NCCAOM BIOMEDICINE BOARD EXAM NEWEST 2026/
2027 ACTUAL EXAM TEST BANK| COMPLETE 850 REAL
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+| BIO-MEDICINE NCCAOM
BOARD EXAM PREP (BRAND NEW!!)
1. A patient is prescribed Warfarin (Coumadin). Which herbal
medicine has a documented negative interaction that increases
bleeding risk?
A) Ren Shen (Ginseng)
B) Ma Huang (Ephedra)
C) Gan Cao (Licorice)
D) Huang Qin (Scutellaria)
Correct Answer: A
Rationale: Ren Shen (Ginseng) can inhibit platelet aggregation
and potentiate the effects of Warfarin, increasing the risk of
1
,hemorrhage . Dan Shen and Dang Gui also have similar
interactions.
2. A patient presents with a dry, hacking cough and the provider
suspects ACE inhibitor-induced reaction. Which suffix is
characteristic of ACE inhibitors?
A) -olol
B) -prazole
C) -pril
D) -statin
Correct Answer: C
Rationale: ACE inhibitors end in "-pril" (e.g., Lisinopril). A common
side effect is a persistent dry cough due to bradykinin
accumulation .
3. Metformin is a first-line medication for Type 2 Diabetes. What
is its primary mechanism of action?
2
, A) Stimulating pancreatic insulin release
B) Increasing peripheral glucose uptake and decreasing
hepatic gluconeogenesis
C) Inhibiting carbohydrate absorption in the gut
D) Blocking renal glucose reabsorption
Correct Answer: B
Rationale: Metformin decreases hepatic glucose production and
increases insulin sensitivity in peripheral tissues. It does not cause
weight gain or hypoglycemia alone .
4. A patient taking a beta-blocker (e.g., Atenolol) reports cold
hands and feet. Why does this occur?
A) Vasodilation of peripheral vessels
B) Beta-2 receptor blockade causing vasoconstriction
C) Increased sympathetic output to the skin
D) Direct cholinergic stimulation
3
, Correct Answer: B
Rationale: Beta-blockers block beta-2 receptors in peripheral
blood vessels, leading to unopposed alpha-mediated
vasoconstriction, reducing circulation to extremities .
5. Which class of antidepressants requires strict dietary
avoidance of tyramine-rich foods (aged cheese, wine) to prevent
hypertensive crisis?
A) SSRIs (Selective Serotonin Reuptake Inhibitors)
B) MAOIs (Monoamine Oxidase Inhibitors)
C) Tricyclic Antidepressants (TCAs)
D) SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors)
Correct Answer: B
Rationale: MAOIs block the breakdown of tyramine. Excess
tyramine causes severe hypertension. Foods to avoid include
aged cheese, beer, anchovies, chocolate, and red wine .
4
2027 ACTUAL EXAM TEST BANK| COMPLETE 850 REAL
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+| BIO-MEDICINE NCCAOM
BOARD EXAM PREP (BRAND NEW!!)
1. A patient is prescribed Warfarin (Coumadin). Which herbal
medicine has a documented negative interaction that increases
bleeding risk?
A) Ren Shen (Ginseng)
B) Ma Huang (Ephedra)
C) Gan Cao (Licorice)
D) Huang Qin (Scutellaria)
Correct Answer: A
Rationale: Ren Shen (Ginseng) can inhibit platelet aggregation
and potentiate the effects of Warfarin, increasing the risk of
1
,hemorrhage . Dan Shen and Dang Gui also have similar
interactions.
2. A patient presents with a dry, hacking cough and the provider
suspects ACE inhibitor-induced reaction. Which suffix is
characteristic of ACE inhibitors?
A) -olol
B) -prazole
C) -pril
D) -statin
Correct Answer: C
Rationale: ACE inhibitors end in "-pril" (e.g., Lisinopril). A common
side effect is a persistent dry cough due to bradykinin
accumulation .
3. Metformin is a first-line medication for Type 2 Diabetes. What
is its primary mechanism of action?
2
, A) Stimulating pancreatic insulin release
B) Increasing peripheral glucose uptake and decreasing
hepatic gluconeogenesis
C) Inhibiting carbohydrate absorption in the gut
D) Blocking renal glucose reabsorption
Correct Answer: B
Rationale: Metformin decreases hepatic glucose production and
increases insulin sensitivity in peripheral tissues. It does not cause
weight gain or hypoglycemia alone .
4. A patient taking a beta-blocker (e.g., Atenolol) reports cold
hands and feet. Why does this occur?
A) Vasodilation of peripheral vessels
B) Beta-2 receptor blockade causing vasoconstriction
C) Increased sympathetic output to the skin
D) Direct cholinergic stimulation
3
, Correct Answer: B
Rationale: Beta-blockers block beta-2 receptors in peripheral
blood vessels, leading to unopposed alpha-mediated
vasoconstriction, reducing circulation to extremities .
5. Which class of antidepressants requires strict dietary
avoidance of tyramine-rich foods (aged cheese, wine) to prevent
hypertensive crisis?
A) SSRIs (Selective Serotonin Reuptake Inhibitors)
B) MAOIs (Monoamine Oxidase Inhibitors)
C) Tricyclic Antidepressants (TCAs)
D) SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors)
Correct Answer: B
Rationale: MAOIs block the breakdown of tyramine. Excess
tyramine causes severe hypertension. Foods to avoid include
aged cheese, beer, anchovies, chocolate, and red wine .
4
