NR667- CEA FNP questions with correct answers
A patient currently undergoing concurrent chemotherapy/radiation
treatment for glottic squamous cell carcinoma is admitted to the rehab
unit you oversee for management of intractable nausea, vomiting, and
dehydration. Admission CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC
0.8. Which of the following conditions is this patient at risk for?
A. Macrocytic anemia due to B12 deficiency
B. Iron deficiency anemia due to chronic blood loss
C. Microcytic anemia due to chronic kidney disease
D. Aplastic anemia due to bone marrow suppression Correct Answer.-D
Your patient presents to the urgent care clinic with a swollen exudative
pharynx, profound fatigue, and a very tender left upper quadrant
abdomen. What is the most likely diagnosis?
A. Strep pharyngitis
B. Tonsillitis
C. Epstein Barr virus (EBV)
D. Pancreatitis Correct Answer.-C
Which of the following best characterizes presbycusis in the older adult?
A. Bilateral low-frequency sensorineural hearing loss
B. Bilateral high-frequency sensorineural hearing loss
,C. Unilateral high-frequency sensorineural hearing loss
D. Unilateral low-frequency sensorineural hearing loss Correct Answer.-B
A 35-year-old woman presents with allergic rhinitis, experiencing
significant nasal congestion, sneezing, and itchy eyes. She has tried
over-the-counter antihistamines with limited relief. What is the most
appropriate next step in management?
A. Oral decongestants
B. Nasal saline irrigation
C. Intranasal corticosteroids
D. Referral to an allergist for immunotherapy Correct Answer.-C
A patient currently undergoing concurrent chemotherapy/radiation
treatment for glottic squamous cell carcinoma is admitted to the rehab
unit you oversee for management of intractable nausea, vomiting, and
dehydration. Admission CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC
0.8. Which of the following conditions is this patient at risk for?
A. Iron deficiency anemia due to chronic blood loss
B. Microcytic anemia due to chronic kidney disease
C. Macrocytic anemia due to B12 deficiency
D. Aplastic anemia due to bone marrow suppression Correct Answer.-D
,A 78 y.o. M patient reports chronic infections, bruising, fatigue, SOB,
and fevers. He has a history of rectal adenocarcinoma and completed
concurrent chemotherapy/radiation earlier this year. His CBC shows
Hgb 7.5, PLT 88, WBC 1.2, ANC 0.8, and peripheral smear shows
dysplasia. What additional work-up would you anticipate for this
patient?
A. Colonoscopy and fecal occult blood test
B. Bone marrow biopsy and flow cytometry
C. No additional work-up is required, these are expected sequela of his
oncologic treatment
D. Repeat CBC/CMP/peripheral smear in eight weeks Correct Answer.-B
Progression to Acute Myelogenous Leukemia (AML) is a risk for
untreated or poorly responsive:
A. Pancytopenia
B. Aplastic anemia
C. Macrocytic anemia
D. Myelodysplastic syndrome Correct Answer.-D
Treatment for symptomatic aplastic anemia includes all the following
except:
A. Bone marrow transplant
, B. PRBC/Platelet/WBC transfusions
C. Prophylactic antibiotics
D. Removal of bone marrow stimulants Correct Answer.-D
A patient diagnosed with iron deficiency anemia requires iron
supplementation. Which of the following treatments would likely be
ineffective?
A. Ferrous sulfate 325 mg PO BID for a 43 y.o. F s/p gastric bypass 2
years ago
B. Iron sucrose 200 mg IV infusion weekly x 8 weeks in a 26 y.o. F at
34 weeks of pregnancy
C. Ferrous sulfate 325 mg PO TID for a 25 y.o. F with menorrhagia
D. Ferrous sulfate 325 mg PO BID for a 63 y.o. M with ulcerative colitis
Correct Answer.-A
Which of the following is not a common mechanism of neutrophil
expenditure and resultant neutropenia?
