FHEA Exam: Questions With Correct Solutions (Rated A+)
Which of the following is not considered an acute-phase protein?
A. C-reactive protein
B. Haptoglobin
C. Hemoglobin
D. Fibrinogen Right Ans - C. Hemoglobin
All of the following are inflammation-associated cytokines except:
A. Interleukin-6.
B. TSH.
C. Interleukin-8.
D. TNF. Right Ans - B. TSH.
Which of the following laboratory findings is most likely present in an
individual with moderate-to-severe COVID-19?
A. Lymphocytosis
B. Decreased prothrombin time
C. Decreased lactate dehydrogenase (LDH)
D. C-reactive protein (CRP) >5 mg/L Right Ans - D. C-reactive protein (CRP)
>5 mg/L
Of the following adults, who is most likely to have the highest ESR when
healthy?
A. A 65-year-old woman
B. A 32-year-old man
C. A 45-year-old man
D. A 40-year-old woman Right Ans - A. A 65-year-old woman
The erythrocyte sedimentation rate can be falsely decreased by the presence
of:
A. Anisocytosis.
B. Anemia
C. Leukopenia.
,D. Macrocytosis. Right Ans - A. Anisocytosis.
Which of the following is most likely to be present at the time of rheumatoid
arthritis diagnosis?
A. Antinuclear antibodies
B. Neutropenia
C. Thrombocytopenia
D. Rheumatoid factor Right Ans - D. Rheumatoid factor
Which of the following findings is associated with early or preclinical RA?
A. High RF, positive anti-CCP antibody
B. High RF, negative anti-CCP antibody
C. Low RF, positive anti-CCP antibody
D. Low RF, negative anti-CCP antibody Right Ans - C. Low RF, positive anti-
CCP antibody
A 45-year-old man with hypertension, type 2 diabetes mellitus and
dyslipidemia presents with suspected drug-induced lupus erythematosus
(DILE). Of the following medications he is taking, which is most likely to be
implicated in DILE?
A. Trandolapril
B. Atenolol
C. Hydralazine
D. Clonidine Right Ans - C. Hydralazine
In a person with drug-induced lupus erythematosus, which of the following is
most likely to be absent?
A. Recurrent fever
B. Muscle or joint pain
C. Diffuse maculopapular rash
D. Serositis Right Ans - C. Diffuse maculopapular rash
Which of the following best describes the clinical course of drug-induced
lupus erythematosus?
,A. Progressive nephritis even with the discontinuation of the offending
medication
B. Resolution of symptoms and laboratory abnormalities upon
discontinuation of the offending medication
C. Resolution of symptoms with continued laboratory abnormalities upon
discontinuation of the offending medication
D. Continued symptoms with resolution of laboratory abnormalities upon
discontinuation of the offending medication Right Ans - B. Resolution of
symptoms and laboratory abnormalities upon discontinuation of the
offending medication
Anemia of chronic disease is present in approximately ______ of individuals
when initially diagnosed with RA.
A. 20%
B. 40%
C. 60%
D. 80% Right Ans - D. 80%
In which of the following conditions is the ANA test most likely to be positive?
A. Sjö gren's syndrome
B. Graves' disease
C. Dermatomyositis
D. Systemic lupus erythematosus Right Ans - D. Systemic lupus
erythematosus
Which of the following best indicates an evolving anemia?
A. Low MCV
B. Elevated MCV
C. Elevated RDW
D. Low MCHC Right Ans - C. Elevated RDW
Which of the following will most likely result in a normocytic, normochromic
anemia?
A. Beta thalassemia minor
B. Presence of a chronic inflammatory condition
, C. Long-term, excessive alcohol consumption
D. Lead toxicity Right Ans - B. Presence of a chronic inflammatory
condition
Which of the following is most consistent with a hemogram finding in iron
deficiency anemia?
A, Low MCV, low MCHC, NL RDW
B. Low MCV, low MCHC, elevated RDW
C. Elevated MCV, normal MCHC, NL RDW
D. Normal MCV, normal MCHC, elevated RDW Right Ans - B. Low MCV, low
MCHC, elevated RDW
All of the following are types of macrocytic anemia except:
A. Vitamin B12 deficiency.
B. Pernicious anemia.
C. Folate deficiency anemia.
D. Anemia of chronic disease. Right Ans - D. Anemia of chronic disease.
Concerning the evaluation of a red blood cell folate level, which of the
following is true?
A. Potentially falsely lowered in person with rapidly developing folate
deficiency
B. Influenced by dietary intake over the 24-hour period prior to the test
C. Remains stable throughout an individual RBC's lifespan
D. Evaluates vitamin C deficiency in a chronically ill person Right Ans - C.
Remains stable throughout an individual RBC's lifespan
During a routine examination of a 24-year-old woman of Asian ancestry, the
hemogram reveals a mild microcytic anemia with elevated RBC and normal
RDW. She does not report any symptoms and is otherwise well. The most
appropriate next-step test is:
A. Serum ferritin.
B. Fecal occult blood test.
C. Serum folate.
D. Hemoglobin electrophoresis. Right Ans - D. Hemoglobin electrophoresis.
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