Bio-Medicine NCCAOM Board Exam
A patient says he's going to commit suicide, what should do? *** Have Pt. Sign a "No Self-Harm"
contract and refer to primary care phsician on a semi-urgent basis.
Young man had very high energy, and didn't have to sleep much just a couple days ago, now feeling
exhausted and sad. Diagnosis: *** Bipolar disorder
65 years male is living in nursing house after 6 months of post stroke, he doesn't like talk to anyone,
social withdraw; doesn't like to move and like to lie down in the bed; he rather thinks him little and
forget him. What do you suspect? *** Depression
Which one is example of abuse? *** Retinal hemorrhage in infant (baby shaking)
Child abuse reporting process, what type of law? *** Varies state by state
Mom brought a kid to clinic, kid has ear infection, during intake mom told you the kid don't like to talk to
other people and don't like to play with other people, what is your diagnosis for kid? *** Child Abuse
Confused elderly suspects someone in his health care steals his money, and patient said don't tell
anybody. Your response? *** Call social worker
Domestic violence *** Encourage patient seeking for legal consultant and consider keep away form
abusive partner.
McBurney sign *** Tender point in right lower abdomen of a patient with appendicitis.
Patient with lower right quadrant abdominal pain *** Appendicitis
,Diverticulitis case study, it asked about what test would you use to diagnose it: *** CT scan
Patient has abdominal pain is aggravated when defecting? *** Aortic aneurysm
Patient has diarrhea and constipation, stools show mucus and blood, why is the diagnosis: ***
Ulcerative Colitis
Which drug category will you select if you want to reduced gastric acid in the stomach? *** Antacids
What is the test for Drug and Herb metabolism? (In liver is involved in drug metabolism) ***
Cytochrome
Benzodiazepines are used for what? *** Anti-anxiety, relax muscle, help insomnia, muscles spasms,
seizure. = BZD (-zepam)
Tardive dyskinesia and extrapyramidal syndrome are side effect of what kind of medications? ***
Antipsychotic
What disease is the most common causing renal failure in US? *** Type I diabetes
Group A B-hemolytic streptococcus infection is responsible for? *** Glomerulonephritis
Erectile dysfunction is due to *** Organic or psychosomatic
Adverse effects from drugs that treat ED? *** Hypotension
Adverse effects of Erectile Dysfunction drugs: *** Stuffy and runny nose
,A patient was pricked by a thorn in yard, symptoms occur next day-fever, chills, redness swollen and
tenderness. What to suspect? *** Cellulitis
Woman gets a splinter from wooden branch, the next day started spreading around the wound area,
wound becomes red, swollen and sore grows in size, warm and tender upon touch, what problem does
this patient have? *** Cellulitis
Case: Patient presents with highly contagious bacterial skin infection, red sore near the nose or mouth
which soon breaks, leaking pus or fluid, what do you suspect? *** Impetigo
One kindergarten teacher has red on his trunk and 4 limbs, the blister with fluid filled. What is your
diagnosis? *** Chickenpox
A two year old boy is brought by his parents to the clinic with a 3 day history of fever, listlessness, and a
cough. Physical examination reveals a lethargic child with a congested throat. Tiny irregular red spots
with central bluish-white specks (Koplik's spots) are found in his buccal mucosa, Macupapular skin
rashes are also visible over the body. What is the most likely medical diagnosis? *** Measles
A 20 year old college student presents with fever, sore throat, and fatigue. Upon examination enlarged
lymph nodes are found in the poster lateral neck. What is the most likely medical diagnosis? ***
Infectious mononucleosis
Most common pathogen for PID (pelvic inflammatory disease) *** Chlamydia and Gonorrhea
CNT: Universal Precautions should be taught to: *** All employees with occupational exposure to blood
borne pathogens
Fatigue, night sweats, weight loss: *** Need to rule out cancer
, 67 old man with cachexia. What does it suggest? *** Probably Cancer
Reasons for EPO increase: *** Anemia
Which Vitamin helps iron deficiency anemia: *** Vitamin C
Which one of these is a risk factor for blood clots? *** Pregnancy
If taking anticoagulant avoid which supplement? *** Vitamin K
What is primary cause of secondary hypertension? *** Renal and endocrine diseases
What category of drugs has side effect of muscle ache (myalgia)? *** HMG-CoA redactase inhibitor
Chronic Diabetic patient testing to check blood sugar level: *** HbA1C hemoglobin
What hormone spikes during ovulation ? *** LH = Luteinizing hormone
What hormone is elevated in menopause? *** FSH = Follicle stimulating hormone
Patient has PCOS, infertility, she is overweight, w/irregular periods what other symptoms *** Insulin
Resistance
2 year-old boy with acute wheezing but without other symptoms, sister has asthma history and
acupuncture treatment helps her. Based on the age and information, you suspect: *** Foreign object in
airway
A patient says he's going to commit suicide, what should do? *** Have Pt. Sign a "No Self-Harm"
contract and refer to primary care phsician on a semi-urgent basis.
