“DUNPHY PRIMARY CARE MIDTERM REVIEW
2026 ”LATEST EXAM 2026 – 2027 SOLVED
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Dunphy Primary Care Midterm Review
An 83-year-old female presents to the urgent care clinic for diarrhea. The
patient was just discharged from the hospital 1 week ago following treatment
for pneumonia. The patient states she has diarrhea, described as diffuse and
watery, with mucus in it at times. She has approximately 10 episodes per day.
What is the recommended treatment for this patient?
1.
Fecal transplant.
2.
Intravenous (IV) metronidazole.
3.
Oral vancomycin.
4.
Gastrointestinal rest.
Oral vancomycin.
What is the most common bacterial cause of traveler's diarrhea?
1.
Escherichia coli.
2.
Campylobacter jejuni.
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3.
Salmonella.
4.
Shigella.
Escherichia coli.
A 7-year-old male presents with his mother to the urgent care clinic
complaining of abdominal pain. He started to complain of pain prior to going
to bed; however, it has gotten progressively worse and is now preventing him
from sleeping. He is nauseous but hasn't vomited and didn't eat dinner due to
the pain. The patient appears pale and is complaining of right-sided abdominal
pain. His vitals are as follows: blood pressure 130/85, pulse 120, temperature
100.5°F, pulse oximetry 98% on room air. On physical exam he is tender in the
right lower quadrant. His complete blood count (CBC) shows a white blood cell
count (WBC) of 17.0. What is the patient's likely diagnosis?
1.
Appendicitis.
2.
Cholecystitis.
3.
Constipation.
4.
Gastroenteritis.
Appendicitis.
A 25-year-old male presents complaining of hematochezia. The patient states
he has noticed this for 2 days. He states there is a streak of bright blood along
his stool every time he has a bowel movement. The patient has no pain with
his bowel movements. He admits to eating a poor diet. The patient has no
abdominal pain, nausea, or vomiting. On physical exam the patient has a
positive fecal occult blood test but has no noticeable rectal bleeding or
lesions. What is the likely diagnosis?
1.
Internal hemorrhoid.
2.
External hemorrhoid.
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3.
Bleeding peptic ulcer.
4.
Rectal fissure.
Internal hemorrhoid.
The screening guidelines for colon cancer recommend which of the following
for the general population?
1.
Colonoscopy starting at age 50.
2.
Colonoscopy starting at age 45.
3.
Fecal occult blood test (FOBT) and rectal exam starting at age 50.
4.
Fecal occult blood test (FOBT) and rectal exam starting at age 45.
Colonoscopy starting at age 50.
Which of the following is not a risk factor for cholecystitis?
1.
Female gender.
2.
Obesity.
3.
Sickle cell anemia.
4.
Younger age.
Younger age.
Which of the following is the most common cause of acute pancreatitis?
1.
Gallstone obstruction of the pancreatic duct.
2.
Alcoholism.
3.
Hypertriglyceridemia.
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4.
Gallstone obstruction of the pancreatic duct and alcoholism.
Gallstone obstruction of the pancreatic duct and alcoholism.
Which of the following is not a modifiable risk factor?
1.
Weight.
2.
Stress level.
3.
Race.
4.
Physical activity level.
Race.
In relation to writing a patient encounter note, the acronym SOAP stands for
which of the following words?
1.
Subjective, objective, assessment, plan.
2.
Symptoms, objective, assessment, pills.
3.
Subjective, outward findings, assessment, plan.
4.
Symptoms, objective, assessment, plan.
Subjective, objective, assessment, plan.
Which of the following demonstrates a subjective finding?
1.
Pain level.
2.
Pulse rate.
3.
Eye color.
4.
Extremity edema.
Pain level.