.
4. Which statement should the provider give the patient regarding the patho-
physiology of SLE and its relation to thrombocytopenia?
Answer SLE disrupts immune homeosta- sis and promotes development of self-reactive antibodies.
5. 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?
Answer Order a liver function test