Young man had very high energy, and didn't have to sleep much just a couple days ago, now feeling
exhausted and sad. Diagnosis: *** Bipolar disorder
65 years male is living in nursing house after 6 months of post stroke, he doesn't like talk to anyone,
social withdraw; doesn't like to move and like to lie down in the bed; he rather thinks him little and
forget him. What do you suspect? *** Depression
Which one is example of abuse? *** Retinal hemorrhage in infant (baby shaking)
Child abuse reporting process, what type of law? *** Varies state by state
Mom brought a kid to clinic, kid has ear infection, during intake mom told you the kid don't like to talk to
other people and don't like to play with other people, what is your diagnosis for kid? *** Child Abuse
Confused elderly suspects someone in his health care steals his money, and patient said don't tell
anybody. Your response? *** Call social worker
Domestic violence *** Encourage patient seeking for legal consultant and consider keep away form
abusive partner.
McBurney sign *** Tender point in right lower abdomen of a patient with appendicitis.
Patient with lower right quadrant abdominal pain *** Appendicitis
,Diverticulitis case study, it asked about what test would you use to diagnose it: *** CT scan
Patient has abdominal pain is aggravated when defecting? *** Aortic aneurysm
Patient has diarrhea and constipation, stools show mucus and blood, why is the diagnosis: ***
Ulcerative Colitis
Which drug category will you select if you want to reduced gastric acid in the stomach? *** Antacids
What is the test for Drug and Herb metabolism? (In liver is involved in drug metabolism) ***
Cytochrome
Benzodiazepines are used for what? *** Anti-anxiety, relax muscle, help insomnia, muscles spasms,
seizure. = BZD (-zepam)
Tardive dyskinesia and extrapyramidal syndrome are side effect of what kind of medications? ***
Antipsychotic
What disease is the most common causing renal failure in US? *** Type I diabetes
Group A B-hemolytic streptococcus infection is responsible for? *** Glomerulonephritis
Erectile dysfunction is due to *** Organic or psychosomatic
Adverse effects from drugs that treat ED? *** Hypotension
Adverse effects of Erectile Dysfunction drugs: *** Stuffy and runny nose
,A patient was pricked by a thorn in yard, symptoms occur next day-fever, chills, redness swollen and
tenderness. What to suspect? *** Cellulitis
Woman gets a splinter from wooden branch, the next day started spreading around the wound area,
wound becomes red, swollen and sore grows in size, warm and tender upon touch, what problem does
this patient have? *** Cellulitis
Case: Patient presents with highly contagious bacterial skin infection, red sore near the nose or mouth
which soon breaks, leaking pus or fluid, what do you suspect? *** Impetigo
One kindergarten teacher has red on his trunk and 4 limbs, the blister with fluid filled. What is your
diagnosis? *** Chickenpox
A two year old boy is brought by his parents to the clinic with a 3 day history of fever, listlessness, and a
cough. Physical examination reveals a lethargic child with a congested throat. Tiny irregular red spots
with central bluish-white specks (Koplik's spots) are found in his buccal mucosa, Macupapular skin
rashes are also visible over the body. What is the most likely medical diagnosis? *** Measles
A 20 year old college student presents with fever, sore throat, and fatigue. Upon examination enlarged
lymph nodes are found in the poster lateral neck. What is the most likely medical diagnosis? ***
Infectious mononucleosis
Most common pathogen for PID (pelvic inflammatory disease) *** Chlamydia and Gonorrhea
CNT: Universal Precautions should be taught to: *** All employees with occupational exposure to blood
borne pathogens
Fatigue, night sweats, weight loss: *** Need to rule out cancer
, 67 old man with cachexia. What does it suggest? *** Probably Cancer
Reasons for EPO increase: *** Anemia
Which Vitamin helps iron deficiency anemia: *** Vitamin C
Which one of these is a risk factor for blood clots? *** Pregnancy
If taking anticoagulant avoid which supplement? *** Vitamin K
What is primary cause of secondary hypertension? *** Renal and endocrine diseases
What category of drugs has side effect of muscle ache (myalgia)? *** HMG-CoA redactase inhibitor
Chronic Diabetic patient testing to check blood sugar level: *** HbA1C hemoglobin
What hormone spikes during ovulation ? *** LH = Luteinizing hormone
What hormone is elevated in menopause? *** FSH = Follicle stimulating hormone
Patient has PCOS, infertility, she is overweight, w/irregular periods what other symptoms *** Insulin
Resistance
2 year-old boy with acute wheezing but without other symptoms, sister has asthma history and
acupuncture treatment helps her. Based on the age and information, you suspect: *** Foreign object in
airway
