2026 FINAL SCRIPT QUESTIONS AND
ANSWERS COMPREHENSIVE STUDY GUIDE
◉ Healthcare providers are treating a 49-year-old male complaining
of diffuse abdominal cramping. He has been ill with vomiting for 3
days. What working diagnosis is most probable?
Answer: Gastroenteritis
◉ While assessing your patient, you note he involuntarily flexes the
legs in response to flexing the neck. The patient is presenting with:
Answer: A positive Brudzinski's sign indicating possible meningitis
◉ Healthcare providers are assessing an obese 49-year-old who is
lethargic and has not been feeling well for several days. His family
reports a history of extreme thirst. Vital signs are P 143, R 14, and
BP 88/58. He takes medication for type 2 diabetes daily. What is the
most probably working diagnosis?
Answer: Hyperosmolar hyperglycemic nonketotic coma
◉ A fire fighter has been working a fire for 4 hours on a humid, hot
day. He suddenly becomes nauseated and restless. The provider
observes pupil dilation and an almond odor to his breath. The vital
, signs are P 56, R 22, BP 140/86. The ECG reveals sinus bradycardia
with occasional PACs. Which toxin exposure has occurred?
Answer: Cyanide poisoning
◉ Healthcare providers are treating a patient that has taken an
unknown amount of a prescribed pain medicine along with an over-
the-counter analgesic numerous times over the last 36 hours for
chronic lumbar pain. The patient is experiencing abdominal pain,
nausea, and vomiting. The providers note pallor, and diaphoresis.
Blood glucose level is 42mg/dL (2.3mmol/L). What toxin overdose is
suspected?
Answer: Acetaminophen
◉ A patient complains of nausea and is passing black, tarry stools
rectally. This patient is most likely suffering from:
Answer: Upper GI bleed
◉ The provider assesses a patient suffering from fever, nausea,
vomiting, and peri-umbilical pain. Further evaluation reveals right
lower quadrant pain and lower back pain. A physical exam reveals
an increase in right lower quadrant pain when the patient's right leg
is extended from the hip. Which working diagnosis is most
appropriate?
Answer: Appendicitis