1. An example of a basic Activity of Daily Living (ADL) is:
1. telephoning

2. dressing

3. taking medications

4. housework

2. Cell membrane molecules that conform to a target on a microbe or foreign substance are:

1. receptors

2. complements

3. mediators

4. natural killers

3. The “gold standard” test for the diagnosis of coronary artery disease is:

1. Holter monitor

2. echocardiogram

3. magnetic resonance imaging (MRI)

4. cardiac catheterization

4. Biologic therapy used for the treatment of inflammatory bowel disease is:

1. Imuran

2. Remicade

3. sulfasalazine

4. methotrexate

5. The Rai and Binet classification systems are used for:

1. acute myelogenous leukemia

2. acute lymphocytic leukemia

3. chronic myelogenous leukemia

4. chronic lymphocytic leukemia

6. Gleason scores measure:

1. volume of tissue

2. architectural pattern of tumor tissue

3. number of tumor foci

4. stage of tumor

7. A type of congenital heart defect that results in a left to right shunt is:

1. ventricular septal defect

2. coarctation of the aorta

3. tetralogy of Fallot

4. bicuspid aortic valve

8. Wolff-Parkinson-White syndrome is characterized on an EKG by:

1. a short PR interval with a normal QRS complex

2. a short PR interval with a delta wave

3. a long PR interval with a normal QRS complex

4. a long PR interval with a delta wave

9. The finding of leucocoria is observed in:

1. leukemia

2. retinoblastoma

3. lymphoma

4. nephroblastoma

10. The quick ratio is:

1. current assets divided by current liabilities

2. current assets minus inventory divided by current liabilities

3. cash divided by current liabilities

4. current accounts receivable divided by current accounts payable

11. Maintenance chemotherapy is most commonly used in:

1. acute myelogenous leukemia

2. acute lymphocytic leukemia

3. chronic myelogenous leukemia

4. chronic lymphocytic leukemia

12. A condition in which the fetal connection between the aorta and pulmonary artery fails to close after birth is:

1. patent ductus arteriosus

2. atrial septal defect

3. ventricular septal defect

4. pulmonary stenosis

13. The presence of the IgM antibody to an infectious antigen indicates:

1. long-term immunity

2. chronic infection

3. complete recovery

4. recent infection

14. All of the following are tools used to diagnose congestive heart failureEXCEPT:

1. chest x-ray

2. holter monitor

3. echocardiogram

4. heart catheterization

15. All of the following statements regarding inflammatory bowel disease are correct EXCEPT:

1. Fistulas are more common in Crohn's disease than ulcerative colitis.

2. The premalignant lesion is usually a polyp.

3. Toxic megacolon can be a life threatening complication.

4. Arthritis is the most common extraintestinal manifestation.

16. All of the following statements regarding ulcerative colitis in individuals over age 60 are correct EXCEPT:

1. More females than males are diagnosed.

2. There is little increase in mortality once the disease is controlled.

3. It is more often confined to the left colon.

4. Its onset can be more severe than with a younger individual.

17. All of the following are types of reservoirs for infective organisms EXCEPT:

1. animals

2. symptomatic individuals

3. agar

4. carriers

18. All of the following laboratory findings are associated with neuroblastoma EXCEPT:

1. elevated catecholamine level

2. marked anemia

3. elevated platelet count

4. decreased iron count

19. All of the following are usual causes of abnormally low serum albumin levels in the elderly EXCEPT:

1. cirrhosis

2. ulcerative colitis

3. nephrotic syndrome

4. diverticulosis

20. All of the following test findings may indicate coronary disease EXCEPT:

1. rise in systolic pressure during exercise

2. akinesis on stress echocardiogram

3. greater than 1.5 mm ST segment depression at peak exercise

4. ST segment depression persisting long into recovery

21. All of the following statements regarding blood chemistries in rheumatoid arthritis are correct EXCEPT:

1. Globulins are often elevated.

2. Serum protein electrophoresis will usually show a polyclonal gammopathy.

3. HDL cholesterol is often elevated due to the inflammatory process.

4. Low serum albumin is a poor prognostic factor.

22. Irreversible causes of dementia include all of the following EXCEPT:

1. Huntington's disease

2. nutritional deficiency

3. Lewy body dementia

4. frontotemporal dementia

23. All of the following are functions of the skeleton EXCEPT:

1. protection of the internal organs

2. storage of excess iron

3. containing the red bone marrow

4. providing a framework to support the body

24. All of the following statements regarding atrial fibrillation are correct EXCEPT:
1. It may be caused by excess intake of alcohol.

