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.

Updated Oct 18, 202656 min read74 practice questions

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
  1. What the Diagnosis and Treatment domain covers on the exam
  2. Key Diagnosis and Treatment concepts
  3. 15 ISA Diagnosis and Treatment practice questions
  4. Score guide
  5. How Diagnosis and Treatment questions are phrased, and the common traps
  6. How to study Diagnosis and Treatment
  7. Symptoms and signs
  8. Abiotic and biotic problems
  9. Herbicide and salt injury
  10. Pests and diseases
  11. Insect feeding damage
  12. Disease cycles and treatment timing
  13. Decay, cavities and conks
  14. Plant health care and IPM
  15. Pesticide labels and application safety
  16. How Arborist Practice fits
  17. FAQ
Jump to the 74 questions

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:

  1. Symptom and sign recognition
  2. Biotic vs. abiotic causes
  3. Site history, soil, water, and construction clues
  4. Insect and mite feeding patterns
  5. Disease and decay patterns
  6. Nutrient, pH, and root-zone problems
  7. 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 causeOften points to an abiotic cause
Pest signs such as frass, galleries, exit holes, egg masses, or insectsMultiple unrelated species affected at the same time
Fungal fruiting bodies, spores, cankers, or other pathogen signsSymptoms after construction, trenching, grade change, paving, or compaction
Host-specific patterns that match a known pest or diseaseUniform damage on the exposed sides of several plants
Spread between plants or branches in a pattern consistent with the agentIrrigation failure, drought, flooding, salt exposure, or herbicide drift
Repeated symptoms on the same host species nearbySymptoms 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:

  1. Give yourself 20 minutes for all 15 questions.
  2. Mark each answer as confident, uncertain, or guessed.
  3. Answer every question before checking any explanation.
  4. 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

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Which observation is a sign rather than a symptom?

Tap an answer to see the explanation.

Question 2: Biotic or abiotic pattern

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Several unrelated tree and shrub species along one street show similar marginal scorch after a hot week, reflected heat from the pavement, and an irrigation failure. No pest signs are present. Which explanation best fits the pattern?

Tap an answer to see the explanation.

Question 3: Distorted new growth

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Several plants near a lawn edge show distorted new growth shortly after a nearby herbicide application. The affected plants are different species, and symptoms are strongest nearest the treated area. What should the diagnosis consider first?

Tap an answer to see the explanation.

Question 4: Dieback after a driveway

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A declining tree has crown dieback after a driveway installation. The stem shows no fresh insect signs, but the root zone was compacted and several roots were cut. Why is a simple leaf-disease diagnosis weak?

Tap an answer to see the explanation.

Question 5: Sparse leaves, poor growth

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A tree has sparse leaves and poor shoot growth. The site also has compacted soil, poor drainage, and a buried root flare. What is the safest diagnostic approach?

Tap an answer to see the explanation.

Question 6: Pin oak chlorosis

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A pin oak shows interveinal chlorosis on new leaves. The site has alkaline soil, no visible insect signs, and normal soil moisture. What should stay high on the diagnostic list?

Tap an answer to see the explanation.

Question 7: Unexplained wilt

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A tree shows ambiguous wilt symptoms that could be drought stress, root injury, or a vascular disease. No signs are present. What is the best next step?

Tap an answer to see the explanation.

Question 8: Pest presence

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An insect is found on a declining tree. Which next step is most appropriate before recommending control?

Tap an answer to see the explanation.

Question 9: Old damage

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A client wants an immediate insecticide application because old leaf-miner damage is visible. Inspection finds no active larvae, no new injury, and the tree is otherwise vigorous. What is the best response?

Tap an answer to see the explanation.

Question 10: After the damaging stage

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A pest causes predictable early-season damage, but the damaging life stage has already passed and the tree is currently stable. What is the best response?

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Question 11: Integrated pest management

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Which approach best describes an IPM response to a confirmed pest problem?

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Question 12: Minor leaf spots

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A tree has minor cosmetic leaf spots, no major defoliation, no dieback, and good overall vigor. What management response best matches the severity described?

Tap an answer to see the explanation.

Question 13: Canker management

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A branch has a localized canker with dieback beyond the affected area. The rest of the tree is vigorous, and the canker is limited to a small branch. Which response is usually most reasonable?

Tap an answer to see the explanation.

Question 14: Root rot clues

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A tree has thinning foliage, poor vigor, and mushrooms near the root collar after repeated soil saturation. Which detail points most directly to root or buttress decay?

Tap an answer to see the explanation.

Question 15: Conk above a picnic area

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A mature tree has a conk on the lower trunk and a frequently used picnic area beneath the canopy. Why does this call for more than identifying the fungus?

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Score guide

Use your score to choose the next study action:

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:

  1. Name the symptom.
  2. Look for signs.
  3. Identify the host and affected plant parts.
  4. Check the pattern across the site.
  5. Read the site history.
  6. Separate biotic from abiotic causes.
  7. Decide what evidence is still missing.
  8. 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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Which observation is a symptom rather than a sign?

