Dunphy Exam 3 Comprehensive Primary Care EXAM 2026-
2027 LATEST UPDATED VERSION 250 QUESTIONS AND
ANSWERS JUST RELEASED
Which of the following is true about Duchennes muscular dystrophy?
a. There is difficulty climbing stairs or standing up at 2 to 3 years of age.
b. It involves only the legs and pelvis.
c. Skeletal muscle atrophy can be seen in the legs of a toddler.
d. It cannot be detected in any carriers. - answer>>d. It cannot be detected in any carriers.
Which of the following is characteristic of osteoarthritis?
a. Inflammation and fibrosis develop at the joints.
b. Degeneration of articulating cartilage occurs in the large joints.
c. It progresses bilaterally through the small joints.
d. There are no changes in the bone at the affected joints. - answer>>b. Degeneration of
articulating cartilage occurs in the large joints.
What is a typical characteristic of the pain caused by osteoarthritis?
a. Decreases over time
b. Quite severe in the early stages
c. Aggravated by general muscle aching
d. Increased with weight-bearing and activity - answer>>d. Increased with weight-bearing and
activity
What is the typical joint involvement with rheumatoid arthritis?
a. Random single joints, progressing to involve other joints
,b. Bilateral small joints, symmetrical progression to other joints
c. Abused or damaged joints first, then joints damaged by compensatory movement
d. Progressive degeneration in selected joints - answer>>b. Bilateral small joints, symmetrical
progression to other joints
What is the basic pathology of rheumatoid arthritis?
a. Degenerative disorder involving the small joints
b. Chronic inflammatory disorder affecting all joints
c. Systemic inflammatory disorder due to an autoimmune reaction
d. Inflammatory disorder causing damage to many organs - answer>>c. Systemic inflammatory
disorder due to an autoimmune reaction
How is the articular cartilage damaged in rheumatoid arthritis?
a. Enzymatic destruction by the pannus
b. Inflamed synovial membrane covers the cartilage
c. Fibrous tissue connects the ends of the bones
d. Blood supply to the cartilage is lost - answer>>a. Enzymatic destruction by the pannus
How does the joint appear during an exacerbation of rheumatoid arthritis?
a. Relatively normal
b. Enlarged, firm, crepitus with movement
c. Deformed, pale, and nodular
d. Red, warm, swollen, and tender to touch - answer>>d. Red, warm, swollen, and tender to
touch
What limits joint movement in osteoarthritis?
,a. The osteophytes and irregular cartilage surface
b. The wider joint space
c. Decreased amount of synovial fluid in the cavity
d. Fibrosis involving the joint capsule and ligaments - answer>>a. The osteophytes and irregular
cartilage surface
Joints affected by osteoarthritis can sometimes affect healthy joints by:
a. causing enzymes to be released that travel to other joints.
b. bacteria traveling from the affected join to a healthy one through the bloodstream.
c. inflammation and edema affecting the entire limb.
d. the affected individuals exerting stress on the normal joint to protect the damaged one. -
answer>>d. the affected individuals exerting stress on the normal joint to protect the damaged
one.
Systemic effects of rheumatoid arthritis are manifested as:
a. nodules in various tissues, severe fatigue, and anorexia.
b. headache, leukopenia, and high fever.
c. swelling and dysfunction in many organs.
d. progressive damage to a joint. - answer>>a. nodules in various tissues, severe fatigue, and
anorexia.
What is a common effect of long-term use of glucocorticoids to treat rheumatoid arthritis?
a. Leukocytosis
b. Osteoporosis
c. Severe anemia
d. Orthostatic hypotension - answer>>b. Osteoporosis
, uvenile rheumatoid arthritis (JRA) differs from the adult form in that:
a. only small joints are affected.
b. rheumatoid factor is not present in JRA, but systemic effects are more severe.
c. onset is more insidious in JRA.
d. deformity and loss of function occur in most children with JRA. - answer>>b. rheumatoid
factor is not present in JRA, but systemic effects are more severe.
Which of the following distinguishes septic arthritis?
a. Multiple joints that are swollen, red, and painful at one time
b. Presence of mild fever, fatigue, and leukocytosis
c. Purulent synovial fluid present in a single, swollen joint
d. Presence of many antibodies in the blood - answer>>c. Purulent synovial fluid present in a
single, swollen joint
Which of the following may precipitate an attack of gout?
a. A sudden increase in serum uric acid levels
b. Severe hypercalcemia
c. Mild trauma to the toes
d. Development of a tophus - answer>>a. A sudden increase in serum uric acid levels
Where does inflammation usually begin in an individual with ankylosing spondylitis?
a. Costovertebral joints with progression down the spine
b. Cervical and thoracic vertebrae, causing kyphosis
c. Sacroiliac joints with progression up the spine
2027 LATEST UPDATED VERSION 250 QUESTIONS AND
ANSWERS JUST RELEASED
Which of the following is true about Duchennes muscular dystrophy?
a. There is difficulty climbing stairs or standing up at 2 to 3 years of age.
b. It involves only the legs and pelvis.
c. Skeletal muscle atrophy can be seen in the legs of a toddler.
d. It cannot be detected in any carriers. - answer>>d. It cannot be detected in any carriers.
