BIO-MEDICINE NCCAOM BOARD
EXAM QUESTIONS AND
ANSWERS
A patient says he's going to commit suicide, what should do? -ANSHave 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: -ANSBipolar 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? -ANSDepression
Which one is example of abuse? -ANSRetinal hemorrhage in infant (baby shaking)
Child abuse reporting process, what type of law? -ANSVaries 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? -ANSChild Abuse
Confused elderly suspects someone in his health care steals his money, and patient
said don't tell anybody. Your response? -ANSCall social worker
Domestic violence -ANSEncourage patient seeking for legal consultant and consider
keep away form abusive partner.
McBurney sign -ANSTender point in right lower abdomen of a patient with appendicitis.
Patient with lower right quadrant abdominal pain -ANSAppendicitis
Diverticulitis case study, it asked about what test would you use to diagnose it: -ANSCT
scan
Patient has abdominal pain is aggravated when defecting? -ANSAortic aneurysm
Patient has diarrhea and constipation, stools show mucus and blood, why is the
diagnosis: -ANSUlcerative Colitis
,Which drug category will you select if you want to reduced gastric acid in the stomach? -
ANSAntacids
What is the test for Drug and Herb metabolism? (In liver is involved in drug metabolism)
-ANSCytochrome
Benzodiazepines are used for what? -ANSAnti-anxiety, relax muscle, help insomnia,
muscles spasms, seizure. = BZD (-zepam)
Tardive dyskinesia and extrapyramidal syndrome are side effect of what kind of
medications? -ANSAntipsychotic
What disease is the most common causing renal failure in US? -ANSType I diabetes
Group A B-hemolytic streptococcus infection is responsible for? -
ANSGlomerulonephritis
Erectile dysfunction is due to -ANSOrganic or psychosomatic
Adverse effects from drugs that treat ED? -ANSHypotension
Adverse effects of Erectile Dysfunction drugs: -ANSStuffy 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? -ANSCellulitis
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? -ANSCellulitis
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? -
ANSImpetigo
One kindergarten teacher has red on his trunk and 4 limbs, the blister with fluid filled.
What is your diagnosis? -ANSChickenpox
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? -ANSMeasles
, 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? -ANSInfectious mononucleosis
Most common pathogen for PID (pelvic inflammatory disease) -ANSChlamydia and
Gonorrhea
CNT: Universal Precautions should be taught to: -ANSAll employees with occupational
exposure to blood borne pathogens
Fatigue, night sweats, weight loss: -ANSNeed to rule out cancer
67 old man with cachexia. What does it suggest? -ANSProbably Cancer
Reasons for EPO increase: -ANSAnemia
Which Vitamin helps iron deficiency anemia: -ANSVitamin C
Which one of these is a risk factor for blood clots? -ANSPregnancy
If taking anticoagulant avoid which supplement? -ANSVitamin K
What is primary cause of secondary hypertension? -ANSRenal and endocrine diseases
What category of drugs has side effect of muscle ache (myalgia)? -ANSHMG-CoA
redactase inhibitor
Chronic Diabetic patient testing to check blood sugar level: -ANSHbA1C hemoglobin
What hormone spikes during ovulation ? -ANSLH = Luteinizing hormone
What hormone is elevated in menopause? -ANSFSH = Follicle stimulating hormone
Patient has PCOS, infertility, she is overweight, w/irregular periods what other
symptoms -ANSInsulin 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: -ANSForeign object in airway
What conditions causes "Prolonged expiration"? -ANSAsthma
CPK levels indicate: -ANSHeart damage
Woman calf lesion, enlarge over one day, red swollen, suspect: -ANSDVT
EXAM QUESTIONS AND
ANSWERS
A patient says he's going to commit suicide, what should do? -ANSHave 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: -ANSBipolar 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? -ANSDepression
Which one is example of abuse? -ANSRetinal hemorrhage in infant (baby shaking)
Child abuse reporting process, what type of law? -ANSVaries 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? -ANSChild Abuse
Confused elderly suspects someone in his health care steals his money, and patient
said don't tell anybody. Your response? -ANSCall social worker
Domestic violence -ANSEncourage patient seeking for legal consultant and consider
keep away form abusive partner.
McBurney sign -ANSTender point in right lower abdomen of a patient with appendicitis.
Patient with lower right quadrant abdominal pain -ANSAppendicitis
Diverticulitis case study, it asked about what test would you use to diagnose it: -ANSCT
scan
Patient has abdominal pain is aggravated when defecting? -ANSAortic aneurysm
Patient has diarrhea and constipation, stools show mucus and blood, why is the
diagnosis: -ANSUlcerative Colitis
,Which drug category will you select if you want to reduced gastric acid in the stomach? -
ANSAntacids
What is the test for Drug and Herb metabolism? (In liver is involved in drug metabolism)
-ANSCytochrome
Benzodiazepines are used for what? -ANSAnti-anxiety, relax muscle, help insomnia,
muscles spasms, seizure. = BZD (-zepam)
Tardive dyskinesia and extrapyramidal syndrome are side effect of what kind of
medications? -ANSAntipsychotic
What disease is the most common causing renal failure in US? -ANSType I diabetes
Group A B-hemolytic streptococcus infection is responsible for? -
ANSGlomerulonephritis
Erectile dysfunction is due to -ANSOrganic or psychosomatic
Adverse effects from drugs that treat ED? -ANSHypotension
Adverse effects of Erectile Dysfunction drugs: -ANSStuffy 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? -ANSCellulitis
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? -ANSCellulitis
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? -
ANSImpetigo
One kindergarten teacher has red on his trunk and 4 limbs, the blister with fluid filled.
What is your diagnosis? -ANSChickenpox
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? -ANSMeasles
, 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? -ANSInfectious mononucleosis
Most common pathogen for PID (pelvic inflammatory disease) -ANSChlamydia and
Gonorrhea
CNT: Universal Precautions should be taught to: -ANSAll employees with occupational
exposure to blood borne pathogens
Fatigue, night sweats, weight loss: -ANSNeed to rule out cancer
67 old man with cachexia. What does it suggest? -ANSProbably Cancer
Reasons for EPO increase: -ANSAnemia
Which Vitamin helps iron deficiency anemia: -ANSVitamin C
Which one of these is a risk factor for blood clots? -ANSPregnancy
If taking anticoagulant avoid which supplement? -ANSVitamin K
What is primary cause of secondary hypertension? -ANSRenal and endocrine diseases
What category of drugs has side effect of muscle ache (myalgia)? -ANSHMG-CoA
redactase inhibitor
Chronic Diabetic patient testing to check blood sugar level: -ANSHbA1C hemoglobin
What hormone spikes during ovulation ? -ANSLH = Luteinizing hormone
What hormone is elevated in menopause? -ANSFSH = Follicle stimulating hormone
Patient has PCOS, infertility, she is overweight, w/irregular periods what other
symptoms -ANSInsulin 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: -ANSForeign object in airway
What conditions causes "Prolonged expiration"? -ANSAsthma
CPK levels indicate: -ANSHeart damage
Woman calf lesion, enlarge over one day, red swollen, suspect: -ANSDVT
