MHA 708 A ACTUAL EXAM PAPER
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ Questions to ask patients who OD.
Answer: what did you take, when, how much, last oral intake, any
precautions taken, weight
◍ While spraying pesticide on his crops, a 51 year old male started to feel
lightheaded and had trouble breathing with excessive saliva production.
What should you administer?
A. Sodium nitrite
B. Albuterol
C. Atropine
D. Amyl nitrite.
Answer: C. Atropine
◍ A 48 year old male complains of right upper quadrant pain. He is
malnourished with general malaise. He tells you that he is an alcoholic and
rarely has enough money for food. Vital signs are BP 112/66, P 112, R 24,
blood glucose analysis 55 mg/d
L. What should you you suspect?
A. Hepatitis
B. Esophageal Varices
C. Pancreatitis
D. Sickle Cell Crisis.
Answer: A. Hepatitis
◍ Opiates and opioids.
Answer: morphine, codeine, and heroin, methadone,
oxycodonehypoventilation, respiratory arrest, pinpoint pupils, sedation,
, coma, hypotension
◍ A 61 year old male is confused about the amount of atenolol he has taken.
Which is a sign of overdoes?
A. Tachycardia
B. Hypotension
C. Hyperglycemia
D. Productive cough.
Answer: B. Hypotension
◍ While transferring a 34 year old male receiving a blood transfusion. he
begins to complain of difficulty breathing. His skin is red and warm with
urticaria. Vital signs are BP 70/40, P 120, R 24. What should you do?
A. Establish an additional Iv
B. Discontinue the blood transfusion
C. Administer a heparin infusion
D. Administer high-flow oxygen.
Answer: B. Discontinue the blood transfusion
◍ A 42 year old female complains of left sided facial weakness with slurred
speech that started the day before. She is concerned because she has lost her
sense of taste. What is the most likely cause?
A. Trigeminal Neuralgia
B. Lyme Disease
C. Bell's Palsy
D. Cerebral Vascular Accident.
Answer: C. Bell's Palsy
◍ A 26 year old male complains of chest pain and hemoptysis. He has a
productive cough with purulent discharge and a low-grade fever. What
should you suspect?
A. Pulmonary Embolism
B. Tuberculosis
C. Cor Pulmonale
D. Acute Bronchitis.
, Answer: B. Tuberculosis
◍ sympathomimetics.
Answer: epinephrine, albuterol, cocaine, methamphetaminehypertension,
tachycardia, dilated pupils, agitation, seizures, hyperthermia
◍ sedative hypnotics.
Answer: diazepam, secobarbital, flunitrazepam, midazolamslurred speech,
sedation, coma, hypoventilation, hypotension
◍ What is a potential risk for patients who are delinquent for renal dialysis?
A. Hyperkalemia
B. Hypermagnesiemia
C. Hyponatremia
D. Hypocalcemia.
Answer: A. Hyperkalemia
◍ a 36 year old male complains of flank pain that radiates to his groin. He tells
you that his "urine has been darker than normal". Vital signs are BP 136/86,
P 100, R 16. What should you suspect?
A. Aneurysm
B. Renal Calculi
C. Gall Stones
D. Appendicitis.
Answer: B. Renal Calculi
◍ anticholinergics.
Answer: atropine, diphenhydramine, chloropheniramine, doxylamine, datura
stramonium (jimsonweed)tachycardia, hyperthermia, hypertension, dilated
pupils, dry skin and mucous membranes, sedation, agitation, seizures, coma,
delirium, decreased bowel sounds
◍ A 52 year old male complain of sharp abdominal pain that radiates to his
back for the past 5 days. He is nauseated with vomiting and diarrhea. He has
right upper quadrant, mid-abdominal tenderness and Cullen's sign. He tells
you that he has a history of alcoholism. What should you suspect?
, A. Gastroenteritis
B. Hepatitis
C. Peptic Ulcer Disease
D. Pancreatitis.
Answer: D. Pancreatitis
◍ cholinergics.
Answer: organophosphates, pilocarpine, nerve gasairway
compromiseSLUDGEM
◍ A confused 39 year old male was found after being lost in the woods for 24
hours. His clothing is damp and he is shivering. He has blisters on his feet
and hands. What should you do?
A. Obtain IV access and administer a normal saline bolus
B. Obtain a full set of vital signs
C. Remove his clothing and cover him with blankets
D. Get him to drink warm fluids.
Answer: C. Remove his clothing and cover him with blankets
◍ A febrile 54 year old female complains of nausea and vomiting with pain
around her umbilicus. Her abdominal tenderness increases on palpation.
Vital signs are BP 80/40, P 130. What should you suspect?
A. Acute Pancreatitis
B. Severe Gastroenteritis
C. Ruptured appendix
D. Ectopic pregnancy.
Answer: C. Ruptured appendix
◍ SLUDGEM.
Answer: salivation, sweatinglacrimationurinationdefecation, drooling,
diarrheagastric upset and crampsemesismuscle twitching/miosis (pinpoint
pupils)
◍ miosis.
Answer: excessively constricted pupil, often bilateral after exposure to nerve
agents.
