NR667 CHAMBERLAIN CE A WEEK 8 EXIT
EXAM | QUESTIONS AND ANSWERS | 100%
CORRECT | GRADE A – CHAMBERLAIN
Question : A patient currently undergoing concurrent
chemotherapy/radiation treatment for glottic squamous cell carcinoma is admitted to the rehab unit you oversee for management of intractable nausea, vomiting, 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
Correct answer: D
Question : Your patient presents to the urgent care clinic with
a 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
Correct answer: C
Question : Which of the following best characterizes
presbycusis 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 (d) Unilateral low-frequency sensorineural hearing loss
Correct answer: B
Question : A 35-year-old woman presents with allergic
rhinitis, experiencing significant nasal congestion, sneezing, and itchy eyes. She has tried over-the-counter antihistamines with limited relief. What is the most appropriate next step in management?(a) Oral decongestants (b) Nasal saline irrigation (c) Intranasal corticosteroids (d) Referral to an allergist for immunotherapy
Correct answer: C
Question : A 78 y.o. M patient reports chronic infections,
bruising, fatigue, SOB, and fevers. He has a history of rectal adenocarcinoma and completed concurrent chemotherapy/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?(a) Colonoscopy and fecal occult blood test (b) Bone marrow biopsy and flow cytometry (c) No additional work-up is required, these are expected sequela of his oncologic treatment (d) Repeat CBC/CMP/peripheral smear in eight weeks
Correct answer: B
Question : Progression to Acute Myelogenous Leukemia
(AML) is a risk for untreated or poorly responsive:
(a) Pancytopenia (b) Aplastic anemia (c) Macrocytic anemia (d) Myelodysplastic syndrome
Correct answer: D
Question : Treatment for symptomatic aplastic anemia
includes all the following except:
(a) Bone marrow transplant (b) PRBC/Platelet/WBC transfusions (c) Prophylactic antibiotics (d) Removal of bone marrow stimulants
Correct answer: D
Question : A patient diagnosed with iron deficiency anemia
requires iron supplementation. Which of the following treatments would likely be ineffective?(a) Ferrous sulfate 325 mg PO BID for a 43 y.o. F s/p gastric bypass 2 years ago (b) Iron sucrose 200 mg IV infusion weekly x 8 weeks in a 26 y.o. F at 34 weeks of pregnancy (c) Ferrous sulfate 325 mg PO TID for a 25 y.o. F with menorrhagia (d) Ferrous sulfate 325 mg PO BID for a 63 y.o. M with ulcerative colitis
Correct answer: A
Question : Which of the following is not a common
mechanism of neutrophil expenditure and resultant neutropenia?(a) Decreased neutrophil production in the bone marrow (b) Redistribution of neutrophils to the spleen or vascular endothelium (c) Loss of circulating neutrophils in acute blood loss (d) Immune destruction
Correct answer: C
Question : Which of the following blood lead levels (BLL)
would likely require chelation therapy?(a) < 80 mcg/dL