NCCAOM BIOMEDICINE 2026 STUDY EXAM GUIDE
QUESTIONS AND ANSWERS SURE A+
✔✔Fatigue, night sweats, weight loss: - ✔✔Need to rule out cancer
✔✔67 old man with cachexia. What does it suggest? - ✔✔Probably Cancer
✔✔Reasons for EPO increase: - ✔✔Anemia
✔✔Which Vitamin helps iron deficiency anemia: - ✔✔Vitamin C
✔✔Which one of these is a risk factor for blood clots? - ✔✔Pregnancy
✔✔If taking anticoagulant avoid which supplement? - ✔✔Vitamin K
✔✔What is primary cause of secondary hypertension? - ✔✔Renal and endocrine
diseases
✔✔What category of drugs has side effect of muscle ache (myalgia)? - ✔✔HMG-CoA
redactase inhibitor
✔✔Chronic Diabetic patient testing to check blood sugar level: - ✔✔HbA1C hemoglobin
✔✔What hormone spikes during ovulation ? - ✔✔LH = Luteinizing hormone
✔✔What hormone is elevated in menopause? - ✔✔FSH = Follicle stimulating hormone
✔✔Patient has PCOS, infertility, she is overweight, w/irregular periods what other
symptoms - ✔✔Insulin Resistance
✔✔2 year-old boy with acute wheezing but without other symptoms, sister has asthma
history and acupuncture treatment helps her. Based on the age and information, you
suspect: - ✔✔Foreign object in airway
✔✔What conditions causes "Prolonged expiration"? - ✔✔Asthma
✔✔CPK levels indicate: - ✔✔Heart damage
✔✔Woman calf lesion, enlarge over one day, red swollen, suspect: - ✔✔DVT
✔✔12 hours flight, presents with calf pain. Check for what? - ✔✔DVT
,✔✔Patient suspected to have a DVT, what is the best way to confirm. - ✔✔Doppler
Ultrasound
✔✔Older man with lower back pain during bowel movement and pulsating mass near
umbilicus, what is the cause? - ✔✔Abdominal aortic aneurysm
✔✔Patient has abdominal pain (my said low back pain) and is aggravated when
defecating? - ✔✔Herniated lumbar disc
✔✔Beta-adrenergic Blockers treat what? - ✔✔Thyroid storm
✔✔Which drug can relax smooth muscle and vessel resistance "-a-Blocker" - ✔✔Cause
vessel dilation
✔✔Calcium channel blockers: relax vessels - ✔✔CCB for: hypertension, arrhythmia,
angina
CCB side effect: hypotension, AV block, headache, constipation, nausea, heel edema
✔✔Public health and safety cares most about? - ✔✔Occupation and travel
✔✔Evaluation and management are based on? - ✔✔CPT Codes
✔✔What is the element in PHI (Protect Health Information)? - ✔✔Patient email address
✔✔Speak with cardiologist of a patient without patient consent. Is there any recourse for
complaint filled? - ✔✔Yes - patient can - no we cant counter file
✔✔The patient was treated by practitioner lack of skills of the profession for which the
individual has been certified? - ✔✔Incompetence
✔✔Female young, high fever, productive cough, headache, pain in chest, worse with
deep breaths, what do you do? - ✔✔Emergency room
✔✔Patient has chronic eczema, dry red lesions are all over the body trunk and arms,
what should you do during the treatment? - ✔✔Refer to primary physician
✔✔Endometrial polyps found by - ✔✔Hysteroscopy
✔✔Colposcopy is applied to visualize which structure(s) - ✔✔Vagina and Cervix
✔✔Pregnancy confirmed by - ✔✔hCG hormone (human chorionic gonadotropin)
, ✔✔Sympathetic nervous system B receptors cause all of the following except the
following physiological response = pupil contriction - ✔✔Opioid
✔✔A young man has anxiety, nausea/vommiting, "goose bump" with dilated pupils,
what subtance(s) did the patient used? - ✔✔Opiates
✔✔26 year old man with headache, nausea and Photo-sensitivity. Most likely type of
headache: - ✔✔Migraine (vascular)
✔✔Patient has right hemisphere cerebral vascular accident (CVA), which area is
affected? - ✔✔Left Face/Left Body
✔✔Discriminative nerve findings: Left arm 1+ right 2+, left arm muscle weakness,
(during discrimination point find 2 better discrimination points on R arm), which side is
lesion on: - ✔✔Right cerebral cortex
✔✔Spinal cord lesion between L4 and L5 affects which spinal nerve? - ✔✔L4 (L4
symptoms are seen)
✔✔Which nerve root corresponds to the top of the foot? (only single answer options, not
pairs) - ✔✔L5
✔✔Cerebrospinal fluid (CSF) may be obtained from? - ✔✔Subarachnoid Space (via
Lumbar Puncture [Spinal Tap])
✔✔Lesion in which part of brain causes Alzheimers? - ✔✔Hippocampus, Amygdala,
Cortex
✔✔Which mineral is antioxidant? - ✔✔Selenium
✔✔What causes elevated ketone bodies? - ✔✔High fat/low carb diet (Atkin diet)
✔✔Motor part enters muscle fiber,most electrically excitabel part of muscle? - ✔✔Motor
point
✔✔Ankylosing spondylitis is linked to which specific HLA Antigen: - ✔✔HLA-B27
(human leukocyte antigen)
✔✔Patient with pain in his back but all the tests for nerve damage are negative (they tell
you the tests by explaining how they do them, not by the name, i.e. leg raising). What
