NBCE PART 2 - ALL SECTIONS COMBINED EXAM 2026
AND STUDY GUIDE | CONTAINS ALL 6 SECTIONS
EACH CONTAINING 50 QUESTIONS | VERIFIED AND
ACCURATE FOR GUARANTEED PASS | GRADED A |
CONTAINS A STUDY GUIDE AT THE END
A thin, pale, distraught 53 yo M w/ complaint of progressive dysphagia, & unintentional weight
loss, 25 lbs in last 30 days. Pt also has hoarseness w/ general fatigue. Lymphadenopathy of
supraclavicular lymph nodes is present.
Which is the most likely diagnosis?- CORRECT ANSWER - Adenocarcinoma of the esophagus
Exophthalmos, warmth to touch, weight loss, and increased appetite suggest which condition?-
CORRECT ANSWER - Grave disease
A 25 year old obese woman present with weight gain, intolerance to cold, and loss of the lateral
portions of her eyebrows. Which condition is most likel- CORRECT ANSWER -
Hypothyroidism
Which of these is the term for opacity of the lens of the eye?- CORRECT ANSWER - Cataract
What is the most common presenting symptom of otitis media?- CORRECT ANSWER - What is
the most common presenting symptom of otitis media?
What is the term for protrusion through a weak spot in the abdominal wall?- CORRECT
ANSWER - Hernia
What is the term for yellowish discoloration of the skin?- CORRECT ANSWER - Jaundice
,What is the technique to differentiate a superficial abdominal mass from a deep one?-
CORRECT ANSWER - Instructing the patient to contract the abdominal muscles
Under normal conditions, what is the proper procedure to palpate the gall bladder?- CORRECT
ANSWER - he gall bladder is unpalpable under normal conditions
A patient presents with moderate essential hypertension. Which of these would be
contraindicated in a management plan?- CORRECT ANSWER - Regular intense exercise
What is the normal range for pulse pressure?- CORRECT ANSWER - 40-60
Palpatory systolic blood pressure is determined by which of these methods?- CORRECT
ANSWER - With a sphygmomanometer
The palpation of prostatic calculi may be confused with which of these?- CORRECT ANSWER -
Carcinoma of the prostate
Which of these is not consistent with a testicular mass?- CORRECT ANSWER - Most are
benign
Which of these is the term for painful spasm at the termination of urination?- CORRECT
ANSWER - Strangury
During auscultation of the heart, the aortic area is located at the ________.- CORRECT
ANSWER - right second intercostal space
During auscultation of the heart, the tricuspid valve is auscultated at the ________.- CORRECT
ANSWER - left fourth intercostal space
,What is the pause between the QRS complex and the next wave form?- CORRECT ANSWER -
ST segment
Which of these lymph nodes is not palpable in the axilla?- CORRECT ANSWER - Epi-trochlear
Which lab test is utilized to confirm a case of rheumatic fever?- CORRECT ANSWER - ASO
titre
Which of these would not be expected to raise the erythrocyte sedimentation rate?- CORRECT
ANSWER - Osteoarthritis
Which of these causes of jaundice will present a urine specimen without bilirubin?- CORRECT
ANSWER - Congenital hemolytic icterus
Which of these would give lead to possible antigenic stimulation to Rh antibodies?- CORRECT
ANSWER - Pregnancy
Elevated alkaline phosphatase with increased sedimentation rate in seen in which of these
conditions?- CORRECT ANSWER - Paget disease
Which of these would not be consistent with acute appendicitis in an adult?- CORRECT
ANSWER - Diarrhea
An 11 year old boy develops a painless limp which gradually becomes painful. Given a history
of obesity, what is the most likely cause?- CORRECT ANSWER - Legg Perthe disease
Intermittent pain (claudication) of the calf muscles with use and unrelieved by positional change
is most likely due to which of the conditions?- CORRECT ANSWER - Beurger disease
, A 56 year old female presents with localized back pain, muscle spasm, and a fever. Motion is
restricted due to pain. The pain began 2 days ago without provocation. A bone scan displays "hot
spots" in the lumbar spine. Which of these details from the history is not a factor in her
condition?- CORRECT ANSWER - Spinal arthritis
A 67 year old man reports a history of urinary dribbling, increased frequency of urination, and
difficulty emptying a full bladder. Which of these diagnoses is most likely?- CORRECT
ANSWER - Prostatic hypertrophy
A patient presents with subclinical ankylosing spondylitis. Which would be the most important
component of the case history?- CORRECT ANSWER - Family history
A 28 year old male presents with a complaint of polydipsia, followed by polyuria for the last 3
weeks. He has lost 10 lbs. without change in diet or activity level. Based on this information,
what is the most likely cause of complaint?- CORRECT ANSWER - Diabetes
A 23 year old female presents with 12 hour history of abdominal pain in the right lower quadrant,
which is the most likely diagnosis?- CORRECT ANSWER - Appendicitis
A 10 year old patient complains of pain and itchiness of the right ear. Otoscopic exam reveals a
red and swollen external canal, with a foul smelling discharge. The tympanic membrane is
normal. Which is the most likely diagnosis?- CORRECT ANSWER - Otitis externa
Which sign will help in the differentiation between fibroadenoma and breast carcinoma?-
CORRECT ANSWER - Palpate for mobility
A 63 year old woman presents with pain in multiple joints. She complains of dryness and
irritation of the eyes, and a chronically dry mouth. When she touches cold things her skin
blanches. She has been previously diagnosed with Raynaud disease, but based upon the
symptoms, which is a more likely diagnosis?- CORRECT ANSWER - Sjogren syndrome
AND STUDY GUIDE | CONTAINS ALL 6 SECTIONS
EACH CONTAINING 50 QUESTIONS | VERIFIED AND
ACCURATE FOR GUARANTEED PASS | GRADED A |
CONTAINS A STUDY GUIDE AT THE END
A thin, pale, distraught 53 yo M w/ complaint of progressive dysphagia, & unintentional weight
loss, 25 lbs in last 30 days. Pt also has hoarseness w/ general fatigue. Lymphadenopathy of
supraclavicular lymph nodes is present.