A. Decreased neutrophil production in the bone marrow
B. Redistribution of neutrophils to the spleen or vascular endothelium
C. Loss of circulating neutrophils in acute blood loss
D. Immune destruction Correct Answer.-C
A patient currently undergoing concurrent chemotherapy/radiation
treatment for glottic squamous cell carcinoma is admitted to the rehab
unit you oversee for management of intractable nausea, vomiting, and
dehydration. Admission CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC
0.8. Which of the following conditions is this patient at risk for?
A. Macrocytic anemia due to B12 deficiency
B. Iron deficiency anemia due to chronic blood loss
C. Microcytic anemia due to chronic kidney disease
D. Aplastic anemia due to bone marrow suppression Correct Answer.-D
Your patient presents to the urgent care clinic with a swollen exudative
pharynx, profound fatigue, and a very tender left upper quadrant
abdomen. What is the most likely diagnosis?
A. Strep pharyngitis
B. Tonsillitis
C. Epstein Barr virus (EBV)
D. Pancreatitis Correct Answer.-C
Which of the following best characterizes presbycusis in the older adult?
A. Bilateral low-frequency sensorineural hearing loss
B. Bilateral high-frequency sensorineural hearing loss
,C. Unilateral high-frequency sensorineural hearing loss
D. Unilateral low-frequency sensorineural hearing loss Correct Answer.-B
A 35-year-old woman presents with allergic rhinitis, experiencing
significant nasal congestion, sneezing, and itchy eyes. She has tried
over-the-counter antihistamines with limited relief. What is the most
appropriate next step in management?
A. Oral decongestants
B. Nasal saline irrigation
C. Intranasal corticosteroids
D. Referral to an allergist for immunotherapy Correct Answer.-C
A patient currently undergoing concurrent chemotherapy/radiation
treatment for glottic squamous cell carcinoma is admitted to the rehab
unit you oversee for management of intractable nausea, vomiting, and
dehydration. Admission CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC
0.8. Which of the following conditions is this patient at risk for?
A. Iron deficiency anemia due to chronic blood loss
B. Microcytic anemia due to chronic kidney disease
C. Macrocytic anemia due to B12 deficiency
D. Aplastic anemia due to bone marrow suppression Correct Answer.-D
,A 78 y.o. M patient reports chronic infections, bruising, fatigue, SOB,
and fevers. He has a history of rectal adenocarcinoma and completed
concurrent chemotherapy/radiation earlier this year. His CBC shows
Hgb 7.5, PLT 88, WBC 1.2, ANC 0.8, and peripheral smear shows
dysplasia. What additional work-up would you anticipate for this
patient?
A. Colonoscopy and fecal occult blood test
B. Bone marrow biopsy and flow cytometry
C. No additional work-up is required, these are expected sequela of his
oncologic treatment
D. Repeat CBC/CMP/peripheral smear in eight weeks Correct Answer.-B
Progression to Acute Myelogenous Leukemia (AML) is a risk for
untreated or poorly responsive:
A. Pancytopenia
B. Aplastic anemia
C. Macrocytic anemia
D. Myelodysplastic syndrome Correct Answer.-D
Treatment for symptomatic aplastic anemia includes all the following
except:
A. Bone marrow transplant
, B. PRBC/Platelet/WBC transfusions
C. Prophylactic antibiotics
D. Removal of bone marrow stimulants Correct Answer.-D
A patient diagnosed with iron deficiency anemia requires iron
supplementation. Which of the following treatments would likely be
ineffective?
A. Ferrous sulfate 325 mg PO BID for a 43 y.o. F s/p gastric bypass 2
years ago
B. Iron sucrose 200 mg IV infusion weekly x 8 weeks in a 26 y.o. F at
34 weeks of pregnancy
C. Ferrous sulfate 325 mg PO TID for a 25 y.o. F with menorrhagia
D. Ferrous sulfate 325 mg PO BID for a 63 y.o. M with ulcerative colitis
Correct Answer.-A
Which of the following is not a common mechanism of neutrophil
expenditure and resultant neutropenia?
A. Decreased neutrophil production in the bone marrow
B. Redistribution of neutrophils to the spleen or vascular endothelium
C. Loss of circulating neutrophils in acute blood loss
D. Immune destruction Correct Answer.-C
