Dunphy Primary Care Midterm
EXAM REVIEW QUESTIONS WITH
CORRECT SOLUTIONS||100%
GUARANTEED PASS||UPDATED
2026/2027 SYLLABUS||ALREADY
GRADED A+||<<NEWEST VERSION>>
The gold standard for definitive diagnosis of sickle cell anemia is:
1.
A reticulocyte count.
2.
The sickle cell test.
3.
A hemoglobin electrophoresis.
4.
A peripheral blood smear. - ANSWER ✓ A hemoglobin electrophoresis.
Stu, age 49, has slightly reduced hemoglobin and hematocrit readings. What is
your next action after you ask him about his diet?
1.
Repeat the laboratory tests.
2.
Perform a fecal occult blood test.
3.
Start him on an iron preparation.
4.
Start him on folic acid. - ANSWER ✓ Perform a fecal occult blood test.
In which of the following circumstances is the reticulocyte count elevated?
1.
Aplastic anemia.
2.
Iron deficiency anemia.
3.
,Poisoning.
4.
Acute blood loss. - ANSWER ✓ Acute blood loss.
Macrocytic normochromic anemias are caused by:
1.
Acute blood loss.
2.
An infection or tumor.
3.
A nutritional deficiency of iron.
4.
A deficiency of folic acid. - ANSWER ✓ A deficiency of folic acid.
Lorie, age 29, appears with the following signs: pale conjunctivae and nail beds,
tachycardia, heart murmur, cheilosis, stomatitis, splenomegaly, koilonychia, and
glossitis. What do you suspect?
1.
Vitamin B12 deficiency.
2.
Folate deficiency.
3.
Iron deficiency anemia.
4.
Chronic fatigue syndrome. - ANSWER ✓ Iron deficiency anemia.
Your client Shirley has an elevated mean corpuscular volume (MCV). What
should you be considering in terms of diagnosis?
1.
Iron deficiency anemias.
2.
Hemolytic anemias.
3.
Lead poisoning.
4.
Liver disease. - ANSWER ✓ Liver disease.
Which is the best serum test for spotting an iron deficiency early, before it
progresses to full-blown anemia?
,1.
Hemoglobin.
2.
Hematocrit.
3.
Ferritin.
4.
Reticulocytes. - ANSWER ✓ Ferritin.
Which of the following indicate that Jim, a 32-year-old client with AIDS, has
oropharyngeal candidiasis?
1.
Small vesicles.
2.
White, fissured, thickened patches.
3.
Removable white plaques.
4.
Flat-topped papules with thin, bluish-white spiderweb lines. - ANSWER ✓
Removable white plaques.
Which of the following is the most common cause of megaloblastic anemia?
1.
Vitamin B12 deficiency.
2.
Pernicious anemia.
3.
Iatrogenesis.
4.
Folate deficiency. - ANSWER ✓ Pernicious anemia.
Which of the following is the most common type of leukemia in the United
States?
1.
Acute lymphocytic leukemia.
2.
Chronic myelogenous leukemia.
3.
Acute myelogenous leukemia.
, 4.
Chronic lymphocytic leukemia (CLL). - ANSWER ✓ Chronic lymphocytic
leukemia (CLL).
Doug, age 6, appears with abdominal distention and pain, an abdominal mass on
the right side, fever, and slight hematuria. There is no precipitating event. What do
you suspect?
1.
A urinary tract infection (UTI).
2.
Appendicitis.
3.
Wilms tumor.
4.
An intestinal obstruction. - ANSWER ✓ Wilms tumor.
You explain to Yolanda that pelvic floor (Kegel) exercises help to restore and
maintain continence by improving pelvic muscle strength, increasing urethral
pressure, and decreasing abnormal detrusor muscle contractions. These exercises
are used for her diagnosis of:
1.
Stool incontinence.
2.
Full-bladder incontinence.
3.
Cystitis-related incontinence.
4.
Stress incontinence. - ANSWER ✓ Stress incontinence.
Leslie, age 13, says that her mother has polycystic kidney disease and asks about
her chances of developing it. How do you respond?
1.
"It is hereditary, but if you develop it, a cure is possible."
2.
"It is hereditary and unfortunately incurable, but there are some measures we can
use in dealing with it."
3.
"It is not hereditary, but you may develop it anyway."