2. It causes an increase in the amount of blood filling the ventricles.

3. Anticoagulants are often prescribed to prevent thrombus formation.

4. Synchronized cardioversion may be used to restore sinus rhythm.

25. All of the following are favorable prognostic factors for non-Hodgkin’s lymphoma EXCEPT:

1. tumor mass less than 10 centimeters

2. lack of "B" symptoms

3. less than 60 years of age

4. T cell phenotyp

26. All of the following are associated with multiple endocrine neoplasia 1 (MEN 1 or Wermer syndrome) EXCEPT:
1. hyperparathyroidism

2. medullary thyroid cancer

3. pituitary adenoma

4. pancreatic islet cell tumor

27. All of the following statements regarding antibiotics are correct EXCEPT:

1. Bacteria may become resistant to them.

2. They are ineffective against colds.

3. Some have harmful side effects.

4. They do not affect DNA synthesis.

28.With regard to hypertrophic cardiomyopathy, all of the following are associated with high mortality risk EXCEPT:

1. atrial fibrillation

2. family history of sudden death

3. intraventricular septum less than 16 mm thick

4. reduction in blood pressure with exercise

29. Metformin is prescribed for all of the following conditions EXCEPT:

1. type 2 diabetes

2. infertility

3. fibrocystic breast disease

4. polycystic ovarian disease

30. An infective organism can be acquired from which of the following?

A. another individual

B. a vector

C. an object

Answer Options:

    1. A only is correct.

    2. A and C only are correct.

    3. B and C only are correct.

    4. A, B, and C are correct.

31. Abnormally low levels of albumin in the elderly can be caused by which of the following?

A. ulcerative colitis

B. nephrotic syndrome

C. cirrhosis

Answer Options:     

   1. A and B only are correct.

   2. A and C only are correct.

   3. B and C only are correct.

   4. A, B, and C are correct.

32. Which of the following statements regarding multiple sclerosis (MS) are correct?
A. The majority of Americans with MS remain employed.

B. Primary-progressive cases of MS are not associated with interval periods of recovery.

C. Long remissions between attacks are associated with a more favorable prognosis.

Answer options:

   1. A and B only are correct.

   2. A and C only are correct.

   3. B and C only are correct.

   4. A, B and C are correct

33. The differential diagnosis of inflammatory bowel disease includes which of the following?

A. appendicitis

B. infectious diarrhea

C. celiac sprue

Answer Options:

   1. A only is correct.

   2. B only is correct.

   3. B and C only are correct.

   4. A, B, and C are correct.

34. Which of the following statements regarding demyelination in multiple sclerosis is/are correct?

A. There is no known treatment to restore damaged myelin.

B. Myelin can repair itself without treatment.

C. Steroids may enhance nerve conduction in a demyelinated area.

Answer Options:

  1. A only is correct.

 2. C only is correct.

 3. B and C only are correct.

 4. A, B, and C are correct.

35. Factors that can cause ST segment depression during a stress test include which of the following?
A. ventricular hypertrophy

B. exercise tolerance

C. medications

Answer options:

1. A only is correct.

2. A and C only are correct.

3. B and C only are correct.

4. A, B, and C are correct

36.Which of the following statements regarding infections is/are correct?

A. Viruses must enter host cells in order to reproduce.

B. Viruses may inhibit the immune system.

C. Bacteria may produce toxins that damage host cells.

Answer Options:

 1. B only is correct.

 2. A and C only are correct.

 3. B and C only are correct.

 4. A, B, and C are correct.

37. Which of the following lab tests may be useful in evaluating acute coronary syndrome?

A. troponins

B. BUN

C. CPK
Answer Options:

1. A only is correct.

2. A and C only are correct.

3. B and C only are correct.

4. A, B, and C are correct

38. Which of the following statements regarding immune system cells is/are correct?

A. They combat infections.

B. They interact by secreting soluble proteins.

C. They originate in the thymus gland.

Answer Options:

  1. A only is correct.

  2. A and B only are correct.

  3. B and C only are correct.

  4. A, B, and C are correct.

39. Which of the following statements regarding the ST segment on an EKG is/are correct?

A. A normal ST segment is isoelectric.

B. ST segment elevation may be present with myocardial injury. C. Downsloping ST depression is considered to be suspicious for ischemia.

