FAMILY PRIMARY CARE II QUIZ 3 FINAL TEST
PAPER 2026 FULL QUESTIONS AND
SOLUTIONS VERIFIED A+
◉ A patient with Parkinson's disease (PD) has been taking
carbidopa-levodopa (Sinemet) with good results, but develops
increased dyskinesia. Which drug will be added to this patient's
regimen to help control this symptom? Answer: Amantadine
◉ A primary care provider suspects Parkinson's disease (PD) in a
patient. Which tests may be performed to diagnose this disorder?
Answer: Presence of 2 cardinal signs which improve with levodopa
◉ What are common symptoms seen in patients with Parkinson's
disease? Answer: Bradykinesia
Festination
Rigidity
◉ A patient who is near death is exhibiting signs of agitation,
anxiety, and intractable pain. When discussing palliative sedation
with this patient's family, what will be discussed? Answer: The fact
that this is an intervention of last resort
The need for informed consent from the patient and family
,The possibility that this measure may hasten death
◉ When should palliative care be initiated by a primary care
provider? Answer: As part of routine health maintenance
◉ When using the "Five Wishes" approach to documenting patient
preferences for end-of-life care, the provider will document which
types of preferences? Answer: How much information to give
various family members
The level of sedation versus alertness the patient desires
The people designated to make care decisions for the patient
◉ A patient being treated for cancer has had chemotherapy within
the past two weeks and comes to the primary care clinic with a fever
of 38.5° C. What is the initial action? Answer: Obtain a STAT CBC
with differential
◉ What is the most important role of the primary care provider in
cancer management? Answer: Counseling about healthy practices to
reduce risk factors
◉ An oncology specialist recommends placement of radioactive
isotopes in capsules near a patient's tumor. What is this form of
radiation therapy called? Answer: Brachytherapy
,◉ Which chemotherapeutic agent classes are S-phase specific
agents? Answer: Fluorouracil
Mercaptopurine
Methotrexate
◉ What is the purpose of radiation treatment prior to surgical
resection of a tumor? Answer: To debulk the tumor mass
◉ A patient who has non-Hodgkin's lymphoma reports a dull, aching
back pain in the thoracic region for several weeks along with
difficulty walking. The provider notes an ataxic gait. What is the
immediate treatment for this condition? Answer: Steroid therapy
◉ Which are considered oncologic emergencies in a patient with
cancer requiring urgent referral to an oncologist? Answer: Superior
vena cava syndrome
Syndrome of inappropriate antidiuretic hormone
Tumor lysis syndrome
◉ A patient is in the induction phase of chemotherapy just after
diagnosis of cancer. Which prophylactic measures will help prevent
tumor lysis syndrome?
Select all that apply. Answer: Initiation of allopurinol
Intravenous fluids of 3000 mL/day
, Rasburicase administration
◉ A patient is determined to have an unknown primary carcinoma
after a metastatic lesion is found in the lymph nodes. A blood test
reveals that the patient has microcytic anemia. Which diagnostic test
will the provider consider next to help determine the primary
tumor? Answer: Endoscopic evaluation of the upper and lower GI
tract
◉ A female patient is diagnosed with unknown primary carcinoma
(UPC) after a metastatic squamous cell carcinoma is found. She asks
the provider for an estimate about survival. What is the median
survival rate for this type of UPC? Answer: 24 months
◉ A woman has carcinomas confined to axillary nodes. A
mammogram is normal. What is the next step in managing this
patient? Answer: Evaluate HER-2 and estrogen and progesterone
receptors
◉ A patient with cancer is expected to require long-term pain
medication to manage cancer pain. Which agent will be best for this
patient? Answer: Morphine
◉ A patient with breast cancer has been symptom-free for 6 months
and reports a new onset of lower back pain rated as an 8 on a 1 to 10
pain rating scale to the primary provider. What is most important
PAPER 2026 FULL QUESTIONS AND
SOLUTIONS VERIFIED A+
◉ A patient with Parkinson's disease (PD) has been taking
carbidopa-levodopa (Sinemet) with good results, but develops
increased dyskinesia. Which drug will be added to this patient's
regimen to help control this symptom? Answer: Amantadine
◉ A primary care provider suspects Parkinson's disease (PD) in a
patient. Which tests may be performed to diagnose this disorder?
Answer: Presence of 2 cardinal signs which improve with levodopa
◉ What are common symptoms seen in patients with Parkinson's
disease? Answer: Bradykinesia
Festination
Rigidity
◉ A patient who is near death is exhibiting signs of agitation,
anxiety, and intractable pain. When discussing palliative sedation
with this patient's family, what will be discussed? Answer: The fact
that this is an intervention of last resort
The need for informed consent from the patient and family
,The possibility that this measure may hasten death
◉ When should palliative care be initiated by a primary care
provider? Answer: As part of routine health maintenance
◉ When using the "Five Wishes" approach to documenting patient
preferences for end-of-life care, the provider will document which
types of preferences? Answer: How much information to give
various family members
The level of sedation versus alertness the patient desires
The people designated to make care decisions for the patient
◉ A patient being treated for cancer has had chemotherapy within
the past two weeks and comes to the primary care clinic with a fever
of 38.5° C. What is the initial action? Answer: Obtain a STAT CBC
with differential
◉ What is the most important role of the primary care provider in
cancer management? Answer: Counseling about healthy practices to
reduce risk factors
◉ An oncology specialist recommends placement of radioactive
isotopes in capsules near a patient's tumor. What is this form of
radiation therapy called? Answer: Brachytherapy
,◉ Which chemotherapeutic agent classes are S-phase specific
agents? Answer: Fluorouracil
Mercaptopurine
Methotrexate
◉ What is the purpose of radiation treatment prior to surgical
resection of a tumor? Answer: To debulk the tumor mass
◉ A patient who has non-Hodgkin's lymphoma reports a dull, aching
back pain in the thoracic region for several weeks along with
difficulty walking. The provider notes an ataxic gait. What is the
immediate treatment for this condition? Answer: Steroid therapy
◉ Which are considered oncologic emergencies in a patient with
cancer requiring urgent referral to an oncologist? Answer: Superior
vena cava syndrome
Syndrome of inappropriate antidiuretic hormone
Tumor lysis syndrome
◉ A patient is in the induction phase of chemotherapy just after
diagnosis of cancer. Which prophylactic measures will help prevent
tumor lysis syndrome?
Select all that apply. Answer: Initiation of allopurinol
Intravenous fluids of 3000 mL/day
, Rasburicase administration
◉ A patient is determined to have an unknown primary carcinoma
after a metastatic lesion is found in the lymph nodes. A blood test
reveals that the patient has microcytic anemia. Which diagnostic test
will the provider consider next to help determine the primary
tumor? Answer: Endoscopic evaluation of the upper and lower GI
tract
◉ A female patient is diagnosed with unknown primary carcinoma
(UPC) after a metastatic squamous cell carcinoma is found. She asks
the provider for an estimate about survival. What is the median
survival rate for this type of UPC? Answer: 24 months
◉ A woman has carcinomas confined to axillary nodes. A
mammogram is normal. What is the next step in managing this
patient? Answer: Evaluate HER-2 and estrogen and progesterone
receptors
◉ A patient with cancer is expected to require long-term pain
medication to manage cancer pain. Which agent will be best for this
patient? Answer: Morphine
◉ A patient with breast cancer has been symptom-free for 6 months
and reports a new onset of lower back pain rated as an 8 on a 1 to 10
pain rating scale to the primary provider. What is most important
