CONTAINS 400 QUESTIONS &
ANSWERS| 4 NEWEST VERSIONS
LATEST 2026/2027 ACTUAL EXAM
QUESTIONS WITH CORRECT
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1. Anm86-year-
oldmfemalemcomesmtomyourmofficemformamwellnessmvisit.mHermbloodmpressuremism125/70mm
mHg,mpulsem69mbeatsmpermmin,mandmrespiratorymratem18mbreathsmpermmin.mShemismwellmap
pearingmandmreportsmshemismupmtomdatemonmhermroutinemvaccinations.mShemintroducesmher
mpartnermofm35myearsmwhommshemwouldmlikemtommakemmedicalmdecisionsmformherminmcasem
shembecomesmunablemtommakemdecisionsmformherself.mShemreportsmthatmshemandmhermpart
nermaremnotmmarried.mShemasksmifmshemneedsmanymfurthermdocumentationmtomensuremherm
goalsmofmcaremaremfollowed.mWhichmonemofmthemfollowingmwouldmbemthemmostmappropriat
emrecommendationmformthismpatientmandmhermpartner?m-
mCORRECTmANSWERmAdvisemthemmtomfilemanmadvancedmdirective.
2. .mAnm81-year-
oldmtransgendermfemalemwithmhistorymofmdepressionmandmhyperlipidemiampresentsmtomyo
urmclinicmformroutinemcare.mShemendorsesmamhistorymofmsmoking,mcurrentlymsmokingm1mpac
kmpermday,mandmoccasionallymdrinksmamglassmofmwine,malthoughmshemdeniesmillicitmdrugmuse
.mShemreportsmshemtakesmatorvastatinm20mmgmandmsubcutaneousmestrogenmtherapy.m-
mCORRECTmANSWERmCounselingmonmsmokingmcessation
3. Anm84-year-
oldmmalemwithmhistorymofmstrokemwithoutmresidualmdeficit,msystolicmheartmfailure,mandmtyp
em2mdiabetesmpresentsmtomclinicmformfollow-
up.mHemismindependentlymlivingminmamretirementmcommunitymandmstillmworksmpartmtimemon
mamgolfmcourse.mHemcurrentlymtakesmaspirinm81mmg,mmetoprololmtartratem25mmgmBIDm(twic
emamday),mfurosemidem20mmgmBID,mandmlisinoprilm10mmgmdaily.mHemreportsmhismlastmcolono
scopymwasm8myearsmago,mwithmnomabnormality.mHemreportsmhemismsexuallymactivemwithmme
, nmandmwomen,mengagingminmreceptivemoral,mreceptivemanal,mandmpenetrativemsex.mHemstat
esmhemhasmhadmovermthreemsexualmpartnersminmthemlastmyearmwithmintermittentmcondommu
se.mWhatmsexuallymtransmittedminfectionmtestingmshouldmbemoffered?m-
mCORRECTmANSWERmUrinemtesting,mbloodmtesting,manalmswab,mandmoropharyngealmswab
4. Whichmofmthemfollowingmismtruemaboutmtolterodine?m-
mCORRECTmANSWERmItmhasmgreatermriskmofmadversemeffectsmwithmitsmtwice-
dailymformulation.
5. Anm82-year-
oldmman,mMr.mA,mcomplainsmofmworseningmnocturia,moccurringmfourmtimesmpermnight.mHism
othermlowermurinarymtractmsymptomsmaremslowmstream,moccasionalmurgency,mandmurgency
-
relatedmleakagemoncemweekly.mMedicalmproblemsmincludempoorlymcontrolledmhypertensio
n,mdiastolicmheartmfailure,mhyperlipidemia,mosteoarthritis,mandmprediabetes.mHismmedicati
onsmincludemlisinoprilm20mmgmdaily,mmetoprololmsuccinatem75mmgmdaily,matorvastatinm10m
mgmdaily,mmetforminm500mmgmtwicemdaily,mhydrocodone-
acetaminophenmasmneeded,mandmaspirinm81mmgmdaily.mAmlodipinem5mmgmdailymwasmrecen
tlymaddedmbymhismcardiologist.mOnmreviewmofmsystems,mMr.mAmcomplainsmthatmnocturiamism
causingmdaytimemfatigue,mandmhemismmoremconstipated.mPhysicalmexaminationmismnotablem
formbloodmpressurem162/83mmmHg,mheartmratem60mbeatsmpermminute,mclearmlungs,msoftma
bdomen,menlargedmprostate,mandm21mpretibialmedema.mYourmnextmstepminmmanagementms
houldmbe:m-mCORRECTmANSWERmStopmamlodipinemandmincreasemlisinopril.
