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FAMILY MEDICINE AQUIFER TEST STUDY GUIDE/95 QUESTIONS AND ANSWERS (A+)
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FAMILY MEDICINE AQUIFER TEST STUDY GUIDE/95 QUESTIONS AND ANSWERS (A+)
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FAMILY MEDICINE AQUIFER TESTSTUDY GUIDE/95 QUESTIONS AND
ANSWERS (A+)
A 34-year-old cisgendered female who has no past
medical problems and is not currently taking any
medications comes into your office because she noticed
a tender lump in her left breast starting approximately
one month ago. She is worried because she has a
maternal aunt who had breast cancer that was BRCA
positive, though her mother is BRCA negative. Her
periods have been regular since they started at the age
of 13 and occur every 32 days. She is currently
menstruating. She has three children, aged 12, 9, and 4.
On exam, her BMI is 32, up from 28 three years ago,
and her other vital signs are stable. On breast exam,
you note a mobile rubbery mass approximately 1 x 1cm
that has regular borders and is tender to palpation. You
appreciate no axillary adenopathy. The rest of her
physical exam is unremarkable. Of the information
provided, which of the following puts this patient at
increased risk for breast cancer?
The best option is indicated below. Your selections are
indicated by the shaded boxes.
· A. Age
· B. Age of menarche
· C. Family history of cancer
· D. Parity history
· E. Weight - √Answer :E. Weight
Quiz :A 64-year-old cisgendered female who is
overweight with well-controlled hypertension comes to
,your office with concerns of a lump in her breast that
she noticed while showering. She reports having no
pain, tenderness, or skin changes. A pertinent review of
systems is negative. Menarche began at the age of 10.
Her first child was born when she was 31 and she had
her second and last child at the age of 33. She
experienced menopause at the age of 44. Her mother
died of colon cancer when she was 65 and her father
passed away from metastatic prostate cancer at the age
of 70. She has no history of tobacco use ever and
occasionally drinks a glass of wine with dinner. Her BMI
is 34. Which of the information provided thus far puts
the patient at decreased risk for breast cancer?
The best option is indicated below. Your selections are
indicated by the shaded boxes.
· A. Age
· B. Age at first birth
· C. Age at menarche
· D. Age at menopause
· E. Weight - √Answer :D. Age at menopause
Quiz :A 63-year old cisgendered female comes into your
office for her annual preventive exam. She has
hypertension and type 2 diabetes. She is not sexually
active. Her blood pressure is 125/80 and her physical
exam otherwise is within normal limits. You recommend
influenza and zoster vaccination. Her last colonoscopy
was eight years ago and her last mammogram one year
ago; both were normal. She has never had an abnormal
Pap test. At the age of 45 she had a total hysterectomy
for fibroids. Of the details provided about this patient,
which is an appropriate reason to explain why she does
not need a Pap test today?
,The best option is indicated below. Your selections are
indicated by the shaded boxes.
· A. She experienced menopause more than 10 years
ago
· B. She had a total hysterectomy for fibroids
· C. She has never had an abnormal Pap test
· D. She is 63 years old
· E. She is not sexually active - √Answer :B. She had a
total hysterectomy for fibroids
Quiz :A 47-year-old cisgendered female comes into your
office for a health care maintenance exam. She has
hypertension and type 2 diabetes. She is not sexually
active and has not yet experienced menopause. There
is no family history of cancer. Her blood pressure is
118/78, her BMI is 34, and the remainder of her physical
exam is within normal limits. Her vaccinations are up to
date, and she has a Pap test today and will have labs
drawn. According to USPSTF, which of the following is
the best recommendation to give her concerning
mammography?
The best option is indicated below. Your selections are
indicated by the shaded boxes.
· A. Should have started at age 40 and every year
thereafter
· B. Should have started at age 40 and every two years
thereafter
· C. Should have started at age 45 and every year
thereafter
· D. Start at age 50 and every year thereafter
E. Start at age 50 and every two years thereafter -
√Answer :E. Start at age 50 and every two years
thereafter
, Quiz :A 25-year-old patient presents to the office for
follow-up on anxiety and tobacco dependence. She
reports she is doing well on her new medication to help
with both her mood and smoking, though she continues
to smoke. She recently started her first sexual
relationship with a new female partner. She received a
tetanus vaccine at the age of 18, and she received her
flu vaccine this year. Her blood pressure is 122/70, and
her physical exam is within normal limits. You review
her recent Pap test, which was negative. Which of the
following indicates the vaccines she should receive
today?
Choose the single best answer.
The best option is indicated below. Your selections are
indicated by the shaded boxes.
· A. HPV vaccine alone
· B. HPV vaccine and pneumococcal conjugate vaccine
(PCV13)
· C. HPV vaccine and pneumococcal polysaccharide
vaccine (PPSV23)
· D. HPV vaccine and Zoster vaccine
· E. No vaccines are needed - √Answer :C. HPV vaccine
and pneumococcal polysaccharide vaccine (PPSV23)
Quiz :A 55-year-old male with no significant past
medical history presents for a routine physical exam. He
last saw a doctor five years ago. Social history is
remarkable for a 35-pack-year tobacco history since the
age of 20. He indicates that his wife and children have
urged him to quit smoking for the last few months. When
you ask him if he has considered quitting, he replies, "I
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