Tap an answer to see the explanation.

Question 17: Frass in the stem

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A tree has branch dieback and fresh sawdust-like frass coming from small bark openings. What is the frass?

Tap an answer to see the explanation.

Question 18: Sunken bark with dieback

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A branch has sunken, discolored bark with callus tissue at the margin and dieback beyond that point. What is the best interpretation?

Tap an answer to see the explanation.

Question 19: Sour-smelling ooze

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A stem crack has wet, discolored ooze and a sour odor. How should that observation be classified?

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Question 20: Best diagnostic summary

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Which statement best summarizes symptoms and signs?

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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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Which condition is abiotic rather than biotic?

Tap an answer to see the explanation.

Question 22: One species affected

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Only one species in a mixed planting shows a repeating leaf disease pattern, while nearby unrelated species remain normal. Which statement is most careful?

Tap an answer to see the explanation.

Question 23: Transplant with borers

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A recently transplanted tree has drought stress, a buried root flare, poor mulch placement, and borer activity. Which plan is most complete?

Tap an answer to see the explanation.

Question 24: Best diagnostic sequence

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Which sequence best separates abiotic from biotic causes?

Tap an answer to see the explanation.

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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Street trees show marginal leaf scorch and bud death after a winter with heavy deicing salt use. Damage is most severe on branches facing the road. What should stay high on the diagnostic list?

Tap an answer to see the explanation.

Question 26: Old exposure, current decision

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A tree had suspected herbicide exposure earlier in the season. New growth is now normal, no active application is occurring, and the tree is otherwise stable. What is the best management logic?

Tap an answer to see the explanation.

Question 27: Downslope injury after rain

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Several trees downslope from a treated gravel area show injury after rain. Symptoms are strongest along the drainage path. What is the most likely explanation?

Tap an answer to see the explanation.

Question 28: Stressed street tree

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A street tree has marginal scorch, poor growth, compacted soil, limited rooting space, and regular deicing salt exposure. Which response is most complete?

Tap an answer to see the explanation.

Question 29: Suspected herbicide injury

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A nearby herbicide application appears to have injured ornamentals. Which next step should you avoid?

Tap an answer to see the explanation.

Question 30: One branch only

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Only one branch on a large tree has scorch after a hot dry week. There is no spray history, no road salt, no pattern across species, and no sign of pests. What is the most careful conclusion?

Tap an answer to see the explanation.

Question 31: Two scorch scenarios

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Two scenarios both mention leaf scorch. One gives road-facing damage after salt exposure. The other gives active borer galleries and frass under bark. What does this show?

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Question 32: Approach to exposure injury

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Which approach is best for suspected herbicide or salt 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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Leaves have notched margins, holes through the blade, visible larvae, and fresh frass. Which feeding pattern fits best?

Tap an answer to see the explanation.

Question 34: Sticky leaves and sooty mold

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A linden has sticky residue on leaves and pavement below the canopy. Black sooty mold is growing on the residue. Which explanation is most likely from the information given?

Tap an answer to see the explanation.

Question 35: D-shaped exit holes

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A declining tree has D-shaped exit holes, loose bark, and galleries under the bark. Which category should move higher on the diagnostic list?

Tap an answer to see the explanation.

Question 36: Winding tunnels in leaves

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A leaf has pale, winding tunnels between the upper and lower leaf surfaces. The outer leaf surface is mostly intact. What feeding pattern is being described?

Tap an answer to see the explanation.

Question 37: Galls on healthy leaves

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A client points to small rounded galls on otherwise healthy leaves. The tree has normal growth and no major dieback. What is the best response?

Tap an answer to see the explanation.

Question 38: Mites on a pest list

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A pest list for a tree includes mites alongside aphids, beetles, and caterpillars. Which statement is most accurate?

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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

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A disease overwinters on infected fallen leaves. The tree had moderate symptoms this year, and the client asks what can reduce inoculum before next spring. Which practice best matches the clue?

Tap an answer to see the explanation.

Question 40: Client asks for a fungicide

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A client wants treatment for a "fungus" because a tree has yellow leaves. There are no fungal fruiting bodies, no cankers, no lab result, and no pattern across hosts, but the soil is compacted and the irrigation has problems. What is the safest reasoning?

Tap an answer to see the explanation.

Question 41: Wet-weather pattern

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A tree repeatedly develops minor foliar disease after wet spring weather, then recovers enough leaf area for normal growth. What should decide the recommendation?

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Question 42: Preventive treatment timing

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Why does a preventive disease treatment need to be applied before infection conditions occur?

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Question 43: Leaf disease in wet weather

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A disease affects young expanding leaves of one host species during wet weather. Which details most improve the diagnosis?

Tap an answer to see the explanation.

Question 44: Sanitation is not universal

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In which situation is sanitation the weakest choice?

