NU 664B / NU664B Final Exam Actual
Exam 2026/2027 | Primary Care of
Family I | Regis | Questions with Verified
Answers | 100% Correct | Pass
Guaranteed
Q001: A healthy 24-year-old G0 presents for her first
Pap smear. She is sexually active with one male
partner and has no history of abnormal bleeding.
According to 2026 USPSTF guidelines, at what age
should cervical cancer screening begin?
A. 21 years - CORRECT
B. 25 years
C. 30 years
D. 35 years
ANSWER: A
P a g e 1 | 41
,Q002: A 45-year-old man with well-controlled
hypertension (BP 128/78 on lisinopril 10 mg daily)
asks how often he should have his blood pressure
checked in primary care. Which interval is most
appropriate?
A. Monthly
B. Every 3 months
C. Annually - CORRECT
D. Every 2 years
ANSWER: C
Q003: A 16-year-old female athlete presents for a
sports physical. She reports menarche at age 13 and
has 4-5 periods per year. BMI is 20 kg/m². Which
initial evaluation is most appropriate?
A. Reassure that irregular cycles are normal in first 2
years post-menarche - CORRECT
B. Order pelvic ultrasound immediately
C. Start combined oral contraceptive pills
D. Check FSH and LH levels
P a g e 2 | 41
,ANSWER: A
Q004: A 60-year-old woman with 20-year history of
type 2 diabetes (A1C 7.2%, BP 130/80, LDL 78 on
atorvastatin 20 mg) asks about aspirin for primary
prevention of cardiovascular disease. What is the
most appropriate recommendation?
A. Start 81 mg aspirin daily
B. Start 325 mg aspirin daily
C. Do not start aspirin; risk outweighs benefit at her
A1C - CORRECT
D. Defer to cardiologist
ANSWER: C
Q005: A 35-year-old man requests screening for
hepatitis C. He has no risk factors and feels well.
Which USPSTF 2026 recommendation applies?
A. Screen once at age 35 - CORRECT
B. Screen only if ALT elevated
C. No screening needed
D. Screen every 5 years
P a g e 3 | 41
, ANSWER: A
Q006: A 28-year-old G1P0 at 24 weeks’ gestation
has BP 148/92 on two occasions 4 h apart, trace
proteinuria, and no symptoms. Which management
is most appropriate?
A. Start labetalol 200 mg BID
B. Schedule NST weekly
C. Re-check BP in 1 week; diagnose gestational
hypertension - CORRECT
D. Admit for magnesium sulfate
ANSWER: C
Q007: A 42-year-old woman reports 3 months of
heavy mimesis, soaking 8 pads/day, cycles q24d.
Hgb 10.8 g/dL. Pelvic exam normal. Which initial
test is best?
A. Pelvic ultrasound - CORRECT
B. Endometrial biopsy
C. FSH and LH
D. CBC only
P a g e 4 | 41
Exam 2026/2027 | Primary Care of
Family I | Regis | Questions with Verified
Answers | 100% Correct | Pass
Guaranteed
Q001: A healthy 24-year-old G0 presents for her first
Pap smear. She is sexually active with one male
partner and has no history of abnormal bleeding.
According to 2026 USPSTF guidelines, at what age
should cervical cancer screening begin?
A. 21 years - CORRECT
B. 25 years
C. 30 years
D. 35 years
ANSWER: A
P a g e 1 | 41
,Q002: A 45-year-old man with well-controlled
hypertension (BP 128/78 on lisinopril 10 mg daily)
asks how often he should have his blood pressure
checked in primary care. Which interval is most
appropriate?
A. Monthly
B. Every 3 months
C. Annually - CORRECT
D. Every 2 years
ANSWER: C
Q003: A 16-year-old female athlete presents for a
sports physical. She reports menarche at age 13 and
has 4-5 periods per year. BMI is 20 kg/m². Which
initial evaluation is most appropriate?
A. Reassure that irregular cycles are normal in first 2
years post-menarche - CORRECT
B. Order pelvic ultrasound immediately
C. Start combined oral contraceptive pills
D. Check FSH and LH levels
P a g e 2 | 41
,ANSWER: A
Q004: A 60-year-old woman with 20-year history of
type 2 diabetes (A1C 7.2%, BP 130/80, LDL 78 on
atorvastatin 20 mg) asks about aspirin for primary
prevention of cardiovascular disease. What is the
most appropriate recommendation?
A. Start 81 mg aspirin daily
B. Start 325 mg aspirin daily
C. Do not start aspirin; risk outweighs benefit at her
A1C - CORRECT
D. Defer to cardiologist
ANSWER: C
Q005: A 35-year-old man requests screening for
hepatitis C. He has no risk factors and feels well.
Which USPSTF 2026 recommendation applies?
A. Screen once at age 35 - CORRECT
B. Screen only if ALT elevated
C. No screening needed
D. Screen every 5 years
P a g e 3 | 41
, ANSWER: A
Q006: A 28-year-old G1P0 at 24 weeks’ gestation
has BP 148/92 on two occasions 4 h apart, trace
proteinuria, and no symptoms. Which management
is most appropriate?
A. Start labetalol 200 mg BID
B. Schedule NST weekly
C. Re-check BP in 1 week; diagnose gestational
hypertension - CORRECT
D. Admit for magnesium sulfate
ANSWER: C
Q007: A 42-year-old woman reports 3 months of
heavy mimesis, soaking 8 pads/day, cycles q24d.
Hgb 10.8 g/dL. Pelvic exam normal. Which initial
test is best?
A. Pelvic ultrasound - CORRECT
B. Endometrial biopsy
C. FSH and LH
D. CBC only
P a g e 4 | 41
