MSN 621 FINAL EXAM I CERTIFICATION
PREPARATION 2026 REVIEW SHEET SOLVED
QUESTIONS GUARANTEED PASS
◉ A 36-year-old woman with a past medical history significant for
menorrhagia from uterine fibroids presents with exertional dyspnea
and fatigue. Examination shows conjunctival pallor. Laboratory tests
reveal a hemoglobin of 6.2 grams/dL, mean corpuscular volume
(MCV) 60 fl (normal: 80-100 fl), and normal liver function tests.
What is the most likely diagnosis?
Well done!You answered successfully
A. Anemia of chronic disease
B. Vitamin B12 deficiency
C. Iron deficiency anemia
D. Acute blood loss anemia.
Answer: C. Iron deficiency anemia
◉ Which of the following is associated with the CD10 antigen?
Well done!You answered successfully
A. Acute myeloid leukemia
B. Acute lymphocytic leukemia
C. Chronic myeloid leukemia
,D. Hodgkin lymphoma.
Answer: B. Acute lymphocytic leukemia
◉ A 49-year-old male with fatigue and easy bruising is found to have
terminal deoxynucleotidyl transferase (TdT) positive cells in the
blood. He may have which of the following conditions?
Well done!You answered successfully
A. Acute myelogenous leukemia
B. Hodgkin lymphoma
C. Hairy cell leukemia
D. Acute lymphoblastic leukemia.
Answer: D. Acute lymphoblastic leukemia
◉ A 16-year-old male presents with fatigue, easy bruisability, and
weight loss. On examination, hepatosplenomegaly is noted. After a
detailed evaluation, the patient is diagnosed with acute lymphocytic
leukemia. Which of the following is used in the management of this
patient's condition?
Well done!You answered successfully
A. Dexrazoxane
B. L-asparaginase
C. Imatinib
D. Everolimus.
,Answer: B. L-asparaginase
◉ A 16-year-old male presents with lethargy, fatigue, and occasional
mucosal bleeding. The patient also reports weight loss in the past 5
months. Laboratory analysis reveals a white blood cell count of
32,000 cells/microL. On examination, hepatosplenomegaly is noted.
Further evaluation shows findings suggestive of acute lymphocytic
leukemia. What is the most likely cause of the patient's mucosal
bleeding?
Well done!You answered successfully
A. Hepatosplenomegaly
B. Decreased platelet count
C. Factor V deficiency
D. Microthrombi formation.
Answer: B. Decreased platelet count
◉ A 67-year-old female presents with a history of high fevers and
productive cough with green sputum for the last three days. The
patient received the influenza vaccine this year. Her past medical
history is unremarkable. She has a smoking history of 25 pack years.
She does not drink alcohol or use illicit drugs. Temperature is 102F,
blood pressure is 115/70mmHg, the pulse is 101/min, and
respirations are 23/min. Her oxygen saturation is 91% on room air.
On examination, her anterior cervical lymph nodes are enlarged and
nontender. Chest auscultation reveals crackles in the left lower lobe.
Hepatosplenomegaly is present. A chest x-ray shows a developing
, left lower lobe consolidation. Labs show a WBC count of 45000, with
lymphocytes being 85%. Empirical pharmacotherapy is initiated,
and blood cultures are sent to the lab. Which of the following is the
most appropriate step next?
Well done!You answered successfully
A. Flo.
Answer: A. Flow cytometry of blood
◉ A 60-year-old asymptomatic man is found to have leukocytosis on
a preoperative CBC. Physical examination shows the spleen tip to be
palpable 2 cm below the left costal margin. Rubbery, nontender
lymph nodes up to 1.5 cm in size are present in the axillae and
inguinal regions. Laboratory data include the following: Hgb: 13.3
g/dL (normal 14 to 18) Leukocytes: 40,000/microL (normal 4300 to
10,800) Platelet count: 238,000 (normal 150,000 to 400,000) His
peripheral blood smear is shown in the accompanying photo. Which
of the following is the most likely diagnosis?
