2026/2027 WITH 100 QUESTIONS
AND EXPERT-VERIFIED
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Question 1: Mr. Green returns to your office with his son 3 months after his CVA.
The son questions when his father's speech will improve. Which of the following
areas of the brain are integral to motor speech?
A. Broca area (frontal lobe)
B. Reticular activating system
C. Limbic system
D. Insula
Correct Answer: A. Broca area (frontal lobe) contains the motor cortex, which is
associated with speech formation, as well as decision making, problem solving, the
ability to concentrate, and short-term memory.
Question 2: A 32-year-old woman tells the examiner that when she goes running,
she dribbles urine. Which problem should the examiner consider?
A. Hydronephrosis
B. Renal abscess
C. Stress incontinence
D. Overflow incontinence
,Correct Answer: C. Stress incontinence is small volume incontinence with
coughing, sneezing, laughing, running; history of prior pelvic surgery.
Question 3: Laboratory tests should be used to:
A. confirm a presumed diagnosis.
B. develop a list of potential problems.
C. rule out all possible causes of symptoms and clinical findings.
D. assist the examiner only when the data do not point to a specific problem.
Correct Answer: A. After a match between the data (both subjective and
objective) and a presumed diagnosis is made, consider the appropriate laboratory
or radiologic studies to confirm the diagnosis.
Question 4: Mrs. Bates is a 56-year-old patient who presents to your office with
her son. He states she has had a change in mental status. On examination, you note
that her judgment is poor. With which problem is poor judgment most closely
associated?
A. Drug toxicity
B. Dementia
C. Temporal lobe injury
D. Limbic system dysfunction
Correct Answer: B. Impaired judgment may indicate intellectual disability,
emotional disturbance, frontal lobe injury, dementia, or psychosis.
Question 5: Mrs. Wolf is a 29-year-old patient who presents for a routine
examination. Which finding on examination leads you to suspect a sexually
transmitted infection?
A. Ulcers and vesicles on the vulva
B. Atrophy of labia minora
C. Dilation of the urethral orifice
D. Bluish color to the cervix
Correct Answer: A. Ulcers or vesicles may be signs of a sexually transmitted
infection.
Question 6: Mrs. Bowers is a 38-year-old patient who presents to your office for a
routine examination. The ability of an observation to identify correctly those who
have a disease is the definition of:
A. specificity.
B. sensitivity.
C. certainty.
, D. positive predictive value.
Correct Answer: B. Sensitivity is the ability of an observation to identify
correctly those who have a disease.
Question 7: What is meant by a deontologic imperative?
A. A health care provider's duty as established by tradition and cultural context
B. Concept of "do no harm"
C. Appropriate use of resources for the good of the community
D. Right to self-determination
Correct Answer: A. Our responsibilities for offering care are established by
tradition and cultural context.
Question 8: Unless a life-threatening situation exists, the best guide to determining
the priority for the patient's condition should be based on:
A. intuition.
B. probability and utility.
C. the use of algorithms.
D. the examiner's initial favorite hypothesis.
Correct Answer: B. Probability and utility should always be your guides to
sequencing your actions, unless a life-threatening situation exists.
Question 9: Which of the following should be considered when determining a
need for additional examination, testing, or procedures?
A. These should be done to obtain as much data as possible.
B. These should be done to attempt to get data that might be associated with
multiple problems.
C. These should be done only when it is absolutely necessary.
D. These should be done if they relate to the examiner's hypothesis.
Correct Answer: D. Clinical reasoning does not require a compulsive listing of all
of the possible options in diagnosis and management. Rather, it is dominated by
hypothesis development; asking whether a particular diagnosis should be made
depending on its probability; and whether a test may be indicated, depending on
the likelihood suggested by its sensitivity and specificity.
Question 10: Mr. Shaken is a 46-year-old patient who presents for a routine
physical examination. After you have identified and confirmed a problem, the next
step is to:
A. assess the data collected.
B. formulate a clinical opinion.