What is the gold standard for the suspected diagnosis of Celiac
Disease? Correct Answers Endoscopy with small intestine
biopsy
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? Correct Answers EGFR mutation
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? Correct Answers 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.
-- What is the appropriate diagnosis for this patient? Correct
Answers Crohn's disease
A 12-year-old-child patient presents to the clinic and report
signs and symptoms consistent with asthma. How would the
healthcare professional objectively confirm this diagnosis?
Correct Answers Measure expiratory flow rate and spirometry
testing
A 16-year-old female presents to primary care accompanied by
her mother with complaints of chronic fatigue, muscle aches,
headaches, and dizziness for the last several months with
increasing frequency and severity. The patient is a high school
student, and she reports that she passed out today during
chemistry. The patient is in a healthy, new relationship with a
student at her school. She reports using over-the-counter
ibuprofen (Motrin) three times over the last week to manage her
symptoms. The assessment findings include a blood pressure of
89/58, P 92 and R 22. The patient is 5 feet, 2 inches tall and
weighs 103 pounds. On palpation, the thyroid is not enlarged.
The patient has a normal sinus rhythm and regular rate. Lung
sounds are clear bilaterally. Her abdomen is soft and bowel
sounds are present in all four quadrants. She has a steady gait,
though verbally complains of feeling weak and off balance upon
ambula Correct Answers Rowing
, A 17-year-old male patient presents to a clinic for a physical,
and he has a diagnosis of moderate glucose-6-phosphate
dehydrogenase (G6PD) deficiency. During the exam, he states
he is going to study abroad in Egypt during his sophomore year,
and he has concerns about his nutrition while being away from
home. Which counseling about the patient's deficiency should
the advanced professional nurse (APN) give to this patient while
he studies abroad? Correct Answers Acetaminophen (Tylenol)
is safe to consume.
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? Correct Answers 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.
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