BIOMEDICINE NCCAOM LATEST TEST PAPER EXAM
QUESTIONS AND ANSWERS GUARANTEE A+
✔✔Female patient has symptoms of fatigue, dimpled skin (look like orange peel) in the
breast area, no galactorrhea or other symptoms, also her skin near breast area is
orange peeled. This suggests: - ✔✔Breast cancer
✔✔Unilateral/bilateral lactation in non lactating woman, lump changes size 5-7 days
after menstruation. Upper outer quadrant pain/ropy. This suggests: - ✔✔Fibrocystic
Changes (Fibrocystic Breast Disease)
✔✔Endometrial polyps - ✔✔Grow in response to circulating estrogen
✔✔Primary dysmenorrhea - ✔✔Caused by: Prostaglandin (release in ovulatory cycles)
✔✔What structure can be viewed with hysteroscopy to visualize the endometrial cavity,
with an abnormal Pap smear dysfunctional uterine bleeding, or postmenopausal
bleeding? - ✔✔Uterine cavity
✔✔What test used to confirm diagnosis of endometriosis? - ✔✔Laparoscopy
✔✔What test performed after an abnormal pap smear? - ✔✔Colposcopy (for cervix &
vagina)
✔✔Ectopic Pregnancy symptoms: - ✔✔Abdominal pain, the absence of menstrual
periods (amenorrhea), and vaginal bleeding or intermittent bleeding (spotting)
✔✔Pregnant women with hypertension and pre-eclampsia, what test should be done
regularly? - ✔✔Urine protein
✔✔Patient came to the clinic, agitated, with dilated pupils, what substance(s) did teh
patient use? - ✔✔Cocain & amphetamine
✔✔Beta Endorphin, enkephalins, dynorphins; which drug binds to these receptors? -
✔✔Opioids
✔✔A patient comes in with a headache that is very painful and has lacrimation and
runny nose, what type of headache is this? - ✔✔Cluster headache
✔✔Patient who is 78 year old who has a history of hypertension and comes in today
complaining of excruciating headach, he has never had a headache of this type. Which
type of headache does this patient have? - ✔✔Thunderclap
, ✔✔On one side limbs are weak with slurred speech. Where is the stroke? - ✔✔On
opposite side and in cerebral cortex (not cerebellum)
✔✔Patient got stroke 2 weeks ago, what should you closely pay attention? - ✔✔Blood
pressure
✔✔Patient has one side headache, eye pain, jaw pain, what is the possible cause? -
✔✔Trigeminal Neuralgia (Trigeminal Nerve) (CN V)
✔✔Bell's palsy affects which cranial nerve: - ✔✔Facial Nerve (CN VII)
✔✔Loss of taste sensation at anterior of the tongue controlled by: - ✔✔CN V
(Trigeminal Nerve)
✔✔Which cranial nerve provides sensory input for balance? - ✔✔Vestibulocochlear
(Auditory Nerve)
✔✔56 year old man fall and hits the back of his head. 2 days later he presents with
ataxua. What are of the brain was injured? - ✔✔CN VIII - Vestibulocochlear (Poss.
