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A collection of questions and verified answers related to the nccaom biomedicine exam, updated for the 2026/2027 syllabus. It covers a range of topics including patient diagnosis, treatment options, and potential medical conditions. The material is presented in a question-and-answer format, making it useful for exam preparation and review. The content is designed to help students and practitioners in the field of oriental medicine and acupuncture to test their knowledge and understanding of biomedicine concepts relevant to their practice. Questions on various medical conditions, diagnostic procedures, and pharmaceutical knowledge, providing a comprehensive review of essential biomedicine topics.
Typology: Exams
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A patient says he's going to commit suicide, what should do? Have Pt. Sign a "No Self-Harm" contract and refer to primary care phsician on a semi-urgent basis. Young man had very high energy, and didn't have to sleep much just a couple days ago, now feeling exhausted and sad. Diagnosis: Bipolar disorder 65 years male is living in nursing house after 6 months of post stroke, he doesn't like talk to anyone, social withdraw; doesn't like to move and like to lie down in the bed; he rather thinks him little and forget him. What do you suspect? Depression Which one is example of abuse? Retinal hemorrhage in infant (baby shaking) Child abuse reporting process, what type of law? Varies state by state Mom brought a kid to clinic, kid has ear infection, during intake mom told you the kid don't like to talk to other people and don't like to play with other people, what is your diagnosis for kid?
Child Abuse Confused elderly suspects someone in his health care steals his money, and patient said don't tell anybody. Your response? Call social worker Domestic violence Encourage patient seeking for legal consultant and consider keep away form abusive partner. McBurney sign Tender point in right lower abdomen of a patient with appendicitis. Patient with lower right quadrant abdominal pain Appendicitis Diverticulitis case study, it asked about what test would you use to diagnose it: CT scan Patient has abdominal pain is aggravated when defecting? Aortic aneurysm
Group A B-hemolytic streptococcus infection is responsible for? Glomerulonephritis Erectile dysfunction is due to Organic or psychosomatic Adverse effects from drugs that treat ED? Hypotension Adverse effects of Erectile Dysfunction drugs: Stuffy and runny nose A patient was pricked by a thorn in yard, symptoms occur next day-fever, chills, redness swollen and tenderness. What to suspect? Cellulitis Woman gets a splinter from wooden branch, the next day started spreading around the wound area, wound becomes red, swollen and sore grows in size, warm and tender upon touch, what problem does this patient have? Cellulitis
Case: Patient presents with highly contagious bacterial skin infection, red sore near the nose or mouth which soon breaks, leaking pus or fluid, what do you suspect? Impetigo One kindergarten teacher has red on his trunk and 4 limbs, the blister with fluid filled. What is your diagnosis? Chickenpox A two year old boy is brought by his parents to the clinic with a 3 day history of fever, listlessness, and a cough. Physical examination reveals a lethargic child with a congested throat. Tiny irregular red spots with central bluish-white specks (Koplik's spots) are found in his buccal mucosa, Macupapular skin rashes are also visible over the body. What is the most likely medical diagnosis? Measles A 20 year old college student presents with fever, sore throat, and fatigue. Upon examination enlarged lymph nodes are found in the poster lateral neck. What is the most likely medical diagnosis? Infectious mononucleosis Most common pathogen for PID (pelvic inflammatory disease) Chlamydia and Gonorrhea
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.
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
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
Positive Trendelenburg's sign (seen in patients with weak or paralyzed hip abductor muscles) indicates what muscles are affected? Hip abductors - gluteus medius and gluteus minimus 20 years old boy played some game, stand a lot and rotated his foot a lot yesterday, he showed up symptoms like cant bear his weight, fatigue, fever, pain on legs. What problem does he have? Collateral ligament injury An acute supraspinatus tendinitis (rotator cuff syndrome), movement are usually not limited but there is a painful are between? 60 to 120 of flexion of the arm Shoulder joint pain palpated on Deltoid, Teres minor area and Subscapularis, supraspinatus, infraspinatus area, and patient did repetitive motion of a sports activity what is the diagnosis? Rotator cuff syndrome Winged scapula - which muscle has injury: Serratus anterior (boxers muscle) A woman who is 7 months pregnant comes into clinic with a left side headache and right arm paresthesia and neck pain, what is the condition? Cervical Radiculopathy ('pinched nerve")
Person caregiver verbally abuses and flinches at elderly person outside your clinic. What do you do? Call cops or adult protective services Murphy's sign Respiratory arrest due to pain in right hypochondriac region, suggesting acute cholecystitis Women with Right upper quadrant pain, worse with eating greasy foods cholecystitis How to palpate spleanomegally (enlarged spleen)? Start from right illiac fossa to left costal margin! Diverticulitis bright red bleeding in stool 34 year old female complains lower left quadrant pain, diarrhea, fever, fatigue, after your examination. What is the possible disease? Diverticulitis
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.
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