PRACTICE EXAMINATION 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ Cranial Nerve I.
Answer: Olfactory - smell
◍ You are growing fatigued of performing a maneuver on examination
because you have never found a positive and are usually pressed for time.
How should you next approach this maneuver?A) Use this test when you
have a higher suspicion for a certain correlating condition.B) Omit this test
from future examinations.C) Continue doing the test, but rely more heavily
on laboratory work and diagnostics.D) Continue performing it on all future
examinations..
Answer: A) use this test when you have a higher suspicion for a certain
correlating condition
◍ Breast self-examination.
Answer: Best time: right after menstrual period when breasts are smallest-
emphasize absence of lumps not the presence of them- encourage reporting
any unusual findings - supine or standing - one are behind head - finger pads
of 3 middle fingers - up-and-down or strip pattern - check in mirror
◍ a 72 year old woman presents with a newly formed painless, pearly,
ulcerated nodule with an overlying telangiectasis on the upper lip. this most
likely represents:a. actinic keratosis b. basal cell carcinoma c. squamous cell
carcinoma d. molluscum contagiosa.
Answer: basal cell carcinoma remember PUT ON
◍ A 58-year-old gardener comes to your office for evaluation of a new lesion
on her upper chest. The lesion appears to be "stuck on" and is oval, brown,
, and slightly elevated with a flat surface. It has a rough, wartlike texture on
palpation. Based on this description, what is your most likely diagnosis?A)
Actinic keratosisB) Seborrheic keratosisC) Basal cell carcinomaD)
Squamous cell carcinoma.
Answer: B) seborrheic keratosis "stuck on"
◍ You are excited about a positive test finding you have just noticed on
physical examination of your patient. You go on to do more examination,
laboratory work, and diagnostic tests, only to find that there is no sign of the
disease you thought would correlate with the finding. This same experience
happens several times. What should you conclude?A) Consider not doing
this test routinely.B) Use this test when you have a higher suspicion for a
certain correlating condition.C) Continue using the test, perhaps doing less
laboratory work and diagnostics.D) Omit this test from future examinations..
Answer: C) continue using the test, perhaps doing less laboratory work and
diagnostics
◍ 4. Is the following information subjective or objective?Mr.
M. has a respiratory rate of 32 and a pulse rate of 120.A) SubjectiveB)
Objective.
Answer: B) objective this is information obtained by the examiner
◍ Decordicate vs Decerberate rigidity.
Answer: Decorticate:abnormal flexion of upper extremities "to the
core"Deceberate:abnormal extension of upper extremities
◍ Mrs. Anderson presents with an itchy rash which is raised and appears and
disappears in various locations. Each lesion lasts for many minutes. What
most likely accounts for this rash?A) Insect bitesB) Urticaria, or hivesC)
PsoriasisD) Purpura.
Answer: B) urticaria/hives "comes and goes"
◍ A 28-year-old patient comes to the office for evaluation of a rash. At first
there was only one large patch, but then more lesions erupted suddenly on
the back and torso; the lesions itch. On physical examination, you note that
the pattern of eruption is like a Christmas tree and that there are a variety of
, erythematous papules and macules on the cleavage lines of the back. Based
on this description, what is the most likely diagnosis?A) Pityriasis roseaB)
Tinea versicolorC) PsoriasisD) Atopic eczema.
Answer: a) pityriasis rosea one large patch that erupted into many lesions
"Christmas tree pattern"
◍ Assessing lesions.
Answer: traumatic or pathologic? type colorelevation or
depressionpattern/shapesize in cmlocation/distribution
exudate?blanching?fluorescence?
◍ Gynecomastia.
Answer: development of breast tissue in males- usually unilateral and
temporary - body image effected- can be caused by some meds- anabolic
steroids
◍ Mr.
W. is a 51-year-old auto mechanic who comes to the emergency room
wanting to be checked out for the symptom of chest pain. As you listen to
him describe his symptom in more detail, you say "Go on," and later,
"Mm-hmmm." This is an example of which of the following skilled
interviewing techniques?A) EchoingB) Nonverbal communicationC)
FacilitationD) Empathic response.
Answer: C) facilitation
◍ Jacob, a 33-year-old construction worker, complains of a "lump on his back"
over his scapula. It has been there for about a year and is getting larger. He
says his wife has been able to squeeze out a cheesy-textured substance on
occasion. He worries this may be cancer. When gently pinched from the
side, a prominent dimple forms in the middle of the mass. What is most
likely?A) An enlarged lymph nodeB) A sebaceous cystC) An actinic
keratosisD) A malignant lesion.
Answer: B) a sebaceous cyst
◍ Where is the site of most breast tumors?.
Answer: Upper outer quadrant
, ◍ Subjective Health history Female Genitourinary.
Answer: 1. Menstrual hx (LNMP, Menarche, cycle, duration, frequency)2.
Obstetric hx (Gravida, Para, abortions, pregnancy duration, complications,
L&D, baby's sex, weight and condition)3. Menopause 4. Self-care
behaviors5. Urinary symptoms 6. Vaginal discharge 7. Past hx8. Sexual
activity 9. Contraceptive use 10. STI contact 11. STI risk reduction
◍ Common shapes of lesions.
Answer: annular, confluent, discrete, gyrate, grouped, linear, target,
zosteriform, polycyclic
◍ An 88-year-old retired piano teacher comes for evaluation of fatigue. You
notice that her clothes are hanging loosely off her frame and that she has lost
15 pounds. She is unaware of this. Her husband of 63 years died a few
months ago. You ask the patient to complete a Rapid Screen for Dietary
Intake. Which of the following statements is considered to be part of this
rapid screen?A) I eat more than two meals per day.B) I drink one glass of
alcohol every day.C) Without wanting to, I have lost or gained 10 pounds in
the last 6 months.D) I eat with at least one other person most of the time..
Answer: C) Without wanting to, I have lost or gained 10 pounds in the last 6
months.
◍ Testicular self-examination (TSE).
Answer: - every male from 13 years through adulthood - checks for
testicular cancereT: timing, once a month S: shower, warm water relaxes
scrotumE: examine, check for and report changes
◍ Occipital lobe function.
Answer: Visual reception
◍ Lactation disorders.
Answer: - plugged duct - breast abscess- mastitis
◍ CN XI Spinal test.
Answer: - look for asymmetry or atrophy of trapezius muscles from behind-
shrug shoulders against resistance - turn head against resistance