CEPAMIDTERM1QUESTIONSWITH CORR h h h h h
ECT ANSWERS 2026 h h
An 18-year- h
old tennis player falls and lands awkwardly on her shoulder. She has pain immediately at the apex of the s houlde
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r where the clavicle and acromion of the scapula joint (AC joint). She has point tenderness over th e acromioclav
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icular (AC) joint and is unable to raise her arm. She is diagnosed with a sprain of the AC joint
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. Which of the following best describes this synovial joint?
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A. Saddle
B. Pivot
C. Hinge
D. Plane
E. Condyloid - CORRECT ANSWER -Correct: Plane. Multiaxial, single, or multiple planes of motion.
h h h h h h h h h h h h
A 17-year-
h
old baseball pitcher presents to the office for evaluation of elbow pain. He describes pain on the medial si de of hi
h h h h h h h h h h h h h h h h h h h h h
s elbow during the release phase of pitching. He is diagnosed with a tear of the ulnar collateral lig ament of the el
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bow. The elbow is which of the following types of synovial joints?
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A. condyloid
B. pivot
C. plane
D. saddle
E. hinge - CORRECT ANSWER -Correct: hinge. Uniaxial, bending and straightening in a single axis.
h h h h h h h h h h h h h
A 15-year-
h
old field hockey player is runningFin straight line when she hears a loud pop has immediate pain and swell ingFin h
h h h h h h h h h h h h h h h h h h h h
er right ankle. She is unable to bear weight through that ankle. On x-
h h h h h h h h h h h h h
ray at the urgent care, she is told she "popped" an osteochondritis dissecans (OCD) of the dome of the tal us. Th
h h h h h h h h h h h h h h h h h h h h h
e structure on the "cap", or the surface of the talus, that was disrupted is which of the following syn ovial joint co
h h h h h h h h h h h h h h h h h h h h h h
mponents?
A. Synovial lining h
B. Articular disk h
C. Articular capsule h
D. Articular cartilage h
,E. Ligament - CORRECT ANSWER - h h h h
Correct: Articular cartilage. Hyaline (Type II) connective tissue onends of bone.
h h h h h h h h h h h
A 67-year-
h
old male presents to the clinic to follow up on his previous visit regarding his blood pressure management
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. The physician enters the patient room and after greeting the patient asks, "How have things have been g oing sinc
h h h h h h h h h h h h h h h h h h h h
e our last visit?" This is an example of which of the following types of interview techniques?
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A. direct follow-up question h h
B. open-ended question h
C. summarizing
D. facilitation
E. probing question - CORRECT ANSWER -Correct: open-ended question. Open-
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ended questions require more than a one-word answer and allow the patient to express their concerns.
h h h h h h h h h h h h h h h
AF23-year-old is consulted inthe post- h h h h h
partum ward at the hospital after giving birth to her first child because of a constant, sharp 8/10 pain that started
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shortly after a normal vaginal delivery. She says the pain is worse with movement of her legs. Phy sical examinat
h h h h h h h h h h h h h h h h h h h
ion reveals that her pain is exacerbated by pelvic rock. She has an obvious torsion at the fib rocartilaginous symp
h h h h h h h h h h h h h h h h h h h
hysis pubis joint and is diagnosed with pubis somatic dysfunction. Which of the follo wingFbest describes this jo
h h h h h h h h h h h h h h h h h
int?
A. Fibrous synarthrosis h
B. Cartilaginous amphiarthrosis h
C. Fibrous amphiarthrosis h
D. Cartilaginous synarthrosis h
E. Synovialdiarthrosis - CORRECT ANSWER - h h h h h
Correct: Cartilaginous amphiarthrosis. Fibrocartilage connective tissue lacking a joint cavity. Immobile or nea
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rly immobile joint with a strong union between the articulating bones. Protects underlying soft tissue structures
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.
A 48-year-
h
old male presents to the emergency department with pain in his right kidney area. CT scan of the pelvis a nd kidn
h h h h h h h h h h h h h h h h h h h h h
eys revealsFno abnormalities, and a urinalysisFreveals resultsFthat are suggestive of a urinary tract i nfection. A u
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rine culture is sent for further testing. The provider sends a prescription to the pharmacy for the patient to pick up
h h h h h h h h h h h h h h h h h h h h
. The provider says, "I want to make sure that I explained our plan clearly. Can you te
h h h h h h h h h h h h h h h h h
, ll me what you understand you need to do after leaving today?" This is an example of which of the followi ng?
