ISA Diagnosis and Treatment Practice Questions and Study Guide
74 free ISA Diagnosis and Treatment practice questions with explanations: a mixed set plus signs and symptoms, pests, diseases, decay, PHC and pesticides.
The short version
The Diagnosis and Treatment domain of the ISA Certified Arborist exam is about moving from symptoms to likely causes without guessing too early. A strong answer starts with observation, signs, site history, and confirmation, then picks the least disruptive treatment that fits the evidence. Spraying, fertilizing, pruning, or removing a tree because one symptom sounds familiar is the usual trap, so this page teaches the reasoning first and then tests it with a 15-question mixed set and topic sets on each part of the domain.
In this article
- What the Diagnosis and Treatment domain covers on the exam
- Key Diagnosis and Treatment concepts
- 15 ISA Diagnosis and Treatment practice questions
- Score guide
- How Diagnosis and Treatment questions are phrased, and the common traps
- How to study Diagnosis and Treatment
- Symptoms and signs
- Abiotic and biotic problems
- Herbicide and salt injury
- Pests and diseases
- Insect feeding damage
- Disease cycles and treatment timing
- Decay, cavities and conks
- Plant health care and IPM
- Pesticide labels and application safety
- How Arborist Practice fits
- FAQ
What the Diagnosis and Treatment domain covers on the exam
ISA's exam outline weights Diagnosis and Treatment at 9% of the Certified Arborist exam, one of ten domains. The exam has 200 multiple-choice questions and a 3.5-hour limit. ISA controls the outline and can change it, so treat the ISA Certified Arborist credential page and the exam outline PDF as the source of truth for current domain wording and weighting.
Diagnosis starts from a tree, a symptom pattern, and a site context. Treatment is what to do once the likely cause is known, or what to do next when it is not known yet. Most of the domain falls into seven buckets:
- Symptom and sign recognition
- Biotic vs. abiotic causes
- Site history, soil, water, and construction clues
- Insect and mite feeding patterns
- Disease and decay patterns
- Nutrient, pH, and root-zone problems
- Plant health care treatment choices
Diagnosis often crosses into other domains. A chlorotic canopy might be a nutrition problem, a soil pH problem, a root problem, construction damage, water stress, or pest pressure, and dieback can involve tree biology, soil, pruning, or risk. You do not need every pest name. You need the reasoning pattern: what evidence is present, what causes fit, what evidence is missing, and what management step matches the diagnosis.
Key Diagnosis and Treatment concepts
Symptoms vs. signs
A symptom is the tree's response: chlorosis, necrosis, scorch, wilting, dieback, a thinning crown, cankered tissue, premature leaf drop, reduced growth, or distorted leaves. A sign is direct evidence of the causal agent: fungal fruiting bodies, spores, mycelium, insect eggs, larvae, galleries, frass, exit holes, visible mites, or bacterial ooze.
Symptoms suggest possible causes; signs make a diagnosis stronger. When a question gives only symptoms, be careful with aggressive treatment answers. When it gives a clear sign and a matching host and symptom pattern, the best answer can move more directly toward management.
Biotic vs. abiotic causes
Biotic problems come from living agents such as insects, pathogens, mites, nematodes, or parasitic plants. Abiotic problems come from nonliving stress: drought, excess water, compaction, herbicide exposure, deicing salt, girdling roots, grade changes, nutrient imbalance, temperature injury, or mechanical damage. Asking whether a pattern looks infectious or environmental is one of the most useful habits in this domain.
| Often points to a biotic cause | Often points to an abiotic cause |
|---|---|
| Pest signs such as frass, galleries, exit holes, egg masses, or insects | Multiple unrelated species affected at the same time |
| Fungal fruiting bodies, spores, cankers, or other pathogen signs | Symptoms after construction, trenching, grade change, paving, or compaction |
| Host-specific patterns that match a known pest or disease | Uniform damage on the exposed sides of several plants |
| Spread between plants or branches in a pattern consistent with the agent | Irrigation failure, drought, flooding, salt exposure, or herbicide drift |
| Repeated symptoms on the same host species nearby | Symptoms that start shortly after transplanting or root disturbance |
If several species in one bed show similar scorch after a hot, dry week, an insecticide answer is weak. If one host species shows a known pest sign, a site-only answer may be too broad.
