FAMILY PRIMARY CARE II QUIZ 3 ACTUAL TEST
SCRIPT 2026 COMPLETE QUESTIONS AND
ANSWERS GRADED A+
◉ The spouse of a patient newly-diagnosed with amyotrophic lateral
sclerosis (ALS) asks about long-term care. What will the provider
include when teaching the family about this disease? Answer:
Preventing malnutrition is a key element in care.
◉ Which symptoms may occur with Bell's palsy?
Select all that apply. Answer: Alteration in taste, Drooling, Tinnitus
◉ A 35-year-old patient reports suddenly experiencing an
asymmetric smile along with drooping and tearing in one eye. The
patient has a history of a recent viral illness, but is otherwise
healthy. During the exam, the provider notes that there is unilateral
full face paralysis on the right side. What is the initial intervention
for this patient? Answer: Prescribe oral prednisolone
◉ What is recommended to prevent ophthalmic complications in
patients with Bell's palsy? Answer: Lubricating eye drops
◉ A patient reports a recurrent sensation of spinning associated
with nausea and vomiting. Which test will the provider order to
,confirm a diagnosis for this patient? Answer: The Hallpike-Dix
positioning maneuver
◉ An elderly patient reports sensations of being off balance when
walking, but does not experience dizziness. The provider will refer
this patient to which specialist for further evaluation? Answer:
Neurologist
◉ Which diagnostic test helps confirm a diagnosis of Guillain-Barre
syndrome in a patient who is developing muscle weakness and
paresthesias? Answer: Lumbar puncture
◉ Which monitoring parameters are necessary when caring for a
patient with Guillain-Barre syndrome?
Select all that apply. Answer: Bladder scans
Cardiac telemetry
Fever
Vital capacity measures
◉ Following an upper respiratory infection, a patient begins to
develop ataxia and distal paresthesias, along with oculomotor
symptoms and double vision. Based on these presenting symptoms
which type of GBS does this patient have? Answer: Miller Fisher
syndrome (MFS)
,◉ A patient has recurrent cluster headaches and asks about abortive
therapy. Which therapy is effective for a majority of patients with
cluster headaches? Answer: Oxygen
◉ A patient reports recurrent headaches occurring 1 or 2 times per
month that generally occur with weather changes or when sleep
patterns are disrupted and describes them as severe, with throbbing
on one side of the head and sometimes accompanied by nausea.
What is the recommended treatment for this type of headache?
Answer: Rizatriptan
◉ Which medications may be useful in treating tension-type
headache?
Select all that apply. Answer: Antiemetics
Muscle relaxants
NSAIDs
◉ A provider suspects that a patient has bacterial meningitis. When
should antibiotics be given? Answer: Prior to obtaining a CT scan or
lumbar puncture
◉ A patient is brought to the emergency department with fever,
lethargy, and headache without meningeal signs. The examination
reveals hypotension and lethargy and the examiner notes petechiae
, on the patient's trunk. What do these findings indicate? Answer: A
poor prognosis
◉ A patient reports two episodes of visual disturbances and eye
pain that lasted 1 to 2 days each about 2 months apart. Which
diagnostic testing will the provider order initially? Answer: Magnetic
resonance imaging
◉ A patient diagnosed with multiple sclerosis and begins disease
modulating therapy drugs. As part of the counseling about this
therapy, the provider will tell the patient that this regimen will
Answer: reduce the exacerbation rate.
◉ A patient who has a seizure disorder and who takes levetiracetam
is brought to an emergency department with a seizure which has
persisted for15 minutes and which immediately followed another 15
minute seizure. What is the priority action for this patient? Answer:
Administer lorazepam and monitor cardiorespiratory status
◉ A patient with a seizure disorder has seizures which begin with
eye twitching and occasionally visual hallucinations. Which site in
the brain is the seizure focus? Answer: Occipital
◉ Which drug is used to treat patients with focal epilepsy and
complex partial seizures? Answer: Carbamazepine
SCRIPT 2026 COMPLETE QUESTIONS AND
ANSWERS GRADED A+
◉ The spouse of a patient newly-diagnosed with amyotrophic lateral
sclerosis (ALS) asks about long-term care. What will the provider
include when teaching the family about this disease? Answer:
Preventing malnutrition is a key element in care.
