2026/2027 Exam Questions and
Correct Answers | New Update
A 35 year old female patient is seen in the clinic complaining of
abdominal pain. Which of the following should be included in the history
and physical - ANSWER ✔✔nature of the pain, timing of the pain,
palliative and provocative aspects, associated symptoms (n/v).
A patient comes to the office complaining of constipation. The patient
lists all of the following medications. Which drug could be responsible for
the contipation - ANSWER ✔✔Pepto-Bismol
A patient is seen with complaints of diarrhea. Which of the following
should be included in the patient's differential diagnosis? - ANSWER
,✔✔frequency, amount and fluidity, color and characteristics. Diet history,
recent travel, medication use, source of drinking water
A 29 year old Englishman is seen in the office with complaints of pain in
his chest and belly. He has been suffering the pain for 2 weeks and gets
temporary relief from Alka-Seltzer. The burning wakes him at night and
radiates up to his chest. Which factor favors a diagnosis of gastric ulcer -
ANSWER ✔✔His use of Alka Seltzer
Which of the following is most effective in diagnosing appendicitis -
ANSWER ✔✔History and physical
A 46-year-old patient is seen in the clinic with abdominal pain. Which of
the following tests is essential for this patient? - ANSWER ✔✔Urine
human chorionic gonadotropin
. A 25-year-old accountant is seen in the clinic complaining of crampy
abdominal pain after meals. She is often constipated and takes
laxatives, which are followed by a couple of days of diarrhea. She
temporarily feels better after a bowel movement. She states she is
embarrassed by flatulence and has abdominal distension. She has had
no weight loss or blood in her stool. This problem has gone on for about
6 months. What should the next step be? - ANSWER ✔✔Obtain a
complete history
, A 28-year-old patient is seen in the clinic with colicky abdominal pain
particular with meals. She has frequent constipation, flatulence, and
abdominal distension. Which of the data make a diagnosis of
diverticulitis unlikely? - ANSWER ✔✔Her age
A 28-year-old patient is seen with complaints of diarrhea. Which of the
following responses to the history questions would help the primary care
physician (PCP) establish the diagnosis of irritable bowel syndrome? -
ANSWER ✔✔
Which of the following dietary instructions should be given to a patient
with GERD? - ANSWER ✔✔Eliminate coffee
The patient with GERD should be instructed to eliminate which of these
activities? - ANSWER ✔✔Weight lifting
. A 22-year-old is seen complaining of vague belly pain. This type of pain
is seen at what point in appendicitis? - ANSWER ✔✔Very early
. A patient is seen in the clinic with right upper quadrant pain that is
radiating to the middle of the back. The NP suspects acute cholelithiasis.
The NP should expect which of the following laboratory findings? -
ANSWER ✔✔Elevated alkaline phosphatase
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