NSG 5544 EXAM 3 STUDY GUIDE
DIFFERENTIAL DIAGNOSIS PRIMARY CARE
PHARMACOLOGY ACTUAL EXAM
2026/2027 – 100% VERIFIED | DETAILED
RATIONALES – PASS GUARANTEED – A+
GRADED
SECTION 1: USPSTF RECOMMENDATIONS & GRADING
(Questions 1-25)
Q1. According to the USPSTF, a Grade A recommendation
indicates:
A) The service is selectively recommended based on patient
situation and judgment
B) There is insufficient evidence to make a recommendation
C) The service is recommended with high certainty of
substantial net benefit
D) The service is recommended against; harms outweigh benefits
✅ Correct Answer: C
Rationale: Grade A indicates that the USPSTF recommends the
service with high certainty that the net benefit is substantial.
Grade B indicates moderate certainty of moderate-to-substantial
,benefit. This is essential knowledge for primary care
pharmacology and preventive screening decisions .
Q2. According to the USPSTF, a Grade B recommendation
indicates:
A) The service is recommended with high certainty of substantial
net benefit
B) The service is recommended with moderate certainty of
moderate-to-substantial net benefit
C) The service is selectively recommended based on professional
judgment
D) The service is recommended against
✅ Correct Answer: B
Rationale: Grade B services have moderate certainty of
moderate-to-substantial net benefit. Under the ACA, both Grade
A and Grade B services must be covered by insurance without
cost-sharing .
Q3. A Grade C USPSTF recommendation means:
A) The service should be offered to all patients
B) The decision to offer the service should be individualized
based on patient preferences and clinical judgment
,C) The service is recommended against
D) More research is needed
✅ Correct Answer: B
Rationale: Grade C indicates a small net benefit, and the decision
should be individualized. The mnemonic is "Do it: A and B; Don't
do it: C and D; Don't know: I" .
Q4. According to the USPSTF, a Grade D recommendation
indicates:
A) The service should be offered to all patients
B) The service is recommended against; there is moderate or
high certainty of no net benefit or that harms outweigh
benefits
C) The decision should be individualized
D) More research is needed
✅ Correct Answer: B
Rationale: Grade D services should be discouraged. An example
is PSA-based screening for prostate cancer in men 70 years and
older .
Q5. According to the USPSTF, a Grade I recommendation
indicates:
, A) The service is strongly recommended
B) The service is recommended against
C) Current evidence is insufficient to assess the balance of
benefits and harms
D) The service should be individualized based on patient
preference
✅ Correct Answer: C
Rationale: An "I" statement means more research is needed to
determine the net benefit of the preventive service .
Q6. Under the Affordable Care Act (ACA), which USPSTF
recommendation grades are required to be covered by
insurance without cost-sharing?
A) Grade A only
B) Grade A and Grade B
C) Grade A, B, and C
D) All grades except D
✅ Correct Answer: B
Rationale: Services with an A or B rating from the USPSTF must
be covered without copay or deductible under ACA provisions .
Q7. The USPSTF recommends colorectal cancer screening
(Grade A) for adults in which age range?
DIFFERENTIAL DIAGNOSIS PRIMARY CARE
PHARMACOLOGY ACTUAL EXAM
2026/2027 – 100% VERIFIED | DETAILED
RATIONALES – PASS GUARANTEED – A+
GRADED
SECTION 1: USPSTF RECOMMENDATIONS & GRADING
(Questions 1-25)
Q1. According to the USPSTF, a Grade A recommendation
indicates:
A) The service is selectively recommended based on patient
situation and judgment
B) There is insufficient evidence to make a recommendation
C) The service is recommended with high certainty of
substantial net benefit
D) The service is recommended against; harms outweigh benefits
✅ Correct Answer: C
Rationale: Grade A indicates that the USPSTF recommends the
service with high certainty that the net benefit is substantial.
Grade B indicates moderate certainty of moderate-to-substantial
,benefit. This is essential knowledge for primary care
pharmacology and preventive screening decisions .
Q2. According to the USPSTF, a Grade B recommendation
indicates:
A) The service is recommended with high certainty of substantial
net benefit
B) The service is recommended with moderate certainty of
moderate-to-substantial net benefit
C) The service is selectively recommended based on professional
judgment
D) The service is recommended against
✅ Correct Answer: B
Rationale: Grade B services have moderate certainty of
moderate-to-substantial net benefit. Under the ACA, both Grade
A and Grade B services must be covered by insurance without
cost-sharing .
Q3. A Grade C USPSTF recommendation means:
A) The service should be offered to all patients
B) The decision to offer the service should be individualized
based on patient preferences and clinical judgment
,C) The service is recommended against
D) More research is needed
✅ Correct Answer: B
Rationale: Grade C indicates a small net benefit, and the decision
should be individualized. The mnemonic is "Do it: A and B; Don't
do it: C and D; Don't know: I" .
Q4. According to the USPSTF, a Grade D recommendation
indicates:
A) The service should be offered to all patients
B) The service is recommended against; there is moderate or
high certainty of no net benefit or that harms outweigh
benefits
C) The decision should be individualized
D) More research is needed
✅ Correct Answer: B
Rationale: Grade D services should be discouraged. An example
is PSA-based screening for prostate cancer in men 70 years and
older .
Q5. According to the USPSTF, a Grade I recommendation
indicates:
, A) The service is strongly recommended
B) The service is recommended against
C) Current evidence is insufficient to assess the balance of
benefits and harms
D) The service should be individualized based on patient
preference
✅ Correct Answer: C
Rationale: An "I" statement means more research is needed to
determine the net benefit of the preventive service .
Q6. Under the Affordable Care Act (ACA), which USPSTF
recommendation grades are required to be covered by
insurance without cost-sharing?
A) Grade A only
B) Grade A and Grade B
C) Grade A, B, and C
D) All grades except D
✅ Correct Answer: B
Rationale: Services with an A or B rating from the USPSTF must
be covered without copay or deductible under ACA provisions .
Q7. The USPSTF recommends colorectal cancer screening
(Grade A) for adults in which age range?
