Reasoning Exam Test Questions And Correct Answers (Verified
Answers) Plus Rationales 2025/2026 Q&A
Costochondritis: physical examination - CORRECT ANSWERS--Increases pain with palpitation
along the anterior cartilage of the chest
-Remainder of physical examination tends to be unremarkable
Costochondritis: diagnostic - CORRECT ANSWERS--Chest x-ray may r/u underlying causes
-12 lead EKG will be w/o ischemia or infarction
You are evaluating a patient and during the ROS the patient reports SOB while laying flat and requires 3
pillows under their head to sleep at night without symptoms developing. How would you document this
finding?
A. The patient admits to paroxysmal nocturnal dyspnea
B. The patient admits to three pillow orthopnea
C. The patient admits to SOB while supine
D. The patient denies cardiac problems - CORRECT ANSWERS-B
A patient with a 30-pack year smoking history and PMH of an MI 5 years ago presents with intermittent
lower extremity pain. The pain is worse when the leg is elevated and becomes pale in color. The patient
states they are unable to go on their nightly walk because halfway through they develop severe calf pain
that relieves with rest. What is the most likely diagnosis?
A. Peripheral arterial disease
B. Peripheral venous disease
C. Deep vein thrombosis
D. Intermittent claudication - CORRECT ANSWERS-A
Concerning health history findings - CORRECT ANSWERS--Changes in weight
-Fatigue or weakness
-Fever, chills, and night sweats
,Concerning health history findings: changes in weight - CORRECT ANSWERS--Rapid or gradual
- rapid changes over a few days suggest changes in fluid, not tissue
-Weight gain: nutrition vs. medical causes
-Weight loss: medical vs. psychosocial causes
Concerning health history findings: fatigue and weakness - CORRECT ANSWERS-Medical vs.
psychosocial
Fatigue - CORRECT ANSWERS-A sense of weariness or loss of energy
Weakness - CORRECT ANSWERS-A demonstrable loss of muscle muscle power
Concerning health history findings: fever, chills, and night sweats - CORRECT ANSWERS--Ask
about exposure to illness or any recent travel
-Some medications may cause elevated temperature
What are the types of pain? - CORRECT ANSWERS--Nociceptive (somatic)
-Neuropathic
-Idiopathic
-Psychogenic
-Chronic
Nociceptive (somatic) - CORRECT ANSWERS--Damage to tissue or viscera but sensory nerves
intact
-Described as dull, pressing, pulling, throbbing, boring, spasmodic, or colicky
Neuropathic - CORRECT ANSWERS--Direct trauma to the peripheral or central nervous system
-Described as shock like, stabbing, burning, pins and needles
,Idiopathic - CORRECT ANSWERS-No identifiable etiology
Psychogenic - CORRECT ANSWERS-Related to factors that influence the patient's report of
pain (psychiatric conditions, personality and coping style, cultural norms, social support systems)
ChronicN - CORRECT ANSWERS--Not due to cancer or illness lasting > 3-6 months
-Lasting > 1 month beyond the course of an illness
-Recurring at intervals over months or years
All notes should start with the following documentation: - CORRECT ANSWERS--Date of
encounter
-Patient name (age is also important)
-Informant and reliability
SOAP format - CORRECT ANSWERS--Subjective
-Objective
-Assessment
-Plan
BMI - CORRECT ANSWERS--Weight (lbs) x 700/height (inches)
-Weight (kgs)/height (m^2)
BMI: underweight - CORRECT ANSWERS-< 18.5
BMI: normal - CORRECT ANSWERS-18.5 - 24.9
BMI: overweight - CORRECT ANSWERS-25-29.9
BMI: obesity - CORRECT ANSWERS--I: 30 - 34.9
, -II: 35 - 39.9
BMI: extreme obesity - CORRECT ANSWERS-III: > (or equal to) 40
Orthostasis - CORRECT ANSWERS-Systolic BP drops >20 mm Hg or diastolic BP drops >10 mm
Hg
Heart rate and rhythm - CORRECT ANSWERS--Count 30 seconds (if rate is 50-90 and rhythm
regular)
-Count 60 seconds (if rate is <50 or >90 and/or rhythm is irregular)
Respiratory rate - CORRECT ANSWERS--Normal rate: 12-20 breaths/minute
-Count for a full 60 seconds
-Observe
Rhythm: regular, irregular
Depth: shallow, gasping
Effort: normal, labored
A patient presents with a 6-day history of rapid weight gain. The most likely explanation is:
-A. Dysphagia
-B. Excessive absorption of nutrients
-C. Diabetes mellitus
-D. Accumulation of body fluids - CORRECT ANSWERS-D
A patient presents a routine check-up. You see that the patient's vital signs have already been recorded
as follows: T 98.4 F, HR 74, R 18, BP 180/98 What would be the MOST appropriate action related to this
patient's vital signs?
-A. The blood pressure should be repeated at the next visit
-B. Repeat the blood pressure and verify in contralateral arm
-C. Check the heart rate again to see if it is regular