1. A 68-year-old male patient presents with a history of type 2 diabetes

and hypertension. Which of the following is the most appropriate initial

assessment?

 A. Fasting blood glucose

 B. 24-hour blood pressure monitoring

 C. Foot examination

 D. Eye examination

 **Answer: B.** 24-hour blood pressure monitoring is essential in

managing hypertension, which can significantly impact diabetes

management.

2. A patient with chronic kidney disease is at increased risk for which of

the following complications?

 A. Osteoporosis

 B. Anemia

 C. Hyperthyroidism

 D. Cognitive impairment

 **Answer: B.** Anemia is a common complication of chronic kidney

disease due to reduced erythropoietin production.

3. In assessing a patient with suspected heart failure, which diagnostic test

provides the most valuable information?

 A. Chest X-ray

 B. Echocardiogram

 C. Electrocardiogram (ECG)

 D. Complete blood count (CBC)

 **Answer: B.** An echocardiogram can evaluate cardiac function and

structure, aiding in the diagnosis of heart failure.

4. Which immunization should be routinely administered to adults over 65

years old in primary care settings?

 A. Varicella vaccine

 B. Human papillomavirus (HPV) vaccine

 C. Pneumococcal vaccine

 D. Hepatitis B vaccine

 **Answer: C.** Pneumococcal vaccine is recommended for all adults

over 65 to prevent pneumonia and other pneumococcal diseases.