Answer Options:

  1. A only is correct.

  2. C only is correct.

  3. B and C only are correct.

  4. A, B, and C are correct

4. A, B, and C are correct.

40. Which of the following statements regarding rhabdomyosarcoma is/are correct?

A. It is the most common pediatric sarcoma.

B. It only occurs in the trunk and extremities.

C. Chemotherapy is only used for high grade disease.

Answer Options:

   1. A only is correct.

   2. A and B only are correct.

   3. B and C only are correct.

   4. A, B, and C are correct.

1. A only is correct

CH 8

41. The possible long term side effects of radiation therapy include which of the following?

A. pulmonary fibrosis

B. second neoplasms

C. renal insufficiency

Answer Options:

   1. A and B only are correct.

   2. A and C only are correct.

   3. B and C only are correct.

   4. A, B, and C are correct.

4. A, B, and C are correct

CH10

42. Which of the following statements regarding carcinoembryonic antigen (CEA) testing are correct?

A. It is a sensitive screening tool for colon cancer.

B. Highest pre-treatment levels are associated with the poorest long term outcomes.

C. It is used to monitor the effectiveness of treatment.

Answer options:

  1. A and B only are correct.

  2. A and C only are correct.

  3. B and C only are correct.

  4. A, B, and C are correct.

B and C only are correct

CH 10

43. Drugs that may slow the progression of joint erosion in rheumatoid arthritis include which of the following?

A. immunomodulators

B. disease modifying anti-inflammatory drugs

C. non-steroidal anti-inflammatory drugs

Answer Options:

 1. A and B only are correct.

 2. A and C only are correct.

 3. B and C only are correct.

 4. A, B, and C are correc

A and B only are correct

CH 15

44. Which of the following statements regarding professional business valuations is/are correct?

A. An appraiser’s membership in a professional association guarantees an accurate valuation.

B. Professional valuation reports are rarely seen in the underwriting process.

C. Professional valuations are useful to business owners and investors in stockholder disputes.

Answer Options:

1. C only is correct.

2. A and B only are correct.

3. A and C only are correct.

4. B and C only are correct.

 B and C only are correct.

CH 12

45. Factors to consider when underwriting tetralogy of Fallot include which of the following?

A. any arrhythmias

B. electrocardiogram pattern

C. age at repair

Answer Options:

  1. C only is correct.

  2. A and B only are correct.

  3. A and C only are correct.

  4. A, B, and C are correct.

A, B, and C are correct.

CH 13

46. Which of the following statements regarding goodwill and human capital are correct?

A. The necessary facts to make accurate estimates of goodwill are usually not received during the underwriting process.

B. Technical skill of rank and file employees can establish the value human capital for a business.

C. A current tax advantage of goodwill is the ability to amortize and treat it as a "wasting asset."

Answer Options:

  1. A and B only are correct.

  2. A and C only are correct.

  3. B and C only are correct.

  4. A, B and C are correct.

 A and B only are correct.

CH 12

47. Tests used in the diagnosis of myasthenia gravis include which of the following?

A. repetitive nerve stimulation study

B. ice pack test

C. CT of chest

Answer Options:

  1. C only is correct.

  2. A and B only are correct.

  3. B and C only are correct.

  4. A, B, and C are correct.

A, B, and C are correct.

CH 11

A female was diagnosed with multiple sclerosis at age 44. She initially presented with an episode of optic neuritis. Other symptoms over the course of the disease have included dysphagia, arm tremor, spasticity, a high level of fatigue and bladder dysfunction.

48. Unfavorable factors in the predicted course and outcome of her disease include which of the following?

A. optic neuritis

B. dysphagia

C. age at diagnosis

Answer Options:

 1. A only is correct.

 2. A and B only are correct.

 3. B and C only are correct.

 4. A, B, and C are correct.

C. age at diagnosis

CH 3

A female was diagnosed with multiple sclerosis at age 44. She initially presented with an episode of optic neuritis. Other symptoms over the course of the disease have included dysphagia, arm tremor, spasticity, a high level of fatigue and bladder dysfunction.

49. All of the following symptoms are considered to be secondary effects of multiple sclerosis EXCEPT:

1. arm tremor

2. bladder dysfunction

3. high level of fatigue

4. spasticity

1. arm tremor

CH 3

A watch making company has been established for a number of years. Earnings and senior management are stable. Their reputation for quality is excellent and the future of the company looks bright. Net profit for the last five years is as follows:


$2.3 million 

$1.8 million 

$2.3 million 

$1.9 million 

$1.7 million

The expected investment return (IR) is 8-10%, with a factor of 10-12 based on business characteristics.
50. The business value for the watch making company using the capitalization of earnings method is:

1. $8-$10 million

2. $10.8-$11 million

3. $20-$24 million

4. $25-27.6 million

3. $20-$24 million

CH 12