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APEA Exam with Answers – IMMUNOLOGY
- An older adult has suspected B12 deficiency. Which of the following lab is more indicative of a B12 deficiency?
- What is the usual recommendation about administering MMR and varicella immunizations?
- Besides inadequate intake of vitamin D in older adults, which other factor contributes to deficiencies?
- What statement is true about anemia in older adults?
- An older adult has suspected B12 deficiency. Which of the following lab indices is most indicative of a B12 deficiency?
- A mother reports that her child is not allergic to chicken but is allergic to ducks and duck feathers. This child is 4 years old today. Which immunization should he receive?
- A 34-year-old female has been recently diagnosed with rheumatoid arthritis and is being cared for a rheumatologist. Her current medication list includes methotrexate, levothyroxine, and Depo-Provera contraceptive. She presents to your primary clinic for her annual examination. What diagnosis is likely?
- An 18-year-old female patient has iron-deficiency anemia. If this anemia has occurred in the past 3-4 months, what might be expected?
- An African American male complains of pain in his back and trunk. He is diagnosed with multiple myeloma. His is probably:
- A patient complains of numbness and tingling in both hands. He has the following lab values. The nurse practitioner should suspect:
- A patient with pernicious anemia may be observed to have:
- A full-term newborn is diagnosed with hyperbilirubinemia. When would his bilirubin levels be expected to peak?
- A patient cut himself on the fence post while working outside. He has not had a tetanus shot in more than 10 years. How long can he wait before getting the immunization and still prevent tetanus?
- A female patient has been diagnosed with Glucose-6-phosphate dehydrogenase deficiency (G6PD). What should be done to prevent the lysis of red cells in this patient?
- Restless legs syndrome is part of the differential diagnosis for Mr. Wheaton. What should be part of the laboratory workup?
- Lead toxicity can be associated with:
- A child and father live in a house that was built in the 1960s. They both are found to be lead toxic. Which type of anemia is typically observed in patients who are lead-toxic?
- The Epstein-Barr virus is responsible for:
- Which of the following tests, if positive, is part of the criteria for systemic lupus erythematosus (SLE)?
- Which white cell should be present in the greatest number in a patient who is healthy today?
- A 72-year-old male has been diagnosed with anemia. Which of the following statements is true?
- A patient demonstrates leukocytosis. This means:
- A definitive diagnosis of sickle cell anemia can be made be:
- A 70-year-old male who is a smoker has lymph nodes in his axillary and inguinal areas that are palpable but non-tender. He states that he feels well today. However, he has a nonproductive cough for the past 4 weeks. What should be included in a differential diagnosis for this patient?
- Which disease listed below can be associated with lymphocytosis?
- Which hallmark finding is associated with both B12 and folate deficiencies?
- MMR immunization is safe in children:
- A patient has had an allergic reaction to seafood with anaphylaxis 48 hours ago. Which white cell will probably be abnormal?
- An older adult has suspected vitamin B12 deficiency. Which of the following lab indices is more indicative of a vitamin B12 deficiency?
- A female vegetarian presents to your clinic with symptoms of fatigue. What can the NP suggest she eat to help with the resolution of iron deficiency anemia?
- A vitamin B12 deficiency might be suspected in an older patient with what complaints?