Site history is not background filler
The cause often sits in the site history, so read every sentence about recent work, weather, soil, irrigation, and root-zone disturbance. Common clues:
- recent utility trenching or sidewalk replacement
- fill soil added over roots
- new pavement changing drainage or heat load
- heavy equipment traffic inside the root zone
- irrigation changes, drought, or waterlogged soil
- mulch piled against the trunk
- deicing salt, herbicide exposure, or reflected heat
- transplanting, planting depth, or root flare burial
This is where the domain overlaps with soil management, installation and establishment, and construction damage. If you keep jumping straight to pests on these questions, the Trees and Construction practice questions are a useful cross-check.
Insect damage patterns
You do not need every Latin name, but you do need to recognize broad feeding patterns and what each one suggests.
- Chewing insects remove leaf tissue: holes, skeletonized leaves, notched margins, or defoliation. Old feeding damage after the pest is gone does not justify the same response as active, repeated defoliation on a stressed tree.
- Sucking insects and mites, including scale insects, aphids, and leafhoppers, can cause stippling, yellowing, honeydew, sooty mold, distorted growth, or premature leaf drop. Look for a pest sign, stress context, and tolerance threshold before choosing treatment.
- Borers are often associated with stressed trees, though some attack apparently healthy hosts. Clues include exit holes, frass, galleries, bark splitting, and crown dieback. The trap is treating the borer as the only problem when drought, root damage, or planting issues made the tree vulnerable.
- Gall makers and leaf miners often look worse than their actual impact. Many are cosmetic on otherwise healthy trees, so monitoring, client education, or improving tree health may beat chemical control.
Disease patterns
Disease diagnosis takes pattern recognition and restraint:
- Leaf spots and anthracnose-type symptoms: often tied to weather, host susceptibility, and sanitation or pruning decisions. Treatment timing matters.
- Cankers: localized dead bark or cambial tissue. Management usually means pruning out infected branches and reducing stress, since stressed trees are more vulnerable.
- Vascular wilts: systemic movement problems that can cause flagging, wilt, streaking, or branch dieback. Pruning tools, host species, and spread prevention may matter.
- Root rots: crown symptoms with a below-ground cause. Saturated soil, poor drainage, reduced vigor, mushrooms, and buttress-root signs are the clues.
- Wood decay fungi: fruiting bodies are signs, but the decision depends on structure, extent, targets, and tree risk.
Do not assume every fungus means removal, and do not assume every discolored leaf means fungicide. The right answer depends on host, site, disease cycle, severity, timing, and targets.
Nutrient symptoms and pH
With nutrient problems, the cause matters more than the deficiency name, and chlorosis is the classic example. Iron chlorosis may be tied to high soil pH, poor root function, compaction, waterlogging, or a species-site mismatch, so adding fertilizer without understanding the limiting factor may not solve it. When you see chlorosis, ask:
- Is it interveinal or uniform?
- Is it on new growth or older leaves?
- Is the species prone to deficiency on alkaline soils?
- Is the soil compacted, saturated, or poorly aerated?
- Was the tree planted too deep or disturbed by construction?
- Has a soil or tissue test been mentioned?
Many leaf symptoms are really root-zone problems in disguise. The Soil Management practice questions and study guide cover pH, drainage, compaction, and root health in more depth.
Treatment: the least disruptive option that fits
Treatment is not a contest to pick the most active intervention. A sound choice matches the confirmed or most likely cause and avoids unnecessary harm. The usual options:
- monitoring and reinspection
- improving soil moisture, drainage, mulch, or aeration
- correcting planting depth or root-zone stress where feasible
- pruning dead, diseased, broken, or conflicting branches
- sanitation, such as removing infected material when appropriate
- improving vigor without overfertilizing
- integrated pest management based on pest identity and threshold
- targeted pesticide use only when justified by diagnosis, timing, label, and risk
- removal when the tree is not recoverable or risk cannot be reduced enough
If the cause is not confirmed, the best next step may be further inspection, sampling, or lab confirmation. If the cause is confirmed and the tree is declining with targets present, delay may be wrong. Monitoring, thresholds, beneficial organisms, and preventive care are drilled in the plant health care and IPM questions below.
Diagnosis comes before treatment. Gathering the missing evidence usually beats jumping to chemical control, fertilizer, severe pruning, or removal.
15 ISA Diagnosis and Treatment practice questions
These are original questions, not real exam items. Treat the set as a reasoning check rather than a score prediction:
- Give yourself 20 minutes for all 15 questions.
- Mark each answer as confident, uncertain, or guessed.
- Answer every question before checking any explanation.
- Label each miss: symptom vocabulary, missing sign, host clue, site history, abiotic stress, pest timing, disease pattern, or treatment overreaction.
Question 1: Symptom vs. sign
Tap an answer to see the explanation.
Question 2: Biotic or abiotic pattern
Tap an answer to see the explanation.
