If you want it a little bit more developed this may help you. First, all possible ways the exam can be answered: each question has 5 different answers and there are in total 10 questions:
$$5^{10}= 9,765,625$$
Then, all the possibilities of a positive test
- 5 questions with the right answer and 5 other with a wrong answer. One case is:
$$1\cdot 1 \cdot 1 \cdot 1 \cdot 1 \cdot 4 \cdot 4 \cdot 4 \cdot 4 \cdot 4$$
And since the order matters (is not the same to miss question 3 than to miss question 7) we have to consider all possible permutations of different elements:
$$4^5 \dfrac{10!}{5!5!}$$
- 6 questions with the right answer and 4 other with a wrong answer:
$$4^4 \dfrac{10!}{6!4!}$$
...
$$1$$
Adding all these possible positive tests: $258,048+53,760+7,680+720+40+1 = 320,249$. And probability:
$$P = \dfrac{\text{positive outcomes}}{\text{all possible outcomes}} = \dfrac{320,249}{9,765,625}$$