DIFFERENTIAL DIAGNOSIS AND PRIMARY CARE 2026 FINAL ASSESSMENT TESTED CONTENT WITH ACCURATE SOLUTIONS

DIFFERENTIAL DIAGNOSIS AND PRIMARY
CARE 2026 FINAL ASSESSMENT TESTED
CONTENT WITH ACCURATE SOLUTIONS


◉ Aaron, age 4, is brought in to the clinic by his father. His tympanic
membrane is perforated from otitis media. His father asks about
repair of the eardrum. How do you respond?
1.
"The eardrum, in most cases, heals within several weeks."
2.
"We need to schedule Aaron for a surgical repair."
3.
"He must absolutely stay out of the water for 3 to 6 months."
4.
"If the eardrum is not healed in several months, it can be surgically
repaired." Answer: 1.
"The eardrum, in most cases, heals within several weeks."


◉ When you are assessing the internal structure of the eye of your
59-year-old patient, the absence of a red reflex may indicate:

, 1.
A cataract or hemorrhage into the vitreous humor.
2.
Acute iritis.
3.
Nothing; this is a normal finding in older adults.
4.
Diabetes or long-standing hypertension. Answer: 1.
A cataract or hemorrhage into the vitreous humor.


◉ Sharon, a 47-year-old bank teller, is seen by the nurse practitioner
in the office for a red eye. You are trying to decide between a
diagnosis of conjunctivitis and iritis. One distinguishing
characteristic between the two is:
1.
Eye discomfort.
2.
Slow progression.
3.
A ciliary flush.
4.
No change in or slightly blurred vision. Answer: 3.