FAMILY MEDICINE EOR EXAM ACTUAL EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) | ALREADY GRADED A+

FAMILY MEDICINE EOR EXAM 2023-2024 ACTUAL

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? - ANSWERAudible 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? - ANSWERRosuvastatin or Atorvastatin

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? - ANSWERWomen 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

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 thyroidstimulating 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

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? - ANSWERPresence 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)