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A. collaboration
B. achieving consensus h
C. identifyingFconcerns
D. teach back method h h
E. shared decision making - CORRECT ANSWER - h h h h h h
Correct: teach back method. The teach back method is a way of helpingFto ensure understanding has occ urred.
h h h h h h h h h h h h h h h h h
The patient is asked to verbalize their understanding of some part of the patient encounter such as the diagnosis,
h h h h h h h h h h h h h h h h h h h
plan, or follow-up instructions.
h h h h
A 14-year-old female is brought to the office with a 2-
h h h h h h h h h h
day history of a sore throat. She denies any fever, cough, runny nose, or abdominal pain. She has had no il l contac
h h h h h h h h h h h h h h h h h h h h h h
ts. She hasFnot taken any antibiotics recently. Vital signs are within normal limits. Physical examin ation reveals
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tender cervical lymph nodes and bilateral tonsillar enlargementFwith exudate. Abdominal ex amination reveals
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no abdominal tenderness. Which of the preceding elements would be considered a sy mptom and belong in th
h h h h h h h h h h h h h h h h h
e subjective portion of the note?
h h h h h
A. lymph node tenderness h h
B. no abdominal tenderness h h
C. tonsillar exudate h
D. no runny nose or cough h h h h
E. normal vital signs - CORRECT ANSWER - h h h h h h
Correct: no runny nose or cough. These are symptoms that the patient would tell the provider about and would be inc
h h h h h h h h h h h h h h h h h h h h
luded in the subjective portion of the note. h h h h h h h
A 78-year- h
old female is brought to the emergency department after falling and hitting her head. Medications includ e daily
h h h h h h h h h h h h h h h h h h
aspirin. A CT scan of the head is normal, with no evidence of acute bleeding. In which of the follow ingFsections o
h h h h h h h h h h h h h h h h h h h h h
f the note should the provider's reasoning for ordering the CT scan be documented?
h h h h h h h h h h h h h
A. objective
B. past medical history h h
C. plan
D. subjective
ECT ANSWERS 2026 h h
An 18-year- h
old tennis player falls and lands awkwardly on her shoulder. She has pain immediately at the apex of the s houlde
h h h h h h h h h h h h h h h h h h h h
r where the clavicle and acromion of the scapula joint (AC joint). She has point tenderness over th e acromioclav
h h h h h h h h h h h h h h h h h h h
icular (AC) joint and is unable to raise her arm. She is diagnosed with a sprain of the AC joint
h h h h h h h h h h h h h h h h h h h
. Which of the following best describes this synovial joint?
h h h h h h h h h
A. Saddle
B. Pivot
C. Hinge
D. Plane
E. Condyloid - CORRECT ANSWER -Correct: Plane. Multiaxial, single, or multiple planes of motion.
h h h h h h h h h h h h
A 17-year-
h
old baseball pitcher presents to the office for evaluation of elbow pain. He describes pain on the medial si de of hi
h h h h h h h h h h h h h h h h h h h h h
s elbow during the release phase of pitching. He is diagnosed with a tear of the ulnar collateral lig ament of the el
h h h h h h h h h h h h h h h h h h h h h h
bow. The elbow is which of the following types of synovial joints?
h h h h h h h h h h h
A. condyloid
B. pivot
C. plane
D. saddle
E. hinge - CORRECT ANSWER -Correct: hinge. Uniaxial, bending and straightening in a single axis.
h h h h h h h h h h h h h
A 15-year-
h
old field hockey player is runningFin straight line when she hears a loud pop has immediate pain and swell ingFin h
h h h h h h h h h h h h h h h h h h h h
er right ankle. She is unable to bear weight through that ankle. On x-
h h h h h h h h h h h h h
ray at the urgent care, she is told she "popped" an osteochondritis dissecans (OCD) of the dome of the tal us. Th
h h h h h h h h h h h h h h h h h h h h h
e structure on the "cap", or the surface of the talus, that was disrupted is which of the following syn ovial joint co
h h h h h h h h h h h h h h h h h h h h h h
mponents?
