NGR 6172 TEST 1 STUDY GUIDE
COMPREHENSIVE EXAM SCRIPT 2026
COMPLETE QUESTIONS AND SOLUTIONS
GRADED A+
⩥ The primary care provider (PCP) is assessing a patient who has a
history of established rheumatoid arthritis (RA) currently taking
methotrexate for treatment. The patient complains of recent increase in
frequency of headaches, increased fatigue, and persistent canker sores.
The provider should:
A - instruct the patient to take Tylenol as needed for headaches and
Orajel for canker sore relief.
B - prescribe 10 mg of vitamin B3 supplement daily.
C - order a CT scan of the head.
D - prescribe 1 mg folic acid supplement daily. Answer: D - Prescribe 1
mg folic acid supplement daily
⩥ A patient is taking dexamethasone orally twice daily for the treatment
of acute bursitis. The patient tells their primary care provider that they
have been having a lot of trouble sleeping since the start of the
medication and trouble staying awake during the day. When the provider
enquires about the time of day the patient is taking their medication, they
respond with "Whenever I remember to take it." What is the best
response by the provider?
,A - "Set an alarm for 7:30 AM and 4 PM, as taking your medication at
these times should help you sleep better."
B - "Take the first dose at 10 AM and the second dose before bedtime, as
taking your medication at these times should help you sleep better."
C - "Take only half a pill for your second dose, which should decrease
the severity of sleep disturbance."
D - "Try to take a nap in the afternoon to help catch up on lost sleep.".
Answer: A - "Set an alarm for 7:30 AM and 4 PM, as taking your
medication at these times should help you sleep better."
⩥ A patient presents to the clinic wanting to get their annual flu
vaccination and is requesting to get the intranasal form "FluMist." The
primary care provider notices during chart review that the patient is
currently on long-term steroid therapy following a kidney transplant 5
years ago. The provider should:
A - administer the normal intranasal dose.
B - offer the inactivated flu IM vaccine instead.
C - remind the patient that they can no longer receive flu vaccines due to
the steroids.
D - administer only half of the normal intranasal dose.. Answer: B -
Offer the inactivated flu IM instead
⩥ A 70-year-old patient describes moderate pain associated with
osteoarthritis (OA) in their fingers, thumbs, hips, and knees. The patient
is currently taking high-dose acetaminophen with only mild relief. The
patient has a strong family history of cardiovascular disease and has
,been diagnosed with hypertension. To help alleviate this patient's pain,
the primary care provider should consider prescribing:
A - Naproxen 250 mg twice daily and aspirin 81 mg once daily.
B - Aspirin 325 mg every 4 hours as needed.
C - Ibuprofen 600 mg three times daily and aspirin 81 mg once daily.
D - Celecoxib 100 mg twice daily and aspirin 81 mg once daily..
Answer: A - Naproxen 250 mg twice daily and aspirin 81 mg once daily
OR
B - Aspirin 325 mg every 4 hours as needed
⩥ The primary care provider is talking with an adolescent patient who
reports moderate to severe primary dysmenorrhea. The provider
recommends Ponstel (mefenamic acid) and counsels the patient about its
proper use. Which statement by the patient indicates a need for further
teaching?
A - "I can drink a glass of milk before taking the medication to reduce
GI upset."
B - "I will take this medicine every 6 hours as needed for 2-3 days."
C - "I will take 500 mg at the start of my period."
D - "I will begin taking these 1-3 days before my period begins.".
Answer: D - "I will begin taking these 1-3 days before my period
begins."
⩥ A pediatric primary care provider is examining a toddler who was
brought in by their mother after she noticed the child developing
, increased fatigue and had several episodes of diarrhea. The mother
relays to the provider that her child has been recovering from the flu
over the past week and she has been giving them "baby aspirin" to help
with fevers and discomfort, but that these new symptoms started over
the past day or so. The provider should:
A - advise the mother to switch to children's Tylenol until symptoms
improve.
B - discontinue the aspirin and have the mother encourage fluid intake
until symptoms pass.
C - prescribe a one-time dose of Imodium and instruct the mother to feed
the child bland foods for several days.
D - send the child to the nearest ER.. Answer: D - send child to the
nearest ER
⩥ A primary care provider is managing chronic oral steroid therapy for
one of their patients. The patient has just recently attained the desired
therapeutic response. At this time, the provider should:
A - leave the patient on the current dose for 2 weeks and then taper and
discontinue.
B - slowly reduce the dose until the lowest dosage with adequate
response is achieved.
C - immediately begin tapering the dose until able to discontinue.
