3Ps Final Practice Exam Question Bank
COMPREHENSIVE 2025–2026 Accurate Real
Exam Questions and Verified Correct Answers
JUST RELEASED
the American psychiatric association's diagnostic and statistical manual of mental
disorder defines Munchausen Syndrome by Proxy as:
a. a self-inflicted injury to gain attention
b. a caregiver making up or causing an illness or injury in a person under his or her care
c. an abusive behavior that does not involve the caregiver
d. a situation in which the abuser is often inattentive and uncaring toward the victim -
answer>>>b. a caregiver making up or causing an illness or injury in a person under his or
her care
Examination of the hair reveals a fine silky appearance. This finding may be seen in
patients that have:
a. hypothyroidism
b. hyperthyroidism
c. type 2 diabetes
d. celiac disease - answer>>>b. hyperthyroidism
Explanation:
Fine, silky hair is a classic physical sign of hyperthyroidism. It results from the increased
metabolic rate and excess thyroid hormones, which affect skin and hair texture.
Additional signs of hyperthyroidism include:
Warm, moist skin
Weight loss despite increased appetite
Heat intolerance
Tachycardia or palpitations
Tremors
Anxiety or irritability
Why not the other options?
a. Hypothyroidism → Typically causes dry, coarse, brittle hair
,c. Type 2 diabetes → May affect skin and peripheral circulation but doesn't cause silky
hair
d. Celiac disease → Can cause malabsorption and hair thinning, but not silky hair texture
A patient develops a cough secondary to an angiotensin-converting-enzyme (ACE). The
most appropriate statement related to ACE-1 cough is that the cough typically:
a. resolves within a week after stopping the ACE inhibitor
b. resolves with splitting the daily dose to twice daily dosing
c. occurs with an angiotension II receptor blocker (ARB)
d. affects men more than women - answer>>>a. resolves within a week after stopping the
ACE inhibitor
Explanation:
A dry, persistent cough is a well-known side effect of ACE inhibitors (e.g., lisinopril,
enalapril). It is thought to be due to accumulation of bradykinin and substance P in the
respiratory tract.
Key points about ACE inhibitor-induced cough:
It is non-productive, persistent, and can occur days to months after starting the
medication.
The cough typically resolves within days to a few weeks after discontinuing the ACE
inhibitor — usually within 1 week, though sometimes it may take up to 4 weeks.
It is more common in women and non-smokers, not men.
It does not occur with ARBs (like losartan or valsartan), which is why ARBs are often used
as an alternative in patients who develop the ACE cough.
Splitting the dose does not resolve the cough.
Why not the other options?
b. Splitting the dose → ❌ Doesn't reduce the cough
c. Occurs with ARBs → ❌ ARBs are less likely to cause cough and are used as substitutes
d. Affects men more than women → ❌ It actually occurs more commonly in women
A patient with a diagnosis of giardiasis is being treated with metronidazole (flagyl). What
information would be important to obtain before prescribing this medication?
a. if the patient is allergic to sulfa
b. if the patient has peptic ulcer disease
c. if the patient is at least 18 years of age
d. if the patient drinks alcohol - answer>>>d. if the patient drinks alcohol
,Explanation:
Metronidazole (Flagyl) can cause a severe disulfiram-like reaction when taken with
alcohol. This reaction includes:
Nausea and vomiting
Flushing
Tachycardia
Hypotension
Patients should be advised to avoid alcohol during treatment and for at least 48 hours
after completing the medication.
Why not the other options?
a. Allergy to sulfa → Not relevant; metronidazole is not a sulfa drug
b. Peptic ulcer disease → Not a contraindication to metronidazole
c. At least 18 years of age → Metronidazole can be used in children for parasitic infections
like giardiasis
20 y/o M living in a dorm complains of dry cough for the past month. Assessment findings
are associated with an atypical community acquired pneumonia would include:
a. a low grade fever, malaise, and clear lung fields on auscultation
b. a low grade fever, malaise, and crackles audible throughout the lung fields
c. temp of 101, sore throat, and diminished breath sounds on auscultation
d. temp of 102, dyspnea, and diminished lung sounds on auscultation - answer>>>a. a low
grade fever, malaise, and clear lung fields on auscultation
Explanation:
In a 20-year-old male living in a dorm, the most likely cause of a persistent dry cough and
atypical community-acquired pneumonia (CAP) is Mycoplasma pneumoniae, often
referred to as "walking pneumonia."
