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These 10 free CAP questions are organized by exam domain, so you can see how each part of the Certified Administrative Professional blueprint is tested. Reveal the answer and explanation under each question.
The referral describes burning feet, impaired temperature sensation, and reduced distal sweating. Strength, vibration sensation, and routine nerve conduction studies are normal. A colleague questions whether a peripheral nerve disorder can explain the symptoms. Which response resolves the apparent discrepancy?
Correct answer: D - Small sensory and autonomic fibers can be affected despite normal nerve conduction studies.
At an initial assessment, a 52-year-old newly diagnosed with type 2 diabetes asks whether autonomic neuropathy screening can wait until diabetes has been present for five years. No autonomic symptoms or signs have yet been assessed. Which screening plan is appropriate?
Correct answer: C - Begin clinical screening now and reassess at least annually.
Finger and brachial pressures agree during the supine baseline. When the tilt table is raised, the cuffed hand is held above right-atrial level and the device's hydrostatic height correction is inactive. Finger pressure falls, but brachial pressure, ECG, and the patient's condition are unchanged. Which correction should precede interpretation of the pressure fall?
Correct answer: A - Support the cuffed hand at heart level and recheck pressure agreement.
The Valsalva pressure circuit includes a small air leak specified by the manufacturer. Why is this feature important when coaching a patient to maintain the target mouth pressure?
Correct answer: C - It discourages glottic closure and helps ensure that pressure is generated by expiratory strain.
A thermoregulatory sweat test shows a well-defined area of anhidrosis over the right leg after adequate heating. QSART responses are normal at anatomically matching sites, with satisfactory recordings and no local skin abnormalities. This combination most strongly supports:
Correct answer: B - Dysfunction in central or preganglionic sudomotor pathways
A 17-year-old has five months of frequent lightheadedness and palpitations when upright, relieved by lying down. During a complete 10-minute tilt, sinus heart rate rises from 68 to 103 bpm, a sustained increase of 35 bpm documented at several time points. Blood pressure remains stable, and evaluation has excluded anemia, dehydration, thyroid disease, and medication effects. Which statement accurately interprets the heart-rate response?
Correct answer: A - The 35-bpm increase is below the adolescent requirement of at least 40 bpm.
Two Valsalva maneuvers meet the laboratory's 40-mmHg, 15-second target with satisfactory pressure and ECG recordings. Each shows an early phase-II BP fall, no late phase-II recovery, and no phase-IV overshoot. The Valsalva ratio is 1.75, above this patient's lower reference limit of 1.50. Taken together, the findings indicate:
Correct answer: A - Adrenergic impairment with a preserved Valsalva cardiovagal response
During head-up tilt, the displayed heart rate abruptly changes to 156 bpm. The raw ECG shows regular narrow QRS complexes at 78 bpm; the palpable pulse is also 78 bpm, and blood pressure is unchanged. Detection markers appear on both R waves and T waves. The appropriate response is to:
Correct answer: D - Correct QRS detection and reprocess the affected segment while preserving the raw ECG.
A 68-year-old with persistent postural lightheadedness has a rested supine BP of 146/86 mmHg and HR of 64 bpm. At three minutes upright, BP is sustained at 106/68 mmHg and HR is 72 bpm. The patient is in sinus rhythm, has no pacemaker, and takes no heart-rate-limiting medication. Which HR-to-systolic-BP change ratio and interpretation fit these measurements?
Correct answer: B - 0.20 bpm/mmHg; the response supports a neurogenic mechanism.
While resting supine before testing, a patient with a chronic T4 spinal cord injury and an indwelling urinary catheter develops a pounding headache and facial flushing. BP rises from the usual 100/62 to 188/104 mmHg, with sweating above the injury level. Testing is stopped and urgent clinical help is called. Which action belongs in the immediate response?
Correct answer: D - Sit the patient upright, loosen restrictive clothing, and check catheter drainage.
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