NR667- CEA FNP
A patient currently undergoing concurrent chemotherapy/radiation treatment for glottic squamous cell
carcinoma is admitted to the rehab unit you oversee for management of intractable nausea, vomiting,
and dehydration. Admission CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC 0.8. Which of the following
conditions is this patient at risk for?
A. Macrocytic anemia due to B12 deficiency
B. Iron deficiency anemia due to chronic blood loss
C. Microcytic anemia due to chronic kidney disease
D. Aplastic anemia due to bone marrow suppression VERIFIED ANS: D
Your patient presents to the urgent care clinic with a swollen exudative pharynx, profound fatigue, and a
very tender left upper quadrant abdomen. What is the most likely diagnosis?
A. Strep pharyngitis
B. Tonsillitis
C. Epstein Barr virus (EBV)
D. Pancreatitis VERIFIED ANS: C
Which of the following best characterizes presbycusis in the older adult?
A. Bilateral low-frequency sensorineural hearing loss
B. Bilateral high-frequency sensorineural hearing loss
C. Unilateral high-frequency sensorineural hearing loss
D. Unilateral low-frequency sensorineural hearing loss VERIFIED ANS: B
,A 35-year-old woman presents with allergic rhinitis, experiencing significant nasal congestion, sneezing,
and itchy eyes. She has tried over-the-counter antihistamines with limited relief. What is the most
appropriate next step in management?
A. Oral decongestants
B. Nasal saline irrigation
C. Intranasal corticosteroids
D. Referral to an allergist for immunotherapy VERIFIED ANS: C
A patient currently undergoing concurrent chemotherapy/radiation treatment for glottic squamous cell
carcinoma is admitted to the rehab unit you oversee for management of intractable nausea, vomiting,
and dehydration. Admission CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC 0.8. Which of the following
conditions is this patient at risk for?
A. Iron deficiency anemia due to chronic blood loss
B. Microcytic anemia due to chronic kidney disease
C. Macrocytic anemia due to B12 deficiency
D. Aplastic anemia due to bone marrow suppression VERIFIED ANS: D
A 78 y.o. M patient reports chronic infections, bruising, fatigue, SOB, and fevers. He has a history of
rectal adenocarcinoma and completed concurrent chemotherapy/radiation earlier this year. His CBC
shows Hgb 7.5, PLT 88, WBC 1.2, ANC 0.8, and peripheral smear shows dysplasia. What additional work-
up would you anticipate for this patient?
A. Colonoscopy and fecal occult blood test
B. Bone marrow biopsy and flow cytometry
C. No additional work-up is required, these are expected sequela of his oncologic treatment
D. Repeat CBC/CMP/peripheral smear in eight weeks VERIFIED ANS: B
,Progression to Acute Myelogenous Leukemia (AML) is a risk for untreated or poorly responsive:
A. Pancytopenia
B. Aplastic anemia
C. Macrocytic anemia
D. Myelodysplastic syndrome VERIFIED ANS: D
Treatment for symptomatic aplastic anemia includes all the following except:
A. Bone marrow transplant
B. PRBC/Platelet/WBC transfusions
C. Prophylactic antibiotics
D. Removal of bone marrow stimulants VERIFIED ANS: D
A patient diagnosed with iron deficiency anemia requires iron supplementation. Which of the following
treatments would likely be ineffective?
A. Ferrous sulfate 325 mg PO BID for a 43 y.o. F s/p gastric bypass 2 years ago
B. Iron sucrose 200 mg IV infusion weekly x 8 weeks in a 26 y.o. F at 34 weeks of pregnancy
C. Ferrous sulfate 325 mg PO TID for a 25 y.o. F with menorrhagia
D. Ferrous sulfate 325 mg PO BID for a 63 y.o. M with ulcerative colitis VERIFIED ANS: A
Which of the following is not a common mechanism of neutrophil expenditure and resultant
neutropenia?
A. Decreased neutrophil production in the bone marrow
, B. Redistribution of neutrophils to the spleen or vascular endothelium
C. Loss of circulating neutrophils in acute blood loss
D. Immune destruction VERIFIED ANS: C
Which of the following blood lead levels (BLL) would likely require chelation therapy?
A. < 80 mcg/dL
B. 35 mcg/dL
C. >100 mcg/dL
D. 75 mcg/dL VERIFIED ANS: C
A geriatric patient with anemia, back pain, osteoporosis, and elevated erythrocyte sedimentation rate
should be evaluated for:
A. cauda equina syndrome.
B. renal dystrophy.
C. Paget's disease.
D. multiple myeloma. VERIFIED ANS: D
Overactivation of coagulation and fibrinolysis resulting in thrombosis and hemorrhage is a trademark of
which of the following?
