A 44-year-old woman has recently been EGFR mutation
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 type of genetic mutation does this patient
have?
,A 20-year-old male meets with an advanced Becker muscular dystrophy
professional nurse (APN) to discuss symptoms that --Becker muscular dystrophy (often called Becker MD or BMD) is a
have been slowly progressing over the past form of muscular dystrophy, a genetic disorder that gradually makes
several years. He is mainly concerned because he the body's muscles weaker and smaller. It causes less severe problems
has been falling frequently. Since childhood, his than the most common type, Duchenne muscular dystrophy.
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?
Which statement should the provider give the SLE disrupts immune homeostasis and promotes development of self-
patient regarding the pathophysiology of SLE and reactive antibodies.
its relation to thrombocytopenia?
,A female patient presents to an office to establish Order a liver function test
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 75-year-old female presents to the emergency She is diagnosed with atrial fibrillation and needs her heart rate
department with an irregular heart rate of controlled with metoprolol (Lopressor).
130.What can be ascertained about this patient's
findings given the limited information?
Which condition from this patient's medical history Acute myocardial infarction
is contributing to the loss of contractility?
Which condition is this patient suffering from? Diabetic ketoacidosis
A 45-year-old female fears that she is having a Increased cortisol
stroke and takes herself to an emergency room.
After several diagnostic and laboratory tests, the
patient is diagnosed with Cushing disease. Which
lab abnormality would be present in this patient?
, SOB when lying down, and moving around -- Asthma
Based on the patient's presentation, which disease
process is the patient likely exhibiting?
A two-year-old child presents with a clear runny Oral steroids and breathing treatments
nose and cough which has lasted 3 days. The
child's mother reports the cough sounds like a
barking noise. The child is sleeping in the mother's
arms and appears to have stridor. The child's
mother also reports an axillary temperature of
101°F last night. Which management technique is
appropriate for this child's symptoms?
Delerium, urinary incontinence, fever-- Which lab Complete blood count, complete metabolic profile, and urinalysis
and diagnostic tests should be ordered as part of
the patient's assessment?
An 18-year-old male is involved in a motorcycle Epidural hematoma
crash while not wearing a helmet. He is brought
into an emergency room and is immediately taken
for a CT scan. The provider tells the patient's
parents he has bleeding between the dura mater
and the skull. What is this patient's condition
called?
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 type of genetic mutation does this patient
have?
,A 20-year-old male meets with an advanced Becker muscular dystrophy
professional nurse (APN) to discuss symptoms that --Becker muscular dystrophy (often called Becker MD or BMD) is a
have been slowly progressing over the past form of muscular dystrophy, a genetic disorder that gradually makes
several years. He is mainly concerned because he the body's muscles weaker and smaller. It causes less severe problems
has been falling frequently. Since childhood, his than the most common type, Duchenne muscular dystrophy.
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?
Which statement should the provider give the SLE disrupts immune homeostasis and promotes development of self-
patient regarding the pathophysiology of SLE and reactive antibodies.
its relation to thrombocytopenia?
,A female patient presents to an office to establish Order a liver function test
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 75-year-old female presents to the emergency She is diagnosed with atrial fibrillation and needs her heart rate
department with an irregular heart rate of controlled with metoprolol (Lopressor).
130.What can be ascertained about this patient's
findings given the limited information?
Which condition from this patient's medical history Acute myocardial infarction
is contributing to the loss of contractility?
Which condition is this patient suffering from? Diabetic ketoacidosis
A 45-year-old female fears that she is having a Increased cortisol
stroke and takes herself to an emergency room.
After several diagnostic and laboratory tests, the
patient is diagnosed with Cushing disease. Which
lab abnormality would be present in this patient?
, SOB when lying down, and moving around -- Asthma
Based on the patient's presentation, which disease
process is the patient likely exhibiting?
A two-year-old child presents with a clear runny Oral steroids and breathing treatments
nose and cough which has lasted 3 days. The
child's mother reports the cough sounds like a
barking noise. The child is sleeping in the mother's
arms and appears to have stridor. The child's
mother also reports an axillary temperature of
101°F last night. Which management technique is
appropriate for this child's symptoms?
Delerium, urinary incontinence, fever-- Which lab Complete blood count, complete metabolic profile, and urinalysis
and diagnostic tests should be ordered as part of
the patient's assessment?
An 18-year-old male is involved in a motorcycle Epidural hematoma
crash while not wearing a helmet. He is brought
into an emergency room and is immediately taken
for a CT scan. The provider tells the patient's
parents he has bleeding between the dura mater
and the skull. What is this patient's condition
called?
