D027 PRACTICE TEST EXAM WITH
VERIFIED QUESTIONS AND
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 - 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 - 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 - 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. - 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 - ANSWER-Order a liver function test
1. 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?
a. She has a normal sinus rhythm and needs her heart rate controlled with metoprolol (Lopressor).
, b. She is diagnosed with atrial fibrillation and needs her heart rate controlled with metoprolol
(Lopressor).
c. She is diagnosed with ventricular tachycardia and needs her heart rhythm controlled with metoprolol
(Lopressor).
d. She is diagnosed with torsades de pointes and needs her heart rate controlled with magnesium. -
ANSWER-She is diagnosed with atrial fibrillation and needs her heart rate controlled with metoprolol
(Lopressor).
1. A 75-year-old male presents with a history of transient ischemic attack, acute myocardial infarction,
angina, and atrial fibrillation. The patient's echocardiogram shows low cardiac output and loss of
contractility.Which condition from this patient's medical history is contributing to the loss of
contractility?
a. Atrial fibrillation
b. Acute myocardial infarction
c. Angina
d. Transient ischemic attack - ANSWER-Acute myocardial infarction
1. A patient presents to an emergency room with blurred vision, fatigue, shortness of breath, and
disorientation. Some of the preliminary lab results reveal the following: glucose >400 mg/dL, sodium
150 mEq/L, potassium 7 mEq/L, serum bicarbonate 12 mEq/L, serum creatinine 3 mg/dL.Which
condition is this patient suffering from?
a. Diabetic ketoacidosis
b. Retinopathy
c. Nephropathy
d. Peripheral neuropathy - ANSWER-Diabetic ketoacidosis
1. 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?
a. Decreased adrenocorticotropic hormone (ACTH)
VERIFIED QUESTIONS AND
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 - 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 - 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 - 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. - 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 - ANSWER-Order a liver function test
1. 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?
a. She has a normal sinus rhythm and needs her heart rate controlled with metoprolol (Lopressor).
, b. She is diagnosed with atrial fibrillation and needs her heart rate controlled with metoprolol
(Lopressor).
c. She is diagnosed with ventricular tachycardia and needs her heart rhythm controlled with metoprolol
(Lopressor).
d. She is diagnosed with torsades de pointes and needs her heart rate controlled with magnesium. -
ANSWER-She is diagnosed with atrial fibrillation and needs her heart rate controlled with metoprolol
(Lopressor).
1. A 75-year-old male presents with a history of transient ischemic attack, acute myocardial infarction,
angina, and atrial fibrillation. The patient's echocardiogram shows low cardiac output and loss of
contractility.Which condition from this patient's medical history is contributing to the loss of
contractility?
a. Atrial fibrillation
b. Acute myocardial infarction
c. Angina
d. Transient ischemic attack - ANSWER-Acute myocardial infarction
1. A patient presents to an emergency room with blurred vision, fatigue, shortness of breath, and
disorientation. Some of the preliminary lab results reveal the following: glucose >400 mg/dL, sodium
150 mEq/L, potassium 7 mEq/L, serum bicarbonate 12 mEq/L, serum creatinine 3 mg/dL.Which
condition is this patient suffering from?
a. Diabetic ketoacidosis
b. Retinopathy
c. Nephropathy
d. Peripheral neuropathy - ANSWER-Diabetic ketoacidosis
1. 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?
a. Decreased adrenocorticotropic hormone (ACTH)