A. Acute monocytic leukemia
B. Chronic myelogenous leukemia
C. Chronic lymphocytic leukemia
D. Tuberculosis.
Answer: C. Chronic lymphocytic leukemia
◉ A 45-year-old asymptomatic man is found to have leukocytosis on
a preoperative complete blood count. His physical examination is
PREPARATION 2026 REVIEW SHEET SOLVED
QUESTIONS GUARANTEED PASS
◉ A 36-year-old woman with a past medical history significant for
menorrhagia from uterine fibroids presents with exertional dyspnea
and fatigue. Examination shows conjunctival pallor. Laboratory tests
reveal a hemoglobin of 6.2 grams/dL, mean corpuscular volume
(MCV) 60 fl (normal: 80-100 fl), and normal liver function tests.
What is the most likely diagnosis?
Well done!You answered successfully
A. Anemia of chronic disease
B. Vitamin B12 deficiency
C. Iron deficiency anemia
D. Acute blood loss anemia.
Answer: C. Iron deficiency anemia
◉ Which of the following is associated with the CD10 antigen?
Well done!You answered successfully
A. Acute myeloid leukemia
B. Acute lymphocytic leukemia
C. Chronic myeloid leukemia
,D. Hodgkin lymphoma.
Answer: B. Acute lymphocytic leukemia
◉ A 49-year-old male with fatigue and easy bruising is found to have
terminal deoxynucleotidyl transferase (TdT) positive cells in the
blood. He may have which of the following conditions?
Well done!You answered successfully
A. Acute myelogenous leukemia
B. Hodgkin lymphoma
C. Hairy cell leukemia
D. Acute lymphoblastic leukemia.
Answer: D. Acute lymphoblastic leukemia
◉ A 16-year-old male presents with fatigue, easy bruisability, and
weight loss. On examination, hepatosplenomegaly is noted. After a
detailed evaluation, the patient is diagnosed with acute lymphocytic
leukemia. Which of the following is used in the management of this
patient's condition?
Well done!You answered successfully
A. Dexrazoxane
B. L-asparaginase
C. Imatinib
D. Everolimus.
,Answer: B. L-asparaginase
◉ A 16-year-old male presents with lethargy, fatigue, and occasional
mucosal bleeding. The patient also reports weight loss in the past 5
months. Laboratory analysis reveals a white blood cell count of
32,000 cells/microL. On examination, hepatosplenomegaly is noted.
Further evaluation shows findings suggestive of acute lymphocytic
leukemia. What is the most likely cause of the patient's mucosal
bleeding?
Well done!You answered successfully
A. Hepatosplenomegaly
B. Decreased platelet count
C. Factor V deficiency
D. Microthrombi formation.
Answer: B. Decreased platelet count
◉ A 67-year-old female presents with a history of high fevers and
productive cough with green sputum for the last three days. The
patient received the influenza vaccine this year. Her past medical
history is unremarkable. She has a smoking history of 25 pack years.
She does not drink alcohol or use illicit drugs. Temperature is 102F,
blood pressure is 115/70mmHg, the pulse is 101/min, and
respirations are 23/min. Her oxygen saturation is 91% on room air.
On examination, her anterior cervical lymph nodes are enlarged and
nontender. Chest auscultation reveals crackles in the left lower lobe.
Hepatosplenomegaly is present. A chest x-ray shows a developing
, left lower lobe consolidation. Labs show a WBC count of 45000, with
lymphocytes being 85%. Empirical pharmacotherapy is initiated,
and blood cultures are sent to the lab. Which of the following is the
most appropriate step next?
Well done!You answered successfully
A. Flo.
Answer: A. Flow cytometry of blood
◉ A 60-year-old asymptomatic man is found to have leukocytosis on
a preoperative CBC. Physical examination shows the spleen tip to be
palpable 2 cm below the left costal margin. Rubbery, nontender
lymph nodes up to 1.5 cm in size are present in the axillae and
inguinal regions. Laboratory data include the following: Hgb: 13.3
g/dL (normal 14 to 18) Leukocytes: 40,000/microL (normal 4300 to
10,800) Platelet count: 238,000 (normal 150,000 to 400,000) His
peripheral blood smear is shown in the accompanying photo. Which
of the following is the most likely diagnosis?
A. Acute monocytic leukemia
B. Chronic myelogenous leukemia
C. Chronic lymphocytic leukemia
D. Tuberculosis.
Answer: C. Chronic lymphocytic leukemia
◉ A 45-year-old asymptomatic man is found to have leukocytosis on
a preoperative complete blood count. His physical examination is
