PRIMARY CARE ART AND SCIENCE OF
ADVANCED COMPREHENSIVE TEST 2026
QUESTIONS WITH FULL SOLUTION VERIFIED
◉ Mimi, age 52, asks why she should perform a monthly breast self-
examination (BSE) when she has her mammograms on schedule.
You respond:
1.
"If you are faithful about your annual exams and mammograms, that
is enough."
2.
"More breast abnormalities are picked up by mammograms than by
clinical exams or BSE."
3.
"More than 90% of all breast abnormalities are first detected by self-
examination."
4.
"Self-examinations need to be performed only every other month."
Answer: "More than 90% of all breast abnormalities are first
detected by self-examination."
◉ Julia, age 18, asks you how many calories of fat she is eating when
1 serving has 3 g of fat. You tell her:
,1.
12 cal.
2.
18 cal.
3.
27 cal.
4.
30 cal. Answer: 27 cal.
◉ What is the most common bacterial pathogen associated with
acute otitis media?
1.
Streptococcus pneumoniae.
2.
Haemophilus influenzae.
3.
Streptococcus pyogenes.
4.
Moraxella (Branhamella) catarrhalis. Answer: Streptococcus
pneumoniae.
,◉ You prescribe Levaquin (levofloxacin) for a severe sinus infection.
What is not a possible adverse reaction to this medication?
1.
Achilles tendon rupture.
2.
Peripheral neuropathy.
3.
Nephrotoxicity.
4.
Stevens-Johnson syndrome. Answer: Stevens-Johnson syndrome.
◉ Which of the following is not a complication of untreated group A
streptococcal pharyngitis?
1.
Glomerulonephritis.
2.
Rheumatic heart disease.
3.
Scarlet fever.
4.
Hemolytic anemia. Answer: Hemolytic anemia.
, ◉ What is the most common cause of epistaxis?
1.
Digital trauma.
2.
Warfarin.
3.
Vitamin C deficiency.
4.
Hemophilia A. Answer: Digital trauma.
◉ You are the nurse practitioner caring for Martha, a 47-year-old
accountant. You have made a diagnosis of acute sinusitis based on
Martha's history and the fact that she complains of pain behind her
eye. Which sinuses are affected?
1.
Maxillary.
2.
Ethmoid.
3.
Frontal.
4.
Sphenoid. Answer: Ethmoid.
ADVANCED COMPREHENSIVE TEST 2026
QUESTIONS WITH FULL SOLUTION VERIFIED
◉ Mimi, age 52, asks why she should perform a monthly breast self-
examination (BSE) when she has her mammograms on schedule.
You respond:
1.
"If you are faithful about your annual exams and mammograms, that
is enough."
2.
"More breast abnormalities are picked up by mammograms than by
clinical exams or BSE."
3.
"More than 90% of all breast abnormalities are first detected by self-
examination."
4.
"Self-examinations need to be performed only every other month."
Answer: "More than 90% of all breast abnormalities are first
detected by self-examination."
◉ Julia, age 18, asks you how many calories of fat she is eating when
1 serving has 3 g of fat. You tell her:
,1.
12 cal.
2.
18 cal.
3.
27 cal.
4.
30 cal. Answer: 27 cal.
◉ What is the most common bacterial pathogen associated with
acute otitis media?
1.
Streptococcus pneumoniae.
2.
Haemophilus influenzae.
3.
Streptococcus pyogenes.
4.
Moraxella (Branhamella) catarrhalis. Answer: Streptococcus
pneumoniae.
,◉ You prescribe Levaquin (levofloxacin) for a severe sinus infection.
What is not a possible adverse reaction to this medication?
1.
Achilles tendon rupture.
2.
Peripheral neuropathy.
3.
Nephrotoxicity.
4.
Stevens-Johnson syndrome. Answer: Stevens-Johnson syndrome.
◉ Which of the following is not a complication of untreated group A
streptococcal pharyngitis?
1.
Glomerulonephritis.
2.
Rheumatic heart disease.
3.
Scarlet fever.
4.
Hemolytic anemia. Answer: Hemolytic anemia.
, ◉ What is the most common cause of epistaxis?
1.
Digital trauma.
2.
Warfarin.
3.
Vitamin C deficiency.
4.
Hemophilia A. Answer: Digital trauma.
◉ You are the nurse practitioner caring for Martha, a 47-year-old
accountant. You have made a diagnosis of acute sinusitis based on
Martha's history and the fact that she complains of pain behind her
eye. Which sinuses are affected?
1.
Maxillary.
2.
Ethmoid.
3.
Frontal.
4.
Sphenoid. Answer: Ethmoid.
