UC ADV HEALTH ASSESSMENT EXAMINATION
TEST 2026 COMPLETE QUESTIONS AND
ANSWERS
◉ a 26 year old sports store manager comes to your clinic, complaining
of severe right sided abdominal pain for 12 hours. He began having a
stomachache yesterday, with decreased appetite, but today the pain
seems to be just on the lower right side. He has had some nausea and
vomiting but no constipation or diarrhea. His last bowel movement was
last night and was normal. He has had no fever or chills. He denies any
recent illness or injuries. His past medical history is unremarkable. He is
engaged. He denies any tobacco or drug use and drinks four to six beers
per week. His mother has breast cancer and his father has coronary
artery disease. On examination he appears ill and is lying on his right
side. His temperature is 100.4 and his heart rate is 110. His bowel
sounds are decreased and he has rebound and involuntary guarding, one
third of the way between the anterior superior iliac spine and the
umbilicus in the right . Answer: a. acute appendicitis
◉ Bill, a 55-year-old man, presents with pain in his epigastrium which
lasts for 30 minutes or more at a time and has started recently. Which of
the following should be considered?
A) Peptic ulcer
B) Pancreatitis
C) Myocardial ischemia
,D) All of the above . Answer: d. all of the above
◉ Chris is a 20-year-old college student who has had abdominal pain for
3 days. It started at his umbilicus and was associated with nausea and
vomiting. He was unable to find a comfortable position. Yesterday, the
pain became more severe and constant. Now, he hesitates to walk,
because any motion makes the pain much worse. It is localized just
medial and inferior to his iliac crest on the right. Which of the following
is most likely?
a. appendicitis
b. cholecystitis
c. peptic ulcer
d. pancreatitis . Answer: a. appendicitis
◉ A 27 year old policewoman comes to your clinic, complaining of
severe left sided back pain radiating down her groin. It began in the
middle of the night and woke her up suddenly. It hurts in her bladder to
urinate but she has no burning on the outside. She has had no frequency
or urgency with urination but she has seen blood in her urine. She has
had nausea with the pain but no vomiting or fever. She denies any other
recent illness or injuries. Her past medical history is unremarkable. She
denies tobacco or drug use and drinks alcohol rarely. Her mother has
high blood pressure and her father is healthy. On examination she looks
her stated age and is in obvious pain. She is lying on her left side trying
to remain very still. Her cardiac, pulmonary, and abdominal
examinations are unremarkable. She has tenderness just inferior to the
,left costovertebral angle. Her urine pregnancy test is negative and her
urine analysis . Answer: a. ureteral pain (from a kidney stone)
◉ A 15 year old high school freshman is brought to the clinic by his
mother because of chronic diarrhea. The mother states that for the past
couple of years her son has had diarrhea after many meals. The patient
states that the diarrhea seems the absolute worst after his school lunches.
He describes his symptoms as cramping abdominal pain and gas
followed by diarrhea. His stools are watery with no specific smell. He
denies any nausea, vomiting, constipation, weight loss, or fatigue. He
has had no recent illnesses, injuries, or foreign travel, His past medical
history is unremarkable. He denies tobacco, alcohol, or drug use. His
parents are both healthy. On examination you see a relaxed young man
breathing comfortably. His vital signs are normal and his head, eyes,
ears, throat, neck, cardiac, and pulmonary examinations are normal. His
abdomen is soft and nondistended. His bowel sounds are active and he
has no tendernes . Answer: c. osmotic diarrhea
◉ Jim is a 60-year-old man who presents with vomiting. He denies
seeing any blood with emesis, which has been occurring for 2 days. He
does note a dark, granular substance resembling the coffee left in the
filter after brewing. What do you suspect?
A) Bleeding from a diverticulum
B) Bleeding from a peptic ulcer
C) Bleeding from a colon cancer
D) Bleeding from cholecystitis . Answer: b. bleeding from a peptic ulcer
, ◉ Monique is a 33-year-old administrative assistant who has had
intermittent lower abdominal pain approximately one week a month for
the past year. It is not related to her menses. She notes relief with
defecation, and a change in form and frequency of her bowel movements
with these episodes. Which of the following is most likely?
a. cholecystitis
b. irritable bowel syndrome
c. colon cancer
d. inflammatory bowel disease . Answer: b. irritable bowel syndrome
◉ A daycare worker presents to your office with juandice. She denies IV
drug use, blood transfusion, and travel and has not been sexually active
for the past 10 months. Which type of hepatitis is most likely?
