2025/2026
1. A patient currently undergoing concurrent
D chemotherapy/radiation treatment for glottic
squa- mous cell carcinoma is admitted to the
rehab unit you oversee for management of
intractable nausea, vom- iting, 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
2. Your patient presents to the urgent care clinic with
a
C 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
3. Which of the following best characterizes presbycusis B
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
, NR667- CEA FNP
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D. Unilateral low-frequency sensorineural
hearing loss
4. A 35-year-old woman presents with allergic
rhinitis,
C experiencing significant nasal congestion,
sneezing, and itchy eyes. She has tried over-the-
counter antihis- tamines with limited relief. What
is the most appropri- ate next step in
management?
A. Oral decongestants
B. Nasal saline irrigation
C. Intranasal corticosteroids
D. Referral to an allergist for immunotherapy
5. A patient currently undergoing concurrent
D chemotherapy/radiation treatment for glottic
squa- mous cell carcinoma is admitted to the
rehab unit you oversee for management of
intractable nausea, vom- iting, 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
6. A 78 y.o. M patient reports chronic infections,
, bruising, B fatigue, SOB, and fevers. He has a
history of rectal ade- nocarcinoma and
completed concurrent chemother- apy/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