Which is the most likely diagnosis?- CORRECT ANSWER - Adenocarcinoma of the esophagus
Exophthalmos, warmth to touch, weight loss, and increased appetite suggest which condition?-
CORRECT ANSWER - Grave disease
A 25 year old obese woman present with weight gain, intolerance to cold, and loss of the lateral
portions of her eyebrows. Which condition is most likel- CORRECT ANSWER -
Hypothyroidism
Which of these is the term for opacity of the lens of the eye?- CORRECT ANSWER - Cataract
What is the most common presenting symptom of otitis media?- CORRECT ANSWER - What is
the most common presenting symptom of otitis media?
What is the term for protrusion through a weak spot in the abdominal wall?- CORRECT
ANSWER - Hernia
What is the term for yellowish discoloration of the skin?- CORRECT ANSWER - Jaundice
,What is the technique to differentiate a superficial abdominal mass from a deep one?-
CORRECT ANSWER - Instructing the patient to contract the abdominal muscles
Under normal conditions, what is the proper procedure to palpate the gall bladder?- CORRECT
ANSWER - he gall bladder is unpalpable under normal conditions
A patient presents with moderate essential hypertension. Which of these would be
contraindicated in a management plan?- CORRECT ANSWER - Regular intense exercise
What is the normal range for pulse pressure?- CORRECT ANSWER - 40-60
Palpatory systolic blood pressure is determined by which of these methods?- CORRECT
ANSWER - With a sphygmomanometer
The palpation of prostatic calculi may be confused with which of these?- CORRECT ANSWER -
Carcinoma of the prostate
Which of these is not consistent with a testicular mass?- CORRECT ANSWER - Most are
benign
Which of these is the term for painful spasm at the termination of urination?- CORRECT
ANSWER - Strangury
During auscultation of the heart, the aortic area is located at the ________.- CORRECT
ANSWER - right second intercostal space
During auscultation of the heart, the tricuspid valve is auscultated at the ________.- CORRECT
ANSWER - left fourth intercostal space
,What is the pause between the QRS complex and the next wave form?- CORRECT ANSWER -
ST segment
Which of these lymph nodes is not palpable in the axilla?- CORRECT ANSWER - Epi-trochlear
Which lab test is utilized to confirm a case of rheumatic fever?- CORRECT ANSWER - ASO
titre
Which of these would not be expected to raise the erythrocyte sedimentation rate?- CORRECT
ANSWER - Osteoarthritis
Which of these causes of jaundice will present a urine specimen without bilirubin?- CORRECT
ANSWER - Congenital hemolytic icterus
Which of these would give lead to possible antigenic stimulation to Rh antibodies?- CORRECT
ANSWER - Pregnancy
Elevated alkaline phosphatase with increased sedimentation rate in seen in which of these
conditions?- CORRECT ANSWER - Paget disease
Which of these would not be consistent with acute appendicitis in an adult?- CORRECT
ANSWER - Diarrhea
An 11 year old boy develops a painless limp which gradually becomes painful. Given a history
of obesity, what is the most likely cause?- CORRECT ANSWER - Legg Perthe disease
Intermittent pain (claudication) of the calf muscles with use and unrelieved by positional change
is most likely due to which of the conditions?- CORRECT ANSWER - Beurger disease
, A 56 year old female presents with localized back pain, muscle spasm, and a fever. Motion is
restricted due to pain. The pain began 2 days ago without provocation. A bone scan displays "hot
spots" in the lumbar spine. Which of these details from the history is not a factor in her
condition?- CORRECT ANSWER - Spinal arthritis
A 67 year old man reports a history of urinary dribbling, increased frequency of urination, and
difficulty emptying a full bladder. Which of these diagnoses is most likely?- CORRECT
ANSWER - Prostatic hypertrophy
A patient presents with subclinical ankylosing spondylitis. Which would be the most important
component of the case history?- CORRECT ANSWER - Family history
A 28 year old male presents with a complaint of polydipsia, followed by polyuria for the last 3
weeks. He has lost 10 lbs. without change in diet or activity level. Based on this information,
what is the most likely cause of complaint?- CORRECT ANSWER - Diabetes
A 23 year old female presents with 12 hour history of abdominal pain in the right lower quadrant,
which is the most likely diagnosis?- CORRECT ANSWER - Appendicitis
A 10 year old patient complains of pain and itchiness of the right ear. Otoscopic exam reveals a
red and swollen external canal, with a foul smelling discharge. The tympanic membrane is
normal. Which is the most likely diagnosis?- CORRECT ANSWER - Otitis externa
Which sign will help in the differentiation between fibroadenoma and breast carcinoma?-
CORRECT ANSWER - Palpate for mobility
A 63 year old woman presents with pain in multiple joints. She complains of dryness and
irritation of the eyes, and a chronically dry mouth. When she touches cold things her skin
blanches. She has been previously diagnosed with Raynaud disease, but based upon the
symptoms, which is a more likely diagnosis?- CORRECT ANSWER - Sjogren syndrome
