D027 Practice Test Questions With
Correct Answers
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 - CORRECT ANSWER✔✔-Colonoscopy with rectal biopsy
| | | | | | |
1. 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 answers.
| | | | | |
a. ALK mutation
| |
b. EGFR mutation
| |
c. BRCA mutation
| |
d. MET amplification mutation - CORRECT ANSWER✔✔-ALK mutation
| | | | | | | |
and EGFR mutation
| |
1. 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 - CORRECT ANSWER✔✔-Becker
| | | | | | |
muscular dystrophy |
, 1. 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. - CORRECT ANSWER✔✔-
| | | | | | |
SLE disrupts immune homeostasis and promotes development of self-
| | | | | | | |
reactive antibodies. |
1. 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 - CORRECT ANSWER✔✔-Order a liver function
| | | | | | | | | | |
test
Correct Answers
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 - CORRECT ANSWER✔✔-Colonoscopy with rectal biopsy
| | | | | | |
1. 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 answers.
| | | | | |
a. ALK mutation
| |
b. EGFR mutation
| |
c. BRCA mutation
| |
d. MET amplification mutation - CORRECT ANSWER✔✔-ALK mutation
| | | | | | | |
and EGFR mutation
| |
1. 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 - CORRECT ANSWER✔✔-Becker
| | | | | | |
muscular dystrophy |
, 1. 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. - CORRECT ANSWER✔✔-
| | | | | | |
SLE disrupts immune homeostasis and promotes development of self-
| | | | | | | |
reactive antibodies. |
1. 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 - CORRECT ANSWER✔✔-Order a liver function
| | | | | | | | | | |
test
