DUNPHY PRIMARY CARE MIDTERM
REVIEW 2026 QUESTIONS AND ANSWERS
COMPLETE PRIMARY CARE STUDY GUIDE
AND A+ EXAM PREP
Sarah, age 25, has allergic rhinitis and is currently being bothered by nasal
congestion. Which of the following medications ordered for allergic rhinitis
would be most appropriate?
1.
A decongestant nasal spray.
2.
An antihistamine nasal spray.
3.
Ipratropium bromide (Atrovent).
4.
Omalizumab (Xolair). - CORRECT ANSWER-A decongestant nasal spray.
Which of the following statements regarding the respiratory status of a
pregnant woman is true?
1.
The thoracic cage may appear wider.
2.
The costal angle may feel narrower.
3.
,Respirations may be shallow.
4.
Oxygenation is decreased. - CORRECT ANSWER-The thoracic cage may
appear wider.
In children aged 1 to 5 years with a chronic cough, which of the following
should be considered part of the differential diagnosis after the more
common causes have been ruled out?
1.
Allergic rhinitis.
2.
Chronic sinusitis.
3.
Enlarged adenoids.
4.
Cystic fibrosis. - CORRECT ANSWER-Cystic fibrosis.
What do you include in your teaching about tiotropium (Spiriva) when you
initially prescribe it for your client with chronic obstructive pulmonary
disease (COPD)?
1.
Use it every time you use your beta-2 agonist.
2.
Stop taking all your other COPD medications.
3.
,Use it once per day.
4.
Stop taking Spiriva if you develop the adverse effect of dry mouth. -
CORRECT ANSWER-Use it once per day.
Cough and congestion result when breathing:
1.
Carbon monoxide.
2.
Sulfur dioxide.
3.
Tear gas.
4.
Carbon dioxide. - CORRECT ANSWER-Sulfur dioxide.
Mark, age 72, has been living in a shelter for 4 months. Today he appears at
the clinic complaining of productive cough, weight loss, weakness,
anorexia, night sweats, and generalized malaise. These have been bothering
him for 8 weeks. What would be one of the first tests you order?
1.
Mantoux test.
2.
Chest x-ray.
3.
Complete blood work.
, 4.
Sputum culture. - CORRECT ANSWER-Mantoux test.
Jamie, age 16, has had her asthma well controlled by using only a beta-2
adrenergic metered-dose inhaler. Lately, however, she has had difficulty
breathing during the night, and her sleep has been interrupted about 3
times a week. What do you do?
1.
Prescribe a short course of steroid therapy.
2.
Prescribe an inhaled steroid.
3.
Prescribe a longer acting bronchodilator.
4.
Prescribe oral theophylline. - CORRECT ANSWER-Prescribe an inhaled
steroid.
Laura, age 36, has an acute onset of dyspnea. Associated symptoms include
chest pain, faintness, tachypnea, peripheral cyanosis, low blood pressure,
crackles, and some wheezes. Her history reveals that she is taking birth
control pills and that she smokes. What do you suspect?
1.
Asthma.
2.
Bronchitis.
3.
REVIEW 2026 QUESTIONS AND ANSWERS
COMPLETE PRIMARY CARE STUDY GUIDE
AND A+ EXAM PREP
Sarah, age 25, has allergic rhinitis and is currently being bothered by nasal
congestion. Which of the following medications ordered for allergic rhinitis
would be most appropriate?
1.
A decongestant nasal spray.
2.
An antihistamine nasal spray.
3.
Ipratropium bromide (Atrovent).
4.
Omalizumab (Xolair). - CORRECT ANSWER-A decongestant nasal spray.
Which of the following statements regarding the respiratory status of a
pregnant woman is true?
1.
The thoracic cage may appear wider.
2.
The costal angle may feel narrower.
3.
,Respirations may be shallow.
4.
Oxygenation is decreased. - CORRECT ANSWER-The thoracic cage may
appear wider.
In children aged 1 to 5 years with a chronic cough, which of the following
should be considered part of the differential diagnosis after the more
common causes have been ruled out?
1.
Allergic rhinitis.
2.
Chronic sinusitis.
3.
Enlarged adenoids.
4.
Cystic fibrosis. - CORRECT ANSWER-Cystic fibrosis.
What do you include in your teaching about tiotropium (Spiriva) when you
initially prescribe it for your client with chronic obstructive pulmonary
disease (COPD)?
1.
Use it every time you use your beta-2 agonist.
2.
Stop taking all your other COPD medications.
3.
,Use it once per day.
4.
Stop taking Spiriva if you develop the adverse effect of dry mouth. -
CORRECT ANSWER-Use it once per day.
Cough and congestion result when breathing:
1.
Carbon monoxide.
2.
Sulfur dioxide.
3.
Tear gas.
4.
Carbon dioxide. - CORRECT ANSWER-Sulfur dioxide.
Mark, age 72, has been living in a shelter for 4 months. Today he appears at
the clinic complaining of productive cough, weight loss, weakness,
anorexia, night sweats, and generalized malaise. These have been bothering
him for 8 weeks. What would be one of the first tests you order?
1.
Mantoux test.
2.
Chest x-ray.
3.
Complete blood work.
, 4.
Sputum culture. - CORRECT ANSWER-Mantoux test.
Jamie, age 16, has had her asthma well controlled by using only a beta-2
adrenergic metered-dose inhaler. Lately, however, she has had difficulty
breathing during the night, and her sleep has been interrupted about 3
times a week. What do you do?
1.
Prescribe a short course of steroid therapy.
2.
Prescribe an inhaled steroid.
3.
Prescribe a longer acting bronchodilator.
4.
Prescribe oral theophylline. - CORRECT ANSWER-Prescribe an inhaled
steroid.
Laura, age 36, has an acute onset of dyspnea. Associated symptoms include
chest pain, faintness, tachypnea, peripheral cyanosis, low blood pressure,
crackles, and some wheezes. Her history reveals that she is taking birth
control pills and that she smokes. What do you suspect?
1.
Asthma.
2.
Bronchitis.
3.
