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NCCAOM BIOMED 2025 EXAM
QUESTIONS AND DETAILED CORRECT
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GRADE 2025/
A 58-year-old male patient presents to the emergency department with acute onset of excruciating substernal pain. He has a history of cigarette smoking for 40 years. He was diagnosed with hypertension 20 years ago. Immediate ECG shows ST segment elevation and T wave inversion. What is the most likely medical diagnosis? A. Aortic aneurysm. B. Erosive esophagitis. C. Myocardial infarction. D. Ventricular arrhythmia. Correct Answer C.Myocardial infarction Which blood test is specifically used to monitor the response of the bone marrow to therapy for anemia? A. Leukocyte count. B. Erythrocyte count. C. Reticulocyte count. D. Thrombocyte count. Correct Answer C. Reticulocyte count In the US, the top three leading causes of death from diseases in adults are respectively: A. AIDS, cancer, and heart disease. B. Cancer, heart disease, and AIDS
C. Heart disease, cancer, and stroke. D. Cancer, heart disease, and stroke. Correct Answer C. Heart disease, cancer, stroke In addition to the central cavities of the brain and spinal cord, cerebrospinal fluid [CSF] also circulates in the: A. Epidural space. B. Subdural space C. Subarachnoid space. D. All of the above. Correct Answer C. subarachnoid space A female patient has intermittent diarrhea with occasional blood and mucus in the stools and abdominal pain. Her symptoms are aggravated by emotional stress. What is the most likely medical diagnosis? A.Celiac disease. B. Ulcerative colitis. C. Lactose intolerance. D. Irritable bowel syndrome (IBS). Correct Answer B. Ulcerative colitis A 24-year-old female patient has suffered from high fever, generalized muscle aching, malaise, headache, and watery diarrhea for 3 days. Her last menstrual period was 2 weeks ago. She uses contraceptive sponge and diaphragm as her birth control method. Which of the following is the most serious medical condition that needs to be ruled out immediately in this case? A. Influenza. B. Food poisoning.
D. The patient must be informed of risks, benefits, and alternatives to treatment. Correct Answer A) The patient must have no right to withdraw consent at any time. Clinical and epidemiologic studies have shown that which component of the lipid profile is an independent INVERSE risk factor for coronary artery disease [CAD]? A. Cholesterol. B. Triglyceride. C. Low-density lipoprotein [LDL]. D. High-density lipoprotein [HDL] Correct Answer D) High- density lipoprotein (HDL) The manager of a company calls your office, requesting information about the health issue of his employee, who has also been your regular patient for 2 years. The manager explains that his employee may be promoted to a higher position if no major health problems are were found. How are you supposed to respond to this request? A. Refuse to give out the patient's information. B. Ask about the details of the patient's promotion. C. Tell him to let the company's lawyer talk to you. D. Provide the patient's information only in your office. Correct Answer A) Refuse to give out the patient's information. Rotation of the head involves the first and second cervical vertebrae, which are respectively known as A. Axis and atlas. B. Atlas and axis. C. Sacrum and coccyx.
D. Sternum and clavicle. Correct Answer B) Atlas and axis Which one of the following hormones is NOT an example of steroid hormones? A. Estrogen. B. Prolactin. C. Testosterone. D. Progesterone. Correct Answer B) Prolactin Body systems that are involved in the stress response include A. Immune system. B. Nervous system. C. Endocrine system. D. All of the above. Correct Answer D) All of the above A middle-aged man with a history of high blood uric acid level presents with a sudden nocturnal onset of excruciating pain and swelling in the metatarsophalangeal joint of the great toe. What medical condition is highly suspected? A. Gout. B. Osteoarthritis. C. Septic arthritis. D. Rheumatoid arthritis. Correct Answer A) Gout Infectious mononucleosis is believed to be related to A. Viral infection. B. Fungal infection. C. Parasitic infection. D. Bacterial infection. Correct Answer A) viral infection