D - leave the patient on the current dose indefinitely.. Answer: B -
slowly reduce the dose until the lowest dosage with adequate response is
achieved
COMPREHENSIVE EXAM SCRIPT 2026
COMPLETE QUESTIONS AND SOLUTIONS
GRADED A+
⩥ The primary care provider (PCP) is assessing a patient who has a
history of established rheumatoid arthritis (RA) currently taking
methotrexate for treatment. The patient complains of recent increase in
frequency of headaches, increased fatigue, and persistent canker sores.
The provider should:
A - instruct the patient to take Tylenol as needed for headaches and
Orajel for canker sore relief.
B - prescribe 10 mg of vitamin B3 supplement daily.
C - order a CT scan of the head.
D - prescribe 1 mg folic acid supplement daily. Answer: D - Prescribe 1
mg folic acid supplement daily
⩥ A patient is taking dexamethasone orally twice daily for the treatment
of acute bursitis. The patient tells their primary care provider that they
have been having a lot of trouble sleeping since the start of the
medication and trouble staying awake during the day. When the provider
enquires about the time of day the patient is taking their medication, they
respond with "Whenever I remember to take it." What is the best
response by the provider?
,A - "Set an alarm for 7:30 AM and 4 PM, as taking your medication at
these times should help you sleep better."
B - "Take the first dose at 10 AM and the second dose before bedtime, as
taking your medication at these times should help you sleep better."
C - "Take only half a pill for your second dose, which should decrease
the severity of sleep disturbance."
D - "Try to take a nap in the afternoon to help catch up on lost sleep.".
Answer: A - "Set an alarm for 7:30 AM and 4 PM, as taking your
medication at these times should help you sleep better."
⩥ A patient presents to the clinic wanting to get their annual flu
vaccination and is requesting to get the intranasal form "FluMist." The
primary care provider notices during chart review that the patient is
currently on long-term steroid therapy following a kidney transplant 5
years ago. The provider should:
A - administer the normal intranasal dose.
B - offer the inactivated flu IM vaccine instead.
C - remind the patient that they can no longer receive flu vaccines due to
the steroids.
D - administer only half of the normal intranasal dose.. Answer: B -
Offer the inactivated flu IM instead
⩥ A 70-year-old patient describes moderate pain associated with
osteoarthritis (OA) in their fingers, thumbs, hips, and knees. The patient
is currently taking high-dose acetaminophen with only mild relief. The
patient has a strong family history of cardiovascular disease and has
,been diagnosed with hypertension. To help alleviate this patient's pain,
the primary care provider should consider prescribing:
A - Naproxen 250 mg twice daily and aspirin 81 mg once daily.
B - Aspirin 325 mg every 4 hours as needed.
C - Ibuprofen 600 mg three times daily and aspirin 81 mg once daily.
D - Celecoxib 100 mg twice daily and aspirin 81 mg once daily..
Answer: A - Naproxen 250 mg twice daily and aspirin 81 mg once daily
OR
B - Aspirin 325 mg every 4 hours as needed
⩥ The primary care provider is talking with an adolescent patient who
reports moderate to severe primary dysmenorrhea. The provider
recommends Ponstel (mefenamic acid) and counsels the patient about its
proper use. Which statement by the patient indicates a need for further
teaching?
A - "I can drink a glass of milk before taking the medication to reduce
GI upset."
B - "I will take this medicine every 6 hours as needed for 2-3 days."
C - "I will take 500 mg at the start of my period."
D - "I will begin taking these 1-3 days before my period begins.".
Answer: D - "I will begin taking these 1-3 days before my period
begins."
⩥ A pediatric primary care provider is examining a toddler who was
brought in by their mother after she noticed the child developing
, increased fatigue and had several episodes of diarrhea. The mother
relays to the provider that her child has been recovering from the flu
over the past week and she has been giving them "baby aspirin" to help
with fevers and discomfort, but that these new symptoms started over
the past day or so. The provider should:
A - advise the mother to switch to children's Tylenol until symptoms
improve.
B - discontinue the aspirin and have the mother encourage fluid intake
until symptoms pass.
C - prescribe a one-time dose of Imodium and instruct the mother to feed
the child bland foods for several days.
D - send the child to the nearest ER.. Answer: D - send child to the
nearest ER
⩥ A primary care provider is managing chronic oral steroid therapy for
one of their patients. The patient has just recently attained the desired
therapeutic response. At this time, the provider should:
A - leave the patient on the current dose for 2 weeks and then taper and
discontinue.
B - slowly reduce the dose until the lowest dosage with adequate
response is achieved.
C - immediately begin tapering the dose until able to discontinue.
D - leave the patient on the current dose indefinitely.. Answer: B -
slowly reduce the dose until the lowest dosage with adequate response is
achieved
