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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?
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, 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