Exam Solution with Tested & Verified Answers (Graded
A+) 2026 Latest Update
1. How many sets of Kegels should be done each day to help with urinary incontinence? -
PRECISE ANS>>
-Three sets of 10 a day
2. What is the first line treatment for allergic rhinitis? -PRECISE ANS>>
- intranasal corticosteroid—ie: Flonase.
3. What is the term used for the loss of high-pitched tones in geriatrics? -PRECISE ANS>>
-Presbycusis
4. What type of hearing loss does cerumen impaction cause? -PRECISE ANS>>
- Conductive hearing loss
5. You see an older woman bending over leaving on her shopping cart at the grocery
store. What is the likely diagnosis? -PRECISE ANS>>
-Spinal stenosis
6. Multiple myeloma is disease of what? -PRECISE ANS>>
-Plasma cells
7. What test in the office can you use to help diagnose sciatica? -PRECISE ANS>>
- Straight leg test (Always pick the cheapest, most noninvasive tests first!!)
8. I have heel pain that is worse in the morning. What is my likely diagnosis? -PRECISE
ANS>>
- Plantar fasciitis
90. The Lachman test is used to help diagnose what? -PRECISE ANS>>
- ACL
10. Other tests for acl include
-anterior and posterior drawer tests
11. What is the treatment for gout and what would be the medication instructions for a
flare? -PRECISE ANS>>
- Colchicine and take 1.2 mg at the first sign of flare, followed in 1 hour with a single
dose of 0.6 mg.
12. What is a sign of colchicine toxicity? -PRECISE ANS>>
- Diarrhea
13. What is a common cause of posterior knee pain? -PRECISE ANS>>
-Baker’s cyst
14. Cotton wool spots, neovascularization and microaneurysms are all Eye exam
findings in what condition? -PRECISE ANS>>
-Diabetes
15. And what about AV nicking and what it is? -PRECISE ANS>>
- HTN, when an artery crosses over a vein
16. What is the treatment for bacterial sinusitis? -PRECISE ANS>>
-Augmentin
17. I’m tired, have a sore throat and swollen posterior cervical nodes on exam. What is
the likely diagnosis? -PRECISE ANS>>
-Mono--The best thing I can say to help differentiate those two for memory is that P
in posterior is closer to M in mono in the alphabet so that’s how I remember!
18. Recall that swollen ANTERIOR cervical nodes are seen in
,- strep.
19. What is a common side effect of Pyridium, an anti-spasmodic for dysuria? -PRECISE
ANS>>
-Orange colored urine
20. What would be included in your list of differentials for hematuria? -PRECISE ANS>>
-Bladder cancer, kidney stones, exercise induced, trauma, medications, infection, and
,BPH are the most common reasons
21. What is the medication treatment
for MRSA? -PRECISE ANS>> Bactrim
22. What are some symptoms a patient with lupus would complain of? -PRECISE ANS>>
- Fatigue, malar rash aka butterfly rash, and joint aches.
23. And what is the lab that you would order it to confirm it? -PRECISE ANS>>
-ANA
24. What is the term used to describe dry, itching skin? -PRECISE ANS>>
-Xerosis
25. What is the most common kind of skin cancer? -PRECISE ANS>>
- Basal cell carcinoma reminder that this cancer presents as a pearly domed nodule,
pink or flesh colored and usually has telangiectasia present
26. What medication is used to treat a cat or dog bite? -PRECISE ANS>>
-Augmentin (dogmantin)
27. What do you think of when you hear a bright beefy red rash and what is the
treatment? -PRECISE ANS>>
- Candidiasis and treatment is topical anti-fungal (e.g diaper rash)
28. How would you describe the prostate in BPH? -PRECISE ANS>>
- Firm, rubbery, smooth and symmetrically enlarged. NB that prostate
cancer on the other hand is asymmetrical
29. A1C> what is considered T2DM? -PRECISE ANS>> >6.5%
30. My A1C is >10, what would be the medication of choice? -PRECISE ANS>>
Insulin (also first choice medication if fasting glucose is >300!)
31. Hypothyroidism is most common in what population? -PRECISE ANS>>
- Women >50yrs
32. Your pediatric pt has bloody discharge in his ear, what’s the likely dx? -PRECISE ANS>>
- Ruptured TM
33. Your patient presents with a burn and blisters are present. What degree burn is
this? -PRECISE ANS>>
-2nd degree
34 What is the treatment for pertussis? -PRECISE ANS>>
- Macrolide (Azithromycin)
35. What bug causes the greatest mortality in community acquired pneumonia?
-PRECISE ANS>> Strep pneumo
36. What would be seen on xray of a pt with TB? -PRECISE ANS>> A black circle
usually in the upper lobes
37. Most common side effect of long-term inhaled corticosteroid use? -PRECISE
ANS>>
-Osteopenia and cataracts
38. S3 heart sound is a sign of what? -PRECISE ANS>>
-Congestive heart failure (keep in mind they’re normal during pregnancy)
39. What medication do use to treat a fib? -PRECISE ANS>>
, - Beta blockers
40. What is pulsus paradoxus? -PRECISE ANS>>
- A decrease in systolic pressure with inspiration usually seen in asthmatics...to
measure use a blood pressure cuff and stethoscope
41. The upcoming July 4th holiday reminds you of what diagnosis? -PRECISE ANS>>
-Raynauds ..red white and blue color changing of the hands. Tx? -PRECISE ANS>> CCBs
42. Someone with high triglyceride levels is at increased risk of what? -PRECISE
ANS>>
-Pancreatitis
43. Subclinical hypothyroidism is described as what lab readings? -PRECISE ANS>>
-High TSH with a normal T4
44. A positive Markle test is significant of what? -PRECISE ANS>>
-Appendicitis ...recall that the Markle test is also known as the heel jar in which the
patient raises their heels then drop them suddenly and if they experience pain it’s
positive for appendicitis
45. What differentials do you think of in someone with left upper quadrant pain? -
PRECISE ANS>>
-Gastritis, pancreatitis, myocardial infarction, and left lower lobe pneumonia.
46. What about left lower quadrant? -PRECISE ANS>>
-Diverticulitis
47. A positive Murphy’s sign is indicative of what? -PRECISE ANS>>
-Cholecystitis.
48. What diagnostic test would you order if this were positive? -PRECISE ANS>>
- An ultrasound
49. What is the first line treatment for GERD? -PRECISE ANS>>
- H2 blockers
50. I was going to go over hepatitis B markers but I think it’s harder to say that
out loud versus seeing it on paper so going to skip that but of course remember to
review those for the exam too!
51. What diagnostic test should be done for suspicion of appendicitis? -PRECISE
ANS>>
-CT scan ...you should also do a CT scan for diverticulitis and speaking of diverticulitis