Differential Diagnosis And Primary Care- Exam Questions and Correct Answers Latest Update 2025
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Which of the following initiatives does not fall under the National Prevention Strategy - Answers
Diabetes Management. Reference Page 29
All of the following statements about the US Preventive Services Task Force (USPSTF) are true except? -
Answers All of the recommendations made by the USPSTF are strong recommendations
What type of reaction following an immunization is considered serious and requires reevaluation -
Answers Temperature greater than 103˚F
Herbert, a 69-year-old man, comes to your office complaining of nocturia. On questioning Herbert, you
find that for the past 3 months he has been getting up at least 5 times a night to void. He came in to
seek help today because of his wife's insistence that he be checked out. When you perform the digital
rectal exam, you find that his prostate protrudes 3 to 4 cm into the rectum. What grade would you
assign to Herbert's prostate enlargement? - Answers Grade 3
Which of the following individuals should get the shingles (herpes zoster) vaccine - Answers Joe, who
has a stressful job
As a primary care provider, which of the following topics is not typically important for adults aged 20 to
40 - Answers Focusing on increasing lifespan
Which of the following statements defines health literacy - Answers The level to which a patient can
understand, gain access to, and make proper medical decisions
Between ages 7 and 18, both boys and girls are immunized against the following diseases - Answers
Tetanus, diphtheria, pertussis, meningitis, and human papillomavirus
The OLD CARTS (onset, location, duration, character, aggravating/alleviating factors, radiation, timing,
severity) mnemonic is best used in which part of your chart note - Answers History of present illness
Eileen, a 42-year-old woman, comes to your office with a chief complaint of fatigue, weight loss, and
blurred vision. Eileen has a past medical history that is negative for any chronic medical problems. You
obtain a fasting chemistry panel, lipid profile, complete blood count (CBC), and hemoglobin A1c (HbA1c).
The results of the blood work show Eileen's blood sugar elevated at 356 mg/dL, total cholesterol
elevated at 255, high-density lipoprotein (HDL) cholesterol low at 28, low-density lipoprotein (LDL)
cholesterol elevated at 167, triglycerides 333, and HbA1c 12. On questioning Eileen further, you discover
that both her grandmothers had adult-onset diabetes mellitus. You diagnose type 2 diabetes mellitus.
Your treatment plan should include a cholesterol-lowering agent, an agent that lowers blood sugar, and
which other class of medication? - Answers Angiotensin-converting enzyme (ACE) inhibitor
Margaret, age 29, is of medium build and 5 ft 4 in tall. You estimate that she should weigh about -
Answers 120 lb
, Susie, age 5, comes to the clinic for a well-child visit. She has not been in since she was 2. Her
immunizations are up to date. What immunizations would you give her today - Answers Diphtheria,
tetanus, and pertussis (DTaP); inactivated polio vaccine (IPV); and measles, mumps, and rubella (MMR)
Mimi, age 52, asks why she should perform a monthly breast self-examination (BSE) when she has her
mammograms on schedule. You respond: - Answers "More than 90% of all breast abnormalities are first
detected by self-examination."
Marian's husband, Stu, age 72, has temporal arteritis. She tells you that his physician wants to perform a
biopsy of the temporal artery. She asks if there is a less invasive diagnostic test. What test do you tell
her is less invasive? - Answers Color duplex ultrasonography
Which of the following refers to an aspect of a patient's health that can be changed or affected by a
health intervention? - Answers Modifiable risk factor
An 81-year-old patient presents for a physical. She recently had a fall and now has problems walking up
her stairs. The only restroom in the house is on the second floor. She also has a flight of stairs outside
her house she has to navigate in order to reach street level, and this is difficult for her. Where does this
information belong in your chart note? - Answers Functional health patterns
Telehealth has shown a drastic increase in utilization by patients in which of the following fields of
medicine - Answers Psychology and psychiatry
Mark, a 56-year-old man, comes to your practice seeking help quitting smoking. You prescribe
varenicline (Chantix), a prescription medication, to aid with his attempt. What instructions do you give
Mark regarding how to stop smoking with Chantix? - Answers Start the Chantix today according to the
dosing schedule and then pick a date to stop smoking about 7 days after starting Chantix
Joseph, a 55-year-old man with diabetes, is at your office for his diabetes follow-up. On examining his
feet with monofilament, you discover that he has developed decreased sensation in both feet. There are
no open areas or signs of infection on his feet. What health teaching should Joseph receive today
regarding the care of his feet? - Answers "See a podiatrist yearly; wash your feet daily with warm, soapy
water and towel dry between the toes; inspect your feet daily for any lesions; and apply lotion to any
dry areas."
Marvin is a gay man who is ready to "come out." What is the last step in the process of coming out? -
Answers Identity integration and self-disclosure
A lab value that is commonly decreased in older adults is: - Answers Creatinine clearance
Martha, age 82, has an asymptomatic carotid bruit on the left side. What do you recommend? - Answers
No treatment at this time
Which of the following is not a modifiable risk factor - Answers Race