Question 3: Distorted new growth
Tap an answer to see the explanation.
Question 4: Dieback after a driveway
Tap an answer to see the explanation.
Question 5: Sparse leaves, poor growth
Tap an answer to see the explanation.
Question 6: Pin oak chlorosis
Tap an answer to see the explanation.
Question 7: Unexplained wilt
Tap an answer to see the explanation.
Question 8: Pest presence
Tap an answer to see the explanation.
Question 9: Old damage
Tap an answer to see the explanation.
Question 10: After the damaging stage
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Question 11: Integrated pest management
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Question 12: Minor leaf spots
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Question 13: Canker management
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Question 14: Root rot clues
Tap an answer to see the explanation.
Question 15: Conk above a picnic area
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Score guide
Use your score to choose the next study action:
- 13–15 correct: Diagnosis reasoning is probably not your main leak. Review any uncertain answers, then test related weak areas such as soil, tree risk, or safe work practices.
- 9–12 correct: You understand the main vocabulary but still miss applied judgment. Sort misses by category and work the matching section below before another mixed quiz, such as symptoms and signs, insect feeding damage, or plant health care and IPM.
- 0–8 correct: Pause mixed mocks. Review symptoms and signs, abiotic and biotic problems, insect feeding damage, disease cycles and treatment timing, site history, and plant health care and IPM, and work each section's questions before retesting.
A short quiz cannot predict your exam score. The useful signal is the pattern: missing three pest-timing questions is different from missing three abiotic-stress questions.
How Diagnosis and Treatment questions are phrased, and the common traps
The common thread is evidence-based restraint. Read the stem for five things before you look at the options:
- Symptoms vs. signs: Is the clue the tree's response or direct evidence of a causal agent?
- Biotic vs. abiotic: What do the affected species, site-wide pattern, timing, and exposure clues suggest?
- Pest and disease fit: Do the host, plant part, sign, symptom, severity, and timing line up?
- Root-zone clues: Is construction, compaction, saturated soil, planting depth, or pH hiding behind a leaf symptom?
- Treatment fit: Does the evidence actually support spraying, fertilizing, pruning, or removal?
The tempting mistakes are active interventions chosen before the diagnosis is strong enough. The recurring traps:
- Treating symptoms as causes. "Leaves are yellow" is a symptom. The cause might be nutrient availability, root injury, compaction, water stress, disease, pest pressure, planting depth, or site mismatch.
- Treating pest presence as proof. An insect can be causal, secondary, incidental, or beneficial, and old damage does not prove an active infestation.
- Ignoring timing. Some controls only work at a specific pest life stage or point in the disease cycle. Once the damaging stage has passed, monitoring and prevention next season may fit better.
- Forgetting the host. A pest or disease that does not fit the host is a weak answer, even if the symptom sounds right.
- Missing construction clues. Trenching, grade change, fill, compaction, or new pavement can produce crown symptoms long after the work. If roots were damaged, leaf treatments alone miss the cause.
- Overusing fertilizer. If roots cannot function because soil is compacted, waterlogged, severed, or oxygen-starved, adding nutrients may be ineffective or harmful.
How to study Diagnosis and Treatment
Run the same diagnostic loop on every practice question until it becomes automatic:
- Name the symptom.
- Look for signs.
- Identify the host and affected plant parts.
- Check the pattern across the site.
- Read the site history.
- Separate biotic from abiotic causes.
- Decide what evidence is still missing.
- Choose the management step that fits the diagnosis and timing.
After each miss, write a one-line correction. That error log is more useful than rereading a long pest list:
- "I confused a symptom with a sign."
- "I ignored that multiple unrelated species were affected."
- "I treated old damage as active infestation."
- "I jumped to fertilizer before checking pH, drainage, and root function."
- "I missed the target or risk implication of decay."
A short free set is only a start. Read the Diagnosis and Treatment section of your study material, take the 15 questions above without notes, then drill 25 to 50 focused diagnosis questions and retest your weakest category. For narrower repair work, each part of the domain has its own section below: symptoms and signs, abiotic and biotic problems, herbicide and salt injury, insect feeding damage, disease cycles and treatment timing, decay, cavities and conks, plant health care and IPM, and pesticide labels.
Return to a full 200-question practice exam only after the same diagnostic traps stop repeating.
Symptoms and signs
A symptom is the tree's response: chlorosis, scorch, wilting, dieback, a thinning crown, or early fall color. A sign is direct evidence of the agent: a conk, mycelium, frass, galleries, egg masses, larvae, or bacterial ooze. ISA's exam outline lists the difference between signs and symptoms under Diagnosis and Treatment.
