D027 EXAM PREP QUESTIONS AND ANSWERS
2026|2027 ALREADY GRADED A + STUDY RESOURCE
What is the gold standard for the suspected diagnosis of Celiac Disease? -
ANSWER--Endoscopy with small intestine biopsy
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 type of genetic
mutation does this patient have? - ANSWER--EGFR mutation
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? - ANSWER--Becker
muscular dystrophy
--Becker muscular dystrophy (often called Becker MD or BMD) is a form of
muscular dystrophy, a genetic disorder that gradually makes the body's muscles
weaker and smaller. It causes less severe problems than the most common
type, Duchenne muscular dystrophy.
Which statement should the provider give the patient regarding the
pathophysiology of SLE and its relation to thrombocytopenia? - ANSWER--SLE
disrupts immune homeostasis and promotes development of self-reactive
antibodies.
, D027 EXAM PREP QUESTIONS AND ANSWERS
2026|2027 ALREADY GRADED A + STUDY RESOURCE
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? - ANSWER--Order a liver function
test
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? - ANSWER--She is diagnosed with atrial fibrillation and
needs her heart rate controlled with metoprolol (Lopressor).
Which condition from this patient's medical history is contributing to the loss of
contractility? - ANSWER--Acute myocardial infarction
Which condition is this patient suffering from? - ANSWER--Diabetic ketoacidosis
A 45-year-old female fears that she is having a 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? - ANSWER--Increased cortisol
SOB when lying down, and moving around --Based on the patient's presentation,
which disease process is the patient likely exhibiting? - ANSWER--Asthma
A two-year-old child presents with a clear runny nose and cough which has lasted
3 days. The child's mother reports the cough sounds like a barking noise. The child
, D027 EXAM PREP QUESTIONS AND ANSWERS
2026|2027 ALREADY GRADED A + STUDY RESOURCE
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? - ANSWER--Oral steroids and
breathing treatments
Delerium, urinary incontinence, fever-- Which lab and diagnostic tests should be
ordered as part of the patient's assessment? - ANSWER--Complete blood count,
complete metabolic profile, and urinalysis
An 18-year-old male is involved in a motorcycle 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? - ANSWER--Epidural
hematoma
-- What is the appropriate diagnosis for this patient? - ANSWER--Crohn's disease
Which diagnostic test is appropriate to order for this patient? - ANSWER--
Ultrasound
A 45-year-old male is being seen in the clinic for a yearly check-up and lab work.
His history includes hypertension and hyperlipidemia for which he currently takes
Norvasc 5 mg daily and Lipitor 20 mg nightly. Patient has a family history of
diabetes, hypertension, heart disease, and hyperlipidemia. After obtaining lab
work, the provider notices the patient's hgbA1c is elevated at 7.5. The patient is
already on a DASH diet and watching the amount of sweets and carbohydrates he
eats daily. The patient is not overweight and participates in moderate physical
activity at least 4-5 days a week. He was started on Metformin three months ago,
and his hemoglobin A1c is now 6.9. The nurse expects to see a class of medication
prescribed which is proven to reduce the risk of cardiovascular events.
2026|2027 ALREADY GRADED A + STUDY RESOURCE
What is the gold standard for the suspected diagnosis of Celiac Disease? -
ANSWER--Endoscopy with small intestine biopsy
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 type of genetic
mutation does this patient have? - ANSWER--EGFR mutation
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? - ANSWER--Becker
muscular dystrophy
--Becker muscular dystrophy (often called Becker MD or BMD) is a form of
muscular dystrophy, a genetic disorder that gradually makes the body's muscles
weaker and smaller. It causes less severe problems than the most common
type, Duchenne muscular dystrophy.
Which statement should the provider give the patient regarding the
pathophysiology of SLE and its relation to thrombocytopenia? - ANSWER--SLE
disrupts immune homeostasis and promotes development of self-reactive
antibodies.
, D027 EXAM PREP QUESTIONS AND ANSWERS
2026|2027 ALREADY GRADED A + STUDY RESOURCE
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? - ANSWER--Order a liver function
test
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? - ANSWER--She is diagnosed with atrial fibrillation and
needs her heart rate controlled with metoprolol (Lopressor).
Which condition from this patient's medical history is contributing to the loss of
contractility? - ANSWER--Acute myocardial infarction
Which condition is this patient suffering from? - ANSWER--Diabetic ketoacidosis
A 45-year-old female fears that she is having a 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? - ANSWER--Increased cortisol
SOB when lying down, and moving around --Based on the patient's presentation,
which disease process is the patient likely exhibiting? - ANSWER--Asthma
A two-year-old child presents with a clear runny nose and cough which has lasted
3 days. The child's mother reports the cough sounds like a barking noise. The child
, D027 EXAM PREP QUESTIONS AND ANSWERS
2026|2027 ALREADY GRADED A + STUDY RESOURCE
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? - ANSWER--Oral steroids and
breathing treatments
Delerium, urinary incontinence, fever-- Which lab and diagnostic tests should be
ordered as part of the patient's assessment? - ANSWER--Complete blood count,
complete metabolic profile, and urinalysis
An 18-year-old male is involved in a motorcycle 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? - ANSWER--Epidural
hematoma
-- What is the appropriate diagnosis for this patient? - ANSWER--Crohn's disease
Which diagnostic test is appropriate to order for this patient? - ANSWER--
Ultrasound
A 45-year-old male is being seen in the clinic for a yearly check-up and lab work.
His history includes hypertension and hyperlipidemia for which he currently takes
Norvasc 5 mg daily and Lipitor 20 mg nightly. Patient has a family history of
diabetes, hypertension, heart disease, and hyperlipidemia. After obtaining lab
work, the provider notices the patient's hgbA1c is elevated at 7.5. The patient is
already on a DASH diet and watching the amount of sweets and carbohydrates he
eats daily. The patient is not overweight and participates in moderate physical
activity at least 4-5 days a week. He was started on Metformin three months ago,
and his hemoglobin A1c is now 6.9. The nurse expects to see a class of medication
prescribed which is proven to reduce the risk of cardiovascular events.
