1. A 26-year-old female presents to urgent care with complaints of extreme
fatigue, muscle aches, abdominal pain, numbness and tingling in her extremi-
ties, and bloating. She explains that she has been experiencing gastrointesti-
nal 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?: Endoscopy with small intestine biopsy
2. A 44-year-old woman has recently been diagnosed with advanced metasta-
tic 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.: -
ALK & 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?: Becker Muscular Dystrophy
4. A patient with systemic lupus erythematosus (SLE) is diagnosed with idio-
1 N/
4
fatigue, muscle aches, abdominal pain, numbness and tingling in her extremi-
ties, and bloating. She explains that she has been experiencing gastrointesti-
nal 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?: Endoscopy with small intestine biopsy
2. A 44-year-old woman has recently been diagnosed with advanced metasta-
tic 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.: -
ALK & 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?: Becker Muscular Dystrophy
4. A patient with systemic lupus erythematosus (SLE) is diagnosed with idio-
1 N/
4