The questions turn on naming each observation correctly, then reading it in context. A symptom has many possible causes, so it rarely justifies treatment on its own. A sign narrows the cause, but host, extent, timing, and site history still decide the next step.
Question 16: Basic symptom vs sign
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Question 17: Frass in the stem
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Question 18: Sunken bark with dieback
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Question 19: Sour-smelling ooze
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Question 20: Best diagnostic summary
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Abiotic and biotic problems
Biotic problems come from living agents: insects, mites, pathogens, nematodes, decay fungi, and parasitic plants. Abiotic problems come from nonliving stress: drought, flooding, compaction, heat, cold, salt, herbicides, mechanical injury, grade change, and poor planting. ISA's exam outline lists the difference between biotic and abiotic disorders under Diagnosis and Treatment.
Both groups can produce the same symptoms, so the pattern carries the diagnosis. Several unrelated species affected at once point to the site. One host with matching signs points to an organism. Many cases are mixed: site stress leaves a tree open to borers, and the stress still needs correcting.
Question 21: Basic category
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Question 22: One species affected
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Question 23: Transplant with borers
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Question 24: Best diagnostic sequence
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Herbicide and salt injury
Herbicide and salt injury are abiotic, and the clue is usually pattern plus timing. Distorted or cupped new growth soon after a nearby application, worst nearest the source, suggests herbicide exposure. Marginal scorch and bud death on the road-facing side after winter deicing suggest salt. Injury along a drainage path points to runoff. ISA's exam outline lists chemical damage among the key abiotic stresses.
Read the exposure history before naming a pest. One scorched branch with no exposure pattern is not enough to call it herbicide or salt injury. When exposure fits, the better response documents it, limits further exposure, and corrects the site instead of spraying or fertilizing.
Question 25: Road-facing scorch
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Question 26: Old exposure, current decision
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Question 27: Downslope injury after rain
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Question 28: Stressed street tree
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Question 29: Suspected herbicide injury
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Question 30: One branch only
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Question 31: Two scorch scenarios
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Question 32: Approach to exposure injury
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Pests and diseases
Pest and disease diagnosis comes down to fit: whether the host, the affected part, the sign, and the timing match the suspected insect or pathogen. ISA's exam outline lists insects, mites, nematodes, vectors, and diseases among the key biotic stresses.
The traps repeat: treating a visible insect as the cause, reading old damage as an active infestation, naming a disease from one symptom, and missing the site stress that weakened the tree. The 15-question mixed set above covers these traps. The next three sections take them by agent: insect feeding damage, disease cycles and treatment timing, and decay, cavities and conks.
Insect feeding damage
Insect diagnosis starts with the injury. Chewing insects remove tissue, leaving holes, notches, skeletonized leaves, defoliation, and frass. Sucking insects cause stippling, yellowing, distortion, and honeydew, often followed by sooty mold. Borers leave exit holes, galleries, and frass under the bark. Leaf miners tunnel between the leaf surfaces, and gall makers raise swellings that often look worse than they are. Mites are arachnids, not insects, but their feeding belongs in the same diagnosis.
Match the injury to a feeding type first. Then decide whether the pest is still active and whether the damage matters before choosing any control.
Question 33: Notched and holed leaves
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Question 34: Sticky leaves and sooty mold
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Question 35: D-shaped exit holes
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Question 36: Winding tunnels in leaves
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Question 37: Galls on healthy leaves
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Question 38: Mites on a pest list
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Disease cycles and treatment timing
Disease management depends on where the pathogen is in its cycle. Many leaf diseases infect young tissue during wet weather, and a fungicide applied after that window does not repair the spots already there. Preventive treatments protect tissue that is not yet infected. Sanitation, such as removing infected leaf litter, helps when the pathogen survives on that debris, not when the problem is a saturated root zone. ISA's exam outline lists the disease cycle under Diagnosis and Treatment.
Host, tissue, season, and weather drive the diagnosis. Whether symptoms are new or old decides whether treatment can still help, and a confirmed, worsening disease can justify a timed, labeled treatment.
Question 39: Overwintering on fallen leaves
Tap an answer to see the explanation.
Question 40: Client asks for a fungicide
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Question 41: Wet-weather pattern
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Question 42: Preventive treatment timing
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Question 43: Leaf disease in wet weather
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Question 44: Sanitation is not universal
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Question 45: Confirmed disease getting worse
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Decay, cavities and conks
A conk, mushroom, cavity, or wound can be a diagnostic sign, a structural defect, or both. Conks and mushrooms at the root collar or on buttress roots can point to root or butt decay. Woundwood around an old wound shows a response, not proof that the wood is sound.