A. Synovial lining h
B. Articular disk h
C. Articular capsule h
D. Articular cartilage h
,E. Ligament - CORRECT ANSWER - h h h h
Correct: Articular cartilage. Hyaline (Type II) connective tissue onends of bone.
h h h h h h h h h h h
A 67-year-
h
old male presents to the clinic to follow up on his previous visit regarding his blood pressure management
h h h h h h h h h h h h h h h h h
. The physician enters the patient room and after greeting the patient asks, "How have things have been g oing sinc
h h h h h h h h h h h h h h h h h h h h
e our last visit?" This is an example of which of the following types of interview techniques?
h h h h h h h h h h h h h h h h
A. direct follow-up question h h
B. open-ended question h
C. summarizing
D. facilitation
E. probing question - CORRECT ANSWER -Correct: open-ended question. Open-
h h h h h h h h
ended questions require more than a one-word answer and allow the patient to express their concerns.
h h h h h h h h h h h h h h h
AF23-year-old is consulted inthe post- h h h h h
partum ward at the hospital after giving birth to her first child because of a constant, sharp 8/10 pain that started
h h h h h h h h h h h h h h h h h h h h h
shortly after a normal vaginal delivery. She says the pain is worse with movement of her legs. Phy sical examinat
h h h h h h h h h h h h h h h h h h h
ion reveals that her pain is exacerbated by pelvic rock. She has an obvious torsion at the fib rocartilaginous symp
h h h h h h h h h h h h h h h h h h h
hysis pubis joint and is diagnosed with pubis somatic dysfunction. Which of the follo wingFbest describes this jo
h h h h h h h h h h h h h h h h h
int?
A. Fibrous synarthrosis h
B. Cartilaginous amphiarthrosis h
C. Fibrous amphiarthrosis h
D. Cartilaginous synarthrosis h
E. Synovialdiarthrosis - CORRECT ANSWER - h h h h h
Correct: Cartilaginous amphiarthrosis. Fibrocartilage connective tissue lacking a joint cavity. Immobile or nea
h h h h h h h h h h h h
rly immobile joint with a strong union between the articulating bones. Protects underlying soft tissue structures
h h h h h h h h h h h h h h h
.
A 48-year-
h
old male presents to the emergency department with pain in his right kidney area. CT scan of the pelvis a nd kidn
h h h h h h h h h h h h h h h h h h h h h
eys revealsFno abnormalities, and a urinalysisFreveals resultsFthat are suggestive of a urinary tract i nfection. A u
h h h h h h h h h h h h h h h h
rine culture is sent for further testing. The provider sends a prescription to the pharmacy for the patient to pick up
h h h h h h h h h h h h h h h h h h h h
. The provider says, "I want to make sure that I explained our plan clearly. Can you te
h h h h h h h h h h h h h h h h h
, ll me what you understand you need to do after leaving today?" This is an example of which of the followi ng?
h h h h h h h h h h h h h h h h h h h h h
A. collaboration
B. achieving consensus h
C. identifyingFconcerns
D. teach back method h h
E. shared decision making - CORRECT ANSWER - h h h h h h
Correct: teach back method. The teach back method is a way of helpingFto ensure understanding has occ urred.
h h h h h h h h h h h h h h h h h
The patient is asked to verbalize their understanding of some part of the patient encounter such as the diagnosis,
h h h h h h h h h h h h h h h h h h h
plan, or follow-up instructions.
h h h h
A 14-year-old female is brought to the office with a 2-
h h h h h h h h h h
day history of a sore throat. She denies any fever, cough, runny nose, or abdominal pain. She has had no il l contac
h h h h h h h h h h h h h h h h h h h h h h
ts. She hasFnot taken any antibiotics recently. Vital signs are within normal limits. Physical examin ation reveals
h h h h h h h h h h h h h h h h h
tender cervical lymph nodes and bilateral tonsillar enlargementFwith exudate. Abdominal ex amination reveals
h h h h h h h h h h h h h
no abdominal tenderness. Which of the preceding elements would be considered a sy mptom and belong in th
h h h h h h h h h h h h h h h h h
e subjective portion of the note?
h h h h h
A. lymph node tenderness h h
B. no abdominal tenderness h h
C. tonsillar exudate h
D. no runny nose or cough h h h h
E. normal vital signs - CORRECT ANSWER - h h h h h h
Correct: no runny nose or cough. These are symptoms that the patient would tell the provider about and would be inc
h h h h h h h h h h h h h h h h h h h h
luded in the subjective portion of the note. h h h h h h h
A 78-year- h
old female is brought to the emergency department after falling and hitting her head. Medications includ e daily
h h h h h h h h h h h h h h h h h h
aspirin. A CT scan of the head is normal, with no evidence of acute bleeding. In which of the follow ingFsections o
h h h h h h h h h h h h h h h h h h h h h
f the note should the provider's reasoning for ordering the CT scan be documented?
h h h h h h h h h h h h h
A. objective
B. past medical history h h
C. plan
D. subjective
