NARM BUNDLED EXAM CERTIFICATION
EVALUATION 2026 COMPREHENSIVE
QUESTIONS ANSWERS
◉ Basal Cell carcinoma. Answer: Most common form
◉ herpes keratosis. Answer: acute onset, photophobia, blurred
vision
refer to ophthalmologist
◉ Pinworms. Answer: itching at rectum, worst at noc, scotch tape,
also known as enterobiasis
◉ Cellulitis worsening. Answer: Suspect DVD
◉ Millia. Answer: white spots on mouth w/ infants
◉ Kawasaki Disease. Answer: Redeye, strawberry pharnyx, rash on
body, edema hands and feet
t's most common in infants and young children.
Early stages include a rash and fever. Symptoms include high fever
and peeling skin. In late stages, there may be inflammation of
,medium-sized blood vessels (vasculitis). It also affects lymph nodes,
skin and mucous membranes, such as inside the mouth.
Kawasaki disease is usually treatable. Initial treatments include
aspirin and intravenous immunoglobulin therapy given in a medical
facility.
Critical: consult a doctor for medical advice
◉ varicella. Answer: chicken pox rash crusted "vesicles"
◉ Herald Patch. Answer: Pityriasis rosea is a viral rash which lasts
about 6-12 weeks. It is characterised by a herald patch followed by
similar, smaller oval red patches that are located mainly on the chest
and back.
◉ 3 types of hand rashes. Answer: FHand mouth, sypillis, RMSD
◉ Bulls eye lesion. Answer: Lymes Disease, Doxy x 21 days
◉ Hand Foot Mouth. Answer: cocsacki virus
◉ Syphillis. Answer: palm of hand, RPR test, tx w/ penicillin
◉ Rash on shoulder(body). Answer: Tinea Corpius
,◉ Ringworm. Answer: azole antifungal
◉ Parvola lab. Answer: slap face, 5ths disease, stay away from
pregnant women
◉ Koplik spots. Answer: Measels, Rubeola, The disease spreads
through the air by respiratory droplets produced from coughing or
sneezing.
Measles symptoms don't appear until 10 to 14 days after exposure.
They include cough, runny nose, inflamed eyes, sore throat, fever
and a red, blotchy skin rash.
There's no treatment to get rid of an established measles infection,
but over-the-counter fever reducers or vitamin A may help with
symptoms.
◉ Waxy pearly domeshaped lesion. Answer: Basal cell carcinoma
◉ Actinic keratosis. Answer: flat scaly rash, precurser to SCC
◉ Addison Disease. Answer: Cortisol is low, hyperkalemia, low
sodium, cravings thirsty
primary adrenal insufficiency and hypocortisolism, is a long-term
endocrine disorder in which the adrenal glands do not produce
, enough steroid hormones. Symptoms generally come on slowly and
may include abdominal pain, weakness, and weight loss.
Causes: Problems with the adrenal gland
Treatment: Corticosteroid such as hydrocortiso...
Symptoms: Abdominal pain, weakness, weight
◉ CD4 counts <200. Answer: HIV bad
◉ CD4 counts 350. Answer: HIV meds working
◉ CD4 count >400. Answer: ideal goal for HIV
◉ TB 5mm. Answer: exposed to TB, HIV
◉ TB >10mm. Answer: exposure health workers immigrants
◉ Subungual hematomas. Answer: are common nail bed injuries
caused by blunt or sharp trauma to the fingers or toes. [1] Bleeding
from the rich vascular nail bed results in increased pressure under
the nail and can cause significant discomfort. [2] Subungual
hematoma drainage, also known as nail bed trephination, can be
performed to relieve this discomfort. [3]
EVALUATION 2026 COMPREHENSIVE
QUESTIONS ANSWERS
◉ Basal Cell carcinoma. Answer: Most common form
◉ herpes keratosis. Answer: acute onset, photophobia, blurred
vision
refer to ophthalmologist
◉ Pinworms. Answer: itching at rectum, worst at noc, scotch tape,
also known as enterobiasis
◉ Cellulitis worsening. Answer: Suspect DVD
◉ Millia. Answer: white spots on mouth w/ infants
◉ Kawasaki Disease. Answer: Redeye, strawberry pharnyx, rash on
body, edema hands and feet
t's most common in infants and young children.
Early stages include a rash and fever. Symptoms include high fever
and peeling skin. In late stages, there may be inflammation of
,medium-sized blood vessels (vasculitis). It also affects lymph nodes,
skin and mucous membranes, such as inside the mouth.
Kawasaki disease is usually treatable. Initial treatments include
aspirin and intravenous immunoglobulin therapy given in a medical
facility.
Critical: consult a doctor for medical advice
◉ varicella. Answer: chicken pox rash crusted "vesicles"
◉ Herald Patch. Answer: Pityriasis rosea is a viral rash which lasts
about 6-12 weeks. It is characterised by a herald patch followed by
similar, smaller oval red patches that are located mainly on the chest
and back.
◉ 3 types of hand rashes. Answer: FHand mouth, sypillis, RMSD
◉ Bulls eye lesion. Answer: Lymes Disease, Doxy x 21 days
◉ Hand Foot Mouth. Answer: cocsacki virus
◉ Syphillis. Answer: palm of hand, RPR test, tx w/ penicillin
◉ Rash on shoulder(body). Answer: Tinea Corpius
,◉ Ringworm. Answer: azole antifungal
◉ Parvola lab. Answer: slap face, 5ths disease, stay away from
pregnant women
◉ Koplik spots. Answer: Measels, Rubeola, The disease spreads
through the air by respiratory droplets produced from coughing or
sneezing.
Measles symptoms don't appear until 10 to 14 days after exposure.
They include cough, runny nose, inflamed eyes, sore throat, fever
and a red, blotchy skin rash.
There's no treatment to get rid of an established measles infection,
but over-the-counter fever reducers or vitamin A may help with
symptoms.
◉ Waxy pearly domeshaped lesion. Answer: Basal cell carcinoma
◉ Actinic keratosis. Answer: flat scaly rash, precurser to SCC
◉ Addison Disease. Answer: Cortisol is low, hyperkalemia, low
sodium, cravings thirsty
primary adrenal insufficiency and hypocortisolism, is a long-term
endocrine disorder in which the adrenal glands do not produce
, enough steroid hormones. Symptoms generally come on slowly and
may include abdominal pain, weakness, and weight loss.
Causes: Problems with the adrenal gland
Treatment: Corticosteroid such as hydrocortiso...
Symptoms: Abdominal pain, weakness, weight
◉ CD4 counts <200. Answer: HIV bad
◉ CD4 counts 350. Answer: HIV meds working
◉ CD4 count >400. Answer: ideal goal for HIV
◉ TB 5mm. Answer: exposed to TB, HIV
◉ TB >10mm. Answer: exposure health workers immigrants
◉ Subungual hematomas. Answer: are common nail bed injuries
caused by blunt or sharp trauma to the fingers or toes. [1] Bleeding
from the rich vascular nail bed results in increased pressure under
the nail and can cause significant discomfort. [2] Subungual
hematoma drainage, also known as nail bed trephination, can be
performed to relieve this discomfort. [3]