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Question 45: Confirmed disease getting worse

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A disease is confirmed, severity is increasing, repeated infection has reduced crown density, the host is valuable, and a susceptible period is coming soon. What is the most reasonable plan?

Tap an answer to see the explanation.

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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A tree has a cavity, but its size, location, remaining sound wood, targets, and any recent change are unknown. What is the best approach?

Tap an answer to see the explanation.

Question 47: Old wound with response growth

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An old trunk wound has visible woundwood forming around the margins. No fresh cracking, targets, or instability are described. What is the best interpretation?

Tap an answer to see the explanation.

Question 48: Mushrooms after fill

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After fill was added over a root zone, a tree shows decline and mushrooms near buttress roots. Which factors should the assessment connect?

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Question 49: Dead branch with decay over a target

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A large dead branch with visible decay extends over a playground. What is the best response?

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Question 50: Fresh crack plus decay

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A storm reveals a fresh crack through a decayed branch union above a parking area. What makes this more urgent than an old closed pruning scar?

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Question 51: Small cavity, no target

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A small cavity is found on a tree in a low-use fenced service area, with no targets, recent cracks, or other defects. Which response is too aggressive for these facts?

Tap an answer to see the explanation.

Question 52: Possible decay beside a bus stop

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A basic visual inspection suggests possible internal decay near the base of a large tree beside a bus stop, but the extent cannot be determined from the available facts. What is the best response?

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Question 53: Decay assessment sequence

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Which sequence best fits a finding of decay, a cavity, or a conk?

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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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A client asks for "something to make the tree healthier" because the canopy looks thin. What is the strongest plant health care starting point?

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Question 55: Vigorous tree, stressed site

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A mature tree is currently vigorous, but the site has heavy foot traffic, thin mulch, and compacted soil near the root zone. Which PHC plan is most defensible?

Tap an answer to see the explanation.

Question 56: Several high-value trees

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A property has several high-value trees with past pest pressure, drought stress, and construction nearby. Which PHC plan is strongest?

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Question 57: Chlorosis in a paved opening

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A species known to struggle on alkaline, compacted urban soils is planted in a small paved opening and now shows chlorosis. Which PHC focus is strongest?

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Question 58: Client objective

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A client wants maximum shade near a patio, but the tree has clearance conflicts, compacted soil, and repeated drought stress. What should the PHC recommendation connect first?

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Question 59: Pruning inside PHC

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A young tree has rubbing branches and developing structural issues but no major pest problem. Which PHC recommendation fits best?

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Question 60: Aphids and lady beetles

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A tree has aphids and also many lady beetle larvae and lacewings. Honeydew is light, the tree is vigorous, and damage is below the client's tolerance threshold. What is the best response?

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Question 61: Pest life stage

Pest life stage61 of 74
A control option works only against the crawler stage, but the pest is now in a protected adult stage. What is the best response?

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Question 62: Minor pest in a mixed planting

Minor pest in a mixed planting62 of 74
A mixed planting has a minor pest problem on one species. Several nearby plants have no pest activity, and pollinators are active in the area. Which plan is weakest?

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Question 63: Client pressure

Client pressure63 of 74
A client wants a spray because insects are visible, but the tree is healthy and the observed insects are not causing important damage. What is the best professional response?

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Question 64: After aeration and mulch

After aeration and mulch64 of 74
A soil aeration and mulch correction were recommended for a compacted root zone. What should the plan include next?

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Question 65: Best PHC summary

Best PHC summary65 of 74
Which statement best summarizes plant health care?

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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

Product bought online66 of 74
A client asks you to use a product they bought online for a scale insect on an ornamental tree. The label does not list that host or site. What is the best response?

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Question 67: Rate shortcut

Rate shortcut67 of 74
A treatment is labeled for the pest, but the client wants a stronger mix because damage was severe last year. What is the best response?

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Question 68: Flowering plants and pollinators

Flowering plants and pollinators68 of 74
A proposed insecticide application would occur while nearby trees and understory plants are in bloom and pollinators are active. What should the decision consider?

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Question 69: Near water

Near water69 of 74
A tree beside a pond has a pest problem. Runoff and wind are possible, and the label has language about aquatic areas. What is the safest approach?

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Question 70: PPE clue

PPE clue70 of 74
A crew member prepares to mix a labeled product but does not have the PPE required by the label. The pest is active and the timing window is good. What should happen?

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Question 71: Public exposure

Public exposure71 of 74
A treatment is planned for street trees near a bus stop during a busy afternoon. The label and work plan require avoiding public exposure. What is the best response?

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Question 72: Leftover spray mix

Leftover spray mix72 of 74
After a small treatment, leftover diluted mix remains. What should happen to it?

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Question 73: Rising wind near neighbors

Rising wind near neighbors73 of 74
Wind increases during an application near sensitive neighboring plants. What should the applicator do?

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Question 74: Approach to pesticide use

Approach to pesticide use74 of 74
Which sequence best fits a pesticide decision?

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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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Arborist Practice

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.

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