MSN 621 Final Exam / MSN
621 FINAL EXAM / MSN621
ACTUAL FINAL EXAM
COMPLETE EXAM QUESTIONS
AND CORRECT VERIFIED
ANSWERS (FULL REVISED
EXAM) A NEW UPDATED
VERSION | ALREADY A+
GRADED
,A 16-year-old male presents with lethargy, fatigue, and
occasional mucosal bleeding. The patient also reports
weight loss in the past 5 months. Laboratory analysis reveals
a white blood cell count of 32,000 cells/microL. On
examination, hepatosplenomegaly is noted. Further
evaluation shows findings suggestive of acute lymphocytic
leukemia. What is the most likely cause of the patient's
mucosal bleeding? - Decreased platelet count
A 16-year-old female presents with complaints of fever,
lethargy, and night sweats. The patient also reports a 6-
kilogram (13.2 pound) weight loss in the past 3 months. On
examination, painless, enlarged cervical and supraclavicular
lymph nodes are palpated. A fine-needle aspiration biopsy of
one of the lymph nodes is shown in the image. The patient's
findings are most suggestive of which of the following? (see
photo) - Hodgkin lymphoma
A 16-year-old male presents with fatigue, easy bruisability,
and weight loss. On examination, hepatosplenomegaly is
noted. After a detailed evaluation, the patient is diagnosed
with acute lymphocytic leukemia. Which of the following is
used in the management of this patient's condition - L-
asparaginase
,A 57-year-old patient with lymphoma complains of nausea
after starting morphine. Which of the following is most
accurate regarding nausea and vomiting due to opioids? -
After starting opioids, nausea, often improves within a few
days
, A 43-year-old man presents to the clinic for evaluation after
abnormalities noted on a routine set of labs. CBC with
differential demonstrated hemoglobin 14 g/dL, WBC count
26,000/microL, lymphocytes 21,000/microL, neutrophils
4500/microL, and platelets 260,000/microL. The basic
metabolic panel demonstrates normal electrolytes and
renal function. LFTs show total bilirubin 1.2 mg/dL and
normal liver enzymes. On examination in office, his
examination is normal, with no palpable lymph nodes or
hepatosplenomegaly. He denies any B symptoms. Peripheral
smear shows lymphocytosis with many small lymphocytes
and smudge cells. Which of the following is the next best
step in the management of this patient? - Observation and
close follow up
A 65-year-old woman presents with an 8-month history of
recurrent low-grade fevers, a 3-month history of abdominal
fullness, and more recently, fatigue and moderately reduced
exercise tolerance. Before this, she was in good health with
no major medical conditions. Upon examination, she
appeared to be stable and in no acute distress. She has a
heart rate of 95 bpm and blood pressure of 128/60 mmHg.
She had several palpable cervical and axillary lymph nodes
(1-2 cm) that were non-tender and freely mobile. She also
had palpable splenomegaly. No other abdominal
masses/hepatomegaly appreciated on examination. Her
621 FINAL EXAM / MSN621
ACTUAL FINAL EXAM
COMPLETE EXAM QUESTIONS
AND CORRECT VERIFIED
ANSWERS (FULL REVISED
EXAM) A NEW UPDATED
VERSION | ALREADY A+
GRADED
,A 16-year-old male presents with lethargy, fatigue, and
occasional mucosal bleeding. The patient also reports
weight loss in the past 5 months. Laboratory analysis reveals
a white blood cell count of 32,000 cells/microL. On
examination, hepatosplenomegaly is noted. Further
evaluation shows findings suggestive of acute lymphocytic
leukemia. What is the most likely cause of the patient's
mucosal bleeding? - Decreased platelet count
A 16-year-old female presents with complaints of fever,
lethargy, and night sweats. The patient also reports a 6-
kilogram (13.2 pound) weight loss in the past 3 months. On
examination, painless, enlarged cervical and supraclavicular
lymph nodes are palpated. A fine-needle aspiration biopsy of
one of the lymph nodes is shown in the image. The patient's
findings are most suggestive of which of the following? (see
photo) - Hodgkin lymphoma
A 16-year-old male presents with fatigue, easy bruisability,
and weight loss. On examination, hepatosplenomegaly is
noted. After a detailed evaluation, the patient is diagnosed
with acute lymphocytic leukemia. Which of the following is
used in the management of this patient's condition - L-
asparaginase
,A 57-year-old patient with lymphoma complains of nausea
after starting morphine. Which of the following is most
accurate regarding nausea and vomiting due to opioids? -
After starting opioids, nausea, often improves within a few
days
, A 43-year-old man presents to the clinic for evaluation after
abnormalities noted on a routine set of labs. CBC with
differential demonstrated hemoglobin 14 g/dL, WBC count
26,000/microL, lymphocytes 21,000/microL, neutrophils
4500/microL, and platelets 260,000/microL. The basic
metabolic panel demonstrates normal electrolytes and
renal function. LFTs show total bilirubin 1.2 mg/dL and
normal liver enzymes. On examination in office, his
examination is normal, with no palpable lymph nodes or
hepatosplenomegaly. He denies any B symptoms. Peripheral
smear shows lymphocytosis with many small lymphocytes
and smudge cells. Which of the following is the next best
step in the management of this patient? - Observation and
close follow up
A 65-year-old woman presents with an 8-month history of
recurrent low-grade fevers, a 3-month history of abdominal
fullness, and more recently, fatigue and moderately reduced
exercise tolerance. Before this, she was in good health with
no major medical conditions. Upon examination, she
appeared to be stable and in no acute distress. She has a
heart rate of 95 bpm and blood pressure of 128/60 mmHg.
She had several palpable cervical and axillary lymph nodes
(1-2 cm) that were non-tender and freely mobile. She also
had palpable splenomegaly. No other abdominal
masses/hepatomegaly appreciated on examination. Her