Which of the following is characteristic of osteoarthritis?
a. Inflammation and fibrosis develop at the joints.
b. Degeneration of articulating cartilage occurs in the large joints.
c. It progresses bilaterally through the small joints.
d. There are no changes in the bone at the affected joints. - answer>>b. Degeneration of
articulating cartilage occurs in the large joints.
What is a typical characteristic of the pain caused by osteoarthritis?
a. Decreases over time
b. Quite severe in the early stages
c. Aggravated by general muscle aching
d. Increased with weight-bearing and activity - answer>>d. Increased with weight-bearing and
activity
What is the typical joint involvement with rheumatoid arthritis?
a. Random single joints, progressing to involve other joints
,b. Bilateral small joints, symmetrical progression to other joints
c. Abused or damaged joints first, then joints damaged by compensatory movement
d. Progressive degeneration in selected joints - answer>>b. Bilateral small joints, symmetrical
progression to other joints
What is the basic pathology of rheumatoid arthritis?
a. Degenerative disorder involving the small joints
b. Chronic inflammatory disorder affecting all joints
c. Systemic inflammatory disorder due to an autoimmune reaction
d. Inflammatory disorder causing damage to many organs - answer>>c. Systemic inflammatory
disorder due to an autoimmune reaction
How is the articular cartilage damaged in rheumatoid arthritis?
a. Enzymatic destruction by the pannus
b. Inflamed synovial membrane covers the cartilage
c. Fibrous tissue connects the ends of the bones
d. Blood supply to the cartilage is lost - answer>>a. Enzymatic destruction by the pannus
How does the joint appear during an exacerbation of rheumatoid arthritis?
a. Relatively normal
b. Enlarged, firm, crepitus with movement
c. Deformed, pale, and nodular
d. Red, warm, swollen, and tender to touch - answer>>d. Red, warm, swollen, and tender to
touch
What limits joint movement in osteoarthritis?
,a. The osteophytes and irregular cartilage surface
b. The wider joint space
c. Decreased amount of synovial fluid in the cavity
d. Fibrosis involving the joint capsule and ligaments - answer>>a. The osteophytes and irregular
cartilage surface
Joints affected by osteoarthritis can sometimes affect healthy joints by:
a. causing enzymes to be released that travel to other joints.
b. bacteria traveling from the affected join to a healthy one through the bloodstream.
c. inflammation and edema affecting the entire limb.
d. the affected individuals exerting stress on the normal joint to protect the damaged one. -
answer>>d. the affected individuals exerting stress on the normal joint to protect the damaged
one.
Systemic effects of rheumatoid arthritis are manifested as:
a. nodules in various tissues, severe fatigue, and anorexia.
b. headache, leukopenia, and high fever.
c. swelling and dysfunction in many organs.
d. progressive damage to a joint. - answer>>a. nodules in various tissues, severe fatigue, and
anorexia.
What is a common effect of long-term use of glucocorticoids to treat rheumatoid arthritis?
a. Leukocytosis
b. Osteoporosis
c. Severe anemia
d. Orthostatic hypotension - answer>>b. Osteoporosis
, uvenile rheumatoid arthritis (JRA) differs from the adult form in that:
a. only small joints are affected.
b. rheumatoid factor is not present in JRA, but systemic effects are more severe.
c. onset is more insidious in JRA.
d. deformity and loss of function occur in most children with JRA. - answer>>b. rheumatoid
factor is not present in JRA, but systemic effects are more severe.
Which of the following distinguishes septic arthritis?
a. Multiple joints that are swollen, red, and painful at one time
b. Presence of mild fever, fatigue, and leukocytosis
c. Purulent synovial fluid present in a single, swollen joint
d. Presence of many antibodies in the blood - answer>>c. Purulent synovial fluid present in a
single, swollen joint
Which of the following may precipitate an attack of gout?
a. A sudden increase in serum uric acid levels
b. Severe hypercalcemia
c. Mild trauma to the toes
d. Development of a tophus - answer>>a. A sudden increase in serum uric acid levels
Where does inflammation usually begin in an individual with ankylosing spondylitis?
a. Costovertebral joints with progression down the spine
b. Cervical and thoracic vertebrae, causing kyphosis
c. Sacroiliac joints with progression up the spine
