NCCAOM-BIOMEDICINE FINAL EXAM
QUESTIONS AND ANSWERS
1. A 45-year-old female presents with sharp right upper quadrant pain that radiates to her
right shoulder, particularly after eating a high-fat meal. Which physical examination sign is
most likely to be positive?
A. McBurney’s Sign
B. Psoas Sign
C. Rovsing’s Sign
D. Murphy’s Sign
Answer: D
Conceptual Explanation: Murphy’s sign is indicative of acute cholecystitis, characterized
by pain and cessation of inspiration when the gallbladder is palpated.
2. Which of the following medications is a common side effect of ACE inhibitors, such as
Lisinopril?
A. Hypokalemia
B. Peripheral edema
,C. Constipation
D. Dry, non-productive cough
Answer: D
Conceptual Explanation: ACE inhibitors increase bradykinin levels, which frequently
causes a dry, persistent cough in patients.
3. A patient taking Warfarin (Coumadin) should be advised to exercise caution or avoid which
of the following herbal supplements due to an increased risk of bleeding?
A. St. John’s Wort
B. Valerian Root
C. Goldenseal
D. Ginkgo Biloba
Answer: D
Conceptual Explanation: Ginkgo biloba has anti-platelet properties and can
synergistically increase the anticoagulant effect of Warfarin, leading to hemorrhage risk.
4. An elevated level of Glycated Hemoglobin (HbA1c) primarily reflects the average blood
glucose concentration over which time period?
A. The past 24 hours
B. The past 7 to 10 days
C. The past 6 months
, D. The past 2 to 3 months
Answer: D
Conceptual Explanation: HbA1c measures the percentage of hemoglobin coated with
sugar, representing average blood glucose levels over the lifespan of a red blood cell
(approx. 120 days).
5. Which orthopedic test is used specifically to assess for a tear in the meniscus of the knee?
A. Lachman’s Test
B. McMurray’s Test
C. Valgus Stress Test
D. Thompson Test
Answer: B
Conceptual Explanation: McMurray’s test involves rotation and extension of the knee to
identify meniscal tears. Lachman’s is for ACL, and Valgus is for MCL.
6. A positive Babinski sign in an adult patient is indicative of:
A. Lower motor neuron lesion
B. Cerebellar dysfunction
C. Peripheral neuropathy
D. Upper motor neuron lesion
QUESTIONS AND ANSWERS
1. A 45-year-old female presents with sharp right upper quadrant pain that radiates to her
right shoulder, particularly after eating a high-fat meal. Which physical examination sign is
most likely to be positive?
A. McBurney’s Sign
B. Psoas Sign
C. Rovsing’s Sign
D. Murphy’s Sign
Answer: D
Conceptual Explanation: Murphy’s sign is indicative of acute cholecystitis, characterized
by pain and cessation of inspiration when the gallbladder is palpated.
2. Which of the following medications is a common side effect of ACE inhibitors, such as
Lisinopril?
A. Hypokalemia
B. Peripheral edema
,C. Constipation
D. Dry, non-productive cough
Answer: D
Conceptual Explanation: ACE inhibitors increase bradykinin levels, which frequently
causes a dry, persistent cough in patients.
3. A patient taking Warfarin (Coumadin) should be advised to exercise caution or avoid which
of the following herbal supplements due to an increased risk of bleeding?
A. St. John’s Wort
B. Valerian Root
C. Goldenseal
D. Ginkgo Biloba
Answer: D
Conceptual Explanation: Ginkgo biloba has anti-platelet properties and can
synergistically increase the anticoagulant effect of Warfarin, leading to hemorrhage risk.
4. An elevated level of Glycated Hemoglobin (HbA1c) primarily reflects the average blood
glucose concentration over which time period?
A. The past 24 hours
B. The past 7 to 10 days
C. The past 6 months
, D. The past 2 to 3 months
Answer: D
Conceptual Explanation: HbA1c measures the percentage of hemoglobin coated with
sugar, representing average blood glucose levels over the lifespan of a red blood cell
(approx. 120 days).
5. Which orthopedic test is used specifically to assess for a tear in the meniscus of the knee?
A. Lachman’s Test
B. McMurray’s Test
C. Valgus Stress Test
D. Thompson Test
Answer: B
Conceptual Explanation: McMurray’s test involves rotation and extension of the knee to
identify meniscal tears. Lachman’s is for ACL, and Valgus is for MCL.
6. A positive Babinski sign in an adult patient is indicative of:
A. Lower motor neuron lesion
B. Cerebellar dysfunction
C. Peripheral neuropathy
D. Upper motor neuron lesion