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ Questions to ask patients who OD.
Answer: what did you take, when, how much, last oral intake, any
precautions taken, weight
◍ While spraying pesticide on his crops, a 51 year old male started to feel
lightheaded and had trouble breathing with excessive saliva production.
What should you administer?
A. Sodium nitrite
B. Albuterol
C. Atropine
D. Amyl nitrite.
Answer: C. Atropine
◍ A 48 year old male complains of right upper quadrant pain. He is
malnourished with general malaise. He tells you that he is an alcoholic and
rarely has enough money for food. Vital signs are BP 112/66, P 112, R 24,
blood glucose analysis 55 mg/d
L. What should you you suspect?
A. Hepatitis
B. Esophageal Varices
C. Pancreatitis
D. Sickle Cell Crisis.
Answer: A. Hepatitis
◍ Opiates and opioids.
Answer: morphine, codeine, and heroin, methadone,
oxycodonehypoventilation, respiratory arrest, pinpoint pupils, sedation,
, coma, hypotension
◍ A 61 year old male is confused about the amount of atenolol he has taken.
Which is a sign of overdoes?
A. Tachycardia
B. Hypotension
C. Hyperglycemia
D. Productive cough.
Answer: B. Hypotension
◍ While transferring a 34 year old male receiving a blood transfusion. he
begins to complain of difficulty breathing. His skin is red and warm with
urticaria. Vital signs are BP 70/40, P 120, R 24. What should you do?
A. Establish an additional Iv
B. Discontinue the blood transfusion
C. Administer a heparin infusion
D. Administer high-flow oxygen.
Answer: B. Discontinue the blood transfusion
◍ A 42 year old female complains of left sided facial weakness with slurred
speech that started the day before. She is concerned because she has lost her
sense of taste. What is the most likely cause?
A. Trigeminal Neuralgia
B. Lyme Disease
C. Bell's Palsy
D. Cerebral Vascular Accident.
Answer: C. Bell's Palsy
◍ A 26 year old male complains of chest pain and hemoptysis. He has a
productive cough with purulent discharge and a low-grade fever. What
should you suspect?
A. Pulmonary Embolism
B. Tuberculosis
C. Cor Pulmonale
D. Acute Bronchitis.
, Answer: B. Tuberculosis
◍ sympathomimetics.
Answer: epinephrine, albuterol, cocaine, methamphetaminehypertension,
tachycardia, dilated pupils, agitation, seizures, hyperthermia
◍ sedative hypnotics.
Answer: diazepam, secobarbital, flunitrazepam, midazolamslurred speech,
sedation, coma, hypoventilation, hypotension
◍ What is a potential risk for patients who are delinquent for renal dialysis?
A. Hyperkalemia
B. Hypermagnesiemia
C. Hyponatremia
D. Hypocalcemia.
Answer: A. Hyperkalemia
◍ a 36 year old male complains of flank pain that radiates to his groin. He tells
you that his "urine has been darker than normal". Vital signs are BP 136/86,
P 100, R 16. What should you suspect?
A. Aneurysm
B. Renal Calculi
C. Gall Stones
D. Appendicitis.
Answer: B. Renal Calculi
◍ anticholinergics.
Answer: atropine, diphenhydramine, chloropheniramine, doxylamine, datura
stramonium (jimsonweed)tachycardia, hyperthermia, hypertension, dilated
pupils, dry skin and mucous membranes, sedation, agitation, seizures, coma,
delirium, decreased bowel sounds
◍ A 52 year old male complain of sharp abdominal pain that radiates to his
back for the past 5 days. He is nauseated with vomiting and diarrhea. He has
right upper quadrant, mid-abdominal tenderness and Cullen's sign. He tells
you that he has a history of alcoholism. What should you suspect?
, A. Gastroenteritis
B. Hepatitis
C. Peptic Ulcer Disease
D. Pancreatitis.
Answer: D. Pancreatitis
◍ cholinergics.
Answer: organophosphates, pilocarpine, nerve gasairway
compromiseSLUDGEM
◍ A confused 39 year old male was found after being lost in the woods for 24
hours. His clothing is damp and he is shivering. He has blisters on his feet
and hands. What should you do?
A. Obtain IV access and administer a normal saline bolus
B. Obtain a full set of vital signs
C. Remove his clothing and cover him with blankets
D. Get him to drink warm fluids.
Answer: C. Remove his clothing and cover him with blankets
◍ A febrile 54 year old female complains of nausea and vomiting with pain
around her umbilicus. Her abdominal tenderness increases on palpation.
Vital signs are BP 80/40, P 130. What should you suspect?
A. Acute Pancreatitis
B. Severe Gastroenteritis
C. Ruptured appendix
D. Ectopic pregnancy.
Answer: C. Ruptured appendix
◍ SLUDGEM.
Answer: salivation, sweatinglacrimationurinationdefecation, drooling,
diarrheagastric upset and crampsemesismuscle twitching/miosis (pinpoint
pupils)
◍ miosis.
Answer: excessively constricted pupil, often bilateral after exposure to nerve
agents.
