NARM BUNDLED EXAM EXAM SCRIPT 2026
FULL SOLUTION PRACTICE
◉ Malodorous single nare. Answer: Foreign body
◉ Retinal Detachment. Answer: the retina separates from the layer
underneath. Symptoms include an increase in the number of
floaters, flashes of light, and worsening of the outer part of the visual
field.
◉ Adolescent with friable nasal turbinates. Answer: Cocaine use
◉ Aphthous ulcer. Answer: a recurrent round or oval sore or ulcer
inside the mouth on an area where the skin is not tightly bound to
the underlying bone, such as on the inside of the lips and cheeks or
underneath the tongue. Aphthous ulcers can also affect the genitalia
in males and females.
◉ GERD first line tx. Answer: h2 then ppi if doesnt work
◉ Maxillary Sinusitis. Answer: Dental pain
◉ Kasmaul Triangle. Answer: Anterior epitaxis
,◉ Roseola infantum. Answer: H. fever => small pink dots pink or
raised body rash => arms
◉ Acne Roscaca. Answer: "adult acne." most often in adults (30-50
years of age). Unlike acne vulgaris, rosacea is devoid of blackheads
and characteristically does not resolve after puberty. Rosacea strikes
both sexes and potentially all ages. It tends to be more frequent in
women but more severe in men. It is very uncommon in children,
and it is less frequent in people with dark skin. Tx with Flagyl
◉ AV Nicking. Answer: HTN, arteries crossing veins
◉ Blepharitis. Answer: commonly occurs when the tiny oil glands of
the inner eyelid become inflamed. It often occurs along with other
skin conditions or allergies.
Symptoms include red, itchy eyelids that may look greasy and
crusted. Dry eyes also are a symptom.
Treatments include cleaning the eyelids, antibiotic or steroid eye
drops and treating underlying conditions. However, blepharitis
tends to come back.
◉ Hordelum. Answer: Painful stye it hurts
◉ chalazion. Answer: Non painful lesion to eyelid
,◉ Cotton Wool. Answer: Cotton wool spots are an abnormal finding
on funduscopic exam of the retina of the eye. They appear as fluffy
white patches on the retina. They are caused by damage to nerve
fibers and are a result of accumulations of axoplasmic material
within the nerve fiber layer. Systemic HTN, DM
◉ Herpes Zoster. Answer: Early signs of shingles include a burning
sensation or stabbing pain and tingling or itching on the skin. After a
few days, a rash or blisters appear usually on one side of the body or
face. When the rash is at its peak, symptoms can range from mild
itching to extreme and debilitating pain. Tx within 72 hours Aclovir
◉ Retinoblastoma (Rb). Answer: Absence of light reflex, it is a rare
form of cancer that rapidly develops from the immature cells of a
retina, the light-detecting tissue of the eye. It is the most common
primary malignant intraocular cancer in children, and it is almost
exclusively found in young children.
◉ Seborrheic dermatitis (Dandruff). Answer: commonly involves
portions of the scalp, brows, mid-face, ears, mid-chest, and mid-
back. It is not unusual for it to affect the skin of infants and young
children where it often involves the scalp (cradle cap) and the diaper
area. Seborrheic dermatitis is also known as seborrhea.
, ◉ Seborrheic Keratosis. Answer: A seborrhoeic keratosis is a
harmless warty spot that appears during adult life as a common sign
of skin aging. ... Seborrhoeic keratosis (or seborrheic keratosis, using
American spelling) is also called SK, basal cell papilloma, senile wart,
brown wart or barnacle.
◉ Cupping of disc. Answer: Intracranial pressure
◉ subconjunctival haemorrhage. Answer: is bleeding underneath
the conjunctiva. It can occur after a sudden or severe sneeze or
cough, heavy lifting, straining, vomiting or even rubbing one's eyes
too roughly. It can also occur as a side effect of eye surgery or blood
thinners.
The main symptom is a bright red patch in the eye that may spread
and then become green or yellow, much like a bruise. Usually it
disappears within two weeks.
In most cases, no treatment is required for this condition.
◉ Sialolithiasis (also termed salivary calculi, or salivary stones).
Answer: A condition where a calcified mass or sialolith forms within
a salivary gland, usually in the duct of the submandibular gland (also
termed "Wharton's duct").
