Family Medicine Midterm & Final Exam with Answers Provided
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Course
NURS MED
Institution
NURS MED
in more than 10 years. Which of the following immunizations would be most appropriate for this individual?
A. Tetanus-diphtheria (Td) only
B. Tdap, pneumococcal, and influenza
C. Pneumococcal and influenza
D. Tdap, pneumococcal, influenza, and meningococcal
3 -A 49-year-old sedentary man h...
Family Medicine Midterm & Final Exam with
Answers Provided
1. A 52-year-old man comes into the outpatient clinic for an
annual "checkup:' He is in good health, and has a relatively
unremarkable family history. He has never smoked cigarettes.
For which of the following disorders should a screening test
be performed?
A. Prostate cancer
B. Lung cancer
C.Abdominal aortic aneurysm
D. Colon cancer
2 -A 62-year-old man with recently diagnosed emphysema
presents to your office in November for a routine examination.
He has not had any immunizations
in more than 10 years. Which of the following immunizations
would be most appropriate for this individual?
A. Tetanus-diphtheria (Td) only
B. Tdap, pneumococcal, and influenza
C.Pneumococcal and influenza
D. Tdap, pneumococcal, influenza, and meningococcal
3 -A 49-year-old sedentary man has made an appointment
because his best friend died of an MI at age 50. He asks about
an exercise and weight loss program. In counseling him, which
of the following statements regarding exercise is most
accurate?
A. To be beneficial, exercise must be performed every day.
B. Walking for exercise has not been shown to
improve meaningful clinical outcomes.
C.Counseling patients to exercise has not been shown consistently to
increase the number of patients who exercise.
D. Intense exercise offers no health benefit over mild to moderate amounts of
.exercise
4- A 24-year-old woman presents for an initial prenatal visit.
She is at 9 weeks' gestation based on her LMP but, on
further questioning, she is not certain of the first day of her
LMP. Which of the following would be the most accurate
estimate of her gestational age?
A. Using her LMP if her uterine size
is consistent B. A first-trimester
ultrasound
C. A second-trimester ultrasound
D. A quantitative serum hCG level
5- A 38-year-old pregnant woman presents for initial visit at 12
weeks' gestation. She requests a "genetic screen" because she
is concerned about her advanced maternal age. She does not
want any invasive testing that may cause a potential
miscarriage. Which of the following is most appropriate to
offer this patient?
,A. If no prior personal or family history of genetic
defects, no screen is needed.
B. Draw and send blood for the triple or quad screen, as
patient has advanced maternal age.
C.Nuchal translucency screening and hCG and PAPP-A testing.
D.Offer the patient chorionic villus sampling.
6- A 28-year-old woman with a history of epilepsy presents
for a preconception consultation visit. Which of the
following is the most important advice to give to this
patient?
A. Diabetes screening prior to pregnancy.
B. EEG reading that is normal
prior to conception.
C. Preconception folate
supplementation.
D. Stop epilepsy medication prior to pregnancy and
through the first trimester.
7- A 28-year-old GlPO woman at 16 weeks' gestation is noted
to be Rh negative. Which of the following is the most
appropriate next step for this patient?
A. Administer RhoGAM at this time.
B. Check the patient's antibody screen (indirect Coombs).
C.Schedule the patient for amniocentesis to assess for isoimmunization.
D.Counsel the patient to terminate the pregnancy
,8- A 30-year-old man has both mild persistent asthma and
chronic environmental allergies. Which of the following
medications is indicated for the management
of this patient's conditions?
A. Inhaled albuterol (short-acting -adrenergic agonist)
B. Intranasal fluticasone
(corticosteroid) C. Oral
montelukast (leukotriene
modifier)
(D. Oral cetirizine (second-generation antihistamine
9-A 12-year-old boy presents with eye itching and redness. He
has clear drainage from his eyes but no crusting. Examination
today is normal except for mildly injected conjunctiva
bilaterally. Which of the following is the most appropriate
treatment?
A. Antibiotic eye drops
B. Ophthalmology
consultation C. Anti-
inflammatory eye drops
D. Oral leukotriene inhibitor
10- A 56-year-old man presents to his physician with symptoms
consistent with allergic rhinitis. His past medical history is
positive for benign prostatic hyperplasia.
He continues to work in a warehouse as a forklift
operator. Which of the following medications
should be used to treat this patient?
A. Diphenhydramine
B. Hydroxyzine
C.Chlorphenira
mine D.
Fexofenadine
11-A 21-year-old woman presents for her first Pap smear. She
received the full HPV vaccine series at age 19. Assuming that
her examination and Pap smear results are normal, when
would you recommend that she return for a followup Pap
smear?
A. 6 months, as the first Pap smear should be followed
up soon to reduce the false-negative rate associated with
this screening test
B. 1 year, as she is higher risk
because of her age C. 3 years, as the
Pap smear was normal
D. 5 years, as she is at low risk because she received the HPV vaccine
12-Which of the following situations is associated with an
increased risk of intimate partner violence?
A. Pregnancy
B.Older age
C.Higher income
D. Married status
13-Which of the following statements regarding breast cancer screening is true?
, A. Breast self-examination (BSE) has been shown
to decrease mortality rates from breast cancer.
B. Clinical breast examination (CBE) in conjunction with
routine mammography is shown to improve mortality rates.
C.Most abnormalities found on routine mammography are not breast cancer.
D. Because breast cancer rates increase in older
women, there is no upper age at which breast cancer
screening may be discontinued.
14-A 48-year-old woman presents for a well-woman
examination. She notes that she had a supracervical
hysterectomy in the past. Your records reveal that she had her
uterus removed, but the cervix and ovaries were left in place.
You also note that she has had Pap smears with HPV cotesting
every 5 years since
her 20s and that all were normal. She read on the internet
that women who have had a hysterectomy no longer need
Pap smears. Which of the following would be your
advice?
A. "You no longer need to get Pap smears since you have had a hysterectomy:'
B. "You should continue to have Pap smears every 3 years
since your hysterectomy is an indication to shorten the
interval for testing:'
C."You should continue to have Pap smears with
HPV cotesting every 5 years since your
hysterectomy does not exclude you from routine
screening recommendation for your age group:'
D. "You should continue with annual Pap smears until
the age of 50. If they ':are all normal, you can stop having
them at that time
15-A third-year medical student is researching various
recommendations for the care of the geriatric patient.
Which of the following statements is most
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