PNCB Primary Care Actual Exam
2025/2026 With Accurate
Questions and Answers
1. If a 1 month old continues to show symptoms of fussiness and
blood in stools after switching to a hydrolysate formula, what
would be the next best step in management?
Further evaluation for potential allergies or
gastrointestinal issues
Prescribing hyoscyamine drops for colic relief
Switching to a soy formula immediately
Adding probiotics to the current formula
2. During a wellness visit, an adolescent asks about daily use
of laxatives. Which history MOST supports a need for further
assessment?
trying out for the lead role in the school play
exercising three to four times a week
recent adoption of a strict vegetarian diet
new interest in cooking classes
3. Describe the two-step process recommended by the CDC for
,diagnosing Lyme disease.
, The CDC recommends immediate treatment without
testing.
The CDC recommends an initial ELISA test followed by
a Western immunoblot if the ELISA is positive.
The CDC recommends only blood cultures for diagnosis.
The CDC recommends IgM and IgG titers at presentation
only.
4. If a primary care provider needs to discuss a child's treatment
plan with a mental health provider, what steps should they
take to ensure compliance with HIPAA?
They should obtain written consent from the child's
guardian before discussing any details.
They should only share information via secure email to
comply with HIPAA.
They should wait for the child to turn 18 to discuss
treatment plans.
They should confirm that both providers are involved
in the treatment of the child, allowing for information
sharing without consent.
5. An adolescent presents for evaluation of chest pain that occurs
during gym class, with episodes happening several times over
the past month. Which of the following HPI components is
MOST specific for differentiating a cardiac etiology?
, quality is sharp and stabbing
resolves with rest
associated with syncope
location is midsternal
6. Why is superficial irrigation considered the most appropriate
initial management for a puncture wound?
Antibiotics are needed before any cleaning can occur.
Superficial irrigation helps to clean the wound and
reduce the risk of infection.
Probing is essential to ensure no foreign material is left
behind.
Debridement is necessary to remove all tissue
immediately.
7. What is the primary goal of initiating a motivational
interview with an adolescent patient?
To assess the patient's family medical
history. To persuade the patient to follow a
strict diet.
To engage the patient in discussing their health
and lifestyle changes.
To inform the patient about their medical conditions.
2025/2026 With Accurate
Questions and Answers
1. If a 1 month old continues to show symptoms of fussiness and
blood in stools after switching to a hydrolysate formula, what
would be the next best step in management?
Further evaluation for potential allergies or
gastrointestinal issues
Prescribing hyoscyamine drops for colic relief
Switching to a soy formula immediately
Adding probiotics to the current formula
2. During a wellness visit, an adolescent asks about daily use
of laxatives. Which history MOST supports a need for further
assessment?
trying out for the lead role in the school play
exercising three to four times a week
recent adoption of a strict vegetarian diet
new interest in cooking classes
3. Describe the two-step process recommended by the CDC for
,diagnosing Lyme disease.
, The CDC recommends immediate treatment without
testing.
The CDC recommends an initial ELISA test followed by
a Western immunoblot if the ELISA is positive.
The CDC recommends only blood cultures for diagnosis.
The CDC recommends IgM and IgG titers at presentation
only.
4. If a primary care provider needs to discuss a child's treatment
plan with a mental health provider, what steps should they
take to ensure compliance with HIPAA?
They should obtain written consent from the child's
guardian before discussing any details.
They should only share information via secure email to
comply with HIPAA.
They should wait for the child to turn 18 to discuss
treatment plans.
They should confirm that both providers are involved
in the treatment of the child, allowing for information
sharing without consent.
5. An adolescent presents for evaluation of chest pain that occurs
during gym class, with episodes happening several times over
the past month. Which of the following HPI components is
MOST specific for differentiating a cardiac etiology?
, quality is sharp and stabbing
resolves with rest
associated with syncope
location is midsternal
6. Why is superficial irrigation considered the most appropriate
initial management for a puncture wound?
Antibiotics are needed before any cleaning can occur.
Superficial irrigation helps to clean the wound and
reduce the risk of infection.
Probing is essential to ensure no foreign material is left
behind.
Debridement is necessary to remove all tissue
immediately.
7. What is the primary goal of initiating a motivational
interview with an adolescent patient?
To assess the patient's family medical
history. To persuade the patient to follow a
strict diet.
To engage the patient in discussing their health
and lifestyle changes.
To inform the patient about their medical conditions.