The questions turn on what could fail and what it could hit, which is where diagnosis meets Tree Risk. A decayed limb over a playground needs prompt action, while a small cavity in a fenced service area may need only monitoring. When decay extent is unknown, the answer states the inspection limit.
Question 46: Cavity with missing context
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Question 47: Old wound with response growth
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Question 48: Mushrooms after fill
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Question 49: Dead branch with decay over a target
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Question 50: Fresh crack plus decay
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Question 51: Small cavity, no target
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Question 52: Possible decay beside a bus stop
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Question 53: Decay assessment sequence
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Plant health care and IPM
Plant health care is the wider system: inspect, reduce stress, match the species to the site, monitor, treat only when justified, and follow up. Integrated pest management is its pest part: identify the pest, monitor activity, compare damage with an action threshold, protect natural enemies, and choose the least disruptive tactic. ISA's exam outline lists prevention, early detection, and treatment as PHC principles, and action thresholds, monitoring, control tactics, and record keeping as IPM principles.
The decisions start with assessment. Any control has to match the pest's vulnerable life stage. When the evidence does not support a requested spray, the answer explains the findings, threshold, and monitoring plan.
Question 54: Where PHC starts
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Question 55: Vigorous tree, stressed site
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Question 56: Several high-value trees
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Question 57: Chlorosis in a paved opening
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Question 58: Client objective
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Question 59: Pruning inside PHC
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Question 60: Aphids and lady beetles
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Question 61: Pest life stage
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Question 62: Minor pest in a mixed planting
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Question 63: Client pressure
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Question 64: After aeration and mulch
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Question 65: Best PHC summary
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Pesticide labels and application safety
When a chemical treatment is justified, the label and applicable law set its limits: the hosts, pests, sites, and methods it allows, the rate, the PPE, and how leftovers are stored and disposed of. ISA's exam outline lists standards and laws on chemical control use, storage, waste management, and application under Diagnosis and Treatment.
A sound diagnosis still has to fit inside those limits. Pollinators in bloom, nearby water, rising wind, a busy bus stop, or missing PPE each change what can be done and when. A client's request does not change the label, and neither does last year's damage.
Question 66: Product bought online
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Question 67: Rate shortcut
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Question 68: Flowering plants and pollinators
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Question 69: Near water
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Question 70: PPE clue
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Question 71: Public exposure
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Question 72: Leftover spray mix
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Question 73: Rising wind near neighbors
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Question 74: Approach to pesticide use
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How Arborist Practice fits
Arborist Practice is the practice-and-feedback layer after you understand the concepts. Use focused Diagnosis and Treatment questions to expose weak patterns, read the explanations for wrong and guessed-right answers, bookmark the symptom patterns that keep fooling you, and ask the AI tutor why one cause fits better than another. The glossary and study analytics help keep those misses from repeating in full timed mocks. Use official ISA materials for credential rules and exam policies.
FAQ
Are these real ISA Diagnosis and Treatment exam questions?
No. They are original practice questions for study. Arborist Practice does not publish real ISA exam questions and is not affiliated with ISA.
Are Diagnosis and Treatment questions mostly pest identification?
No. Pest identification matters, but much of the domain is the diagnostic process: symptoms vs. signs, site history, abiotic stress, host fit, treatment timing, and whether you have enough evidence to act. One scenario can combine all of those, which is what makes the domain hard.
Should I memorize every tree disease for the exam?
Memorize the major patterns first: common insect feeding types, disease categories, site-stress clues, and how treatment decisions are made. A giant pest list is less useful if you cannot separate symptom, sign, cause, and treatment.
Should I study pests or abiotic stress first?
Study the diagnostic process first, then pests and diseases. If you cannot separate symptoms from signs or biotic from abiotic patterns, pest lists will not help much under exam pressure.
Do diagnosis questions overlap with Tree Risk?
Yes. Decay, root rot, cavities, conks, dead branches, and decline can all affect risk decisions. Diagnosis explains what may be happening; tree risk asks what could fail, what target is present, and what mitigation fits.
What is the safest answer when the cause is unclear?
Often the safest step is to gather more evidence: inspect further, review site history, take samples, monitor, or confirm the pest or pathogen before treatment. But if there is a clear hazard or a confirmed severe condition, delaying action may be wrong.
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About Arborist Practice
Arborist Practice is independent and not affiliated with the International Society of Arboriculture. The questions on this page are original study items, not real ISA exam questions or official ISA material. Confirm the current Certified Arborist exam outline and credential policies on ISA's official site before test day.