DUNPHY PRIMARY CARE ACTUAL EXAM PAPER
2026 QUESTIONS WITH SOLUTIONS GRADED
A+
◉ Visceral pain is. Answer: dull and poorly localized
◉ Burning pain is caused by. Answer: irritation from gastric
contents
◉ Parietal pain is. Answer: sharp and localized
◉ Colicky pain. Answer: comes and goes
◉ Aggravating factors,. Answer: what makes it worse?
◉ Relieving factors,. Answer: what makes it better?
◉ Physical Exam GI. Answer: Heart and Lungs
Abdominal exam—inspection, auscultation, percussion, palpation
Digital rectal exam
Vaginal exam
,Tests
CBC
Liver function tests (LFTs)
Serum chemistries/CMP
Urinalysis
Stool for occult blood
Pregnancy test
◉ what would you think about with sudden severe pain. Answer:
Appendicitis
Intestinal perforation
Mesenteric infarction
Dissection or rupture of aortic aneurysm
Ectopic pregnancy
◉ Burning pain- thoughts on what it would be?. Answer:
Gastroesophageal reflux disease (GERD)
Gastritis
Diverticulitis
◉ What would you think about with constant mild to severe pain.
Answer: Pancreatitis
,Cholecystitis-Cholelithiasis
◉ What would you think about with crampy or colicky pain?.
Answer: Intestinal obstruction
Inflammatory bowel dz.
Irritable bowel
Salpingitis
Urinary stones
Cholelithiasis
Constipation
◉ Appendicitis is?. Answer: the inflammation of the variform
appendix caused by an obstruction and/or infection
◉ Appendicitis is the most common cause of ________ ______ pain
requiring surgical intervention?. Answer: acute right lower quadrant
abdominal
◉ How many appendectomies are done annually?. Answer: 200,000
◉ Appendicitis occurs at any age but is most common between ages
____ and _____. Answer: 10 and 30
, ◉ Men are ______ as likely to be diagnosed with appendicitis between
10 and 30 years than women, but this equalizes over the life span..
Answer: twice
◉ _________ will affect 10 in 100,000 people in the United States, with
a lifetime risk for individuals projected at 7%-10%.. Answer:
Appendicitis
◉ Appendicitis is more common in ________countries.. Answer:
Western
◉ Appendicitis is more common in diets that are_____ ?. Answer: low
in fiber, high in fat, and high in refined sugars and other
carbohydrates
◉ __________ of the appendix by a variety of pathological processes is
the cause of the majority of appendicitis. Answer: Obstruction
◉ Appendicitis is ______ of the appendix, followed by obstruction and
subsequent bacterial infection. Answer: Dilation
◉ In appendicitis ______, is obstructed by hardened feces (fecalith),
inflammatory processes (including parasites, viruses, or bacteria),
strictures, neoplasms, or foreign bodies (including vegetable or fruit
seeds or barium). Answer: lumen
2026 QUESTIONS WITH SOLUTIONS GRADED
A+
◉ Visceral pain is. Answer: dull and poorly localized
◉ Burning pain is caused by. Answer: irritation from gastric
contents
◉ Parietal pain is. Answer: sharp and localized
◉ Colicky pain. Answer: comes and goes
◉ Aggravating factors,. Answer: what makes it worse?
◉ Relieving factors,. Answer: what makes it better?
◉ Physical Exam GI. Answer: Heart and Lungs
Abdominal exam—inspection, auscultation, percussion, palpation
Digital rectal exam
Vaginal exam
,Tests
CBC
Liver function tests (LFTs)
Serum chemistries/CMP
Urinalysis
Stool for occult blood
Pregnancy test
◉ what would you think about with sudden severe pain. Answer:
Appendicitis
Intestinal perforation
Mesenteric infarction
Dissection or rupture of aortic aneurysm
Ectopic pregnancy
◉ Burning pain- thoughts on what it would be?. Answer:
Gastroesophageal reflux disease (GERD)
Gastritis
Diverticulitis
◉ What would you think about with constant mild to severe pain.
Answer: Pancreatitis
,Cholecystitis-Cholelithiasis
◉ What would you think about with crampy or colicky pain?.
Answer: Intestinal obstruction
Inflammatory bowel dz.
Irritable bowel
Salpingitis
Urinary stones
Cholelithiasis
Constipation
◉ Appendicitis is?. Answer: the inflammation of the variform
appendix caused by an obstruction and/or infection
◉ Appendicitis is the most common cause of ________ ______ pain
requiring surgical intervention?. Answer: acute right lower quadrant
abdominal
◉ How many appendectomies are done annually?. Answer: 200,000
◉ Appendicitis occurs at any age but is most common between ages
____ and _____. Answer: 10 and 30
, ◉ Men are ______ as likely to be diagnosed with appendicitis between
10 and 30 years than women, but this equalizes over the life span..
Answer: twice
◉ _________ will affect 10 in 100,000 people in the United States, with
a lifetime risk for individuals projected at 7%-10%.. Answer:
Appendicitis
◉ Appendicitis is more common in ________countries.. Answer:
Western
◉ Appendicitis is more common in diets that are_____ ?. Answer: low
in fiber, high in fat, and high in refined sugars and other
carbohydrates
◉ __________ of the appendix by a variety of pathological processes is
the cause of the majority of appendicitis. Answer: Obstruction
◉ Appendicitis is ______ of the appendix, followed by obstruction and
subsequent bacterial infection. Answer: Dilation
◉ In appendicitis ______, is obstructed by hardened feces (fecalith),
inflammatory processes (including parasites, viruses, or bacteria),
strictures, neoplasms, or foreign bodies (including vegetable or fruit
seeds or barium). Answer: lumen