Typical features of atypical pneumonia (especially from Mycoplasma):
Dry, persistent cough
Low-grade fever
Malaise and fatigue
Minimal findings on lung exam (may have clear lung fields or occasional mild crackles)
Normal or mildly abnormal chest auscultation, despite abnormal chest X-ray
Often affects young, healthy adults in close living environments (dorms, military barracks)
Why not the other options?
, b. Crackles audible throughout → More typical of typical bacterial pneumonia like
Streptococcus pneumoniae
c. Temp of 101, sore throat, diminished sounds → May suggest a viral infection or early
typical pneumonia
d. Temp of 102, dyspnea, diminished sounds → Suggests a more severe or typical
pneumonia, not the mild presentation of atypical pneumonia
The most appropriate medication indicated for reversing the anticoagulated effects of
dabigatran etexilate (pradaxa):
a. idarucizumab (praxbind)
b. vitamin K
c. protamine sulfate
d. fondaparinux (arixtra) - answer>>>a. idarucizumab (Praxbind)
Explanation:
Dabigatran etexilate (Pradaxa) is a direct thrombin inhibitor, an oral anticoagulant.
The specific reversal agent for dabigatran is idarucizumab (Praxbind), a monoclonal
antibody fragment that binds to dabigatran with high affinity and neutralizes its
anticoagulant effects rapidly.
Why the others are incorrect:
b. Vitamin K - reverses warfarin, not dabigatran.
c. Protamine sulfate - used to reverse heparin and partially low molecular weight heparins
(LMWHs) like enoxaparin, but not dabigatran.
d. Fondaparinux (Arixtra) - is itself an anticoagulant, not a reversal agent.
a common pathological finding in a patient with asthma
a. necrosis of small airway
b. absence of goblet cells
c. absence of ciliary regeneration
d. hypertrophy of smooth muscle - answer>>>d. hypertrophy of smooth muscle
Explanation:
A common pathological finding in asthma includes:
Hypertrophy and hyperplasia of airway smooth muscle
Goblet cell hyperplasia (not absence) → leads to increased mucus production
Basement membrane thickening
Eosinophilic inflammation
COMPREHENSIVE 2025–2026 Accurate Real
Exam Questions and Verified Correct Answers
JUST RELEASED
the American psychiatric association's diagnostic and statistical manual of mental
disorder defines Munchausen Syndrome by Proxy as:
a. a self-inflicted injury to gain attention
b. a caregiver making up or causing an illness or injury in a person under his or her care
c. an abusive behavior that does not involve the caregiver
d. a situation in which the abuser is often inattentive and uncaring toward the victim -
answer>>>b. a caregiver making up or causing an illness or injury in a person under his or
her care
Examination of the hair reveals a fine silky appearance. This finding may be seen in
patients that have:
a. hypothyroidism
b. hyperthyroidism
c. type 2 diabetes
d. celiac disease - answer>>>b. hyperthyroidism
Explanation:
Fine, silky hair is a classic physical sign of hyperthyroidism. It results from the increased
metabolic rate and excess thyroid hormones, which affect skin and hair texture.
Additional signs of hyperthyroidism include:
Warm, moist skin
Weight loss despite increased appetite
Heat intolerance
Tachycardia or palpitations
Tremors
Anxiety or irritability
Why not the other options?
a. Hypothyroidism → Typically causes dry, coarse, brittle hair
,c. Type 2 diabetes → May affect skin and peripheral circulation but doesn't cause silky
hair
d. Celiac disease → Can cause malabsorption and hair thinning, but not silky hair texture
A patient develops a cough secondary to an angiotensin-converting-enzyme (ACE). The
most appropriate statement related to ACE-1 cough is that the cough typically:
a. resolves within a week after stopping the ACE inhibitor
b. resolves with splitting the daily dose to twice daily dosing
c. occurs with an angiotension II receptor blocker (ARB)
d. affects men more than women - answer>>>a. resolves within a week after stopping the
ACE inhibitor
Explanation:
A dry, persistent cough is a well-known side effect of ACE inhibitors (e.g., lisinopril,
enalapril). It is thought to be due to accumulation of bradykinin and substance P in the
respiratory tract.
Key points about ACE inhibitor-induced cough:
It is non-productive, persistent, and can occur days to months after starting the
medication.
