NR603- CEA Preview Exam
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? -Iron deficiency anemia
Treatment for symptomatic aplastic anemia includes what? -Bone marrow transplant
Prophylactic antibiotics
PRBC/Platelet/WBC transfusions
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. What would indicate
a potential iron deficiency anemia? -MCV 67
MCHC 29
A 78-year-old male patient reports chronic infections, bruising, fatigue, SOB, and fevers.
He has a history of rectal adenocarcinoma and completed concurrent chemo/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? -
Bone marrow biopsy and flow cytometry
A patient with a known intrinsic factor autoantibody is at risk for developing which of the
following conditions? -B12 deficiency and pernicious anemia
Rationale: Causes of B12 deficiency include malabsorption and intrinsic factor
deficiency. Intrinsic factor deficiency is a result of gastric resection or IF autoantibody.
,A 35-year-old man presents with recurrent episodes of severe pain in his back, chest
and extremities. He has a history of sickle cell disease. What is the most appropriate
initial management during a pain crisis? -Hospitalization for IV fluids and opioids
Which of the following medication classes is the foundation of the care of heart failure
and has been shown to reduce mortality? -Beta blockers
An adult female with rheumatoid arthritis presents to the office for a follow up. She is
currently taking methotrexate and over the counter ibuprofen. Today she complains of
severe stomach pain and intense abdominal cramping. After the NP makes appropriate
adjustments to the patient's medication regimen, the patient still complains of abdominal
discomfort and reports dark stools. The practitioner suspects: -Gastric ulceration
A 43-year-old male with past medical history significant for GERD, smoking, and obesity
presents to your clinic for worsening GERD symptoms, he has been taking Protonix
40mg daily with no improvement. He had an EGD done with biopsy. Which findings
would diagnose the patient with Barret's esophagus? -Intestinal metaplasia with goblet
cells
Your patient presents with unilateral eye pain after a workplace exposure to a causative
substance. Which of the following techniques is useful to assist in removal of the agent?
-Flushing with Morgan lens
Your patient has a Le Fort III fracture and is admitted for close monitoring. Which of the
following represent a potential complication of this type of fracture? -Cerebrospinal fluid
leak
Which of the following best characterizes presbycusis in the older adult? -Bilateral high-
frequency sensorineural hearing loss
Which of the following refers to the primary access point of medical care patients are
encouraged to use to aid in providing continuity and reduction of cost per the Affordable
Care Act? -The Medical Home
Which of the following blood lead levels would likely require chelation therapy? ->100
mcg/dL
Which of the following is not a common mechanism of neutrophil expenditure and
resultant neutropenia? -Loss of circulating neutrophils in acute blood loss
A patient is taking warfarin, 4 mg daily for atrial fibrillation. The patient's current INR is
5.5 mg/dL. The nurse practitioner would: -Hold the warfarin for 1 day and then recheck
in two days
, A 35-year-old woman presents with fatigue, joint pain, and a butterfly-shaped rash on
her face. What is the most appropriate initial management in primary care? -Referral to
rheumatology
Long-term immunoglobulin that is carried fr generation to generation is likely which type
of immunoglobulin? -IgG
Your patient has been diagnosed with HIV and wants to know the goal of treatment with
"all these medications ". Which of the following represents the most reasonable goal in
the treatment of HIV? -Reducing viral load to an undetectable level
Patient with a new diagnosis of primary progressive multiple sclerosis are most likely to
benefit from treatment with which of the following agents? -Rituximab
Your patient has been noticing cracking and peeling in their hands and having some
vesicular rash component. Which of the following is not likely the diagnosis? -Psoriasis
Which diagnostic test is commonly used to identify fungal infections of the skin? -
Wood's lamp examination
Using the rule of palms, a patient with burn surface equivalent to 20 of the patient's
palms would be how many percent body surface area? -20 percent
Patients who present with decreased joint space of a lumbar vertebrae on X-ray are
likely diagnosed with which of the following chronic disease states? -Osteoarthritis
For primary prevention of osteoporosis in females, the US Preventative Task Force
recommends bone density screening: -At least once after age 65
An adult male presents complaining of a left ankle injury that occurred 2 days ago while
he was playing basketball. The patient cannot bear weight and ROM is limited by pain.
What acute injuries would be included in the differential diagnosis for this patient? -
Ankle sprain, ankle fracture
An adolescent football player presents to the urgent care with an acute knee injury. He
heard a pop when his knee buckled. The nurse practitioner notes a positive anterior
drawer test. The most likely diagnosis is injury to the: -Anterior cruciate ligament (ACL)
Your patient with a recent fall from the edge of the bathtub who developed a hip fracture
should be worked up with which of the following exams? -DEXA scan
Which of the following is an accurate description of amaurosis fugax? -The patient
describes several episodes of intermittent loss of vision in the right eye.
