FAMILY MED PAEA PRACTICE
TEST/25 QUESTIONS AND
ANSWERS (A+)
1. A 31-year-old woman seeks evaluation for episodic
waves of terror
and anxiety. She frequently awakens from a sound
sleep due to a
rush of anxiety accompanied by palpitations, dyspnea,
chest pain,
and numbness in her fingers and toes. Which of the
following is the
most appropriate initial therapy for this patient?
A. Fluvoxamine (Luvox)
B. Amitriptyline (Elavil)
C. Phenelzine (Nardil)
D. Fluoxetine (Prozac) - √Answer :D
Quiz :A 66-year-old woman with a history of diabetes,
hypertension and a
50-pack-year smoking history is evaluated for dyspnea.
On examination
she has distended neck veins, tachycardia with distant
heart
sounds, and pulsus paradoxus. Which of the following is
the most
likely diagnosis?
A. Acute coronary syndrome
B. Cardiac tamponade
C. Pericarditis
D. Infective endocarditis
E. Hypertrophic cardiomyopathy - √Answer :B
, Quiz :A 56-year-old man seen for routine evaluation is
noted to have a
slightly raised lesion involving the bulbar conjunctiva of
the left eye
which stretches across the cornea. This finding is most
consistent
with which of the following?
A. Pterygium
B. Chalazion
C. Xanthelasma
D. Dacryocystitis
E. Entropion - √Answer :A
Quiz :A 68-year-old man with a history of well-controlled
hypertension
comes to clinic with calf pain while walking over the past
three weeks.
He typically walks one to two miles most days of the
week, but now
can tolerate less than 0.5 mile before he stops due to
bilateral calf
pain. This pain resolves after resting one to two
minutes, but returns
with increasing levels of activity. He denies chest pain,
shortness
of breath, headache, or dizziness. Which of the
following physical
examination findings is most likely?
A. Absence of leg hair
B. Bounding posterior tibial pulses
C. 2+ pitting edema of lower extremities
D. Stasis dermatitis of lower extremities - √Answer :A
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