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FAMILY MEDICINE EOR
ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (100%
CORRECT ANSWERS) ACTUAL FAMILY
MEDICINE EOR LATEST EXAM -
TEST BANK (NEWEST!!)
(ANSWERS PROVIDE LIKELY DIAGNOSIS, CAUSAL AGENT , AND
TREATMENT; EXCELLENT FOR EXAM PREPARATION)
a 32-year-old woman with an itchy vaginal discharge for the past two days. She has been healthy other than a recent sinus infection for which she took a 10-day course of amoxicillin. Her husband is her only sexual partner, and he has no symptoms. On examination, the vulva is noted to be slightly erythematous and swollen, with some evidence of excoriation. The discharge is white and clumpy.Likely diagnosis Candida Vaginitis Clinical findings of candida vaginitis clumpy or cheesy vaginal discharge with pruritus
Diagnosis of candida vaginitis KOH prep shows branching hyphae pH < 4.5 Treatment of candida vaginitis Fluconazole PO 1 / 4
a 24-year-old sexually active woman complains of a profuse, whitish-gray vaginal discharge with a fishy odor that becomes stronger after intercourse and during menses. She denies any irritation and states that her sexual partner has no symptoms. Microscopic evaluation of the discharge reveals granular-appearing epithelial cells. Likely diagnosis Bacterial vaginosis Causative agent of bacterial vaginosis Gardnerella Clinical findings of bacterial vaginosis frothy, grayish-white, fishy smelling vaginal discharge Diagnosis of bacterial vaginosis Clue cells on wet mount (+) whiff test pH > 4.5 Wet mount finding of bacterial vaginosis clue cells
First line treatment of bacterial vaginosis Metronidazole Second line treatment of bacterial vaginosis Clindamycin a 5-year-old girl with crusting facial lesions present for 3 days. The mother reports that prior to the development of the facial lesions, her daughter was 2 / 4
scratching at insect bites. Examination reveals a red facial rash with a golden "honey-colored crust" and pruritus. LIkely diagnosis?impetigo
causative agent of impetigo
- aureus or S. pyogenes
Treatment of impetigo Topical abx (mupirocin, retapamulin) Oral abx (cephalexin, dicloxacillin) a 23-year-old G1P0 at 20 weeks gestation presents for a routine obstetric visit and complains of vaginal discharge for one week. She describes the discharge as watery and yellow and has had an associated burning sensation on urination.Her pregnancy has been uncomplicated. She denies having new sexual partners or a previous history of sexually transmitted diseases. On pelvic exam, there is a foul odor. You note red punctate lesions and inflammation of her cervix. Likely diagnosis Trichomonas vaginitis Clinical findings of trichomonas purulent yellow-green malodorous vaginal discharge Petechiae on cervix 3 / 4
Diagnosis of trichomonas vaginitis protozoa with flagella on wet mount Treatment of trichomonas vaginitis Metronidazole a 59-year-old woman who is 9 years postmenopausal and complains of urinary urgency, frequency, and occasional incontinence. On pelvic examination, her vaginal mucosa appears shiny, pale pink with white patches, and bleeds slightly to the touch. Her urinalysis and urine cultures are negative. Likely diagnosis Atrophic vaginitis
Treatment of atrophic vaginitis Topical estrogen creams a 35-year-old woman who comes to your office with a 1-year history of “aching and hurting all over.” She also complains of a chronic headache, difficulty sleeping, and generalized fatigue. When questioned carefully, she describes “muscle areas tender to touch.” Although the pain is worse in the back, there really is no place free of pain. She also describes headaches, generalized abdomen pains, and some constipation. Likely diagnosis?
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