PRIMARY CARE EXAM 2026/2027 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
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When performing a health history, your 52 year old male patient complains of difficulty hearing
people when spoken in the right ear. During physical examination, you perform a Weber test
with your patient reporting increased hearing of vibrations in the right ear. Which one of the
following would you suspect based on these findings?
A -Left side conductive hearing loss
B -Left side sensorineural hearing loss
C -Bilateral conductive hearing loss
D -Bilateral sensorineural hearing loss
B -Left side sensorineural hearing loss
Your patient has provided you with a research paper about a new treatment plan that is being
used, somewhat controversially, in other
areas of the world to treat sinus infections. She asks for your opinion. In reviewing the article,
you educate the patient that they should look for which of the following, which are considered
the highest level of research quality?
A -Unblinded retrospective analysis
B -Expert opinion statement
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,C -Cohort study
D -Systematic review
D -Systematic review
A 16-year-old female patient with heavy menses has been diagnosed with iron deficiency
anemia. She is also having longer and more irregular periods than is typical as well as extremely
painful cramping. You would likely need to consider which of the following diagnoses in your
workup:
A -Sarcoidosis
B -Endometriosis
C -Pelvic inflammatory disease
D -Thalassemia
B -Endometriosis
Your 43 year old female patient with no otherwise remarkable health history has a routine
health visit and when evaluating the labwork, you notice a platelet count of 80,000. Which of
the following is a correct diagnosis for this patient?
A -Thrombastemia
B -Pancytopenia
C -Thrombocytopenia
D -Thrombocytosis
C -Thrombocytopenia
After a recent hospitalization for weakness, a diagnosis of myasthenia gravis has been made in a
patient under your long term management. In the process of the examination, a CT of the chest
was performed, and an object was identified as enlarged and wasremarked that it needs to be
removed as it is thought to be related to this diagnosis. The patient now in your clinic states
they don't remember what the object was and hoped you might know. The prudent nurse
practitioner understands that the item likely represents which of the following?
A -Potts tumor
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,B -Coumeral's diverticulum
C -Arenal tumor
D -Thymic remnant
D -Thymic remnant
While working as a volunteer nurse practitioner at a college football game, a 17 year old female
patient who was at the football game has received a bee sting. She is experiencing swelling of
the face and is having difficulty breathing. Which of the following represents
the most common diagnosis?
A -Type 2 hypersensitivity reaction
B -Angioedema
C -Tachyphylaxis
D -IgE mediated type 1 hypersensitivity reaction
D -IgE mediated type 1 hypersensitivity reaction
As a prudent nurse practitioner, you know that a 28 year old male patient with human
immunodeficiency virus (HIV) would be considered well managed when they have which of the
following in addition to having undetectable or very low viral copies?
A -CD4 count of 100
B -CD4 count undetectable
C -CD4 count of 500
D -CD4 count of 50
C -CD4 count of 500
Your 22 year old female patient has been identified by lab work for a diagnosis of Systemic
Lupus Erythematous (SLE). In addition to lab work, SLE is most commonly identified by which of
the following findings?
A -Butterfly rash on the face
B -Myoglobinuria
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, C -Elevated WBC count
D -Diffuse rash on the torso
A -Butterfly rash on the face
Your patient has expressed concern about a skin lesion which you identify as darkened, round,
and raised. This benign lesion that appears like "stuck on" to the skin. Which of the following
lesions best fits this description?
A -Seborrheic Keratosis
B -Hemangioma
C -Basal cell carcinoma
D -Achrocordon
A -Seborrheic Keratosis
A62 year old female patient with erythema on the face surrounding the nasolabial folds as well
as very fine dandruff in the hair and skin is most likely describing with which of the following
diseases?
A -Rosacea
B -Tinea capitis
C -Photosensitivity reaction
D -Seborrheic Dermatitis
D -Seborrheic Dermatitis
Your 32 year old patient exhibits mood changes with a cyclical nature of euphoria and bliss then
troughs of depression and anhedonia. In addition to working them up for metabolic causes, you
refer them to psychiatry and suggest a likely diagnosis of which of the following?
A -Schizophrenia
B -Borderline personality disorder
C -Bipolar disorder
D -Bulimia Nervosa
C -Bipolar disorder
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