Item Formats

All re-certification questions are multiple-choice questions. Every question includes a set of choices, including one correct answer and several distractors. The majority of examination questions consist of five choices. A few questions may have four choices or more than five choices. The re-certification questions are “Stand-Alone”. These items consist of a stem, a lead-in question, and several choices, one of which is the correct answer to the lead-in question.

Example of Item Format

A 45-year-old female presents with unexplained hypertension. Paroxysmal episodes of headache, sweating, anxiety, nausea, and vomiting occur frequently. A CT scan reveals a left adrenal mass. Which of the following urinary assays would be most helpful in establishing the diagnosis?

uric acid
vanillylmandelic acid