NBCE Part 2- general diagnosis Exam
Questions With Insightful Solutions 2025\2026
A+ Grade
What are the symptoms of hyperthyroidism?
- accurate answers-Thyroid enlargement
Exophthalmos
Tremors, Tachycardia
Increased appetite, weight loss
Lid lag
Amenorrhea
Nervousness
Heat intolerance
What are the symptoms of hypothyroidism?
- accurate answers-Weakness, fatigue
Weight gain
Non pitting pseudoedema, periorbital edema
Decreased body temperature
Dry skin
Loss of outer portion of eyebrows
Depression
Heavy menstrual bleeding
Bilaterally decreased achilles DTR
What are the symptoms of addison's disease?
- accurate answers-Fatigue, generalized muscle weakness
Anorexia, weight loss
Hypotension
Abdominal pain
Skin hyperpigmentation
What are the symptoms of cushing's syndrome?
- accurate answers-Central truncal obesity with thin limbs
Buffalo hump
Moon facies
Capillary fragility, purple abdominal striae
Increased body hair (hypertrichosis)
,Chronic steroid use is the most common
What are the symptoms of parkinson's disease?
- accurate answers-Resting tremor, diminishes with use (pill rolling of thumb
and fingers)
Shuffling festination gait
Expressionless mask like facial appearance
Decreased eye blinking
Stooped flexion posture
Cog wheel rigidity
What are the symptoms of Bell's palsy?
- accurate answers-Unilateral facial paralysis of sudden onset (affects entire
half of face, upper and lower)
What are the symptoms of stroke?
- accurate answers-Causes weakness and numbness of the face
Bilateral innervation of upper muscles retains ability to wrinkle forehead and
close eyes
Paralysis of the arm and leg on the same side
What is the most common cause of headache at any age?
- accurate answers-Tension headaches
What sex is affected with tension headaches?
- accurate answers-Both equally
What are the symptoms of tension headaches?
- accurate answers-Bilateral
generalized or localized to the back of the head and upper neck
Constrictive band around head
No preheadache prodrome or associated symptoms
What may be present with tension headaches?
- accurate answers-Stressful life, anxiety, tension and depression
How long does tension headaches last?
- accurate answers-Hours to days
,What are the symptoms of migraine headaches?
- accurate answers-Unilateral, may begin around the eye or temple
Throbbing or pounding quality
Preheadache aura
Nausea, vomiting
Transient vision loss which returns to normal. Zig zag flashes of light at
periphery of vision
Hypersensitivity to light (photophobia), seeks dark room for relief
When do migraines begin?
- accurate answers-Childhood or early adolescence
What sex is migraines more popular?
- accurate answers-Females
What are symptoms of cluster headaches?
- accurate answers-Tearing of eye, nasal congestion, and possibly ptosis and
miosis
Unilateral eye pain that may be described as sharp and stabbing or boring
No familial tendency
No visual prodrome or nausea, and vomiting
What are the seasonal predilections of cluster headaches?
- accurate answers-Spring or fall
How long does cluster headaches occur?
- accurate answers-For several months, then suddenly disappears
What sex is cluster headaches more common in?
- accurate answers-Men
What are teh symptoms of meningitis?
- accurate answers-Headache
Neck pain and stiffness
Exposure to infectious organisms, fever
Cervical flexion painful and restricted (Brudzinski's sign)
Extension of the leg from teh 90-90 position is painful and restricted (Kernig's
sign)
, What is dacrocystitis?
- accurate answers-Tender red swelling beneath the medial canthus of the eye
What is blepharitis?
- accurate answers-Inflammation of the eyelids
Accumulation of greasy flakes or scales around the base of the eyelashes
What infection causes blepharitis?
- accurate answers-Staphylococcal infection
What is a hordeolum (Stye)?
- accurate answers-Small red infection of a hair follicle at the eyelid margin
What is chalazion?
- accurate answers-Appears similar to a sty, however the swelling is not at the
lid margin
Contents of the cyst are sebaceous, rather than infectious
What is ectropion?
- accurate answers-Turning out of the lower eyelid
What is entropion?
- accurate answers-The eyelid is turned in
What is ptosis?
- accurate answers-Droopy upper eyelid that covers all or part of the pupil
What does ptosis occur with?
- accurate answers-Myasthenia gravis, Horner's syndrome or CN III damage
What is xanthelasma?
- accurate answers-Fatty, yellowish lesions on the upper or lower eyelids
Most commonly seen with aging
What is conjunctivitis?
