Guide Exam Latest 2026/2027
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1. Which drug for Alzheimer's disease should be administered
beginning at the time of diagnosis?
a. Cholinesterase inhibitors
b. Anxiolytics
c. Antidepressants
d. Atypical antipsychotics
- ANS - a. cholinesterase inhibitors pg
2. Most adult poisonings are:
a. intentional and self-inflicted.
b. accidental.
c. caused by someone wishing to do harm to the person.
d. not attributed to any reason.
- ANS - b. accidental.
,3. A 58-year-old woman presents with a breast mass. Which of the
following responses by the clinician would be most appropriate?
a. "It is probably just a cyst, because that is the most common
breast mass."
b. "We will order a mammogram and ultrasound to help
establish a diagnosis."
c. "We will go ahead and schedule you for a biopsy because that
is the only way to know for sure."
d. "Because your lump is painful, it is most likely not cancer."
- ANS - "We will order a mammogram and ultrasound to help
establish a diagnosis."
4. Which of the following is a specific test for multiple sclerosis (MS)?
a. Magnetic resonance imaging (MRI)
b. Computed tomography (CT) scan
c. A lumbar puncture
d. There is no specific test.
- ANS - d. There is no specific test.
5. Which characteristic of delirium helps to distinguish delirium from
dementia?
a. Abrupt onset
b. Impaired attention
c. Affective changes
d. Delusions
- ANS - Abrupt onset
,6. Which clinical feature is the first to be affected in increased
intracranial pressure (ICP)?
a. Decrease in level of consciousness (LOC)
b. Headache
c. Nausea
d. Widening pulse pressure
- ANS - Decrease in level of consciousness (LOC)
7. Jennifer is an 18-year-old girl who comes to the emergency room
after a fall during a soccer game. Jennifer explains that she fell on
her left side and kept her arm out straight to break her fall. She has
been experiencing severe pain and limited range of motion in her
left shoulder. The clinician has diagnosed Jennifer with a
dislocated shoulder. Which of the following statements are true
concerning shoulder dislocation?
a. Posterior dislocations are more common than anterior
dislocations.
b. There is a risk of neurovascular and neurosensory trauma, so
the clinician should check for distal pulses.
c. Recurrent dislocations are uncommon and would require a
greater force to result in injury.
d. Surgery is most commonly the treatment of choice.
- ANS - There is a risk of neurovascular and neurosensory
trauma, so the clinician should check for distal pulses.
, 8. Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain?
a. Decreased C-reactive protein
b. Hyperalbuminemia
c. Morning stiffness
d. Weight gain
- ANS - morning stiffness
9. The clinician sees a patient who is 5 feet tall and weighs 150
pounds. How would the clinician classify this patient?
a. Overweight
b. Mild obesity
c. Moderate obesity
d. Morbid obesity
- ANS - Mild obesity
10. A 23-year-old sexually active woman presents for her first
Pap smear. Her history includes nulligravida, age at first
intercourse 14, and more than 10 sexual partners. Which of the
following conditions should the clinician be particularly alert for
during her exam?
a. Human papillomavirus (HPV)