PRIMARY CARE MANAGEMENT OF
ADOLESCENTS AND ADULTS GUIDE FINAL
2026 ACTUAL EXAM SCRIPT TESTED
QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
◉ 2. Which finding best differentiates Osgood-Schlatter disease from
patellar tendonitis? A. Pain with resisted extension B. Pain after
sports C. Localized tenderness at tibial tubercle D. Anterior knee
pain. Answer: C. Localized tenderness at tibial tubercle
◉ 3. A 12-year-old has a rib hump on Adams forward bend test.
What is the NEXT step? A. Reassurance only B. MRI spine C. Standing
spinal X-ray D. Immediate bracing. Answer: C. Standing spinal X-ray
◉ 4. A Cobb angle of 25° in an adolescent is best managed with: A.
Observation B. Physical therapy only C. Bracing D. Surgery. Answer:
C. Bracing
◉ 5. A patient presents with unilateral throbbing headache nausea,
and photophobia. Best first-line abortive therapy? A. Propranolol B.
Topiramate C. Sumatriptan D. Amitriptyline. Answer: , C.
Sumatriptan
, ◉ 6. Which headache presentation requires immediate imaging? A.
Migraine with aura B. Tension headache C. Thunderclap headache D.
Cluster headache. Answer: C. Thunderclap headache
◉ 7. A patient has severe unilateral orbital headache with
lacrimation and rhinorrhea. Best acute treatment? A. NSAIDs B.
Oxygen therapy C. Amitriptyline D. Acetaminophen. Answer: B.
Oxygen therapy
◉ 8. Which is a SNOOP headache red flag? A. Bilateral pain B.
Gradual onset C. New headache after age 50 D. Photophobia.
Answer: C. New headache after age 50
◉ 9. A patient with GCS of 14 after head trauma is classified as: A.
Severe TBI B. Moderate TBI C. Mild TBI D. No TBI. Answer: C. Mild
TBI
◉ 10. Which symptom is most consistent with post-concussion
syndrome? A. Fever B. Progressive weakness C. Memory difficulty D.
Seizure. Answer: C. Memory difficulty
◉ 11. Which is the MOST important diagnostic test for seizure
classification? A. CT head B. MRI brain C. EEG D. Lumbar puncture.
Answer: C. EEG
ADOLESCENTS AND ADULTS GUIDE FINAL
2026 ACTUAL EXAM SCRIPT TESTED
QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
◉ 2. Which finding best differentiates Osgood-Schlatter disease from
patellar tendonitis? A. Pain with resisted extension B. Pain after
sports C. Localized tenderness at tibial tubercle D. Anterior knee
pain. Answer: C. Localized tenderness at tibial tubercle
◉ 3. A 12-year-old has a rib hump on Adams forward bend test.
What is the NEXT step? A. Reassurance only B. MRI spine C. Standing
spinal X-ray D. Immediate bracing. Answer: C. Standing spinal X-ray
◉ 4. A Cobb angle of 25° in an adolescent is best managed with: A.
Observation B. Physical therapy only C. Bracing D. Surgery. Answer:
C. Bracing
◉ 5. A patient presents with unilateral throbbing headache nausea,
and photophobia. Best first-line abortive therapy? A. Propranolol B.
Topiramate C. Sumatriptan D. Amitriptyline. Answer: , C.
Sumatriptan
, ◉ 6. Which headache presentation requires immediate imaging? A.
Migraine with aura B. Tension headache C. Thunderclap headache D.
Cluster headache. Answer: C. Thunderclap headache
◉ 7. A patient has severe unilateral orbital headache with
lacrimation and rhinorrhea. Best acute treatment? A. NSAIDs B.
Oxygen therapy C. Amitriptyline D. Acetaminophen. Answer: B.
Oxygen therapy
◉ 8. Which is a SNOOP headache red flag? A. Bilateral pain B.
Gradual onset C. New headache after age 50 D. Photophobia.
Answer: C. New headache after age 50
◉ 9. A patient with GCS of 14 after head trauma is classified as: A.
Severe TBI B. Moderate TBI C. Mild TBI D. No TBI. Answer: C. Mild
TBI
◉ 10. Which symptom is most consistent with post-concussion
syndrome? A. Fever B. Progressive weakness C. Memory difficulty D.
Seizure. Answer: C. Memory difficulty
◉ 11. Which is the MOST important diagnostic test for seizure
classification? A. CT head B. MRI brain C. EEG D. Lumbar puncture.
Answer: C. EEG