4.
EXAM REVIEW QUESTIONS WITH
CORRECT SOLUTIONS||100%
GUARANTEED PASS||UPDATED
2026/2027 SYLLABUS||ALREADY
GRADED A+||<<NEWEST VERSION>>
The gold standard for definitive diagnosis of sickle cell anemia is:
1.
A reticulocyte count.
2.
The sickle cell test.
3.
A hemoglobin electrophoresis.
4.
A peripheral blood smear. - ANSWER ✓ A hemoglobin electrophoresis.
Stu, age 49, has slightly reduced hemoglobin and hematocrit readings. What is
your next action after you ask him about his diet?
1.
Repeat the laboratory tests.
2.
Perform a fecal occult blood test.
3.
Start him on an iron preparation.
4.
Start him on folic acid. - ANSWER ✓ Perform a fecal occult blood test.
In which of the following circumstances is the reticulocyte count elevated?
1.
Aplastic anemia.
2.
Iron deficiency anemia.
3.
,Poisoning.
4.
Acute blood loss. - ANSWER ✓ Acute blood loss.
Macrocytic normochromic anemias are caused by:
1.
Acute blood loss.
2.
An infection or tumor.
3.
A nutritional deficiency of iron.
4.
A deficiency of folic acid. - ANSWER ✓ A deficiency of folic acid.
Lorie, age 29, appears with the following signs: pale conjunctivae and nail beds,
tachycardia, heart murmur, cheilosis, stomatitis, splenomegaly, koilonychia, and
glossitis. What do you suspect?
1.
Vitamin B12 deficiency.
2.
Folate deficiency.
3.
Iron deficiency anemia.
4.
Chronic fatigue syndrome. - ANSWER ✓ Iron deficiency anemia.
Your client Shirley has an elevated mean corpuscular volume (MCV). What
should you be considering in terms of diagnosis?
1.
Iron deficiency anemias.
2.
Hemolytic anemias.
3.
Lead poisoning.
4.
Liver disease. - ANSWER ✓ Liver disease.
Which is the best serum test for spotting an iron deficiency early, before it
progresses to full-blown anemia?
,1.
Hemoglobin.
2.
Hematocrit.
3.
Ferritin.
4.
Reticulocytes. - ANSWER ✓ Ferritin.
Which of the following indicate that Jim, a 32-year-old client with AIDS, has
oropharyngeal candidiasis?
1.
Small vesicles.
2.
White, fissured, thickened patches.
3.
Removable white plaques.
4.
Flat-topped papules with thin, bluish-white spiderweb lines. - ANSWER ✓
Removable white plaques.
Which of the following is the most common cause of megaloblastic anemia?
1.
Vitamin B12 deficiency.
2.
Pernicious anemia.
3.
Iatrogenesis.
4.
Folate deficiency. - ANSWER ✓ Pernicious anemia.
Which of the following is the most common type of leukemia in the United
States?
1.
Acute lymphocytic leukemia.
2.
Chronic myelogenous leukemia.
3.
Acute myelogenous leukemia.
, 4.
Chronic lymphocytic leukemia (CLL). - ANSWER ✓ Chronic lymphocytic
leukemia (CLL).
Doug, age 6, appears with abdominal distention and pain, an abdominal mass on
the right side, fever, and slight hematuria. There is no precipitating event. What do
you suspect?
1.
A urinary tract infection (UTI).
2.
Appendicitis.
3.
Wilms tumor.
4.
An intestinal obstruction. - ANSWER ✓ Wilms tumor.
You explain to Yolanda that pelvic floor (Kegel) exercises help to restore and
maintain continence by improving pelvic muscle strength, increasing urethral
pressure, and decreasing abnormal detrusor muscle contractions. These exercises
are used for her diagnosis of:
1.
Stool incontinence.
2.
Full-bladder incontinence.
3.
Cystitis-related incontinence.
4.
Stress incontinence. - ANSWER ✓ Stress incontinence.
Leslie, age 13, says that her mother has polycystic kidney disease and asks about
her chances of developing it. How do you respond?
1.
"It is hereditary, but if you develop it, a cure is possible."
2.
"It is hereditary and unfortunately incurable, but there are some measures we can
use in dealing with it."
3.
"It is not hereditary, but you may develop it anyway."
4.