Which of the following is a common initial symptom of Alzheimer's disease? -Decrease
in short-term memory
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? -Iron deficiency anemia
Treatment for symptomatic aplastic anemia includes what? -Bone marrow transplant
Prophylactic antibiotics
PRBC/Platelet/WBC transfusions
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. What would indicate
a potential iron deficiency anemia? -MCV 67
MCHC 29
A 78-year-old male patient reports chronic infections, bruising, fatigue, SOB, and fevers.
He has a history of rectal adenocarcinoma and completed concurrent chemo/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? -
Bone marrow biopsy and flow cytometry
A patient with a known intrinsic factor autoantibody is at risk for developing which of the
following conditions? -B12 deficiency and pernicious anemia
Rationale: Causes of B12 deficiency include malabsorption and intrinsic factor
deficiency. Intrinsic factor deficiency is a result of gastric resection or IF autoantibody.
,A 35-year-old man presents with recurrent episodes of severe pain in his back, chest
and extremities. He has a history of sickle cell disease. What is the most appropriate
initial management during a pain crisis? -Hospitalization for IV fluids and opioids
Which of the following medication classes is the foundation of the care of heart failure
and has been shown to reduce mortality? -Beta blockers
An adult female with rheumatoid arthritis presents to the office for a follow up. She is
currently taking methotrexate and over the counter ibuprofen. Today she complains of
severe stomach pain and intense abdominal cramping. After the NP makes appropriate
adjustments to the patient's medication regimen, the patient still complains of abdominal
discomfort and reports dark stools. The practitioner suspects: -Gastric ulceration
A 43-year-old male with past medical history significant for GERD, smoking, and obesity
presents to your clinic for worsening GERD symptoms, he has been taking Protonix
40mg daily with no improvement. He had an EGD done with biopsy. Which findings
would diagnose the patient with Barret's esophagus? -Intestinal metaplasia with goblet
cells
Your patient presents with unilateral eye pain after a workplace exposure to a causative
substance. Which of the following techniques is useful to assist in removal of the agent?
-Flushing with Morgan lens
Your patient has a Le Fort III fracture and is admitted for close monitoring. Which of the
following represent a potential complication of this type of fracture? -Cerebrospinal fluid
leak
Which of the following best characterizes presbycusis in the older adult? -Bilateral high-
frequency sensorineural hearing loss
Which of the following refers to the primary access point of medical care patients are
encouraged to use to aid in providing continuity and reduction of cost per the Affordable
Care Act? -The Medical Home
Which of the following blood lead levels would likely require chelation therapy? ->100
mcg/dL
Which of the following is not a common mechanism of neutrophil expenditure and
resultant neutropenia? -Loss of circulating neutrophils in acute blood loss
A patient is taking warfarin, 4 mg daily for atrial fibrillation. The patient's current INR is
5.5 mg/dL. The nurse practitioner would: -Hold the warfarin for 1 day and then recheck
in two days
, A 35-year-old woman presents with fatigue, joint pain, and a butterfly-shaped rash on
her face. What is the most appropriate initial management in primary care? -Referral to
rheumatology
Long-term immunoglobulin that is carried fr generation to generation is likely which type
of immunoglobulin? -IgG
Your patient has been diagnosed with HIV and wants to know the goal of treatment with
"all these medications ". Which of the following represents the most reasonable goal in
the treatment of HIV? -Reducing viral load to an undetectable level
Patient with a new diagnosis of primary progressive multiple sclerosis are most likely to
benefit from treatment with which of the following agents? -Rituximab
Your patient has been noticing cracking and peeling in their hands and having some
vesicular rash component. Which of the following is not likely the diagnosis? -Psoriasis
Which diagnostic test is commonly used to identify fungal infections of the skin? -
Wood's lamp examination
Using the rule of palms, a patient with burn surface equivalent to 20 of the patient's
palms would be how many percent body surface area? -20 percent
Patients who present with decreased joint space of a lumbar vertebrae on X-ray are
likely diagnosed with which of the following chronic disease states? -Osteoarthritis
For primary prevention of osteoporosis in females, the US Preventative Task Force
recommends bone density screening: -At least once after age 65
An adult male presents complaining of a left ankle injury that occurred 2 days ago while
he was playing basketball. The patient cannot bear weight and ROM is limited by pain.
What acute injuries would be included in the differential diagnosis for this patient? -
Ankle sprain, ankle fracture
An adolescent football player presents to the urgent care with an acute knee injury. He
heard a pop when his knee buckled. The nurse practitioner notes a positive anterior
drawer test. The most likely diagnosis is injury to the: -Anterior cruciate ligament (ACL)
Your patient with a recent fall from the edge of the bathtub who developed a hip fracture
should be worked up with which of the following exams? -DEXA scan
Which of the following is an accurate description of amaurosis fugax? -The patient
describes several episodes of intermittent loss of vision in the right eye.
Which of the following is a common initial symptom of Alzheimer's disease? -Decrease
in short-term memory
