NEW YORK Physician Assistant Licensing Examination
(New York) ACTUAL EXAM 2026/2027 COMPLETE
ACCURATE EXAM REAL QUESTIONS WITH WELL
ELABORATED ANSWERS. (100% CORRECT VERIFIED
SOLUTIONS)
1. A 45-year-old patient presents with chest pain and shortness of breath. What is the first
action a physician assistant should take in the emergency setting?
a. Order a lipid panel
b. Obtain an electrocardiogram (ECG)
c. Schedule a stress test
d. Prescribe antibiotics
Answer: b. Obtain an electrocardiogram (ECG)
Rationale: An ECG is the immediate diagnostic test used to evaluate patients with
suspected acute coronary syndrome because it can rapidly detect ischemia or myocardial
infarction.
2. Which bacterium is most commonly responsible for urinary tract infections?
a. Staphylococcus aureus
b. Escherichia coli
c. Pseudomonas aeruginosa
d. Klebsiella pneumoniae
Answer: b. Escherichia coli
Rationale: Escherichia coli is the most common pathogen causing urinary tract infections
because it normally resides in the gastrointestinal tract and easily colonizes the urinary
system.
3. Which medication class is commonly used as the first-line treatment for hypertension?
a. Beta blockers
b. ACE inhibitors
c. Antihistamines
d. Proton pump inhibitors
Answer: b. ACE inhibitors
Rationale: ACE inhibitors reduce blood pressure by inhibiting the renin-angiotensin-
aldosterone system, leading to vasodilation and reduced blood volume.
, 4. Which organ produces insulin?
a. Liver
b. Pancreas
c. Kidney
d. Adrenal gland
Answer: b. Pancreas
Rationale: Insulin is produced by beta cells in the pancreatic islets and helps regulate blood
glucose levels.
5. A patient presents with wheezing and difficulty breathing during an asthma attack. Which
medication should be administered first?
a. Albuterol
b. Prednisone
c. Ipratropium
d. Montelukast
Answer: a. Albuterol
Rationale: Albuterol is a short-acting beta-agonist that rapidly relaxes bronchial smooth
muscle and relieves acute bronchospasm.
6. Which cranial nerve is responsible for facial expression?
a. Cranial nerve V
b. Cranial nerve VII
c. Cranial nerve IX
d. Cranial nerve X
Answer: b. Cranial nerve VII
Rationale: The facial nerve controls muscles responsible for facial expressions and also
contributes to taste sensation from the anterior tongue.
7. Which disease is caused by deficiency of insulin?
a. Type 1 diabetes mellitus
b. Hypertension
c. Hyperthyroidism
d. Cushing syndrome
Answer: a. Type 1 diabetes mellitus
, Rationale: Type 1 diabetes results from autoimmune destruction of pancreatic beta cells,
leading to insulin deficiency.
8. Which electrolyte imbalance is most associated with cardiac arrhythmias?
a. Hypernatremia
b. Hypokalemia
c. Hyperphosphatemia
d. Hypercalcemia
Answer: b. Hypokalemia
Rationale: Low potassium levels disrupt cardiac electrical activity and may lead to
dangerous arrhythmias.
9. What is the normal range for adult body temperature in Celsius?
a. 34–35°C
b. 36–37.5°C
c. 38–39°C
d. 40–41°C
Answer: b. 36–37.5°C
Rationale: Normal body temperature typically ranges from 36 to 37.5°C depending on
measurement method and individual variation.
10. Which test measures long-term blood glucose control?
a. Fasting glucose
b. HbA1c
c. Random glucose
d. Urine glucose
Answer: b. HbA1c
Rationale: Hemoglobin A1c reflects the average blood glucose levels over approximately
three months.
11. Which condition involves inflammation of the appendix?
a. Gastritis
b. Appendicitis
c. Pancreatitis
d. Hepatitis
(New York) ACTUAL EXAM 2026/2027 COMPLETE
ACCURATE EXAM REAL QUESTIONS WITH WELL
ELABORATED ANSWERS. (100% CORRECT VERIFIED
SOLUTIONS)
1. A 45-year-old patient presents with chest pain and shortness of breath. What is the first
action a physician assistant should take in the emergency setting?
a. Order a lipid panel
b. Obtain an electrocardiogram (ECG)
c. Schedule a stress test
d. Prescribe antibiotics
Answer: b. Obtain an electrocardiogram (ECG)
Rationale: An ECG is the immediate diagnostic test used to evaluate patients with
suspected acute coronary syndrome because it can rapidly detect ischemia or myocardial
infarction.
2. Which bacterium is most commonly responsible for urinary tract infections?
a. Staphylococcus aureus
b. Escherichia coli
c. Pseudomonas aeruginosa
d. Klebsiella pneumoniae
Answer: b. Escherichia coli
Rationale: Escherichia coli is the most common pathogen causing urinary tract infections
because it normally resides in the gastrointestinal tract and easily colonizes the urinary
system.
3. Which medication class is commonly used as the first-line treatment for hypertension?
a. Beta blockers
b. ACE inhibitors
c. Antihistamines
d. Proton pump inhibitors
Answer: b. ACE inhibitors
Rationale: ACE inhibitors reduce blood pressure by inhibiting the renin-angiotensin-
aldosterone system, leading to vasodilation and reduced blood volume.
, 4. Which organ produces insulin?
a. Liver
b. Pancreas
c. Kidney
d. Adrenal gland
Answer: b. Pancreas
Rationale: Insulin is produced by beta cells in the pancreatic islets and helps regulate blood
glucose levels.
5. A patient presents with wheezing and difficulty breathing during an asthma attack. Which
medication should be administered first?
a. Albuterol
b. Prednisone
c. Ipratropium
d. Montelukast
Answer: a. Albuterol
Rationale: Albuterol is a short-acting beta-agonist that rapidly relaxes bronchial smooth
muscle and relieves acute bronchospasm.
6. Which cranial nerve is responsible for facial expression?
a. Cranial nerve V
b. Cranial nerve VII
c. Cranial nerve IX
d. Cranial nerve X
Answer: b. Cranial nerve VII
Rationale: The facial nerve controls muscles responsible for facial expressions and also
contributes to taste sensation from the anterior tongue.
7. Which disease is caused by deficiency of insulin?
a. Type 1 diabetes mellitus
b. Hypertension
c. Hyperthyroidism
d. Cushing syndrome
Answer: a. Type 1 diabetes mellitus
, Rationale: Type 1 diabetes results from autoimmune destruction of pancreatic beta cells,
leading to insulin deficiency.
8. Which electrolyte imbalance is most associated with cardiac arrhythmias?
a. Hypernatremia
b. Hypokalemia
c. Hyperphosphatemia
d. Hypercalcemia
Answer: b. Hypokalemia
Rationale: Low potassium levels disrupt cardiac electrical activity and may lead to
dangerous arrhythmias.
9. What is the normal range for adult body temperature in Celsius?
a. 34–35°C
b. 36–37.5°C
c. 38–39°C
d. 40–41°C
Answer: b. 36–37.5°C
Rationale: Normal body temperature typically ranges from 36 to 37.5°C depending on
measurement method and individual variation.
10. Which test measures long-term blood glucose control?
a. Fasting glucose
b. HbA1c
c. Random glucose
d. Urine glucose
Answer: b. HbA1c
Rationale: Hemoglobin A1c reflects the average blood glucose levels over approximately
three months.
11. Which condition involves inflammation of the appendix?
a. Gastritis
b. Appendicitis
c. Pancreatitis
d. Hepatitis
