Page 1 of 73
USPA D LICENSE EXAM QUESTIONS AND CORRECT VERIFIED
SOLUTIONS LATEST UPDATE THIS YEAR – JUST RELEASED
Part 1: Patient Assessment & Pain History (Questions 1-35)
1. What is the most important initial question when a patient reports pain?
A) "Can you rate your pain?"
B) "When did the pain start?"
C) "How has the pain changed over time?"
D) "What makes it better or worse?"
Answer: B – When determining the nature and possible cause of pain, the duration and onset
are critical initial questions to establish the timeline of symptoms .
2. What pain scale is most appropriate for an alert adult who can communicate?
A) Wong-Baker Faces scale
B) Numeric Rating Scale (0-10)
C) FLACC scale
D) CRIES scale
*Answer: B – The Numeric Rating Scale (0-10) is the standard for alert, communicating adults.
FLACC and CRIES are for infants/children, and Wong-Baker is typically used in pediatrics .*
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3. Tanner Bailey's back pain began after what event?
A) A motor vehicle accident
B) Lifting a box at work
C) A fall at home
D) Playing sports
Answer: B – Tanner's pain started 13 weeks ago after lifting a box at work .
4. How long has Tanner Bailey had back pain at the time of the exam?
A) 4 weeks
B) 8 weeks
C) 13 weeks
D) 26 weeks
Answer: C – Tanner reports his back pain started 13 weeks ago after a workplace injury .
5. Tanner reports that which of the following makes his back pain worse?
A) Shifting position
B) Lying down
C) Prolonged standing or sitting
D) Walking
Answer: C – Tanner reports that prolonged standing or sitting makes his pain worse, while
shifting position provides relief .
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6. A pain description of "burning and tingling" suggests:
A) Nociceptive pain
B) Neuropathic pain
C) Visceral pain
D) Referred pain
Answer: B – Neuropathic pain (nerve-related) is often described as burning, tingling, or
shooting .
7. What is Tanner Bailey's occupation?
A) Construction worker
B) Theater director
C) Teacher
D) Office manager
Answer: B – Tanner is a theater director with steady but low income .
8. Tanner identifies his gender identity as:
A) Male (cisgender)
B) Female (cisgender)
C) Transgender male (female-to-male)
D) Non-binary
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Answer: C – Tanner identifies as a transgender male (female-to-male) and has been taking
testosterone for gender-affirmation therapy for two years .
9. What gender-affirming medication does Tanner take?
A) Estrogen
B) Spironolactone
C) Testosterone enanthate
D) Progesterone
*Answer: C – Tanner takes testosterone enanthate 100 mg IM weekly for gender-affirmation
therapy .*
10. How long has Tanner been taking testosterone?
A) 6 months
B) 1 year
C) 2 years
D) 5 years
Answer: C – Tanner reports having taken testosterone for two years .
11. When was Tanner's most recent testosterone dose?
A) One week ago
B) Three days ago
USPA D LICENSE EXAM QUESTIONS AND CORRECT VERIFIED
SOLUTIONS LATEST UPDATE THIS YEAR – JUST RELEASED
Part 1: Patient Assessment & Pain History (Questions 1-35)
1. What is the most important initial question when a patient reports pain?
A) "Can you rate your pain?"
B) "When did the pain start?"
C) "How has the pain changed over time?"
D) "What makes it better or worse?"
Answer: B – When determining the nature and possible cause of pain, the duration and onset
are critical initial questions to establish the timeline of symptoms .
2. What pain scale is most appropriate for an alert adult who can communicate?
A) Wong-Baker Faces scale
B) Numeric Rating Scale (0-10)
C) FLACC scale
D) CRIES scale
*Answer: B – The Numeric Rating Scale (0-10) is the standard for alert, communicating adults.
FLACC and CRIES are for infants/children, and Wong-Baker is typically used in pediatrics .*
, Page 2 of 73
3. Tanner Bailey's back pain began after what event?
A) A motor vehicle accident
B) Lifting a box at work
C) A fall at home
D) Playing sports
Answer: B – Tanner's pain started 13 weeks ago after lifting a box at work .
4. How long has Tanner Bailey had back pain at the time of the exam?
A) 4 weeks
B) 8 weeks
C) 13 weeks
D) 26 weeks
Answer: C – Tanner reports his back pain started 13 weeks ago after a workplace injury .
5. Tanner reports that which of the following makes his back pain worse?
A) Shifting position
B) Lying down
C) Prolonged standing or sitting
D) Walking
Answer: C – Tanner reports that prolonged standing or sitting makes his pain worse, while
shifting position provides relief .
, Page 3 of 73
6. A pain description of "burning and tingling" suggests:
A) Nociceptive pain
B) Neuropathic pain
C) Visceral pain
D) Referred pain
Answer: B – Neuropathic pain (nerve-related) is often described as burning, tingling, or
shooting .
7. What is Tanner Bailey's occupation?
A) Construction worker
B) Theater director
C) Teacher
D) Office manager
Answer: B – Tanner is a theater director with steady but low income .
8. Tanner identifies his gender identity as:
A) Male (cisgender)
B) Female (cisgender)
C) Transgender male (female-to-male)
D) Non-binary
, Page 4 of 73
Answer: C – Tanner identifies as a transgender male (female-to-male) and has been taking
testosterone for gender-affirmation therapy for two years .
9. What gender-affirming medication does Tanner take?
A) Estrogen
B) Spironolactone
C) Testosterone enanthate
D) Progesterone
*Answer: C – Tanner takes testosterone enanthate 100 mg IM weekly for gender-affirmation
therapy .*
10. How long has Tanner been taking testosterone?
A) 6 months
B) 1 year
C) 2 years
D) 5 years
Answer: C – Tanner reports having taken testosterone for two years .
11. When was Tanner's most recent testosterone dose?
A) One week ago
B) Three days ago