A. Thrombocytopenia
B. Aplastic anemia
C. Myelodysplastic syndrome
D. Disseminated intravascular coagulation VERIFIED ANS: D
A patient currently undergoing concurrent chemotherapy/radiation treatment for glottic squamous cell
carcinoma is admitted to the rehab unit you oversee for management of intractable nausea, vomiting,
and dehydration. Admission CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC 0.8. Which of the following
conditions is this patient at risk for?
A. Macrocytic anemia due to B12 deficiency
B. Iron deficiency anemia due to chronic blood loss
C. Microcytic anemia due to chronic kidney disease
D. Aplastic anemia due to bone marrow suppression VERIFIED ANS: D
Your patient presents to the urgent care clinic with a swollen exudative pharynx, profound fatigue, and a
very tender left upper quadrant abdomen. What is the most likely diagnosis?
A. Strep pharyngitis
B. Tonsillitis
C. Epstein Barr virus (EBV)
D. Pancreatitis VERIFIED ANS: C
Which of the following best characterizes presbycusis in the older adult?
A. Bilateral low-frequency sensorineural hearing loss
B. Bilateral high-frequency sensorineural hearing loss
C. Unilateral high-frequency sensorineural hearing loss
D. Unilateral low-frequency sensorineural hearing loss VERIFIED ANS: B
,A 35-year-old woman presents with allergic rhinitis, experiencing significant nasal congestion, sneezing,
and itchy eyes. She has tried over-the-counter antihistamines with limited relief. What is the most
appropriate next step in management?
A. Oral decongestants
B. Nasal saline irrigation
C. Intranasal corticosteroids
D. Referral to an allergist for immunotherapy VERIFIED ANS: C
A patient currently undergoing concurrent chemotherapy/radiation treatment for glottic squamous cell
carcinoma is admitted to the rehab unit you oversee for management of intractable nausea, vomiting,
and dehydration. Admission CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC 0.8. Which of the following
conditions is this patient at risk for?
A. Iron deficiency anemia due to chronic blood loss
B. Microcytic anemia due to chronic kidney disease
C. Macrocytic anemia due to B12 deficiency
D. Aplastic anemia due to bone marrow suppression VERIFIED ANS: D
A 78 y.o. M patient reports chronic infections, bruising, fatigue, SOB, and fevers. He has a history of
rectal adenocarcinoma and completed concurrent chemotherapy/radiation earlier this year. His CBC
shows Hgb 7.5, PLT 88, WBC 1.2, ANC 0.8, and peripheral smear shows dysplasia. What additional work-
up would you anticipate for this patient?
A. Colonoscopy and fecal occult blood test
B. Bone marrow biopsy and flow cytometry
C. No additional work-up is required, these are expected sequela of his oncologic treatment
D. Repeat CBC/CMP/peripheral smear in eight weeks VERIFIED ANS: B
,Progression to Acute Myelogenous Leukemia (AML) is a risk for untreated or poorly responsive:
A. Pancytopenia
B. Aplastic anemia
C. Macrocytic anemia
D. Myelodysplastic syndrome VERIFIED ANS: D
Treatment for symptomatic aplastic anemia includes all the following except:
A. Bone marrow transplant
B. PRBC/Platelet/WBC transfusions
C. Prophylactic antibiotics
D. Removal of bone marrow stimulants VERIFIED ANS: D
A patient diagnosed with iron deficiency anemia requires iron supplementation. Which of the following
treatments would likely be ineffective?
A. Ferrous sulfate 325 mg PO BID for a 43 y.o. F s/p gastric bypass 2 years ago
B. Iron sucrose 200 mg IV infusion weekly x 8 weeks in a 26 y.o. F at 34 weeks of pregnancy
C. Ferrous sulfate 325 mg PO TID for a 25 y.o. F with menorrhagia
D. Ferrous sulfate 325 mg PO BID for a 63 y.o. M with ulcerative colitis VERIFIED ANS: A
Which of the following is not a common mechanism of neutrophil expenditure and resultant
neutropenia?
A. Decreased neutrophil production in the bone marrow
, B. Redistribution of neutrophils to the spleen or vascular endothelium
C. Loss of circulating neutrophils in acute blood loss
D. Immune destruction VERIFIED ANS: C
Which of the following blood lead levels (BLL) would likely require chelation therapy?
A. < 80 mcg/dL
B. 35 mcg/dL
C. >100 mcg/dL
D. 75 mcg/dL VERIFIED ANS: C
A geriatric patient with anemia, back pain, osteoporosis, and elevated erythrocyte sedimentation rate
should be evaluated for:
A. cauda equina syndrome.
B. renal dystrophy.
C. Paget's disease.
D. multiple myeloma. VERIFIED ANS: D
Overactivation of coagulation and fibrinolysis resulting in thrombosis and hemorrhage is a trademark of
which of the following?
A. Thrombocytopenia
B. Aplastic anemia
C. Myelodysplastic syndrome
D. Disseminated intravascular coagulation VERIFIED ANS: D
