COMPLETE 350 MOST TESTED REAL EXAM QUESTIONS WITH
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ .
A 25-year-old woman presents with a 2-year history of
fluctuating mood states, including periods of mild depression
and hypomania. These symptoms have not been severe enough
to meet the criteria for major depressive or manic episodes.
What is the most likely diagnosis? - ANSWER-Cyclothymic
disorder
Rationale: Cyclothymic Disorder involves chronic mood
fluctuations that include periods of hypomanic and depressive
symptoms. These symptoms are less severe than those in
Bipolar I or II disorders but can significantly impact daily
functioning. Early diagnosis and appropriate treatment,
including psychotherapy, medications, and lifestyle changes,
can help manage symptoms and improve quality of life.
A patient is taking warfarin, 4 mg daily for atrial fibrillation. The
patient's current International Normalized Ratio (INR) is 5.5
mg/dL. The nurse practitioner would:
*hold the warfarin for 4 days and then recheck the INR.
,*increase the warfarin to 5 mg daily.
*hold the warfarin for 1 day and then recheck in two days.
*decrease the warfarin to 3 mg daily. - ANSWER-hold the
warfarin for 1 day and then recheck in two days.
Rationale: As warfarin has a long half life, it typically takes
several days to see meaningful change in levels of dose change.
The INR of 5.5 is supratherapeutic and must be reduced for the
risk of bleeding. Of these options, the only one that offers a
reduction/cessation and and a recheck of the level is to hold the
warfarin for one day and recheck the INR in 2 days.
A patient presents to the urgent care with SOB, fatigue,
headache, and chest pain. Cardiac work-up is negative but CBC
reveals a hemoglobin of 6.5. Which of the following indices
would indicate a potential iron deficiency anemia?
*MCV 95, MCHC 34
*MCV 67, MCHC 29
*MCV 112, MCHC 40
*MCV 72, MCHC 38 - ANSWER-MCV 67, MCHC 29
Raionale: Iron deficiency anemia (IDA) is identified as a
microcytic, hypochromic anemia. Normal MCV is 80-100 and
normal MCHC is 33-37 therefore MCV less than 80 and MCHC
less than 33 is considered microcytic hypochromic and
indicative
,A 13 year old female who is diagnosed with iron deficiency
anemia is being treated with ferrous sulfate. Proper treatment
typically leads to the resolution of anemia within:
*3 months.
*4 weeks.
*8 months.
*2 weeks. - ANSWER-3 months.
Rationale: Due to the time it takes for the underlying deficit to be
corrected as well as the growth of new red blood cells to mature,
3 months are typically needed to show recovery with treatment
for iron deficiency.
A 60-year-old woman with a history of hypertension and
diabetes presents with progressive fatigue and anemia. Her
laboratory results show microcytic hypochromic anemia. What
is the most likely diagnosis?
*Hemolytic anemia
*Anemia of chronic disease
*Vitamin B12 deficiency
*Iron deficiency anemia - ANSWER-Iron deficiency anemia
A patient who has active herpes zoster is at risk of shedding
which contagious virus?
*Varicella zoster
*Shingles
, *Herpes simplex virus -1
*Herpes simplex virus -2 - ANSWER-Varicella zoster
Rationale: Patients with herpes zoster (shingles) are at risk of
transmitting varicella zoster (chicken pox) to those who have not
yet had varicella or been vaccinated.
Your patient presents with 2-month progressive weakness in
legs, loss of coordination, and loss of bladder tone. Which of the
following diseases should be investigated? *Embolic stroke
*Multiple sclerosis
*Multiple myeloma
*Descending Guillain-Barre - ANSWER-Multiple sclerosis
Rationale: Multiple sclerosis (MS) is commonly associated with
progressive loss of muscular function due to demyelination of
the nervous system. Embolic stroke is acute, not slow in nature.
Descending GB would have symptoms starting in the upper
extremities and working down the body, not up the body as
described herein. Multiple myeloma tends to have symptoms of
bone pain and are more nonspecific.
What is the first-line treatment for mild systemic lupus
erythematosus (SLE)?
*Corticosteroids
*acetaminophen (Tylenol)
*Hydroxychloroquine (Plaquenil)