D027 Practice Test with Actual Complete Questions and
Correct Verified Answer with Detailed Rationales
Already Graded A+ | 2026/2027
1. A 26-year-old female presents to urgent care with complaints of extreme fatigue, muscle
aches, abdominal pain, numbness and tingling in her extremities, and bloating. She
explains that she has been experiencing gastrointestinal upset after meals and has not
had a bowel movement for the past four days. She reports using over-the-counter, anti-
diarrheal products last week to combat diarrhea. She denies having any chronic
diseases. The assessment findings include a blood pressure of 108/71 mm Hg, pulse of
82 beats per minute, and respirations of 20 breaths per minute. The abdomen is
distended and firm. Bowel sounds are present in all four quadrants. The patient has a
steady gait, though verbally complains of feeling weak and off balance upon ambulation.
Following antibody testing, Celiac disease is suspected. Which follow-up tissue test, the
gold standard for this suspected diagnosis, should be ordered?
aa. Endoscopy - ANSWER✔✨-Colonoscopy with rectal 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 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 types of genetic mutation does this patient
have? Choose 2 Answer.
a. ALK mutation
b. EGFR mutation
c. BRCA mutation
d. MET amplification mutation - ANSWER✔✨-ALK mutation and 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?
a. Becker muscular dystrophy
b. Myotonic dystrophy
c. Facioscapulohumeral muscular dystrophy (FSHD)
d. Limb-girdle muscular dystrophy - ANSWER✔✨-Becker muscular dystrophy
4 A patient with systemic lupus erythematosus (SLE) is diagnosed with idiopathic
thrombocytopenic purpura (ITP).Which statement should the provider give the patient
regarding the pathophysiology of SLE and its relation to thrombocytopenia?
a. SLE disrupts immune homeostasis and promotes development of self-reactive
antibodies.
b. SLE causes a cross-reaction of antibodies with normal platelet antigens.
c. SLE causes a defect in the number and function of regulatory B cells.
d. SLE increases megakaryocyte maturation. - ANSWER✔✨-SLE disrupts immune
homeostasis 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?
a. Order a liver function test
b. Order a renal ultrasound
c. Refer her for a bone marrow biopsy
d. Order a thyroid panel - ANSWER✔✨-Order a liver function test
, 6. A 75-year-old female presents to the emergency department with an irregular heart rate of
130.What can be ascertained about this patient's findings given the limited information?
a. She has a normal sinus rhythm and needs her heart rate controlled with metoprolol
(Lopressor).
b. She is diagnosed with atrial fibrillation and needs her heart rate controlled with metoprolol
(Lopressor).
c. She is diagnosed with ventricular tachycardia and needs her heart rhythm controlled with
metoprolol (Lopressor).
d. She is diagnosed with torsades de pointes and needs her heart rate controlled with
magnesium. - ANSWER✔✨-She is diagnosed with atrial fibrillation and needs her heart rate
controlled with metoprolol (Lopressor).
7. A 75-year-old male presents with a history of transient ischemic attack, acute myocardial
infarction, angina, and atrial fibrillation. The patient's echocardiogram shows low cardiac output
and loss of contractility.Which condition from this patient's medical history is contributing to the
loss of contractility?
a. Atrial fibrillation
b. Acute myocardial infarction
c. Angina
d. Transient ischemic attack - ANSWER✔✨-Acute myocardial infarction
8. A patient presents to an emergency room with blurred vision, fatigue, shortness of breath,
and disorientation. Some of the preliminary lab results reveal the following: glucose >400
mg/dL, sodium 150 mEq/L, potassium 7 mEq/L, serum bicarbonate 12 mEq/L, serum creatinine
3 mg/dL.Which condition is this patient suffering from?
a. Diabetic ketoacidosis
b. Retinopathy
c. Nephropathy
d. Peripheral neuropathy - ANSWER✔✨-Diabetic ketoacidosis
Correct Verified Answer with Detailed Rationales
Already Graded A+ | 2026/2027
1. A 26-year-old female presents to urgent care with complaints of extreme fatigue, muscle
aches, abdominal pain, numbness and tingling in her extremities, and bloating. She
explains that she has been experiencing gastrointestinal upset after meals and has not
had a bowel movement for the past four days. She reports using over-the-counter, anti-
diarrheal products last week to combat diarrhea. She denies having any chronic
diseases. The assessment findings include a blood pressure of 108/71 mm Hg, pulse of
82 beats per minute, and respirations of 20 breaths per minute. The abdomen is
distended and firm. Bowel sounds are present in all four quadrants. The patient has a
steady gait, though verbally complains of feeling weak and off balance upon ambulation.
Following antibody testing, Celiac disease is suspected. Which follow-up tissue test, the
gold standard for this suspected diagnosis, should be ordered?
aa. Endoscopy - ANSWER✔✨-Colonoscopy with rectal 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 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 types of genetic mutation does this patient
have? Choose 2 Answer.
a. ALK mutation
b. EGFR mutation
c. BRCA mutation
d. MET amplification mutation - ANSWER✔✨-ALK mutation and 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?
a. Becker muscular dystrophy
b. Myotonic dystrophy
c. Facioscapulohumeral muscular dystrophy (FSHD)
d. Limb-girdle muscular dystrophy - ANSWER✔✨-Becker muscular dystrophy
4 A patient with systemic lupus erythematosus (SLE) is diagnosed with idiopathic
thrombocytopenic purpura (ITP).Which statement should the provider give the patient
regarding the pathophysiology of SLE and its relation to thrombocytopenia?
a. SLE disrupts immune homeostasis and promotes development of self-reactive
antibodies.
b. SLE causes a cross-reaction of antibodies with normal platelet antigens.
c. SLE causes a defect in the number and function of regulatory B cells.
d. SLE increases megakaryocyte maturation. - ANSWER✔✨-SLE disrupts immune
homeostasis 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?
a. Order a liver function test
b. Order a renal ultrasound
c. Refer her for a bone marrow biopsy
d. Order a thyroid panel - ANSWER✔✨-Order a liver function test
, 6. A 75-year-old female presents to the emergency department with an irregular heart rate of
130.What can be ascertained about this patient's findings given the limited information?
a. She has a normal sinus rhythm and needs her heart rate controlled with metoprolol
(Lopressor).
b. She is diagnosed with atrial fibrillation and needs her heart rate controlled with metoprolol
(Lopressor).
c. She is diagnosed with ventricular tachycardia and needs her heart rhythm controlled with
metoprolol (Lopressor).
d. She is diagnosed with torsades de pointes and needs her heart rate controlled with
magnesium. - ANSWER✔✨-She is diagnosed with atrial fibrillation and needs her heart rate
controlled with metoprolol (Lopressor).
7. A 75-year-old male presents with a history of transient ischemic attack, acute myocardial
infarction, angina, and atrial fibrillation. The patient's echocardiogram shows low cardiac output
and loss of contractility.Which condition from this patient's medical history is contributing to the
loss of contractility?
a. Atrial fibrillation
b. Acute myocardial infarction
c. Angina
d. Transient ischemic attack - ANSWER✔✨-Acute myocardial infarction
8. A patient presents to an emergency room with blurred vision, fatigue, shortness of breath,
and disorientation. Some of the preliminary lab results reveal the following: glucose >400
mg/dL, sodium 150 mEq/L, potassium 7 mEq/L, serum bicarbonate 12 mEq/L, serum creatinine
3 mg/dL.Which condition is this patient suffering from?
a. Diabetic ketoacidosis
b. Retinopathy
c. Nephropathy
d. Peripheral neuropathy - ANSWER✔✨-Diabetic ketoacidosis
