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1. Retinoic acid exposure during pregnancy is associated with which outcome?
A. Neural tube closure
B. Increased fetal growth
C. Congenital malformations
D. Reduced miscarriage risk
Correct Answer: C. Congenital malformations
Explanation: Retinoic acid is highly teratogenic and interferes with embryonic
development, leading to severe congenital abnormalities.
2. When screening for cystic fibrosis risk, which question is most appropriate?
A. “Did you have childhood asthma?”
B. “Are both parents genetic donors?”
C. “Is there a family history of diabetes?”
D. “Was the pregnancy full term?”
Correct Answer: B. “Are both parents genetic donors?”
Explanation: Cystic fibrosis is an autosomal recessive disorder, requiring both
parents to carry the mutated gene.
3. A neonate with decreased oral intake, fever, and low urine output is most
likely experiencing:
,A. Adaptive immunity failure
B. Innate immunity dysfunction
C. Autoimmune disease
D. Allergic reaction
Correct Answer: B. Innate immunity dysfunction
Explanation: Relative deficiency of Factor B impairs the innate immune response,
making neonates vulnerable to infection.
4. A patient presents with unilateral eye swelling and lower lip edema that
resolves over several days. Which condition is most likely?
A. Allergic rhinitis
B. Anaphylaxis
C. Hereditary angioedema
D. Nephrotic syndrome
Correct Answer: C. Hereditary angioedema
Explanation: This condition results from C1 esterase inhibitor deficiency and
causes episodic, non-pitting edema.
5. Which statement best describes Down syndrome?
A. Caused by monosomy X
B. Due to deletion on chromosome 5
C. Extra copy of chromosome 21
D. Caused by mitochondrial mutation
Correct Answer: C. Extra copy of chromosome 21
Explanation: Trisomy 21 causes intellectual disability, characteristic facial features,
hypotonia, and recurrent respiratory infections.
, 6. Why are older adults with COPD advised to receive the influenza vaccine
annually?
A. To prevent asthma
B. To reduce pneumonia risk
C. To improve oxygenation
D. To prevent lung cancer
Correct Answer: B. To reduce pneumonia risk
Explanation: COPD impairs lung defenses, increasing susceptibility to respiratory
infections such as pneumonia.
7. A patient with a BRCA1 mutation is at increased risk for:
A. Colon cancer only
B. Ovarian cancer
C. Thyroid cancer
D. Pancreatic cancer
Correct Answer: B. Ovarian cancer
Explanation: BRCA1 mutations significantly increase the risk of both breast and
ovarian cancers.
8. Multiple sclerosis is best described as:
A. A degenerative muscle disorder
B. Loss of peripheral nerve axons
C. CNS demyelinating disease
D. Autoimmune destruction of neuromuscular junctions
Correct Answer: C. CNS demyelinating disease
Explanation: MS involves immune-mediated destruction of the myelin sheath in
the CNS, disrupting nerve conduction.