Cerebellum)
✔✔Patient comes in with after failing and hitting the back of his head with his tonque
protrusion deviated to the left (CN 12 ), what other signs/symptoms would you expect to
see? - ✔✔Difficulty swallowing (CN5 7 9-12), inability to shrug shoulders (CN 11),
hoarse voice (CN 10)
✔✔How to diagnose lower motor neuron damage? - ✔✔lower motor neuron lesion will
cause decreased reflexes, plantar response is normal or absent, flaccidity and
decreased tone
✔✔A diabetic patient has lower motor neuron affected, deep tendon reflex exam will
be? - ✔✔Usually 1+ (weakened) because 2+ is normal
✔✔Positive Babinki sign indicated of what system disorder? - ✔✔Upper Motor neuron
lesion
✔✔Patient come with positive Brudzinski sign, what is the problem? - ✔✔Meningitis
✔✔Patient has diminished sensation in leg, report shows L4 level is affected, where
could the patient feel the diminished sensation? - ✔✔Medial side of the foot
✔✔Injury at L3 and L4 level causes what symptoms? - ✔✔Patella reflex (knee jerk)
QUESTIONS AND ANSWERS GUARANTEE A+
✔✔Female patient has symptoms of fatigue, dimpled skin (look like orange peel) in the
breast area, no galactorrhea or other symptoms, also her skin near breast area is
orange peeled. This suggests: - ✔✔Breast cancer
✔✔Unilateral/bilateral lactation in non lactating woman, lump changes size 5-7 days
after menstruation. Upper outer quadrant pain/ropy. This suggests: - ✔✔Fibrocystic
Changes (Fibrocystic Breast Disease)
✔✔Endometrial polyps - ✔✔Grow in response to circulating estrogen
✔✔Primary dysmenorrhea - ✔✔Caused by: Prostaglandin (release in ovulatory cycles)
✔✔What structure can be viewed with hysteroscopy to visualize the endometrial cavity,
with an abnormal Pap smear dysfunctional uterine bleeding, or postmenopausal
bleeding? - ✔✔Uterine cavity
✔✔What test used to confirm diagnosis of endometriosis? - ✔✔Laparoscopy
✔✔What test performed after an abnormal pap smear? - ✔✔Colposcopy (for cervix &
vagina)
✔✔Ectopic Pregnancy symptoms: - ✔✔Abdominal pain, the absence of menstrual
periods (amenorrhea), and vaginal bleeding or intermittent bleeding (spotting)
✔✔Pregnant women with hypertension and pre-eclampsia, what test should be done
regularly? - ✔✔Urine protein
✔✔Patient came to the clinic, agitated, with dilated pupils, what substance(s) did teh
patient use? - ✔✔Cocain & amphetamine
✔✔Beta Endorphin, enkephalins, dynorphins; which drug binds to these receptors? -
✔✔Opioids
✔✔A patient comes in with a headache that is very painful and has lacrimation and
runny nose, what type of headache is this? - ✔✔Cluster headache
✔✔Patient who is 78 year old who has a history of hypertension and comes in today
complaining of excruciating headach, he has never had a headache of this type. Which
type of headache does this patient have? - ✔✔Thunderclap
, ✔✔On one side limbs are weak with slurred speech. Where is the stroke? - ✔✔On
opposite side and in cerebral cortex (not cerebellum)
✔✔Patient got stroke 2 weeks ago, what should you closely pay attention? - ✔✔Blood
pressure
✔✔Patient has one side headache, eye pain, jaw pain, what is the possible cause? -
✔✔Trigeminal Neuralgia (Trigeminal Nerve) (CN V)
✔✔Bell's palsy affects which cranial nerve: - ✔✔Facial Nerve (CN VII)
✔✔Loss of taste sensation at anterior of the tongue controlled by: - ✔✔CN V
(Trigeminal Nerve)
✔✔Which cranial nerve provides sensory input for balance? - ✔✔Vestibulocochlear
(Auditory Nerve)
✔✔56 year old man fall and hits the back of his head. 2 days later he presents with
ataxua. What are of the brain was injured? - ✔✔CN VIII - Vestibulocochlear (Poss.
Cerebellum)
✔✔Patient comes in with after failing and hitting the back of his head with his tonque
protrusion deviated to the left (CN 12 ), what other signs/symptoms would you expect to
see? - ✔✔Difficulty swallowing (CN5 7 9-12), inability to shrug shoulders (CN 11),
hoarse voice (CN 10)
✔✔How to diagnose lower motor neuron damage? - ✔✔lower motor neuron lesion will
cause decreased reflexes, plantar response is normal or absent, flaccidity and
decreased tone
✔✔A diabetic patient has lower motor neuron affected, deep tendon reflex exam will
be? - ✔✔Usually 1+ (weakened) because 2+ is normal
✔✔Positive Babinki sign indicated of what system disorder? - ✔✔Upper Motor neuron
lesion
✔✔Patient come with positive Brudzinski sign, what is the problem? - ✔✔Meningitis
✔✔Patient has diminished sensation in leg, report shows L4 level is affected, where
could the patient feel the diminished sensation? - ✔✔Medial side of the foot
✔✔Injury at L3 and L4 level causes what symptoms? - ✔✔Patella reflex (knee jerk)
