D664(2025/2026) Actual Exam Questions
with Correct Solutions
Question:1
What is the gold standard for the suspected diagnosis of Celiac Disease? -
Endoscopy with small intestine biopsy
Question:2
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 type of genetic
mutation does this patient have? - EGFR mutation
Question:3
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? - Becker muscular
dystrophy
,--Becker muscular dystrophy (often called Becker MD or BMD) is a form of
muscular dystrophy, a genetic disorder that gradually makes the body's muscles
weaker and smaller. It causes less severe problems than the most common
type, Duchenne muscular dystrophy.
Question:4
Which statement should the provider give the patient regarding the
pathophysiology of SLE and its relation to thrombocytopenia? - SLE disrupts
immune homeostasis and promotes development of self-reactive antibodies.
Question:5
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? - Order a liver function test
Question:6
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? - She is diagnosed with atrial fibrillation and needs her
heart rate controlled with metoprolol (Lopressor).
Question:7
Which condition from this patient's medical history is contributing to the loss of
contractility? - Acute myocardial infarction
, Question:8
Which condition is this patient suffering from? - Diabetic ketoacidosis
Question:9
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? - Increased cortisol
Question:10
SOB when lying down, and moving around --Based on the patient's presentation,
which disease process is the patient likely exhibiting? - Asthma
Question:11
A two-year-old child presents with a clear runny nose and cough which has lasted
3 days. The child's mother reports the cough sounds like a barking noise. The child
is sleeping in the mother's arms and appears to have stridor. The child's mother
also reports an axillary temperature of 101°F last night. Which management
technique is appropriate for this child's symptoms? - Oral steroids and breathing
treatments
Question:12
Delerium, urinary incontinence, fever-- Which lab and diagnostic tests should be
ordered as part of the patient's assessment? - Complete blood count, complete
metabolic profile, and urinalysis
with Correct Solutions
Question:1
What is the gold standard for the suspected diagnosis of Celiac Disease? -
Endoscopy with small intestine biopsy
Question:2
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 type of genetic
mutation does this patient have? - EGFR mutation
Question:3
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? - Becker muscular
dystrophy
,--Becker muscular dystrophy (often called Becker MD or BMD) is a form of
muscular dystrophy, a genetic disorder that gradually makes the body's muscles
weaker and smaller. It causes less severe problems than the most common
type, Duchenne muscular dystrophy.
Question:4
Which statement should the provider give the patient regarding the
pathophysiology of SLE and its relation to thrombocytopenia? - SLE disrupts
immune homeostasis and promotes development of self-reactive antibodies.
Question:5
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? - Order a liver function test
Question:6
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? - She is diagnosed with atrial fibrillation and needs her
heart rate controlled with metoprolol (Lopressor).
Question:7
Which condition from this patient's medical history is contributing to the loss of
contractility? - Acute myocardial infarction
, Question:8
Which condition is this patient suffering from? - Diabetic ketoacidosis
Question:9
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? - Increased cortisol
Question:10
SOB when lying down, and moving around --Based on the patient's presentation,
which disease process is the patient likely exhibiting? - Asthma
Question:11
A two-year-old child presents with a clear runny nose and cough which has lasted
3 days. The child's mother reports the cough sounds like a barking noise. The child
is sleeping in the mother's arms and appears to have stridor. The child's mother
also reports an axillary temperature of 101°F last night. Which management
technique is appropriate for this child's symptoms? - Oral steroids and breathing
treatments
Question:12
Delerium, urinary incontinence, fever-- Which lab and diagnostic tests should be
ordered as part of the patient's assessment? - Complete blood count, complete
metabolic profile, and urinalysis