- accurate answers-Pink eye- conjunctival redness around periphery of
eyeball
Eye pain and tearing of the eye
Questions With Insightful Solutions 2025\2026
A+ Grade
What are the symptoms of hyperthyroidism?
- accurate answers-Thyroid enlargement
Exophthalmos
Tremors, Tachycardia
Increased appetite, weight loss
Lid lag
Amenorrhea
Nervousness
Heat intolerance
What are the symptoms of hypothyroidism?
- accurate answers-Weakness, fatigue
Weight gain
Non pitting pseudoedema, periorbital edema
Decreased body temperature
Dry skin
Loss of outer portion of eyebrows
Depression
Heavy menstrual bleeding
Bilaterally decreased achilles DTR
What are the symptoms of addison's disease?
- accurate answers-Fatigue, generalized muscle weakness
Anorexia, weight loss
Hypotension
Abdominal pain
Skin hyperpigmentation
What are the symptoms of cushing's syndrome?
- accurate answers-Central truncal obesity with thin limbs
Buffalo hump
Moon facies
Capillary fragility, purple abdominal striae
Increased body hair (hypertrichosis)
,Chronic steroid use is the most common
What are the symptoms of parkinson's disease?
- accurate answers-Resting tremor, diminishes with use (pill rolling of thumb
and fingers)
Shuffling festination gait
Expressionless mask like facial appearance
Decreased eye blinking
Stooped flexion posture
Cog wheel rigidity
What are the symptoms of Bell's palsy?
- accurate answers-Unilateral facial paralysis of sudden onset (affects entire
half of face, upper and lower)
What are the symptoms of stroke?
- accurate answers-Causes weakness and numbness of the face
Bilateral innervation of upper muscles retains ability to wrinkle forehead and
close eyes
Paralysis of the arm and leg on the same side
What is the most common cause of headache at any age?
- accurate answers-Tension headaches
What sex is affected with tension headaches?
- accurate answers-Both equally
What are the symptoms of tension headaches?
- accurate answers-Bilateral
generalized or localized to the back of the head and upper neck
Constrictive band around head
No preheadache prodrome or associated symptoms
What may be present with tension headaches?
- accurate answers-Stressful life, anxiety, tension and depression
How long does tension headaches last?
- accurate answers-Hours to days
,What are the symptoms of migraine headaches?
- accurate answers-Unilateral, may begin around the eye or temple
Throbbing or pounding quality
Preheadache aura
Nausea, vomiting
Transient vision loss which returns to normal. Zig zag flashes of light at
periphery of vision
Hypersensitivity to light (photophobia), seeks dark room for relief
When do migraines begin?
- accurate answers-Childhood or early adolescence
What sex is migraines more popular?
- accurate answers-Females
What are symptoms of cluster headaches?
- accurate answers-Tearing of eye, nasal congestion, and possibly ptosis and
miosis
Unilateral eye pain that may be described as sharp and stabbing or boring
No familial tendency
No visual prodrome or nausea, and vomiting
What are the seasonal predilections of cluster headaches?
- accurate answers-Spring or fall
How long does cluster headaches occur?
- accurate answers-For several months, then suddenly disappears
What sex is cluster headaches more common in?
- accurate answers-Men
What are teh symptoms of meningitis?
- accurate answers-Headache
Neck pain and stiffness
Exposure to infectious organisms, fever
Cervical flexion painful and restricted (Brudzinski's sign)
Extension of the leg from teh 90-90 position is painful and restricted (Kernig's
sign)
, What is dacrocystitis?
- accurate answers-Tender red swelling beneath the medial canthus of the eye
What is blepharitis?
- accurate answers-Inflammation of the eyelids
Accumulation of greasy flakes or scales around the base of the eyelashes
What infection causes blepharitis?
- accurate answers-Staphylococcal infection
What is a hordeolum (Stye)?
- accurate answers-Small red infection of a hair follicle at the eyelid margin
What is chalazion?
- accurate answers-Appears similar to a sty, however the swelling is not at the
lid margin
Contents of the cyst are sebaceous, rather than infectious
What is ectropion?
- accurate answers-Turning out of the lower eyelid
What is entropion?
- accurate answers-The eyelid is turned in
What is ptosis?
- accurate answers-Droopy upper eyelid that covers all or part of the pupil
What does ptosis occur with?
- accurate answers-Myasthenia gravis, Horner's syndrome or CN III damage
What is xanthelasma?
- accurate answers-Fatty, yellowish lesions on the upper or lower eyelids
Most commonly seen with aging
What is conjunctivitis?
- accurate answers-Pink eye- conjunctival redness around periphery of
eyeball
Eye pain and tearing of the eye
