FAMILY MEDICINE EOR EXAM -

FAMILY MEDICINE EOR EXAM -

EXAM 200 QUESTIONS AND CORRECT DETAILED

ANSWERS (VERIFIED ANSWERS ) | ALREADY

GRADED A+

Which of the following risk factors are the three biggest predictors of future fractures in a patient with osteoporosis? - ANSWER- Age, low bone mineral density, and history of a previous fracture

Which of the following statements made by a 25-year-old man with lower back pain would warrant a referral to a rheumatologist? - ANSWER- My pain gets worse with rest and improves with movement.

A 70-year-old man with long-standing hypertension presents with fatigue and dyspnea. His dyspnea worsens on exertion and when lying supine. Which of the following physical exam findings would be consistent with a diagnosis of congestive heart failure? - ANSWER- Audible fourth heart sound

A 27-year-old woman is on an estrogen-progestin oral contraceptive.Which of the following mechanisms of action is the most important for providing contraception? - ANSWER- Inhibition of the midcycle luteinizing hormone surge

Which of the following cholesterol-lowering agents has demonstrated regression in coronary atherosclerosis and is indicated as first-line therapy for patients with coronary artery disease? - ANSWER- Rosuvastatin or Atorvastatin 1 / 4

A 41-year-old woman presents to the clinic with symmetrically distributed, coalescent, hyperpigmented macules in sun-exposed areas of the face. Which of the following is the most likely diagnosis? - ANSWER- Melasma

What is the most common anatomic location affected by nummular eczema? - ANSWER- Arms and legs

A 35-year-old woman presents to your clinic for a physical exam. She tells you that she had a Papanicolaou test two years ago that was normal.She is wondering if she needs one this year as she has had them frequently in the past. Which of the following cervical cancer screening guidelines is most appropriate to share with the patient? - ANSWER- Women aged 30 years and older should have cervical cancer and HPV screening every five years

A 72-year-old-man presents to your clinic with substernal chest pain, shortness of breath and diaphoresis for the last 30 minutes. He states that this started suddenly when he was taking out the trash. He finds minimal relief with rest and worsening pain with even minimal exertion. His past medical history is significant for hypertension, dyslipidemia, and a 40- pack-year smoking history. He denies any history of cardiac disease, recent travel or surgery. Initial chest X-ray shows hyperexpansion - ANSWER- Acute coronary syndrome

At what age should the quadrivalent meningococcal vaccine be offered to immunocompetent children? - ANSWER- Eleven years of age 2 / 4

What causes the parotid swelling seen in some patients diagnosed with bulimia nervosa? - ANSWER- Noninflammatory stimulation of the salivary glands

A 28-year-old woman presents to the office with complaints of generalized fatigue, weight gain, and depression that began a few months ago and has worsened. Upon examination you notice she has some periorbital edema, and upon palpation, a slightly enlarged thyroid.Which test remains the most sensitive screening tool for diagnosing primary hypothyroidism? - ANSWER- Third-generation thyroid- stimulating hormone assay

A four-year-old boy with autism presents to the clinic with his mother with bilateral ear pain and decreased hearing. His mother states he was with his step-father for the weekend, and when he returned, he was inconsolable and complaining of bilateral ear pain. She states his stepfather said he "just started crying all of a sudden." Physical exam reveals bilateral auricular hematomas, as well as bilateral tympanic membrane perforation. There is also circumferential ecchymosis on his arms. Hearin - ANSWER- Child protective services consult

A 32-year-old man presents with persistent ringing in his ears that occurs daily and lasts throughout the day. This has been going on for several months, but recently has been getting gradually worse. He is a construction worker by trade. Health history is unremarkable except for lower back pain for which he pops some ibuprofen throughout the day.He denies any other medications. He does not smoke but usually has five 3 / 4

to six beers on the weekend. His examination is unremarkable. What is the most - ANSWER- Excessive ibuprofen use

A 74-year-old man with family history of macular degeneration presents with worsening day and night vision and difficulty reading even with his bifocal glasses on. Which of the following fundoscopic findings is more suggestive of exudative advanced macular degeneration? - ANSWER- Presence of choroidal neovascularization with subretinal fluid and vessel hemorrhages

Which of the following drugs slows atrioventricular nodal conduction and should be avoided in a patient with Mobitz type 2 second degree heart block? - ANSWER- Digoxin

A 30-year-old man, who has a 10-year history of alcohol overuse, presents with a symmetrical erythematous facial rash in areas that are exposed to the sun. He reports he has been a little confused and forgetful lately. A urine test shows a deficiency in N-methylnicotinamide. What additional symptom might be seen in this patient due to this deficiency?

• ANSWER- Diarrhea (3 D's of niacin deficiency/pellegra are diarrhea,

dermatitis, dementia)

A 70-year-old man is brought into the office by his adult children because he has been leaving his house and wandering in the street. For the last six months, he became increasingly forgetful of names of family members and of places he often visited. He lost interest in his usual hobbies and is more restless. Which of the following is considered the first-line therapy for patients with mild-to-moderate Alzheimer's disease? - ANSWER- Cholinesterase inhibitors (donazepil)

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