D. Aluminum or magnesium antacids. Correct Answer C) Histamine H2 receptor blockers A nonsteroidal anti-inflammatory drug [NSAID] that contains naproxen would be A. Advil®. B. Aleve®. C. Motrin®. D. Nuprin®. Correct Answer B) Aleve Which of the following best describes the process of autoclaving? A. 250°F at 15 lbs psi of steam pressure for 30 minutes. B. 250°F at 30 lbs psi of steam pressure for 15 minutes. C. 338°F at 15 lbs psi of steam pressure for 30 minutes. D. 338°F at 30 lbs psi of steam pressure for 15 minutes. Correct Answer A) 250°F at 15 lbs psi of steam pressure for 30 minutes. Approximately how many skeletal muscles are found in the human body? A. Over 200. B. Over 600. C. Over 800. D. Over 1,000. Correct Answer B) over 600 According to the Health Insurance Portability and Accountability Act [HIPAA], all of the following are your health information privacy rights EXCEPT A. Ask to see and get a copy of your health records. B. Have corrections added to your health information. C. Receive a notice that tells you how your health information is used and shared. D. Always give permission as long as your health information is used or shared for medical research
purposes. Correct Answer D)Always give permission as long as your health information is used or shared\nfor medical research purposes. A Papanicolaou [Pap] smear test is performed to detect abnormal or atypical cells in\nor on the A. Uterus. B. Cervix. C. Vagina. D. Urethra. Correct Answer B) Cervix A positive Brudzinski's sign, in which both hips and knees are actively flexed in response to passive flexion of the neck, suggests the inflammation of the a. Hip joint. B. Meninges. C. Knee joint. D. Cervical vertebra. Correct Answer B) Meninges The most common form of cancer in men between the ages of 15 and 35 would be A. Lung cancer. B. Brain cancer. C. Prostatic cancer. D. Testicular cancer. Correct Answer D) Testicular cancer A daughter brings her 80-year-old mother to the clinic and states that over the last 6 months, her mother has become forgetful. The mother has difficulty in remembering recent events and often forgets to pay her bills, but otherwise she has been in good health and takes no medications. Vital signs and physical examination are within the normal range. Which of the following is the best next step in making the diagnosis? A. Thyroid function test. B. Psychiatric evaluation. C. Imaging study of the brain. D. )Mini-mental status examination [MMSE]. Correct Answer D) Mini-mental status examination (MMSE)
osmotic pressure. Correct Answer D) decreased plasma osmotic pressure Chest X-ray [CXR] is NOT indicated in which of the following medical conditions? A. Pneumonia. B. Rib fracture. C. Enlarged heart. D. Coronary artery occlusion. Correct Answer D) Coronary artery occlusion Which of the following coagulation tests is used specifically to monitor warfarin [Coumadin®] therapy? a. Platelet count. B. Bleeding time. C. Prothrombin time (PT]. D.Partial thromboplastin time [PTT] Correct Answer C) Prothrombin time (PT) According to the recommendation from the American Cancer Society, monthly breast self-examination should begin at the age of\ A. 20. B. 30. C. 35. D. 40. Correct Answer A) 20 A deficiency of vitamin C may result in a. Scurvy. b. Anemia. c. Pellagra. d. Night blindness. Correct Answer A) Scurvy Which of the following procedures is required to confirm the diagnosis of endometriosis? a. CAT scan. b. Sonography. c. Laparoscopy. d. Hormonal testing. Correct Answer C) Laparoscopy An elevated blood ammonia level suggests a pathological condition in the a Liver. b. Kidney. c. Pancreas. d. Urinary bladder. Correct Answer A) Liver