◉ Which symptoms may occur with Bell's palsy?
Select all that apply. Answer: Alteration in taste, Drooling, Tinnitus
◉ A 35-year-old patient reports suddenly experiencing an
asymmetric smile along with drooping and tearing in one eye. The
patient has a history of a recent viral illness, but is otherwise
healthy. During the exam, the provider notes that there is unilateral
full face paralysis on the right side. What is the initial intervention
for this patient? Answer: Prescribe oral prednisolone
◉ What is recommended to prevent ophthalmic complications in
patients with Bell's palsy? Answer: Lubricating eye drops
◉ A patient reports a recurrent sensation of spinning associated
with nausea and vomiting. Which test will the provider order to
,confirm a diagnosis for this patient? Answer: The Hallpike-Dix
positioning maneuver
◉ An elderly patient reports sensations of being off balance when
walking, but does not experience dizziness. The provider will refer
this patient to which specialist for further evaluation? Answer:
Neurologist
◉ Which diagnostic test helps confirm a diagnosis of Guillain-Barre
syndrome in a patient who is developing muscle weakness and
paresthesias? Answer: Lumbar puncture
◉ Which monitoring parameters are necessary when caring for a
patient with Guillain-Barre syndrome?
Select all that apply. Answer: Bladder scans
Cardiac telemetry
Fever
Vital capacity measures
◉ Following an upper respiratory infection, a patient begins to
develop ataxia and distal paresthesias, along with oculomotor
symptoms and double vision. Based on these presenting symptoms
which type of GBS does this patient have? Answer: Miller Fisher
syndrome (MFS)
,◉ A patient has recurrent cluster headaches and asks about abortive
therapy. Which therapy is effective for a majority of patients with
cluster headaches? Answer: Oxygen
◉ A patient reports recurrent headaches occurring 1 or 2 times per
month that generally occur with weather changes or when sleep
patterns are disrupted and describes them as severe, with throbbing
on one side of the head and sometimes accompanied by nausea.
What is the recommended treatment for this type of headache?
Answer: Rizatriptan
◉ Which medications may be useful in treating tension-type
headache?
Select all that apply. Answer: Antiemetics
Muscle relaxants
NSAIDs
◉ A provider suspects that a patient has bacterial meningitis. When
should antibiotics be given? Answer: Prior to obtaining a CT scan or
lumbar puncture
◉ A patient is brought to the emergency department with fever,
lethargy, and headache without meningeal signs. The examination
reveals hypotension and lethargy and the examiner notes petechiae
, on the patient's trunk. What do these findings indicate? Answer: A
poor prognosis
◉ A patient reports two episodes of visual disturbances and eye
pain that lasted 1 to 2 days each about 2 months apart. Which
diagnostic testing will the provider order initially? Answer: Magnetic
resonance imaging
◉ A patient diagnosed with multiple sclerosis and begins disease
modulating therapy drugs. As part of the counseling about this
therapy, the provider will tell the patient that this regimen will
Answer: reduce the exacerbation rate.
◉ A patient who has a seizure disorder and who takes levetiracetam
is brought to an emergency department with a seizure which has
persisted for15 minutes and which immediately followed another 15
minute seizure. What is the priority action for this patient? Answer:
Administer lorazepam and monitor cardiorespiratory status
◉ A patient with a seizure disorder has seizures which begin with
eye twitching and occasionally visual hallucinations. Which site in
the brain is the seizure focus? Answer: Occipital
◉ Which drug is used to treat patients with focal epilepsy and
complex partial seizures? Answer: Carbamazepine
