NCCAOM BIOMEDICINE 2026 CORE MAIN EXAM
QUESTIONS AND ANSWERS SURE A+
✔✔Laparoscopy used to visualize: - ✔✔Abdominal and pelvic organ when a
pathological condition is suspected
✔✔Barium enema - ✔✔of the colon
✔✔A patient who has abdominal pain needs to check what? - ✔✔X-ray
✔✔18 year old college student has acute onset of severe watery diarrhea, vomiting,
nausea, abdominal crampin pain for 2 days after her camping trip. What pathogen
possivbly causes these symptoms? - ✔✔Giardia
✔✔Symptoms of abdominal pain, diarrhea - relieved with defecation. Diagnosis: -
✔✔IBS
✔✔What are the sumptoms of (IBS) Irritable bowel syndrome - ✔✔colicky abdominal
pain relieved by bowel movement, clear or white mucus in stool.
✔✔Patient has diarrhea and constipation, stool shows mucus and blood, what is the
diagnosis: - ✔✔Ulcerative Colitis
✔✔Pus and blood w/diarreah for 6 months - ✔✔Ulcerative Colitis
✔✔Polyps removed from colon, ehat other sign would indicate colon cancer? -
✔✔Painless bleeding
✔✔High level of A-fetoprotein - ✔✔Liver cancer
✔✔Abdominal pain, worse by spicy food and alcohol, nausea, loose stool, no blood in
stool, anemia, amenorhea, weight loss, not mention stress or emotional thing, choices: -
✔✔gastritis
✔✔Patient long term use drug for pain, and has anemia symptoms, which one is the
reason or sign cause the problem? - ✔✔Bleeding intestine
✔✔Side effect of ibuprofen = NSAIDS - ✔✔GI (peptic ulcers, stomach upset, GI track
bleeding)
✔✔Which drug category will you select if you want to reduce gastric acid in the
stomach? - ✔✔Histamine blocker
,✔✔What drug for peptic ulcer is used to decrease secretion of gastric acid - ✔✔PPI, H2
blocker
✔✔If the patient has been taking antacids and there is no relief of heart burn which drug
category will you use? - ✔✔Proton pup inhibitors
✔✔What drug is used for peptic ulcer is used to decrease secretion of gastric acid: -
✔✔PPI, H2 blocker
✔✔If the patient has been taking antacids and there is no relief of heart burn which drug
category will you use? - ✔✔Proton pump inhibitors (Which blocks the production of
Stomach Acid, decrease gastric acid
✔✔A patient with acid reflux, antacids dont work. What medications to use to decrease
acid production? - ✔✔1.) H2 blocker (stronger than antacid)
2.) Proton pump inhibitor (stronger than and more popular today than H2 blocker)
✔✔If the patient has GERD (they didnt tell you GERD, tell you the symptom), whcih
procedure would you use to evaluate the condition? - ✔✔Endoscopy
✔✔What type of prescription drug is the most frequently used in US? - ✔✔ACE
inhibitors
✔✔Young female, high fever, right flank pain, painful-cloudy urine (my test use dysuria)
- ✔✔Acute pyelonephritis
✔✔UTI most common pathogen is: - ✔✔E. coli
✔✔Renal failure, what is the specific test? - ✔✔Blood creatine
✔✔Adverse effects of Erectile Dysfunction drugs: - ✔✔Stuffy and runny nose
