Family Med PAEA Practice Test Latest Update
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. A 72-year-old woman has experienced progressive tremor of her hands at rest over the past six months. She has noticed some slowing of her motions and has been feeling unstable on her feet. Physical examination shows some rigidity during passive movement and a shuffling gait. Which of the following medication classes is the most appropriate initial therapy to alleviate her symptoms?
- Dopamine agonist
- Anticholinergic agent
- Selective serotonin reuptake inhibitor
- Steroids
E. GABA reuptake inhibitor - CORRECT ANSWER: A
- A 31-year-old woman seeks evaluation for episodic waves of terror
- Fluvoxamine (Luvox)
- Amitriptyline (Elavil)
- Phenelzine (Nardil)
and anxiety. She frequently awakens from a sound sleep due to a rush of anxiety accompanied by palpitations, dyspnea, chest pain, and numbness in her fingers and toes. Which of the following is the most appropriate initial therapy for this patient?
D. Fluoxetine (Prozac) - CORRECT ANSWER: D
A 12-year-old boy sustained a perforated tympanic membrane after 1 / 2
falling while wakeboarding. Which of the following should be included in this patient's discharge instructions?
- Cotton tipped swabs should be used to clean debris from the ear.
- Earplugs should be used while bathing or swimming.
- Ascetic acid should be instilled in the ear canal.
- Oral antimicrobial therapy will be necessary until the perforation
heals - CORRECT ANSWER: b
A 19-year-old woman seeks evaluation for throbbing headaches of increasing frequency, now experienced two or three times a month.She experiences associated photophobia, nausea, and vomiting. She admits to seeing floating spots prior to each headache. The patient has tried ibuprofen (Motrin) without relief. Which of the following is the most appropriate for acute management of the patients headaches?
- Propranolol (Inderal)
- Sumatriptan (Imitrex)
- Amitriptyline (Elavil)
- Verapamil (Calan)
E. Sertraline (Zoloft) - CORRECT ANSWER: B
A 23-year-old woman comes to the office with chest pain for three days. She states that she recently had a cold with symptoms of a cough, runny nose, and sore throat. Over the past three days she has developed sharp chest pains that worsen when she takes a deep breath and are relieved when she leans forward. Which of the following electrocardiogram findings is most likely in this patient?
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