MN552 FINAL ADVANCED HEALTH
ASSESSMENT MIDTERM REVIEW PAPER
2026 QUESTIONS AND DETAILED
SOLUTIONS CERTIFICATION PREP
RESOURCE GRADED A+
⩥As part of the intake protocol at an eating disorders clinic, an interview
precedes a physical examination. Which of the following questions
would a clinician be justified in excluding from an intake interview for a
16-year-old female referred by her pediatrician for the treatment of
anorexia nervosa?
"Can you tell me about some of the habits that you have related to food
in your daily routine?"
"Have you had any episodes of shortness of breath in the recent past?"
"Have you noticed any new hair growth on your body in the last several
months?"
"Do you remember when your last menstrual period was?.
Answer: "Have you had any episodes of shortness of breath in the recent
past?"
,⩥A 29-year-old female has been admitted to the emergency department
following a suicide attempt by overdose of acetaminophen. What
changes in the patient's liver and diagnostic results would the care team
most likely anticipate?
Rapid onset of hepatitis and increased GGT, ALT, and bilirubin levels
Cholestatic reaction with increased bilirubin count
Allergic inflammation accompanied by an increase in serum IgE and
basophils
Centrilobular necrosis evidenced by increased ALT and AST levels.
Answer: Centrilobular necrosis evidenced by increased ALT and AST
levels
⩥After several months of persistent heartburn, a 57-year-old female
patient has been diagnosed with gastroesophageal reflux disease
(GERD). Which of the following treatment regimens is likely to best
address the woman's health problem?
Proton pump inhibitors, avoiding large meals, and remaining upright
after meals
,Weight loss and administration of calcium channel blocking medications
Antacids, avoiding positions that exacerbate reflux, and a soft-textured
diet
Surgical correction of the incompetent pylorus.
Answer: Proton pump inhibitors, avoiding large meals, and remaining
upright after meals
⩥A 51-year-old male professional is in the habit of consuming six to
eight rum and cokes each evening after work. He assures the nurse
practitioner, who is performing his regular physical exam, that his
drinking is under control and does not have negative implications for his
work or family life. How could the nurse best respond to the patient's
statement?
"When your body has to regularly break down that much alcohol, your
blood and the functional cells in your liver accumulate a lot of
potentially damaging toxic byproducts."
"In spite of that, the amount of alcohol you are drinking is likely to
result first in cirrhosis and, if you continue, in hepatitis or fatty liver
changes."
, "That may be the case, but you are still creating a high risk of hepatitis A
or B or liver cancer."
"You are more than likely inflicting damage on your liver, but this
damage would cease as soon as you quit drinking..
Answer: "When your body has to regularly break down that much
alcohol, your blood and the functional cells in your liver accumulate a
lot of potentially damaging toxic byproducts."
⩥A 48-year-old woman has been diagnosed with extrahepatic
cholestasis following a thorough history, ultrasound, and blood work.
Which of the following symptoms most likely caused her to seek
medical treatment, and what consequences of her health problem would
the medical team anticipate?
Pruritus with consequences of deficient levels of fat-soluble vitamins
Skin xanthomas (focal accumulations of cholesterol) with consequences
of increased risk of bleeding due to deficient clotting factors
Anorexia with consequences of impaired drug metabolism and blood
filtration
Complaints of lower flank pain with consequences of impaired fat
metabolism.
ASSESSMENT MIDTERM REVIEW PAPER
2026 QUESTIONS AND DETAILED
SOLUTIONS CERTIFICATION PREP
RESOURCE GRADED A+
⩥As part of the intake protocol at an eating disorders clinic, an interview
precedes a physical examination. Which of the following questions
would a clinician be justified in excluding from an intake interview for a
16-year-old female referred by her pediatrician for the treatment of
anorexia nervosa?
"Can you tell me about some of the habits that you have related to food
in your daily routine?"
"Have you had any episodes of shortness of breath in the recent past?"
"Have you noticed any new hair growth on your body in the last several
months?"
"Do you remember when your last menstrual period was?.
Answer: "Have you had any episodes of shortness of breath in the recent
past?"
,⩥A 29-year-old female has been admitted to the emergency department
following a suicide attempt by overdose of acetaminophen. What
changes in the patient's liver and diagnostic results would the care team
most likely anticipate?
Rapid onset of hepatitis and increased GGT, ALT, and bilirubin levels
Cholestatic reaction with increased bilirubin count
Allergic inflammation accompanied by an increase in serum IgE and
basophils
Centrilobular necrosis evidenced by increased ALT and AST levels.
Answer: Centrilobular necrosis evidenced by increased ALT and AST
levels
⩥After several months of persistent heartburn, a 57-year-old female
patient has been diagnosed with gastroesophageal reflux disease
(GERD). Which of the following treatment regimens is likely to best
address the woman's health problem?
Proton pump inhibitors, avoiding large meals, and remaining upright
after meals
,Weight loss and administration of calcium channel blocking medications
Antacids, avoiding positions that exacerbate reflux, and a soft-textured
diet
Surgical correction of the incompetent pylorus.
Answer: Proton pump inhibitors, avoiding large meals, and remaining
upright after meals
⩥A 51-year-old male professional is in the habit of consuming six to
eight rum and cokes each evening after work. He assures the nurse
practitioner, who is performing his regular physical exam, that his
drinking is under control and does not have negative implications for his
work or family life. How could the nurse best respond to the patient's
statement?
"When your body has to regularly break down that much alcohol, your
blood and the functional cells in your liver accumulate a lot of
potentially damaging toxic byproducts."
"In spite of that, the amount of alcohol you are drinking is likely to
result first in cirrhosis and, if you continue, in hepatitis or fatty liver
changes."
, "That may be the case, but you are still creating a high risk of hepatitis A
or B or liver cancer."
"You are more than likely inflicting damage on your liver, but this
damage would cease as soon as you quit drinking..
Answer: "When your body has to regularly break down that much
alcohol, your blood and the functional cells in your liver accumulate a
lot of potentially damaging toxic byproducts."
⩥A 48-year-old woman has been diagnosed with extrahepatic
cholestasis following a thorough history, ultrasound, and blood work.
Which of the following symptoms most likely caused her to seek
medical treatment, and what consequences of her health problem would
the medical team anticipate?
Pruritus with consequences of deficient levels of fat-soluble vitamins
Skin xanthomas (focal accumulations of cholesterol) with consequences
of increased risk of bleeding due to deficient clotting factors
Anorexia with consequences of impaired drug metabolism and blood
filtration
Complaints of lower flank pain with consequences of impaired fat
metabolism.