a. Hepatitis A
b. Hepatitis B
c. Hepatitis C
d. Hepatitis D . Answer: a. Hepatitis A
◉ A 77-year-old retired bus driver comes to your clinic for a physical
examination at his wife's request. He has recently been losing weight
and has felt very fatigued. He has had no chest pain, shortness of breath,
nausea, vomiting, or fever. His past medical history includes colon
cancer, for which he had surgery, and arthritis. He has been married for
over 40 years. He denies any tobacco or drug use and has not drunk
alcohol in over 40 years. His parents both died of cancer in their 60s. On
TEST 2026 COMPLETE QUESTIONS AND
ANSWERS
◉ a 26 year old sports store manager comes to your clinic, complaining
of severe right sided abdominal pain for 12 hours. He began having a
stomachache yesterday, with decreased appetite, but today the pain
seems to be just on the lower right side. He has had some nausea and
vomiting but no constipation or diarrhea. His last bowel movement was
last night and was normal. He has had no fever or chills. He denies any
recent illness or injuries. His past medical history is unremarkable. He is
engaged. He denies any tobacco or drug use and drinks four to six beers
per week. His mother has breast cancer and his father has coronary
artery disease. On examination he appears ill and is lying on his right
side. His temperature is 100.4 and his heart rate is 110. His bowel
sounds are decreased and he has rebound and involuntary guarding, one
third of the way between the anterior superior iliac spine and the
umbilicus in the right . Answer: a. acute appendicitis
◉ Bill, a 55-year-old man, presents with pain in his epigastrium which
lasts for 30 minutes or more at a time and has started recently. Which of
the following should be considered?
A) Peptic ulcer
B) Pancreatitis
C) Myocardial ischemia
,D) All of the above . Answer: d. all of the above
◉ Chris is a 20-year-old college student who has had abdominal pain for
3 days. It started at his umbilicus and was associated with nausea and
vomiting. He was unable to find a comfortable position. Yesterday, the
pain became more severe and constant. Now, he hesitates to walk,
because any motion makes the pain much worse. It is localized just
medial and inferior to his iliac crest on the right. Which of the following
is most likely?
a. appendicitis
b. cholecystitis
c. peptic ulcer
d. pancreatitis . Answer: a. appendicitis
◉ A 27 year old policewoman comes to your clinic, complaining of
severe left sided back pain radiating down her groin. It began in the
middle of the night and woke her up suddenly. It hurts in her bladder to
urinate but she has no burning on the outside. She has had no frequency
or urgency with urination but she has seen blood in her urine. She has
had nausea with the pain but no vomiting or fever. She denies any other
recent illness or injuries. Her past medical history is unremarkable. She
denies tobacco or drug use and drinks alcohol rarely. Her mother has
high blood pressure and her father is healthy. On examination she looks
her stated age and is in obvious pain. She is lying on her left side trying
to remain very still. Her cardiac, pulmonary, and abdominal
examinations are unremarkable. She has tenderness just inferior to the
,left costovertebral angle. Her urine pregnancy test is negative and her
urine analysis . Answer: a. ureteral pain (from a kidney stone)
◉ A 15 year old high school freshman is brought to the clinic by his
mother because of chronic diarrhea. The mother states that for the past
couple of years her son has had diarrhea after many meals. The patient
states that the diarrhea seems the absolute worst after his school lunches.
He describes his symptoms as cramping abdominal pain and gas
followed by diarrhea. His stools are watery with no specific smell. He
denies any nausea, vomiting, constipation, weight loss, or fatigue. He
has had no recent illnesses, injuries, or foreign travel, His past medical
history is unremarkable. He denies tobacco, alcohol, or drug use. His
parents are both healthy. On examination you see a relaxed young man
breathing comfortably. His vital signs are normal and his head, eyes,
ears, throat, neck, cardiac, and pulmonary examinations are normal. His
abdomen is soft and nondistended. His bowel sounds are active and he
has no tendernes . Answer: c. osmotic diarrhea
◉ Jim is a 60-year-old man who presents with vomiting. He denies
seeing any blood with emesis, which has been occurring for 2 days. He
does note a dark, granular substance resembling the coffee left in the
filter after brewing. What do you suspect?
A) Bleeding from a diverticulum
B) Bleeding from a peptic ulcer
C) Bleeding from a colon cancer
D) Bleeding from cholecystitis . Answer: b. bleeding from a peptic ulcer
, ◉ Monique is a 33-year-old administrative assistant who has had
intermittent lower abdominal pain approximately one week a month for
the past year. It is not related to her menses. She notes relief with
defecation, and a change in form and frequency of her bowel movements
with these episodes. Which of the following is most likely?
a. cholecystitis
b. irritable bowel syndrome
c. colon cancer
d. inflammatory bowel disease . Answer: b. irritable bowel syndrome
◉ A daycare worker presents to your office with juandice. She denies IV
drug use, blood transfusion, and travel and has not been sexually active
for the past 10 months. Which type of hepatitis is most likely?
a. Hepatitis A
b. Hepatitis B
c. Hepatitis C
d. Hepatitis D . Answer: a. Hepatitis A
◉ A 77-year-old retired bus driver comes to your clinic for a physical
examination at his wife's request. He has recently been losing weight
and has felt very fatigued. He has had no chest pain, shortness of breath,
nausea, vomiting, or fever. His past medical history includes colon
cancer, for which he had surgery, and arthritis. He has been married for
over 40 years. He denies any tobacco or drug use and has not drunk
alcohol in over 40 years. His parents both died of cancer in their 60s. On