✔✔A patient comes in with diagnosed melanoma and you notice the size, shape and
color, what other distinguishing factor would you look for? - ✔✔Irregular border
✔✔Male, 32 Presents with erythematous papular intensely pruritic rash between the
fingers of both hands the web spaces. Started 3 days ago. Fine scaly lines 3 to 4 mm
long noted on affected areas. No other complaints. Blood work normal. Most likely
diagnosis. - ✔✔Scabies
✔✔Tinea capitis pathogen is: - ✔✔Trichophyton, Microsporum (fungal)
✔✔Polio is a virus that is transmitted - ✔✔Fecal-oral
, ✔✔Patient presents with right side jaw pain and has a painful cluster fluid-filled
circumscribed vesicle sacs the face and lips, what do you suspect? - ✔✔Herpes zoster
✔✔Patient presents with right side jaw pain and has a painful cluster fluid-filled
circumscribed vesicle sacs the face and trunk, what do you suspect? - ✔✔Herpes
zoster
✔✔An 18 month old developed pruritic tear drop-like skin rashes teh day after she has
experienced mild fecer, slight cough and malaise. The rash starts on the body trunk,
and then spread to the face, neck and back. No Koplicks spots are discovered inside
the mouth. What is most likely he medical diagnosis? - ✔✔Chikenpox
✔✔Kid (18 years old student) has Salt like white speck inside cheeks, maculopapular
rashes from back of neck to chest. - ✔✔Measles
✔✔Female, older, cervical cancer. Which virus risk factor? - ✔✔HPV
✔✔Tetanus - ✔✔-Muscle spasm
-lockjaw (trismus)
-difficulty swallowing
✔✔Cephalosporins are antibiotics that: - ✔✔Inhibit bacterial cell wall synthesis
✔✔One of the most common first signs of infectious mononucleosis is: - ✔✔Severe
sore throat
✔✔The most common STD in US - ✔✔Clamydia
✔✔Woman with infertility issues and blocked fallopian tubes: - ✔✔post Chlamydia
infection
✔✔Patient comes in with cryptosporidiosis and esphageal candida what is most likely
cause? - ✔✔Immune deficiency (POss. HIV, AIDS)
✔✔How is HIV/AIDS diagnosed? - ✔✔Gum Swab
✔✔What is the risk of getting HIV from neddle stick with contaminated blood? - ✔✔0.3%
✔✔What is % that an infeced hypodermic needle stick will transmit HIV? - ✔✔0.3%
✔✔Which are the primary mode of transmission for hepatitis B - ✔✔Blood, sex, and
syringes
QUESTIONS AND ANSWERS SURE A+
✔✔Laparoscopy used to visualize: - ✔✔Abdominal and pelvic organ when a
pathological condition is suspected
✔✔Barium enema - ✔✔of the colon
✔✔A patient who has abdominal pain needs to check what? - ✔✔X-ray
✔✔18 year old college student has acute onset of severe watery diarrhea, vomiting,
nausea, abdominal crampin pain for 2 days after her camping trip. What pathogen
possivbly causes these symptoms? - ✔✔Giardia
✔✔Symptoms of abdominal pain, diarrhea - relieved with defecation. Diagnosis: -
✔✔IBS
✔✔What are the sumptoms of (IBS) Irritable bowel syndrome - ✔✔colicky abdominal
pain relieved by bowel movement, clear or white mucus in stool.
