ADULT PRIMARY CARE REVIEW | COMPREHENSIVE STUDY GUIDE, PRACTICE
QUESTIONS & ANSWERS 2026/2027
Which is a modifiable risk factor for melanoma - correct answer ✔✔Considerable sun exposure and
sunburn
A 19 year old female comes to your clinic for a routine visit to obtain birth control pills. You notice a red
sunburn over her body. She states that she stayed a little too long in the sunbed. She denies pain and
appears happy. What is your most appropriate course of action for skin health promotion and disease
prevention? - correct answer ✔✔Ask how often she uses the sun bed and explore why it is important to
her
Large, flaccid bullae with honey-colored crusts around the mouth and nose are characteristic of - correct
answer ✔✔Impetigo
You examine a patient with a well demarcated erythematous rash with silvery scale. You diagnose____? -
correct answer ✔✔Psoriasis
A teenage male comes to your clinic with the chief complaint of foot odor. He notes "extra" white skin
between his toes. He denies pain at this time. On history you find that he plays on the local high school
football team and is sexually active. What will you include in your plan of care? - correct answer
✔✔Miconazole nitrate 2% cream or Clotrimazole 1% solution twice a day x 4 weeks
A 60 year old male comes to your office with a history of urticaria. He is staying at home more due to his
"rash". The lesions are papular and scabbed on extremities and trunk. What will you include in your
treatment plan? - correct answer ✔✔Assess medication list for ACE inhibitors and NSAIDs
A teenager comes to your clinic with the chief complaint of warts located on her hands. Which treatment
is NOT an evidence-based option? - correct answer ✔✔Shaving the warts
Mr. Jackson, age 64, is active and continues to farm as he has all of his adult life. He is asymptomatic for
skin lesions. What should you discuss with him for skin health promotion and disease prevention course
of action in this patient encounter? - correct answer ✔✔Show Mr. Jackson how to inspect his skin using
the ABCDE model and encourage him to do self-skin-inspections
A 40 y/o man comes to the office with a rash of 4-5 months duration. He had bumps on his shoulders,
back and arms. He reports that the bumps are larger, he has nighttime pruritis and oral and topical
corticosteroids have not helped. He has no pets, lives alone, and recalls no insect bites or contacts with
anyone with a rash. On eaxm there is a symetric eruption with erythematous papules and excorations on
his back, shoulders, axillae, wrists, scrotum, and upper legs. There are a few pustles in the axillae. Which
of the following is the most appropriate next step? - correct answer ✔✔Examine a skin scraping in
mineral oil under a light microscope
A 75 y/o man in a nursing facility has developed a Stage 3 pressure ulcer. He weighs 160 lbs with a 10 lb
weight loss in the last month. BMI=20.5, Albumin 3.2, Pre-albumin 14. Which of the following is most
likely to aid healing? - correct answer ✔✔Protein 100 GM qd
, A 70 y/o patient has a large sacral ulcer measuring 11 by 10 cm, with a depth of 4 cm. There is
surrounding erythema, exposed muscle, undermining of the edges and a tunneling tract that extends
another 2 cm. Within the ulcer, there is necrotic material and a significant amount of exudate with a foul
odor. Which of the following is the next step to reduce odor? - correct answer ✔✔Perform surgical
debridement
A 60 y/o woman is evaluated because she has erythematous lesions. Initially, the lesions were on her
arms and legs. By the end of week 1, the lesions spread to her trunk and several large blisters appeared.
The lesions are pruritic and cause her to scratch. On exam, there are areas of erythema with tense
blisters and serous exudate. Some blisters have opened into oval erosions with serous exudate. Some
blisters are covered in scabs. What is the most likely diagnosis? - correct answer ✔✔Bullous pemphigoid
A 32 y/o woman comes to the office c/o a bad taste in her mouth. She takes Metformin and Valsartan.
Three weeks ago she took Nitrofuratonin for a UTI. On exam, there are white plaques on the surface of
her cheeks, hard palate, and tongue. Wiping off some of the plaques reveals an erythematous mucosal
surface. Which of the following is the most likely diagnosis? - correct answer ✔✔Acute
psuedomembranous candidiasis
All of the following are true about renal dosing EXCEPT - correct answer ✔✔Reducing each dose while
maintaining the dose interval presents no risks
When following up on response to treatment for a bite injury which diagnostic test can be used to
evaluate the response to the treatment? - correct answer ✔✔C reactive protein
Which of the following factors contributes to the potential for antibiotic resistance? - correct answer
✔✔Environment, Patient, Drug
The best description of logical antibiotic prescribing involves which of the following - correct answer
✔✔Answering the 10 questions of logical prescribing
An example of a disease caused by vector transmission is - correct answer ✔✔Malaria
An example of a disease caused by indirect transmission is - correct answer ✔✔Salmonella
An example of a disease caused by direct transmission is - correct answer ✔✔Herpes Type 1
Infections are defined as a harmful invasion and spread of a foreign species or pathogen. Which of the
following are sources of infection? - correct answer ✔✔All of the above: Prions, Fungus & Protists
Epidemiology is defined as - correct answer ✔✔The science of discovering the causes of illnesses and
injury in populations
Which of the following statements is true regarding the first pass metabolism process? - correct answer
✔✔After a drug is taken by the oral route, it is absorbed in the small intestines and enters the liver
through the portal circulation before being released into general circulation.