6. Themdaughtermofmam79-year-
oldmwomanmnotesmthatmhermmother,mwhomhasmdementiamandmlivesmwithmher,mismwettingmh
erselfmwhenmshemattendsmhermnewmdaymprogram.mProgrammstaffmhavemrequestedmthatm"so
methingmbemdone"masmshemismrequiringmamclothesmchangemnearlymeverymtimemshemismthere.
mShemcannotmdescribemthemcircumstancesmofmleakage,msayingm"itmjustmcomes."mLeakagemism
uncommonmatmhome.mHermmedicationsmincludemdonepezilmandmacetaminophen.mPhysical
mexaminationmismnormal.mInitialmtreatmentmapproachmwillmrequireminterventionmbymwhichm
ofmthemfollowing?m-mCORRECTmANSWERmDaymprogrammstaff
, 7. .mMs.mJ,mwhomism82myearsmold,mcomplainsmofmurinemleakagemwhilemplayingmgolf.mThismhasmg
ottenmworsemovermthempastmyear,mandmshemrarelymmakesmitmthroughmninemholesmwithoutmf
eelingmlikemshemneedsmtom"runmintomthembushesmandmgo."mLeakagemismusuallymsmallmvolum
e,mbutmcausesmhermextrememembarrassmentmbecausemshemismafraidmshemwillmsmellmofmurin
e.mShemhasmtriedmlimitingmcaffeineminmthemmorningmbeforemshemgolfsmandmavoidingmdrinkin
gmwatermwhilemplaying,mtomnomeffect.mShemalsomtriedm"thosemKegler"mexercisesminmthempast
mwithoutmsuccess.mWhichmofmthemfollowingmismthemmostmappropriatemrecommendation mfo
rmMs.mJ?m-mCORRECTmANSWERmBladdermtraining
8. Whatmismthemmostmcommonmcausemofmerectilemdysfunctionminmoldermmen?m-
mCORRECTmANSWERmAtherosclerosis
9. Whichmismthemmostmreasonablemfirstmstepminmthemtreatmentmofmoldermmenmwithmerectilemd
ysfunction?m-mCORRECTmANSWERmSildenafil
10. Am72-year-
oldmwomanmreportsmvaginalmdrynessmthatminterferesmwithmcoitus.mHermmedicalmhistorymin
cludesmtypem2mdiabetes,mhypertension,mandmosteoarthritis.mMedicationsmaremglyburide,mc
hlorthalidone,mandmacetaminophen.mWhatmwouldmbemyourmfirstmstepminmtherapy?m-
mCORRECTmANSWERmStopmchlorthalidone
11. Am70-year-
oldmwomanmreportsmsexualmpainmwithmdeepmpenetrationmonly.mWhatmismthemmostmlikelymc
ausemofmhermproblem?m-mCORRECTmANSWERmHigh-tonempelvicmfloormdysfunction
12. Am79-year-oldmwomanmwithmam1.5-
cmmbreastmcancermunderwentmlumpectomy.mPathologymrevealedmductalmcarcinomamthatmi
smhormonemreceptormnegativem(estrogenmreceptorm0%,mprogesteronemreceptorm1%)mandm
HER2/neumnegative.mSurgicalmmarginsmweremadequatemandmuninvolvedmwithmcancer.mSent
inelmlymphmnodemsamplingmwasmnegativemformlymphmnodeminvolvement.mShemhasmgoodmp
erformancemstatusmandmnomactivitiesmofmdailymlivingm(ADL)morminstrumentalm(IADL)mdepen
dencies.mWhatmtreatmentmwouldmyoumrecommend?m-
mCORRECTmANSWERmHormonalmtherapymonly