✔✔Patient has diarrhea and constipation, stool shows mucus and blood, what is the
diagnosis: - ✔✔Ulcerative Colitis
✔✔Pus and blood w/diarreah for 6 months - ✔✔Ulcerative Colitis
✔✔Polyps removed from colon, ehat other sign would indicate colon cancer? -
✔✔Painless bleeding
✔✔High level of A-fetoprotein - ✔✔Liver cancer
✔✔Abdominal pain, worse by spicy food and alcohol, nausea, loose stool, no blood in
stool, anemia, amenorhea, weight loss, not mention stress or emotional thing, choices: -
✔✔gastritis
✔✔Patient long term use drug for pain, and has anemia symptoms, which one is the
reason or sign cause the problem? - ✔✔Bleeding intestine
✔✔Side effect of ibuprofen = NSAIDS - ✔✔GI (peptic ulcers, stomach upset, GI track
bleeding)
✔✔Which drug category will you select if you want to reduce gastric acid in the
stomach? - ✔✔Histamine blocker
,✔✔What drug for peptic ulcer is used to decrease secretion of gastric acid - ✔✔PPI, H2
blocker
✔✔If the patient has been taking antacids and there is no relief of heart burn which drug
category will you use? - ✔✔Proton pup inhibitors
✔✔What drug is used for peptic ulcer is used to decrease secretion of gastric acid: -
✔✔PPI, H2 blocker
✔✔If the patient has been taking antacids and there is no relief of heart burn which drug
category will you use? - ✔✔Proton pump inhibitors (Which blocks the production of
Stomach Acid, decrease gastric acid
✔✔A patient with acid reflux, antacids dont work. What medications to use to decrease
acid production? - ✔✔1.) H2 blocker (stronger than antacid)
2.) Proton pump inhibitor (stronger than and more popular today than H2 blocker)
✔✔If the patient has GERD (they didnt tell you GERD, tell you the symptom), whcih
procedure would you use to evaluate the condition? - ✔✔Endoscopy
✔✔What type of prescription drug is the most frequently used in US? - ✔✔ACE
inhibitors
✔✔Young female, high fever, right flank pain, painful-cloudy urine (my test use dysuria)
- ✔✔Acute pyelonephritis
✔✔UTI most common pathogen is: - ✔✔E. coli
✔✔Renal failure, what is the specific test? - ✔✔Blood creatine
✔✔Adverse effects of Erectile Dysfunction drugs: - ✔✔Stuffy and runny nose
✔✔A patient comes in with diagnosed melanoma and you notice the size, shape and
color, what other distinguishing factor would you look for? - ✔✔Irregular border
✔✔Male, 32 Presents with erythematous papular intensely pruritic rash between the
fingers of both hands the web spaces. Started 3 days ago. Fine scaly lines 3 to 4 mm
long noted on affected areas. No other complaints. Blood work normal. Most likely
diagnosis. - ✔✔Scabies
✔✔Tinea capitis pathogen is: - ✔✔Trichophyton, Microsporum (fungal)
✔✔Polio is a virus that is transmitted - ✔✔Fecal-oral
, ✔✔Patient presents with right side jaw pain and has a painful cluster fluid-filled
circumscribed vesicle sacs the face and lips, what do you suspect? - ✔✔Herpes zoster
✔✔Patient presents with right side jaw pain and has a painful cluster fluid-filled
circumscribed vesicle sacs the face and trunk, what do you suspect? - ✔✔Herpes
zoster
✔✔An 18 month old developed pruritic tear drop-like skin rashes teh day after she has
experienced mild fecer, slight cough and malaise. The rash starts on the body trunk,
and then spread to the face, neck and back. No Koplicks spots are discovered inside
the mouth. What is most likely he medical diagnosis? - ✔✔Chikenpox
✔✔Kid (18 years old student) has Salt like white speck inside cheeks, maculopapular
rashes from back of neck to chest. - ✔✔Measles
✔✔Female, older, cervical cancer. Which virus risk factor? - ✔✔HPV
✔✔Tetanus - ✔✔-Muscle spasm
-lockjaw (trismus)
-difficulty swallowing
✔✔Cephalosporins are antibiotics that: - ✔✔Inhibit bacterial cell wall synthesis
✔✔One of the most common first signs of infectious mononucleosis is: - ✔✔Severe
sore throat
✔✔The most common STD in US - ✔✔Clamydia
✔✔Woman with infertility issues and blocked fallopian tubes: - ✔✔post Chlamydia
infection
✔✔Patient comes in with cryptosporidiosis and esphageal candida what is most likely
cause? - ✔✔Immune deficiency (POss. HIV, AIDS)
✔✔How is HIV/AIDS diagnosed? - ✔✔Gum Swab
✔✔What is the risk of getting HIV from neddle stick with contaminated blood? - ✔✔0.3%
✔✔What is % that an infeced hypodermic needle stick will transmit HIV? - ✔✔0.3%
✔✔Which are the primary mode of transmission for hepatitis B - ✔✔Blood, sex, and
syringes