The cough typically resolves within days to a few weeks after discontinuing the ACE
inhibitor — usually within 1 week, though sometimes it may take up to 4 weeks.
It is more common in women and non-smokers, not men.
It does not occur with ARBs (like losartan or valsartan), which is why ARBs are often used
as an alternative in patients who develop the ACE cough.
Splitting the dose does not resolve the cough.
Why not the other options?
b. Splitting the dose → ❌ Doesn't reduce the cough
c. Occurs with ARBs → ❌ ARBs are less likely to cause cough and are used as substitutes
d. Affects men more than women → ❌ It actually occurs more commonly in women
A patient with a diagnosis of giardiasis is being treated with metronidazole (flagyl). What
information would be important to obtain before prescribing this medication?
a. if the patient is allergic to sulfa
b. if the patient has peptic ulcer disease
c. if the patient is at least 18 years of age
d. if the patient drinks alcohol - answer>>>d. if the patient drinks alcohol
,Explanation:
Metronidazole (Flagyl) can cause a severe disulfiram-like reaction when taken with
alcohol. This reaction includes:
Nausea and vomiting
Flushing
Tachycardia
Hypotension
Patients should be advised to avoid alcohol during treatment and for at least 48 hours
after completing the medication.
Why not the other options?
a. Allergy to sulfa → Not relevant; metronidazole is not a sulfa drug
b. Peptic ulcer disease → Not a contraindication to metronidazole
c. At least 18 years of age → Metronidazole can be used in children for parasitic infections
like giardiasis
20 y/o M living in a dorm complains of dry cough for the past month. Assessment findings
are associated with an atypical community acquired pneumonia would include:
a. a low grade fever, malaise, and clear lung fields on auscultation
b. a low grade fever, malaise, and crackles audible throughout the lung fields
c. temp of 101, sore throat, and diminished breath sounds on auscultation
d. temp of 102, dyspnea, and diminished lung sounds on auscultation - answer>>>a. a low
grade fever, malaise, and clear lung fields on auscultation
Explanation:
In a 20-year-old male living in a dorm, the most likely cause of a persistent dry cough and
atypical community-acquired pneumonia (CAP) is Mycoplasma pneumoniae, often
referred to as "walking pneumonia."
Typical features of atypical pneumonia (especially from Mycoplasma):
Dry, persistent cough
Low-grade fever
Malaise and fatigue
Minimal findings on lung exam (may have clear lung fields or occasional mild crackles)
Normal or mildly abnormal chest auscultation, despite abnormal chest X-ray
Often affects young, healthy adults in close living environments (dorms, military barracks)
Why not the other options?
, b. Crackles audible throughout → More typical of typical bacterial pneumonia like
Streptococcus pneumoniae
c. Temp of 101, sore throat, diminished sounds → May suggest a viral infection or early
typical pneumonia
d. Temp of 102, dyspnea, diminished sounds → Suggests a more severe or typical
pneumonia, not the mild presentation of atypical pneumonia
The most appropriate medication indicated for reversing the anticoagulated effects of
dabigatran etexilate (pradaxa):
a. idarucizumab (praxbind)
b. vitamin K
c. protamine sulfate
d. fondaparinux (arixtra) - answer>>>a. idarucizumab (Praxbind)
Explanation:
Dabigatran etexilate (Pradaxa) is a direct thrombin inhibitor, an oral anticoagulant.
The specific reversal agent for dabigatran is idarucizumab (Praxbind), a monoclonal
antibody fragment that binds to dabigatran with high affinity and neutralizes its
anticoagulant effects rapidly.
Why the others are incorrect:
b. Vitamin K - reverses warfarin, not dabigatran.
c. Protamine sulfate - used to reverse heparin and partially low molecular weight heparins
(LMWHs) like enoxaparin, but not dabigatran.
d. Fondaparinux (Arixtra) - is itself an anticoagulant, not a reversal agent.
a common pathological finding in a patient with asthma
a. necrosis of small airway
b. absence of goblet cells
c. absence of ciliary regeneration
d. hypertrophy of smooth muscle - answer>>>d. hypertrophy of smooth muscle
Explanation:
A common pathological finding in asthma includes:
Hypertrophy and hyperplasia of airway smooth muscle
Goblet cell hyperplasia (not absence) → leads to increased mucus production
Basement membrane thickening
Eosinophilic inflammation
