and Answers | 2026 Prep
1.A 60-year-old woman with a history of hypertension and diabetes presents
with progressive fatigue and anemia. Her laboratory results show microcytic
hypochromic anemia. What is the most likely diagnosis? - Correct
Answer✔✔-Iron deficiency anemia
2.Treatment for symptomatic aplastic anemia includes what? - Correct
Answer✔✔-Bone marrow transplant
Prophylactic antibiotics
PRBC/Platelet/WBC transfusions
3.A patient present to the urgent care with SOB, fatigue, headache, and chest
pain. Cardiac work up is negative but CBC reveals a hemoglobin of 6.5. What
would indicate a potential iron deficiency anemia? - Correct Answer✔✔-MCV
67
MCHC 29
4.A 78-year-old male patient reports chronic infections, bruising, fatigue, SOB,
and fevers. He has a history of rectal adenocarcinoma and completed concurrent
chemo/radiation earlier this year. His CBC shows Hgb 7.5, Plt 88, WBC 1.2,
ANC 0.8, and peripheral smear shows dysplasia. What additional work up
would you anticipate for this patient? - Correct Answer✔✔-Bone marrow
biopsy and flow cytometry
5.A patient with a known intrinsic factor autoantibody is at risk for developing
which of the following conditions? - Correct Answer✔✔-B12 deficiency and
pernicious anemia
Rationale: Causes of B12 deficiency include malabsorption and intrinsic factor
deficiency. Intrinsic factor deficiency is a result of gastric resection or IF
autoantibody.
6.A 35-year-old man presents with recurrent episodes of severe pain in his back,
chest and extremities. He has a history of sickle cell disease. What is the most
appropriate initial management during a pain crisis? - Correct Answer✔✔-
Hospitalization for IV fluids and opioids
, 7.Which of the following medication classes is the foundation of the care of
heart failure and has been shown to reduce mortality? - Correct Answer✔✔-
Beta blockers
8.An adult female with rheumatoid arthritis presents to the office for a follow
up. She is currently taking methotrexate and over the counter ibuprofen. Today
she complains of severe stomach pain and intense abdominal cramping. After
the NP makes appropriate adjustments to the patient's medication regimen, the
patient still complains of abdominal discomfort and reports dark stools. The
practitioner suspects: - Correct Answer✔✔-Gastric ulceration
9.A 43-year-old male with past medical history significant for GERD, smoking,
and obesity presents to your clinic for worsening GERD symptoms, he has been
taking Protonix 40mg daily with no improvement. He had an EGD done with
biopsy. Which findings would diagnose the patient with Barret's esophagus? -
Correct Answer✔✔-Intestinal metaplasia with goblet cells
10.Your patient presents with unilateral eye pain after a workplace exposure to
a causative substance. Which of the following techniques is useful to assist in
removal of the agent? - Correct Answer✔✔-Flushing with Morgan lens
11.Your patient has a Le Fort III fracture and is admitted for close monitoring.
Which of the following represent a potential complication of this type of
fracture? - Correct Answer✔✔-Cerebrospinal fluid leak
12.Which of the following best characterizes presbycusis in the older adult? -
Correct Answer✔✔-Bilateral high-frequency sensorineural hearing loss
13.Which of the following refers to the primary access point of medical care
patients are encouraged to use to aid in providing continuity and reduction of
cost per the Affordable Care Act? - Correct Answer✔✔-The Medical Home
14.Which of the following blood lead levels would likely require chelation
therapy? - Correct Answer✔✔->100 mcg/dL
15.Which of the following is not a common mechanism of neutrophil
expenditure and resultant neutropenia? - Correct Answer✔✔-Loss of
circulating neutrophils in acute blood loss