do you do? - ✔✔Refer for MRI
QUESTIONS AND ANSWERS SURE A+
✔✔Fatigue, night sweats, weight loss: - ✔✔Need to rule out cancer
✔✔67 old man with cachexia. What does it suggest? - ✔✔Probably Cancer
✔✔Reasons for EPO increase: - ✔✔Anemia
✔✔Which Vitamin helps iron deficiency anemia: - ✔✔Vitamin C
✔✔Which one of these is a risk factor for blood clots? - ✔✔Pregnancy
✔✔If taking anticoagulant avoid which supplement? - ✔✔Vitamin K
✔✔What is primary cause of secondary hypertension? - ✔✔Renal and endocrine
diseases
✔✔What category of drugs has side effect of muscle ache (myalgia)? - ✔✔HMG-CoA
redactase inhibitor
✔✔Chronic Diabetic patient testing to check blood sugar level: - ✔✔HbA1C hemoglobin
✔✔What hormone spikes during ovulation ? - ✔✔LH = Luteinizing hormone
✔✔What hormone is elevated in menopause? - ✔✔FSH = Follicle stimulating hormone
✔✔Patient has PCOS, infertility, she is overweight, w/irregular periods what other
symptoms - ✔✔Insulin Resistance
✔✔2 year-old boy with acute wheezing but without other symptoms, sister has asthma
history and acupuncture treatment helps her. Based on the age and information, you
suspect: - ✔✔Foreign object in airway
✔✔What conditions causes "Prolonged expiration"? - ✔✔Asthma
✔✔CPK levels indicate: - ✔✔Heart damage
✔✔Woman calf lesion, enlarge over one day, red swollen, suspect: - ✔✔DVT
✔✔12 hours flight, presents with calf pain. Check for what? - ✔✔DVT
,✔✔Patient suspected to have a DVT, what is the best way to confirm. - ✔✔Doppler
Ultrasound
✔✔Older man with lower back pain during bowel movement and pulsating mass near
umbilicus, what is the cause? - ✔✔Abdominal aortic aneurysm
✔✔Patient has abdominal pain (my said low back pain) and is aggravated when
defecating? - ✔✔Herniated lumbar disc
✔✔Beta-adrenergic Blockers treat what? - ✔✔Thyroid storm
✔✔Which drug can relax smooth muscle and vessel resistance "-a-Blocker" - ✔✔Cause
vessel dilation
✔✔Calcium channel blockers: relax vessels - ✔✔CCB for: hypertension, arrhythmia,
angina
CCB side effect: hypotension, AV block, headache, constipation, nausea, heel edema
✔✔Public health and safety cares most about? - ✔✔Occupation and travel
✔✔Evaluation and management are based on? - ✔✔CPT Codes
✔✔What is the element in PHI (Protect Health Information)? - ✔✔Patient email address
✔✔Speak with cardiologist of a patient without patient consent. Is there any recourse for
complaint filled? - ✔✔Yes - patient can - no we cant counter file
✔✔The patient was treated by practitioner lack of skills of the profession for which the
individual has been certified? - ✔✔Incompetence
✔✔Female young, high fever, productive cough, headache, pain in chest, worse with
deep breaths, what do you do? - ✔✔Emergency room
✔✔Patient has chronic eczema, dry red lesions are all over the body trunk and arms,
what should you do during the treatment? - ✔✔Refer to primary physician
✔✔Endometrial polyps found by - ✔✔Hysteroscopy
✔✔Colposcopy is applied to visualize which structure(s) - ✔✔Vagina and Cervix
✔✔Pregnancy confirmed by - ✔✔hCG hormone (human chorionic gonadotropin)
, ✔✔Sympathetic nervous system B receptors cause all of the following except the
following physiological response = pupil contriction - ✔✔Opioid
✔✔A young man has anxiety, nausea/vommiting, "goose bump" with dilated pupils,
what subtance(s) did the patient used? - ✔✔Opiates
✔✔26 year old man with headache, nausea and Photo-sensitivity. Most likely type of
headache: - ✔✔Migraine (vascular)
✔✔Patient has right hemisphere cerebral vascular accident (CVA), which area is
affected? - ✔✔Left Face/Left Body
✔✔Discriminative nerve findings: Left arm 1+ right 2+, left arm muscle weakness,
(during discrimination point find 2 better discrimination points on R arm), which side is
lesion on: - ✔✔Right cerebral cortex
✔✔Spinal cord lesion between L4 and L5 affects which spinal nerve? - ✔✔L4 (L4
symptoms are seen)
✔✔Which nerve root corresponds to the top of the foot? (only single answer options, not
pairs) - ✔✔L5
✔✔Cerebrospinal fluid (CSF) may be obtained from? - ✔✔Subarachnoid Space (via
Lumbar Puncture [Spinal Tap])
✔✔Lesion in which part of brain causes Alzheimers? - ✔✔Hippocampus, Amygdala,
Cortex
✔✔Which mineral is antioxidant? - ✔✔Selenium
✔✔What causes elevated ketone bodies? - ✔✔High fat/low carb diet (Atkin diet)
✔✔Motor part enters muscle fiber,most electrically excitabel part of muscle? - ✔✔Motor
point
✔✔Ankylosing spondylitis is linked to which specific HLA Antigen: - ✔✔HLA-B27
(human leukocyte antigen)
✔✔Patient with pain in his back but all the tests for nerve damage are negative (they tell
you the tests by explaining how they do them, not by the name, i.e. leg raising). What
do you do? - ✔✔Refer for MRI
