DUNPHY PRIMARY CARE EXAM SCRIPT 2026
QUESTIONS WITH ANSWERS
◉ First line treatment for a 65-year-old man with acute bacterial
prostatitis includes:
A. TMX-SMX
B. Cefepime
C. Amoxicillin
D. Doxycycline. Answer: A. TMX-SMX
◉ When contrasting a hordeolum and chalazion the APRN knows
that which of the following is correct?
A. A hordeolum is an erythematous lump within the eyelid and a
chalazion is inflammation of a blocked Meibomian gland
B. A chalazion is a stye and a hordeolum is an infected stye
C. A chalazion is a tender lump within the eyelid and a hordeolum is
a blocked Meibomian gland
D. They are both the same thing. Answer: A. A hordeolum is an
erythematous lump within the eyelid and a chalazion is
inflammation of a blocked Meibomian gland
,◉ The NP knows that the salvage rate for testicular torsion is 85% to
90% if the torsion has persisted for less than:
A. 10 hours
B. 60 minutes
C. 6 hours
D. 24 hours. Answer: C. 6 hours
◉ A collection of peritoneal fluid within the scrotum and around the
testis
A. Hydrocele
B. Varicocele
C. Epididymitis. Answer: A. Hydrocele
◉ An abnormal degree of venous dilation of the pampiniform plexus
in the spermatic cord above the testis:
A. Hydrocele
B. Varicocele
C. Epididymitis. Answer: B. Varicocele
,◉ Inflammation of the coiled structure connecting the sperm-
producing rete testes to the vas deferens:
A. Hydrocele
B. Varicocele
C. Epididymitis. Answer: C. Epididymitis
◉ The nurse practitioner suspects pelvic inflammatory disease in an
18-year-old female. Which of the following would the NP most likely
find on examination?
A. Cervical motion tenderness and fever
B. Abnormal vaginal bleeding and rebound tenderness
C. Dyspareunia and back pain
D. Smooth mobile adnexal mass with diffuse pain. Answer: A.
Cervical motion tenderness and fever
◉ Two-thirds of all breast cancers are either estrogen receptor or
progesterone receptor positive. Which medication treatment is
recommended for these cancers?
A. Cyclophosphamide (Cytoxan)
, B. Fluorouracil (Adrucil)
C. Tamoxifen (Soltamox)
D. Methotrexate (Trexall). Answer: C. Tamoxifen (Soltamox)
◉ Which of the following is NOT true regarding both chalazion and
hordeolum?
A. Both are usually associated with S. aureus infection
B. Visual acuity is usually not affected
C. Both usually cause permanent impaired vision
D. Both are an inflammatory response of the eye lid. Answer: C. Both
usually cause permanent impaired vision
◉ When used properly, which of the following barrier methods is
most effective in preventing transmission of STIs?
A. Contraceptive sponge
B. Cervical cap
C. Vaginal diaphragm spermicide
D. Male condom. Answer: D. Male condom
◉ The average age of menopause is:
QUESTIONS WITH ANSWERS
◉ First line treatment for a 65-year-old man with acute bacterial
prostatitis includes:
A. TMX-SMX
B. Cefepime
C. Amoxicillin
D. Doxycycline. Answer: A. TMX-SMX
◉ When contrasting a hordeolum and chalazion the APRN knows
that which of the following is correct?
A. A hordeolum is an erythematous lump within the eyelid and a
chalazion is inflammation of a blocked Meibomian gland
B. A chalazion is a stye and a hordeolum is an infected stye
C. A chalazion is a tender lump within the eyelid and a hordeolum is
a blocked Meibomian gland
D. They are both the same thing. Answer: A. A hordeolum is an
erythematous lump within the eyelid and a chalazion is
inflammation of a blocked Meibomian gland
,◉ The NP knows that the salvage rate for testicular torsion is 85% to
90% if the torsion has persisted for less than:
A. 10 hours
B. 60 minutes
C. 6 hours
D. 24 hours. Answer: C. 6 hours
◉ A collection of peritoneal fluid within the scrotum and around the
testis
A. Hydrocele
B. Varicocele
C. Epididymitis. Answer: A. Hydrocele
◉ An abnormal degree of venous dilation of the pampiniform plexus
in the spermatic cord above the testis:
A. Hydrocele
B. Varicocele
C. Epididymitis. Answer: B. Varicocele
,◉ Inflammation of the coiled structure connecting the sperm-
producing rete testes to the vas deferens:
A. Hydrocele
B. Varicocele
C. Epididymitis. Answer: C. Epididymitis
◉ The nurse practitioner suspects pelvic inflammatory disease in an
18-year-old female. Which of the following would the NP most likely
find on examination?
A. Cervical motion tenderness and fever
B. Abnormal vaginal bleeding and rebound tenderness
C. Dyspareunia and back pain
D. Smooth mobile adnexal mass with diffuse pain. Answer: A.
Cervical motion tenderness and fever
◉ Two-thirds of all breast cancers are either estrogen receptor or
progesterone receptor positive. Which medication treatment is
recommended for these cancers?
A. Cyclophosphamide (Cytoxan)
, B. Fluorouracil (Adrucil)
C. Tamoxifen (Soltamox)
D. Methotrexate (Trexall). Answer: C. Tamoxifen (Soltamox)
◉ Which of the following is NOT true regarding both chalazion and
hordeolum?
A. Both are usually associated with S. aureus infection
B. Visual acuity is usually not affected
C. Both usually cause permanent impaired vision
D. Both are an inflammatory response of the eye lid. Answer: C. Both
usually cause permanent impaired vision
◉ When used properly, which of the following barrier methods is
most effective in preventing transmission of STIs?
A. Contraceptive sponge
B. Cervical cap
C. Vaginal diaphragm spermicide
D. Male condom. Answer: D. Male condom
◉ The average age of menopause is:
