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Free Practice Quiz Question List

6 Integrated Clinical Cases and Review Online Quiz Questions

Use this free practice quiz with 20 questions to review 6 Integrated Clinical Cases and Review, test your knowledge, and prepare for your next test or exam.

20 questions
01
Written response
1 point

What is the term for TB infection that is not active TB disease?

02
True or false
1 point

True or false: Lupus nephritis can result from autoimmune injury to the body's own kidney tissues.

  1. A

    True

  2. B

    False

03
True or false
1 point

True or false: A transplant recipient taking immunosuppressive medication can safely wait several days to seek advice about a new fever if the symptoms seem mild.

  1. A

    True

  2. B

    False

04
Fill in the blank
1 point

In transplant care, immunosuppression helps prevent but increases susceptibility to .

05
Fill in the blank
1 point

In severe immunosuppression, a live vaccine may be unsafe because its weakened organism could still .

06
Choose one
1 point

A patient taking strong immunosuppressive medication is offered a live-attenuated vaccine. What should be checked before vaccination?

  1. A

    Whether the vaccine will cause a reduced immune response

  2. B

    Whether the live vaccine is safe for the person's degree of immunosuppression and treatment

  3. C

    Whether the patient has had a transplant within the past four months

  4. D

    Whether the vaccine can prevent autoimmune disease

07
Written response
1 point

A kidney-transplant recipient misses several doses of tacrolimus and then notices reduced urine output. What serious transplant complication must be considered?

08
Choose one
1 point

A patient with lupus nephritis taking prednisone and mycophenolate develops fever and a new cough. Why should infection be assessed promptly rather than assuming the symptoms are a lupus flare?

  1. A

    Because immunosuppressive treatment can increase infection risk, so infection needs prompt assessment before assuming a flare

  2. B

    Because fever and cough are sufficient evidence that lupus is damaging the kidneys

  3. C

    Because mycophenolate prevents infections but prednisone causes them

  4. D

    Because immunosuppressive treatment removes the possibility of a lupus flare

09
Choose all
1 point

Which factors can influence infection risk in a transplant recipient? Select all that apply.

  1. A

    Time since transplant

  2. B

    Whether the patient's symptoms seem mild

  3. C

    Intensity of immunosuppressive treatment

  4. D

    Whether the patient has a fever

  5. E

    The patient's clinical circumstances

10
Open ended
1 point

A patient with rheumatoid arthritis recalls a previous positive TB test but is unsure whether they were treated. They are preparing to start a TNF inhibitor. Explain what the care team should establish before therapy and why the medication makes this important.

11
Choose all
1 point

Before a patient with a previous positive TB test starts a TNF inhibitor, which statements should guide the care team's approach? Select all that apply.

  1. A

    Clarify the TB history and evaluate for TB infection or disease before proceeding

  2. B

    Treat a positive TB test as proof of active disease without further evaluation

  3. C

    Recognize that TNF inhibition can increase the risk of TB progressing to active disease

  4. D

    Assume that uncertainty about prior treatment means the patient has no TB-related risk

12
Choose one
1 point

A kidney-transplant recipient misses several tacrolimus doses and notices reduced urine output, but has no fever. What is the safest response?

  1. A

    Assume the reduced urine output proves rejection and increase tacrolimus without advice

  2. B

    Consider rejection and contact the transplant team promptly for assessment

  3. C

    Wait for fever before contacting the transplant team

  4. D

    Stop immunosuppressive medication until urine output returns to normal

13
Choose one
1 point

For a patient taking immunosuppressive medication, what is often the principal concern with a non-live vaccine?

  1. A

    The vaccine's weakened organism may cause harm

  2. B

    The immune response may be reduced

  3. C

    The vaccine necessarily causes active TB

  4. D

    The vaccine increases the risk of transplant rejection

14
True or false
1 point

Lupus nephritis involves immune activity that can injure the body’s own tissues, including the kidneys.

  1. A

    True

  2. B

    False

15
Choose one
1 point

Which statement best describes the trade-off of immunosuppressive treatment after a solid-organ transplant?

  1. A

    It reduces rejection risk and also lowers susceptibility to infection.

  2. B

    It reduces rejection risk but increases susceptibility to infection.

  3. C

    It increases rejection risk but lowers susceptibility to infection.

  4. D

    It increases both rejection risk and susceptibility to infection.

16
Written response
1 point

A patient has persistently low immunoglobulin levels, repeated bacterial sinus and lung infections, and several Giardia infections. Which immune function is most likely impaired?

17
Choose one
1 point

A patient taking strong immunosuppressive medication is offered a live-attenuated vaccine. Which statement best describes the general safety distinction between live and non-live vaccines?

  1. A

    Live vaccines are generally preferred in severe immunosuppression because they create a stronger response.

  2. B

    Live and non-live vaccines have the same main safety concern in severe immunosuppression.

  3. C

    Live vaccines may be unsafe in severe immunosuppression, while non-live vaccines may produce a reduced immune response.

  4. D

    Non-live vaccines are generally avoided because they contain a weakened organism that can cause infection.

18
Choose one
1 point

A patient with lupus nephritis taking prednisone and mycophenolate develops fever and a new cough. What is the most appropriate general response?

  1. A

    Assume the fever and cough are a lupus flare and increase immunosuppression immediately.

  2. B

    Assess promptly for infection instead of assuming the symptoms are a lupus flare.

  3. C

    Wait to assess for infection unless the patient develops a rash.

  4. D

    Stop both medicines without consulting the prescribing team.

19
Written response
1 point

What is the name for TB infection without active TB disease, which may be considered for treatment after active disease has been excluded?

20
Choose one
1 point

A patient with rheumatoid arthritis reports a previous positive TB test but is unsure whether they were treated. Before starting a TNF inhibitor, what should the care team do?

  1. A

    Start the TNF inhibitor because a past positive TB test indicates protection from active TB.

  2. B

    Repeat the TB test and start therapy if the result is still positive, without further evaluation.

  3. C

    Clarify the TB history and arrange clinical evaluation before proceeding because the medication can increase the risk of progression to active TB.

  4. D

    Begin treatment for latent TB immediately, without first assessing for active disease.