What nerve roots contribute to the formation of the sciatic nerve?\n(A) L1 - L5 and S1 - S4.\n(B) L2 - L4 and S1 - S2.\n(C) L3 - L5 and S1 - S3.\n(D) L4 - L5 and S1 - S3. Correct Answer D) L4 - L5 and S1 - S3. A patient presents with steatorrhea (fatty diarrhea). The stools are pale-colored,\nextremely smelly, floating in the toilet bowl and difficult to flush away. He has no\nabdominal pain, nausea, vomiting, or jaundice. What is the most probable type or\ncause of his diarrhea?\n(A)Malabsorption.\n(B) Osmotic diarrhea.\n(C) Parasitic infection.\n(D)Abnormal intestinal motility. Correct Answer A) Malabsorption A pulsatile mass palpated in the middle of the abdomen is most likely to be an\n(A)Aortic aneurysm.\n(B) Ovarian malignancy.\n(C) Epigastric distention.\n(D) Intestinal obstruction. Correct Answer A) Aortic aneurysm Pernicious anemia results from defective secretion of the intrinsic factor by the gastric\nmucosal cells, causing diminished absorption of which vitamin?\n(A)Vitamin B1.\n(B) Vitamin B3.\n(C) Vitamin B6.\n(D)Vitamin B12. Correct Answer D) Vit B The head of the humerus is to the glenoid fossa as the head of the femur is to the\n(A)Obturator.\n(B) Acetabulum.\n(C) Symphysis pubis.\n(D)Greater trochanter. Correct Answer B) Acetabulum
Contraction of the sternocleidomastoid (SCM) muscle on one side results in\n(A) Flexion of the head.\n(B) Extension of the head.\n(C) Turning of the head to the same side.\n(D) Turning of the head to the opposite side. Correct Answer D) Turning of the head to the opposite side b-Adrenergic blockers belong to what class of antiarrhythmic drugs?\n(A) Class I.\n(B) Class II.\n(C) Class III.\n(D) Class IV. Correct Answer B) Class II Which cranial nerve controls the movement of the tongue?\n(A) CN V (Trigeminal).\n(B) CN VII (Facial).\n(C) CN IX (Glossopharyngeal).\n(D) CN XII (Hypoglossal). Correct Answer D) CN XII (hypoglossal) Clinical manifestations of a patient with pins-and-needles sensations down the arm\nand around the lips as well as muscle spasms would most likely suggest\n(A)Hypokalemia.\n(B) Hyperkalemia.\n(C) Hypocalcemia.\n(D)Hypercalcemia. Correct Answer C) Hypocalcemia On neurological examination, a patient is found to have grade 3 muscle strength in\nhamstrings and triceps brachii without obvious muscle wasting. The biceps reflex is\nrecorded as 3+, while the knee and ankle jerks are recorded as 4+ with clonus. There\nis also an extensor plantar response (i.e. positive Babinski's sign). Where is the\nneuronal lesion of this patient located?\n(A)Upper motor neuron only.\n(B) Lower motor neuron only.\n(C)
Both upper and lower motor neurons.\n(D)Neither upper nor lower motor neurons. Correct Answer A) Upper motor neuron only. Antioxidant vitamins include all of the following EXCEPT\n(A)Vitamin A.\n(B) Vitamin C.\n(C) Vitamin D.\n(D)Vitamin E. Correct Answer C) Vitamin D Which one of the following muscles is NOT a member of hamstrings?\n(A) Biceps femoris.\n(B) Rectus femoris.\n(C) Semitendinosus.\n(D) Semimembranosus. Correct Answer B) Rectus femoris Hepatitis D must be co-infected with\n(A)Hepatitis A.\n(B) Hepatitis B.\n(C) Hepatitis C.\n(D)Hepatitis E. Correct Answer B) Hepatitis B What medical imaging study is most suitable for evaluating muscular or soft tissue\ninjuries?\n(A) Contrast radiography.\n(B) Computerized tomography (CT).\n(C) Magnetic resonance imaging (MRI).\n(D) Positron emission tomography (PET). Correct Answer C) Magnetic resonance imaging (MRI) Ascites, an abnormal accumulation of serous fluid in the peritoneal cavity, is most\nlikely caused by\n(A)Gallstones.\n(B) Acute hepatitis.\n(C) Hepatic cirrhosis.\n(D) Chronic pancreatitis. Correct Answer C) Hepatic cirrhosis
Difficulty in keeping balance when walking is most likely due to a lesion in which\ncranial nerve?\n(A) CN VIII (Vestibulocochlear).\n(B) CN IX (Glossopharyngeal).\n(C) CN X (Vagus).\n(D) CN XI (Accessory). Correct Answer A) CN VIII (Vestibulocochlear) According to the new standard of classification, a blood pressure of 140/90 mmHg is\nconsidered to be\n(A)Normal.\n(B) Prehypertension.\n(C) Stage I hypertension.\n(D) Stage II hypertension. Correct Answer C) Stage I hypertension Weber and Rinne tests are useful in the differential diagnosis of\n(A) Tinnitus.\n(B) Deafness.\n(C) Blindness.\n(D) Dizziness and vertigo. Correct Answer B) Deafness Which of the following agents is an antibiotic that may be used to treat respiratory,\ndigestive, urinary, and reproductive tract infections?\n(A) Enalapril (Vasotec®).\n(B) Lorazepam (Ativan®).\n(C) Atorvastatin (Lipitor®).\n(D) Ciprofloxacin (Cipro®). Correct Answer D) Ciprofloxacin (Cipro) International Classification of Diseases (ICD) is the World Health Organization\n(WHO) standard used primarily for\n(A) Statistics.\n(B) Diagnosis.\n(C) Treatment.\n(D) Prevention. Correct Answer B) Diagnosis