◉ Honey Crusted lesions. Answer: Impetigo is a bacterial infection
that involves the superficial skin.The most common presentation is
yellowish crusts on the face, arms, or legs.Less commonly there may
FULL SOLUTION PRACTICE
◉ Malodorous single nare. Answer: Foreign body
◉ Retinal Detachment. Answer: the retina separates from the layer
underneath. Symptoms include an increase in the number of
floaters, flashes of light, and worsening of the outer part of the visual
field.
◉ Adolescent with friable nasal turbinates. Answer: Cocaine use
◉ Aphthous ulcer. Answer: a recurrent round or oval sore or ulcer
inside the mouth on an area where the skin is not tightly bound to
the underlying bone, such as on the inside of the lips and cheeks or
underneath the tongue. Aphthous ulcers can also affect the genitalia
in males and females.
◉ GERD first line tx. Answer: h2 then ppi if doesnt work
◉ Maxillary Sinusitis. Answer: Dental pain
◉ Kasmaul Triangle. Answer: Anterior epitaxis
,◉ Roseola infantum. Answer: H. fever => small pink dots pink or
raised body rash => arms
◉ Acne Roscaca. Answer: "adult acne." most often in adults (30-50
years of age). Unlike acne vulgaris, rosacea is devoid of blackheads
and characteristically does not resolve after puberty. Rosacea strikes
both sexes and potentially all ages. It tends to be more frequent in
women but more severe in men. It is very uncommon in children,
and it is less frequent in people with dark skin. Tx with Flagyl
◉ AV Nicking. Answer: HTN, arteries crossing veins
◉ Blepharitis. Answer: commonly occurs when the tiny oil glands of
the inner eyelid become inflamed. It often occurs along with other
skin conditions or allergies.
Symptoms include red, itchy eyelids that may look greasy and
crusted. Dry eyes also are a symptom.
Treatments include cleaning the eyelids, antibiotic or steroid eye
drops and treating underlying conditions. However, blepharitis
tends to come back.
◉ Hordelum. Answer: Painful stye it hurts
◉ chalazion. Answer: Non painful lesion to eyelid
,◉ Cotton Wool. Answer: Cotton wool spots are an abnormal finding
on funduscopic exam of the retina of the eye. They appear as fluffy
white patches on the retina. They are caused by damage to nerve
fibers and are a result of accumulations of axoplasmic material
within the nerve fiber layer. Systemic HTN, DM
◉ Herpes Zoster. Answer: Early signs of shingles include a burning
sensation or stabbing pain and tingling or itching on the skin. After a
few days, a rash or blisters appear usually on one side of the body or
face. When the rash is at its peak, symptoms can range from mild
itching to extreme and debilitating pain. Tx within 72 hours Aclovir
◉ Retinoblastoma (Rb). Answer: Absence of light reflex, it is a rare
form of cancer that rapidly develops from the immature cells of a
retina, the light-detecting tissue of the eye. It is the most common
primary malignant intraocular cancer in children, and it is almost
exclusively found in young children.
◉ Seborrheic dermatitis (Dandruff). Answer: commonly involves
portions of the scalp, brows, mid-face, ears, mid-chest, and mid-
back. It is not unusual for it to affect the skin of infants and young
children where it often involves the scalp (cradle cap) and the diaper
area. Seborrheic dermatitis is also known as seborrhea.
, ◉ Seborrheic Keratosis. Answer: A seborrhoeic keratosis is a
harmless warty spot that appears during adult life as a common sign
of skin aging. ... Seborrhoeic keratosis (or seborrheic keratosis, using
American spelling) is also called SK, basal cell papilloma, senile wart,
brown wart or barnacle.
◉ Cupping of disc. Answer: Intracranial pressure
◉ subconjunctival haemorrhage. Answer: is bleeding underneath
the conjunctiva. It can occur after a sudden or severe sneeze or
cough, heavy lifting, straining, vomiting or even rubbing one's eyes
too roughly. It can also occur as a side effect of eye surgery or blood
thinners.
The main symptom is a bright red patch in the eye that may spread
and then become green or yellow, much like a bruise. Usually it
disappears within two weeks.
In most cases, no treatment is required for this condition.
◉ Sialolithiasis (also termed salivary calculi, or salivary stones).
Answer: A condition where a calcified mass or sialolith forms within
a salivary gland, usually in the duct of the submandibular gland (also
termed "Wharton's duct").
◉ Honey Crusted lesions. Answer: Impetigo is a bacterial infection
that involves the superficial skin.The most common presentation is
yellowish crusts on the face, arms, or legs.Less commonly there may