QUESTIONS & ANSWERS 2026/2027
Which is a modifiable risk factor for melanoma - correct answer ✔✔Considerable sun exposure and
sunburn
A 19 year old female comes to your clinic for a routine visit to obtain birth control pills. You notice a red
sunburn over her body. She states that she stayed a little too long in the sunbed. She denies pain and
appears happy. What is your most appropriate course of action for skin health promotion and disease
prevention? - correct answer ✔✔Ask how often she uses the sun bed and explore why it is important to
her
Large, flaccid bullae with honey-colored crusts around the mouth and nose are characteristic of - correct
answer ✔✔Impetigo
You examine a patient with a well demarcated erythematous rash with silvery scale. You diagnose____? -
correct answer ✔✔Psoriasis
A teenage male comes to your clinic with the chief complaint of foot odor. He notes "extra" white skin
between his toes. He denies pain at this time. On history you find that he plays on the local high school
football team and is sexually active. What will you include in your plan of care? - correct answer
✔✔Miconazole nitrate 2% cream or Clotrimazole 1% solution twice a day x 4 weeks
A 60 year old male comes to your office with a history of urticaria. He is staying at home more due to his
"rash". The lesions are papular and scabbed on extremities and trunk. What will you include in your
treatment plan? - correct answer ✔✔Assess medication list for ACE inhibitors and NSAIDs
A teenager comes to your clinic with the chief complaint of warts located on her hands. Which treatment
is NOT an evidence-based option? - correct answer ✔✔Shaving the warts
Mr. Jackson, age 64, is active and continues to farm as he has all of his adult life. He is asymptomatic for
skin lesions. What should you discuss with him for skin health promotion and disease prevention course
of action in this patient encounter? - correct answer ✔✔Show Mr. Jackson how to inspect his skin using
the ABCDE model and encourage him to do self-skin-inspections
A 40 y/o man comes to the office with a rash of 4-5 months duration. He had bumps on his shoulders,
back and arms. He reports that the bumps are larger, he has nighttime pruritis and oral and topical
corticosteroids have not helped. He has no pets, lives alone, and recalls no insect bites or contacts with
anyone with a rash. On eaxm there is a symetric eruption with erythematous papules and excorations on
his back, shoulders, axillae, wrists, scrotum, and upper legs. There are a few pustles in the axillae. Which
of the following is the most appropriate next step? - correct answer ✔✔Examine a skin scraping in
mineral oil under a light microscope
A 75 y/o man in a nursing facility has developed a Stage 3 pressure ulcer. He weighs 160 lbs with a 10 lb
weight loss in the last month. BMI=20.5, Albumin 3.2, Pre-albumin 14. Which of the following is most
likely to aid healing? - correct answer ✔✔Protein 100 GM qd
, A 70 y/o patient has a large sacral ulcer measuring 11 by 10 cm, with a depth of 4 cm. There is
surrounding erythema, exposed muscle, undermining of the edges and a tunneling tract that extends
another 2 cm. Within the ulcer, there is necrotic material and a significant amount of exudate with a foul
odor. Which of the following is the next step to reduce odor? - correct answer ✔✔Perform surgical
debridement
A 60 y/o woman is evaluated because she has erythematous lesions. Initially, the lesions were on her
arms and legs. By the end of week 1, the lesions spread to her trunk and several large blisters appeared.
The lesions are pruritic and cause her to scratch. On exam, there are areas of erythema with tense
blisters and serous exudate. Some blisters have opened into oval erosions with serous exudate. Some
blisters are covered in scabs. What is the most likely diagnosis? - correct answer ✔✔Bullous pemphigoid
A 32 y/o woman comes to the office c/o a bad taste in her mouth. She takes Metformin and Valsartan.
Three weeks ago she took Nitrofuratonin for a UTI. On exam, there are white plaques on the surface of
her cheeks, hard palate, and tongue. Wiping off some of the plaques reveals an erythematous mucosal
surface. Which of the following is the most likely diagnosis? - correct answer ✔✔Acute
psuedomembranous candidiasis
All of the following are true about renal dosing EXCEPT - correct answer ✔✔Reducing each dose while
maintaining the dose interval presents no risks
When following up on response to treatment for a bite injury which diagnostic test can be used to
evaluate the response to the treatment? - correct answer ✔✔C reactive protein
Which of the following factors contributes to the potential for antibiotic resistance? - correct answer
✔✔Environment, Patient, Drug
The best description of logical antibiotic prescribing involves which of the following - correct answer
✔✔Answering the 10 questions of logical prescribing
An example of a disease caused by vector transmission is - correct answer ✔✔Malaria
An example of a disease caused by indirect transmission is - correct answer ✔✔Salmonella
An example of a disease caused by direct transmission is - correct answer ✔✔Herpes Type 1
Infections are defined as a harmful invasion and spread of a foreign species or pathogen. Which of the
following are sources of infection? - correct answer ✔✔All of the above: Prions, Fungus & Protists
Epidemiology is defined as - correct answer ✔✔The science of discovering the causes of illnesses and
injury in populations
Which of the following statements is true regarding the first pass metabolism process? - correct answer
✔✔After a drug is taken by the oral route, it is absorbed in the small intestines and enters the liver
through the portal circulation before being released into general circulation.
