PAPER 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
●● SpPIN Acronym.
Answer: a Specific test with a Positive result rules IN disease
●● SOAP Format for H&P.
Answer: S- Subjective [History]
O- Objective [Vital signs, Physical Exam, Lab Results]
A- Assessment [List of diagnoses]
P- Plan
●● 7 attributes of a symptom.
Answer: 1. Location- where is it, does it radiate?
2. Quality- what does it feel like?
3. Quantity or Severity- how bad is it? (for pain, how bad is it on a scale
of 1 to 10?)
4. Timing: Onset, duration, & frequency- when did it start, how long
does it last, how often does it occur?
5. Setting in which it occurs- include environmental factors, personal
activities (walking), emotional reactions, and any other contributing
factors
,6. Factors that aggravate or relief the symptom- what makes it better?
what makes it worse?
7. Associated manifestations
OLDCART
Onset, Location, Duration, Character, Aggravating/Alleviating Factors,
Radiating, Timing
or
OPQRST
Onset, Palliating/Provoking Factors, Quality, Radiation, Site, Timing
●● Subjective Data.
Answer: What the patients tells you
The health history
Ex: I had pneumonia two years ago
Ex: My pain feels like an elephant sitting on my chest
●● Objective Data.
Answer: What your findings include/what you observe
, All physical exam findings
Ex) Vital signs, labs, heart sounds
●● Review of systems.
Answer: Do NOT include objective data
Subjective data only
Ex: Reports decrease in appetite
●● Standard Precautions.
Answer: Hand hygiene, respiratory hygiene, patient isolation criteria,
laundry handling, precautions r/t equipment, and safe-needle injection
practices
●● Universal Precautions.
Answer: Guidelines to prevent transmission of HIV, Hep B, and other
blood-borne pathogens (also includes bodily fluids such as semen,
vaginal secretions, CSF, synovial fluid, pleural, peritoneal, pericardial,
and amniotic fluid)
Includes needle-safety