Dunphy Primary Care Midterm Review
DUNPHY PRIMARY CARE MIDTERM REVIEW LATEST 2025/2026
ACTUAL EXAM COMPLETE 150 QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES GRADED A+
GUARANTEED PASS- ACE YOUR EXAM
Rose, a client with gastroesophageal reflux disease (GERD), has many other
concurrent conditions. In teaching Rose about medications to avoid, what do you
recommend she refrain from using?
1.
Antibiotics.
2.
Nonsteroidal anti-inflammatory drugs (NSAIDs).
3.
Oral contraceptives.
4.
Antifungals. - Correct Answer-Nonsteroidal anti-inflammatory drugs (NSAIDs).
Lucy, age 49, has pain in both the left and right lower quadrants. What might you
suspect?
1.
A gastric ulcer.
2.
Gastritis.
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, Dunphy Primary Care Midterm Review
3.
Pelvic inflammatory disease.
4.
Pancreatitis. - Correct Answer-Pelvic inflammatory disease.
Rose has gastroesophageal reflux disease (GERD). You know she misunderstands
your teaching when she tells you she will:
1.
Avoid coffee, alcohol, chocolate, peppermint, and spicy foods.
2.
Eat smaller meals.
3.
Have a snack before retiring so that the esophagus and stomach are not empty at
bedtime.
4.
Stop smoking. - Correct Answer-Have a snack before retiring so that the
esophagus and stomach are not empty at bedtime.
Marty, age 52, notices a bulge in his midline every time he rises from bed in the
morning. You tell him that it is a ventral hernia, also known as an:
1.
Inguinal hernia.
2.
Epigastric hernia.
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, Dunphy Primary Care Midterm Review
3.
Umbilical hernia.
4.
Incisional hernia. - Correct Answer-Epigastric hernia.
You elicit costovertebral angle tenderness in Gordon, age 29. Which condition do
you suspect?
1.
Cirrhosis.
2.
Inflammation of the kidney.
3.
Inflammation of the spleen.
4.
Peritonitis. - Correct Answer-Inflammation of the kidney.
Marvin, a known alcoholic with cirrhosis, is frequently admitted for
coagulopathies and occasionally receives blood transfusions. His wife asks you
why he has bleeding problems. How do you respond?
1.
"Occasionally he accumulates blood in the gut."
2.
"There is an interruption of the normal clotting mechanism."
3.
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, Dunphy Primary Care Midterm Review
"Long-term alcohol abuse has made his vessels very friable."
4.
"His bone marrow has been affected." - Correct Answer-"There is an interruption
of the normal clotting mechanism."
Nausea is difficult to discern in a young child. What question might you ask to
determine if a child has nausea?
1. "Are you sick to your tummy?"
2. "Are you hungry?"
3. "Are you eating the way you normally eat?"
4. "Are you nauseous?" - Correct Answer-"Are you hungry?"
Zena just had a hemorrhoidectomy. You know she has not understood your
teaching when she tells you she will:
1. Take a sitz bath after each bowel movement for 1 to 2 weeks after surgery.
2. Drink at least 2000 mL of fluids per day.
3. Decrease her dietary fiber for 1 month.
4. Take stool softeners as prescribed. - Correct Answer-Decrease her dietary fiber
for 1 month.
Susan, age 59, has no specific complaints when she comes in for her annual
examination. She does, however, have type 2 diabetes mellitus (DM), slight
hypertension, dyslipidemia, and central obesity. How would you diagnose her?
1. As a healthy adult with several problems.
2. As having a glycemic event.
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DUNPHY PRIMARY CARE MIDTERM REVIEW LATEST 2025/2026
ACTUAL EXAM COMPLETE 150 QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES GRADED A+
GUARANTEED PASS- ACE YOUR EXAM
Rose, a client with gastroesophageal reflux disease (GERD), has many other
concurrent conditions. In teaching Rose about medications to avoid, what do you
recommend she refrain from using?
1.
Antibiotics.
2.
Nonsteroidal anti-inflammatory drugs (NSAIDs).
3.
Oral contraceptives.
4.
Antifungals. - Correct Answer-Nonsteroidal anti-inflammatory drugs (NSAIDs).
Lucy, age 49, has pain in both the left and right lower quadrants. What might you
suspect?
1.
A gastric ulcer.
2.
Gastritis.
1|Page
, Dunphy Primary Care Midterm Review
3.
Pelvic inflammatory disease.
4.
Pancreatitis. - Correct Answer-Pelvic inflammatory disease.
Rose has gastroesophageal reflux disease (GERD). You know she misunderstands
your teaching when she tells you she will:
1.
Avoid coffee, alcohol, chocolate, peppermint, and spicy foods.
2.
Eat smaller meals.
3.
Have a snack before retiring so that the esophagus and stomach are not empty at
bedtime.
4.
Stop smoking. - Correct Answer-Have a snack before retiring so that the
esophagus and stomach are not empty at bedtime.
Marty, age 52, notices a bulge in his midline every time he rises from bed in the
morning. You tell him that it is a ventral hernia, also known as an:
1.
Inguinal hernia.
2.
Epigastric hernia.
2|Page
, Dunphy Primary Care Midterm Review
3.
Umbilical hernia.
4.
Incisional hernia. - Correct Answer-Epigastric hernia.
You elicit costovertebral angle tenderness in Gordon, age 29. Which condition do
you suspect?
1.
Cirrhosis.
2.
Inflammation of the kidney.
3.
Inflammation of the spleen.
4.
Peritonitis. - Correct Answer-Inflammation of the kidney.
Marvin, a known alcoholic with cirrhosis, is frequently admitted for
coagulopathies and occasionally receives blood transfusions. His wife asks you
why he has bleeding problems. How do you respond?
1.
"Occasionally he accumulates blood in the gut."
2.
"There is an interruption of the normal clotting mechanism."
3.
3|Page
, Dunphy Primary Care Midterm Review
"Long-term alcohol abuse has made his vessels very friable."
4.
"His bone marrow has been affected." - Correct Answer-"There is an interruption
of the normal clotting mechanism."
Nausea is difficult to discern in a young child. What question might you ask to
determine if a child has nausea?
1. "Are you sick to your tummy?"
2. "Are you hungry?"
3. "Are you eating the way you normally eat?"
4. "Are you nauseous?" - Correct Answer-"Are you hungry?"
Zena just had a hemorrhoidectomy. You know she has not understood your
teaching when she tells you she will:
1. Take a sitz bath after each bowel movement for 1 to 2 weeks after surgery.
2. Drink at least 2000 mL of fluids per day.
3. Decrease her dietary fiber for 1 month.
4. Take stool softeners as prescribed. - Correct Answer-Decrease her dietary fiber
for 1 month.
Susan, age 59, has no specific complaints when she comes in for her annual
examination. She does, however, have type 2 diabetes mellitus (DM), slight
hypertension, dyslipidemia, and central obesity. How would you diagnose her?
1. As a healthy adult with several problems.
2. As having a glycemic event.
4|Page
