GREEN LIGHT Exam 2 | Latest Versions
2025/2026
Exam Questions with 100% Verified Answers | Graded A+ | Comprehensive Clinical
and Board Readiness Resource
Introduction
This updated resource includes all verified and correct questions and answers from the
GREEN LIGHT Exam 2, revised for the 2025/2026 cycle. It aligns with current testing
standards, clinical practice guidelines, and board-level expectations to ensure optimal
readiness for licensure and certification assessments.
Topics Covered
• Adult Primary Care and Chronic Disease Management
• Pediatric and Adolescent Health Guidelines
• Women’s Health & Prenatal Care Considerations
• Pharmacologic Prescribing and Safety
• Cardiovascular, Endocrine, and GI Systems
• Pulmonary, Renal, and Infectious Disease Protocols
• Dermatologic, HEENT, and Musculoskeletal Issues
• Mental Health, Screening, and Prevention
• Legal, Ethical, and Scope of Practice Essentials
All correct responses are indicated in bold and green. Each question reflects evidence-based
practice with content reviewed and verified for clinical accuracy.
GREEN LIGHT Exam 2 | 2025/2026 Questions
Adult Primary Care and Chronic Disease Management (Questions 1–20)
Question 1: A 55-year-old male with chest pain and an ECG showing ST elevation in leads
V1–V4 is experiencing what condition?
A) Pericarditis
B) Anterior wall STEMI
C) Aortic dissection
D) Pneumothorax
Rationale: ST elevation in V1–V4 indicates an anterior wall STEMI, typically involving the
LAD artery (AHA/ACC guidelines).
Question 2: A 60-year-old with type 2 diabetes has an HbA1c of 8.0%. What is the first-line
treatment adjustment?
A) Increase insulin dose
B) Add GLP-1 agonist or SGLT2 inhibitor
C) Stop metformin
D) Add sulfonylurea
,Rationale: Uncontrolled diabetes requires additional therapy like GLP-1 agonists or SGLT2
inhibitors (ADA guidelines).
Question 3: A 50-year-old with hypertension presents with a BP of 180/110 mmHg and
headache. What is the initial management?
A) Oral beta-blocker
B) IV labetalol
C) Observation
D) Increase oral dose
Rationale: Hypertensive urgency requires IV antihypertensives (JNC 8).
Question 4: A 65-year-old with heart failure (EF 30%) presents with dyspnea. What is the
first-line treatment?
A) Beta-blocker
B) Furosemide
C) Digoxin
D) ACE inhibitor
Rationale: Loop diuretics like furosemide relieve acute heart failure symptoms (AHA
guidelines).
Question 5: A 45-year-old with a BMI of 32 and no comorbidities should receive what
intervention?
A) Immediate bariatric surgery
B) Diet and exercise counseling
C) Appetite suppressants
D) No intervention
Rationale: Lifestyle modification is first-line for obesity (AACE guidelines).
Question 6: A 50-year-old with a history of smoking presents with hemoptysis. What is the
next step?
A) Prescribe antibiotics
B) Order chest CT
C) Start bronchodilators
D) Observation
Rationale: Hemoptysis in a smoker requires imaging to rule out malignancy.
Question 7: A 60-year-old with atrial fibrillation and a CHA2DS2-VASc score of 4 should
receive what?
A) Aspirin only
B) Anticoagulation (e.g., apixaban)
C) No anticoagulation
D) Beta-blocker only
Rationale: A CHA2DS2-VASc score ≥2 warrants anticoagulation (AHA/ACC guidelines).
Question 8: A 55-year-old with epigastric pain and a history of NSAID use likely has what
diagnosis?
A) Pancreatitis
B) Peptic ulcer disease
C) Cholecystitis
, D) GERD
Rationale: NSAID use is a common cause of peptic ulcer disease (ACG guidelines).
Question 9: A 40-year-old with a positive H. pylori test should receive what treatment?
A) Amoxicillin alone
B) PPI, amoxicillin, and clarithromycin
C) Metronidazole only
D) PPI alone
Rationale: Triple therapy is standard for H. pylori eradication (ACG guidelines).
Question 10: A 50-year-old with a troponin of 0.3 ng/mL and chest pain should receive
what?
A) Discharge with follow-up
B) Admit for cardiac workup
C) Prescribe nitroglycerin only
D) Order chest X-ray
Rationale: Elevated troponin indicates myocardial injury, requiring admission (AHA
guidelines).
Question 11: A 60-year-old with COPD presents with increased dyspnea and purulent
sputum. What is the initial treatment?
A) Oral prednisone
B) Albuterol/ipratropium and antibiotics
C) Inhaled corticosteroid alone
D) Oxygen only
Rationale: COPD exacerbation requires bronchodilators and antibiotics (GOLD guidelines).
Question 12: A 45-year-old with right upper quadrant pain after meals likely has what
diagnosis?
A) Peptic ulcer disease
B) Cholecystitis
C) Pancreatitis
D) GERD
Rationale: Postprandial RUQ pain suggests cholecystitis.
Question 13: A 55-year-old with a history of alcohol use presents with epigastric pain
radiating to the back. What lab should be ordered?
A) Lipid panel
B) Lipase
C) HbA1c
D) Thyroid function
Rationale: Lipase diagnoses pancreatitis in patients with epigastric pain.
Question 14: A 40-year-old with persistent GERD symptoms despite PPI use should receive
what?