A young child is brought into the emergency room by the parents because of crying\nand coughing. Upon physical examination, the child is found to be afebrile and\nscared. Multiple bruises and burns over the limbs are also noted. The appropriate next\nstep in the management of this case should be\n(A) To refer to a pediatrician.\n(B) To recommend a chest X-ray.\n(C) To contact a child protective agency.\n(D) To ask if the child has been physically abused. Correct Answer C) To contact a child protective agency Which blood vessel below provides blood supply to the cardiac muscle?\n(A) Cardiac vein.\n(B) Pulmonary vein.\n(C) Coronary artery.\n(D) Pulmonary artery. Correct Answer C) Coronary artery Calcium ions are required for\n(A) Bone density.\n(B) Blood clotting.\n(C) Muscle contraction.\n(D) All of the above. Correct Answer D) All of the above A deficiency of which vitamin listed below may cause rickets in children or\nosteomalacia in adults?\n(A) Vitamin A.\n(B) Vitamin B.\n(C) Vitamin C.\n(D) Vitamin D. Correct Answer D) Vitamin D Mosquito bites may transmit all of the following diseases EXCEPT\n(A) Malaria.\n(B) Filariasis.\n(C) Yellow fever.\n(D) Rocky Mountain spotted fever. Correct Answer D) Rocky Mountain spotted fever
improvement in workplace safety and health. It is a type of\n(A) City regulation.\n(B) State regulation.\n(C) Federal regulation.\n(D) International regulation. Correct Answer C) Federal regulation Wrist drop may be due to an injury to which nerve listed below?\n(A) Ulnar nerve.\n(B) Radial nerve.\n(C) Median nerve.\n(D) Musculocutaneous nerve. Correct Answer B) Radial nerve Which one of the following is included in the renal function tests?\n(A) Blood urea nitrogen (BUN).\n(B) Alkaline phosphatase (ALP).\n(C) Alanine aminotransferase (ALT).\n(D) Aspartate aminotransferase (AST). Correct Answer A) Blood urea nitrogen (BUN) A medical imaging that requires computer processing, but does not use ionizing\nradiation or contrast medium would be\n(A)Ultrasound.\n(B) Conventional radiography.\n(C) Computerized tomography (CT).\n(D)Magnetic resonance imaging (MRI). Correct Answer A) Ultrasound A pregnant woman has elevated levels of leukocyte esterase and nitrites in her urine.\nWhat does it most likely indicate?\n(A) Urinary stones.\n(B) Premature labor.\n(C) Normal findings.\n(D) Bladder infection. Correct Answer D) Bladder infection A patient presents with total body aches and exhaustion, accompanied by sleep\ndisturbance. Clinical signs include trigger points over certain body areas, and absence\nof
objective inflammation. What is the most likely medical diagnosis?\n(A) Depression.\n(B) Fibromyalgia.\n(C) Multiple sclerosis.\n(D) Chronic fatigue syndrome. Correct Answer B) Fibromyalgia A test of position sense is positive when the patient has difficulty standing stably with\nfeet together and eyes closed. This is also known as a positive\n(A) Kernig's sign.\n(B) Murphy's sign.\n(C) Rovsing's sign.\n(D) Romberg's sign. Correct Answer D) Romberg's sign Pseudomembranous colitis is caused by prolonged use of certain antibiotics. The\ncausative bacterium is\n(A) Bacillus cereus.\n(B) Helicobacter pylori.\n(C) Clostridium difficile.\n(D) Streptococcus pyogenes. Correct Answer C) Clostridium difficile Intervertebral disk herniation at the level of L3 and L would result in\n(A) Pain in the heel.\n(B) Decreased knee jerk.\n(C) Decreased ankle jerk.\n(D)Weakness of Achilles tendon. Correct Answer B) Decreased knee jerk Which of the following drugs is therapeutically used for acute and chronic diarrhea?\n(A) Nizatidine (Axid®).\n(B) Amoxicillin (Amoxil®).\n(C) Metronidazole (Flagyl®).\n(D) Loperamide (Imodium®). Correct Answer D) Loperamide (Imodium) Elevated serum amylase and lipase levels are indicative of which inflammatory\ndigestive disorder?\n(A)
