EOC End of Curriculum Exam Prep Questions and Correct
Answers | Fall 2025/2026 Update
Question 1
abnormal laboratory tests with ______________ include
-- increased LFT, NH4+
-- decreased Glucose
Correct Answer
Reye syndrome
tx- Treatment is aimed at reducing intracranial pressure and supportive care.
SE- cerebral edema and fulminant heptitis
Question 2
mechanical mitral valve replacement on warfarin presents to the office for routine management of his anticoagulant
medication. What is the target international normalized ratio range for this patient?
Correct Answer
INR 2.5 to 3.5 (mechanical valve)
INR 2.0 to 3.0 (organic valve)
Page 1 of 44
,Question 3
LBP worse with walking, radiating to both legs,
+ paresthesia, +weakness
+ worse pain with spine extension
Correct Answer
Spinal Stenosis
- LBP worse with extension better with forward flexion/bending
patho: degeneration of intervertebral disc, decrease in height with bulging into the spinal canal
dx- MRI
Tx- PT and surgery
Question 4
Decreased light touch and vibration sensation***
Correct Answer
nerve compression
neuropathy
Page 2 of 44
,Question 5
IVDU (heroin use), conjunctival hemorrhages, small red macular lesions on B/L palms and soles, new murmur on left sternal
border
Correct Answer
infective endocarditis
dx based on:
-Two Major (+blood cx, +echo, +valve regurg)
-one major - three minor
- 5 minor (F, IVDU,
Most often elevated lab marker- rheumatoid factor
Question 6
Rash starting at the face spreading to B/L knee and wrist rash. + fever, + posterior cervical and posterior auricular
lymphadenopathy
Correct Answer
Rubella
-- maculopapuar rash - pinpoint, pink
- posterior cervical/ auricular and suboccipital lymph nodes
- low grade fever
- JOINT pain
-
Complications: hearing loss (congenital)
Dx- IgM antibodies, enzyme immunoassay
Tx- supportive, vaccinations
Page 3 of 44
, Question 7
SUPER HIGH fever (104F) -->
FEVER resolves-->
RASH (blanching, maculopapular rash) begins on chest then spread to face and extremities
Correct Answer
RoSeola (Super High F, and sixth dz)
HHS 6
roses that start in chest and bloom to face/ extremities
Question 8
LOW grade fever, coryza (aka runny nose/ congestion), cough, conjunctivitis, malaise, koplik spots
Correct Answer
rubeola / measles
dx- mesles IgM serum antibody
recommendations- isolate
tx- supportive
Question 9
constipation, what medication could safely be added
Correct Answer
Bulk forming laxatives
--note that osmotic stimulants and surfactants don't help.
Page 4 of 44
Answers | Fall 2025/2026 Update
Question 1
abnormal laboratory tests with ______________ include
-- increased LFT, NH4+
-- decreased Glucose
Correct Answer
Reye syndrome
tx- Treatment is aimed at reducing intracranial pressure and supportive care.
SE- cerebral edema and fulminant heptitis
Question 2
mechanical mitral valve replacement on warfarin presents to the office for routine management of his anticoagulant
medication. What is the target international normalized ratio range for this patient?
Correct Answer
INR 2.5 to 3.5 (mechanical valve)
INR 2.0 to 3.0 (organic valve)
Page 1 of 44
,Question 3
LBP worse with walking, radiating to both legs,
+ paresthesia, +weakness
+ worse pain with spine extension
Correct Answer
Spinal Stenosis
- LBP worse with extension better with forward flexion/bending
patho: degeneration of intervertebral disc, decrease in height with bulging into the spinal canal
dx- MRI
Tx- PT and surgery
Question 4
Decreased light touch and vibration sensation***
Correct Answer
nerve compression
neuropathy
Page 2 of 44
,Question 5
IVDU (heroin use), conjunctival hemorrhages, small red macular lesions on B/L palms and soles, new murmur on left sternal
border
Correct Answer
infective endocarditis
dx based on:
-Two Major (+blood cx, +echo, +valve regurg)
-one major - three minor
- 5 minor (F, IVDU,
Most often elevated lab marker- rheumatoid factor
Question 6
Rash starting at the face spreading to B/L knee and wrist rash. + fever, + posterior cervical and posterior auricular
lymphadenopathy
Correct Answer
Rubella
-- maculopapuar rash - pinpoint, pink
- posterior cervical/ auricular and suboccipital lymph nodes
- low grade fever
- JOINT pain
-
Complications: hearing loss (congenital)
Dx- IgM antibodies, enzyme immunoassay
Tx- supportive, vaccinations
Page 3 of 44
, Question 7
SUPER HIGH fever (104F) -->
FEVER resolves-->
RASH (blanching, maculopapular rash) begins on chest then spread to face and extremities
Correct Answer
RoSeola (Super High F, and sixth dz)
HHS 6
roses that start in chest and bloom to face/ extremities
Question 8
LOW grade fever, coryza (aka runny nose/ congestion), cough, conjunctivitis, malaise, koplik spots
Correct Answer
rubeola / measles
dx- mesles IgM serum antibody
recommendations- isolate
tx- supportive
Question 9
constipation, what medication could safely be added
Correct Answer
Bulk forming laxatives
--note that osmotic stimulants and surfactants don't help.
Page 4 of 44