A) Increase PPI dose
B) Refer for endoscopy
C) Prescribe H2 blocker
D) Observation
2025/2026
Exam Questions with 100% Verified Answers | Graded A+ | Comprehensive Clinical
and Board Readiness Resource
Introduction
This updated resource includes all verified and correct questions and answers from the
GREEN LIGHT Exam 2, revised for the 2025/2026 cycle. It aligns with current testing
standards, clinical practice guidelines, and board-level expectations to ensure optimal
readiness for licensure and certification assessments.
Topics Covered
• Adult Primary Care and Chronic Disease Management
• Pediatric and Adolescent Health Guidelines
• Women’s Health & Prenatal Care Considerations
• Pharmacologic Prescribing and Safety
• Cardiovascular, Endocrine, and GI Systems
• Pulmonary, Renal, and Infectious Disease Protocols
• Dermatologic, HEENT, and Musculoskeletal Issues
• Mental Health, Screening, and Prevention
• Legal, Ethical, and Scope of Practice Essentials
All correct responses are indicated in bold and green. Each question reflects evidence-based
practice with content reviewed and verified for clinical accuracy.
GREEN LIGHT Exam 2 | 2025/2026 Questions
Adult Primary Care and Chronic Disease Management (Questions 1–20)
Question 1: A 55-year-old male with chest pain and an ECG showing ST elevation in leads
V1–V4 is experiencing what condition?
A) Pericarditis
B) Anterior wall STEMI
C) Aortic dissection
D) Pneumothorax
Rationale: ST elevation in V1–V4 indicates an anterior wall STEMI, typically involving the
LAD artery (AHA/ACC guidelines).
Question 2: A 60-year-old with type 2 diabetes has an HbA1c of 8.0%. What is the first-line
treatment adjustment?
A) Increase insulin dose
B) Add GLP-1 agonist or SGLT2 inhibitor
C) Stop metformin
D) Add sulfonylurea
,Rationale: Uncontrolled diabetes requires additional therapy like GLP-1 agonists or SGLT2
inhibitors (ADA guidelines).
Question 3: A 50-year-old with hypertension presents with a BP of 180/110 mmHg and
headache. What is the initial management?
A) Oral beta-blocker
B) IV labetalol
C) Observation
D) Increase oral dose
Rationale: Hypertensive urgency requires IV antihypertensives (JNC 8).
Question 4: A 65-year-old with heart failure (EF 30%) presents with dyspnea. What is the
first-line treatment?
A) Beta-blocker
B) Furosemide
C) Digoxin
D) ACE inhibitor
Rationale: Loop diuretics like furosemide relieve acute heart failure symptoms (AHA
guidelines).
Question 5: A 45-year-old with a BMI of 32 and no comorbidities should receive what
intervention?
A) Immediate bariatric surgery
B) Diet and exercise counseling
C) Appetite suppressants
D) No intervention
Rationale: Lifestyle modification is first-line for obesity (AACE guidelines).
Question 6: A 50-year-old with a history of smoking presents with hemoptysis. What is the
next step?
A) Prescribe antibiotics
B) Order chest CT
C) Start bronchodilators
D) Observation
Rationale: Hemoptysis in a smoker requires imaging to rule out malignancy.
Question 7: A 60-year-old with atrial fibrillation and a CHA2DS2-VASc score of 4 should
receive what?
A) Aspirin only
B) Anticoagulation (e.g., apixaban)
C) No anticoagulation
D) Beta-blocker only
Rationale: A CHA2DS2-VASc score ≥2 warrants anticoagulation (AHA/ACC guidelines).
Question 8: A 55-year-old with epigastric pain and a history of NSAID use likely has what
diagnosis?
A) Pancreatitis
B) Peptic ulcer disease
C) Cholecystitis
, D) GERD
Rationale: NSAID use is a common cause of peptic ulcer disease (ACG guidelines).
Question 9: A 40-year-old with a positive H. pylori test should receive what treatment?
A) Amoxicillin alone
B) PPI, amoxicillin, and clarithromycin
C) Metronidazole only
D) PPI alone
Rationale: Triple therapy is standard for H. pylori eradication (ACG guidelines).
Question 10: A 50-year-old with a troponin of 0.3 ng/mL and chest pain should receive
what?
A) Discharge with follow-up
B) Admit for cardiac workup
C) Prescribe nitroglycerin only
D) Order chest X-ray
Rationale: Elevated troponin indicates myocardial injury, requiring admission (AHA
guidelines).
Question 11: A 60-year-old with COPD presents with increased dyspnea and purulent
sputum. What is the initial treatment?
A) Oral prednisone
B) Albuterol/ipratropium and antibiotics
C) Inhaled corticosteroid alone
D) Oxygen only
Rationale: COPD exacerbation requires bronchodilators and antibiotics (GOLD guidelines).
Question 12: A 45-year-old with right upper quadrant pain after meals likely has what
diagnosis?
A) Peptic ulcer disease
B) Cholecystitis
C) Pancreatitis
D) GERD
Rationale: Postprandial RUQ pain suggests cholecystitis.
Question 13: A 55-year-old with a history of alcohol use presents with epigastric pain
radiating to the back. What lab should be ordered?
A) Lipid panel
B) Lipase
C) HbA1c
D) Thyroid function
Rationale: Lipase diagnoses pancreatitis in patients with epigastric pain.
Question 14: A 40-year-old with persistent GERD symptoms despite PPI use should receive
what?
A) Increase PPI dose
B) Refer for endoscopy
C) Prescribe H2 blocker
D) Observation
