Family Medicine I Final Exam 10.01.2022: Question 11 of 40 (Multiple Choice)

Family Medicine I Final exam 10.01.
20
22
Anas Zoabi
Question 11 of 40 (Multiple Choice)
You are caring

: q for a 12-year-old
1 bo \ wich C We
1 Psy i 11 Aor eses rab ity evaluation
5 show heat
high serum and urine copper levels. Eye et
examination reveals kay
of the following is the most likel of dition
=
1 @ ral hepatiti
=
2 Wilson di
3 O Autoimmune he
4 (i) Hemochromatosis
[i
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Family Medicine | Final exam 1 0.01.2022
Anas Zoabi
A 25 'vear old male presented to the ENT emergency nM with se sbility to swallow, accompanied by right earache of 2 days duration, The patient
wa
mouth and was feverish 40 C. On examination there was a tender swelling at the anale of the mandible nt gave a histary of sore throat and fever 32 C during the last wel
possibleble d agnosis in this case
right pyriform fossa malignancy wwotl Last

2 (
IN Peritonsillar absces
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Family Medicine | Final exam 10.01 2022
Anas Zoabi
A 41-year-old man preser evalua f i mfort pre t e fast L '& say that he has a “ful” sensation in the epigastric region He denies blood |
vomiting, and has ha lysphagia. He ha t the lastf week ntentionally, which he attributes to not eating. His mother has hemomhods, and no family memb
cancer. Which af the |
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Family Medicine | Final exam 10.01.2022
Anas 7oabl
A 53-year-old obese woma

5 pain that starts in the mid epigastric region, radiating
to
with nausea and vomiting. Past |
y El Pepti wl: i
2 (8 Acute creat
FIC Gastroesoph |
4 () | Acute append
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Anas Zoabi
-7)
Which of these patients need treatment for hypertension? (JNC
27 year old man , smoker, tolic blood pressure 1: astolic blood pre
1.4 J
25) 35 year old obese woman s stolic blood pres +139 mm Hg, diastolic blood pressure 85;
140 mm Ho, dias mm found during one measurement

3() 41 vear old woman Systolic blood pressure
blood pressure 150

4 ol 55 year old man with Systolic
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Anas Zoabi
A 45-year-old man presents for a routine phys tion.He has no known medical history and has not seen a dactor in several
cholesterol of 330 mg/dL
years. On a screening lipid panel he is foun
,HDL-50 mg/ dl trig 100 mag, di, and LOL cholesterol of 2 0 mg/ d Which of the following management optics is mast appropria
te?
BO Type here to sears

Family Medicine I Final exam 10.01.2022
Anas Zoabi
A B0-year-old man is diagnosed with moderately sever: 1) COPD. He admit a long history M1 cigarette smoking and is still currently smaking In counseling
cessation, which of the fi him abut the
1 O By quitting, hs pulmonary function will app ht if an ker of t me aq
2 C ) By quitting, his current pulmonary function will be unchanged, bu rate of anal i jain
3 C ) By quitting, his current pulmonary function and the rate of decline unchanged, bust there are ca scular benefits
4 Cc) By quitting, his pulmonary fun ti vill ificantly improve
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Anas Zoabi
Question 9 of 40 {Multiple Choice)
Al19-vear-old male presents w

A M{ ture is dona which is positive for group A streptococcus. Treatment is inftiated wit
days later with woarser pite taking : W
propnate step to do next
1 (@ Obtain a CBC and Mor 1
2 () | Switch
to azitromycin
30) Assume
the patient he L | |
In
J ATE Cetin
searcl
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22
Anas Zoabl
Definition of family medic inefgeneral practice (according to European definition 2002) includes
all abo VE, EXCH
1 (2) itis a clinical specialty orientated to primary care

—_—
2 (Nn Family medicine is a scientific discipline, which is orientated tx
. nt, research, evidence

(i)
3.0y PEM isis anar academic
GP/FM i and scientific discipline with its own educational content, research, evidence base
ba and clinical activity
aris : |
|
4 (®) | Itisaspecialty orientated to the management of chronic diseases only

=
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Family Medicine | Final exam 10.01
2022
Anas Zoah|
a 331 year old man has acute§ diarrhea

&
after
[
he arriv
rived frar
1 SoU th america e most effective treatment of ms diarrheais
3 ) Tnmethoprim-sulfame
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Anas Zoabi
You are seeing a 65-year-old patient with complaint jurgitation, and belching, You suspect GERD. Which symptom, if presant would necessiatate
referral for anu)
1 ) Chronic f acetaminophen 1g a N
2 | Bloating =|
3 (0) Pain radiating to th |
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Anas Zoabl
A 38-year-ole oman | £ : - ] dyspnea{ices and ] res never smoked cigarettes, has no known passive smoke exposure, and does not have any
to chemicals. Pulmonary functi esting ws of y eh af the following
is the most likely etiology?
1 LJ Asthm
2 | Radon ex; 1
3) 3 1-Antitrvps £
4 () corp
% YT ASF Cloudy =
2022
Anas Zoabi
A 24-year-old woman who is 8 weeks preqr ant is fi

appropriate?
e thyraid is diagnosed. Which of the following mana
10) Tres th radi e iodine abl 1 11 =
2 (() | Confirm the diagnosis of cancer using radioisotope ¢
3 () ,Perform an immediate thyroidecton
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.
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Anas Zoabi
All of the following tests is considered routine evaluation of a patient with hypertension, except?
1 } ECG
2? {i 4i-h ine pir

I yrine nroteir
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Family Medicine I Final exam 10.01 2022
Anas Zoabi
Aree gE : f In is appetite, A firm n

weight, energy, or bowel movements.
eee line thyroid. Th X ind 3 Wi 1 © next step in the workup of this nodule?
mis Radioacti fine uptake st
2.) urge t y
3a ¢ Fine-needle aspirati
:
4 ) Repeat ultrasound in 6 month
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Anas Zoabi
A222 year old man comes in the office with a 5 wet Kk history of diarrhea: There no olood in the stool. He recent ned from Africa, used unborled waterand
cramps and bloating. A i J ns. H al and far y Is ne
had had foul smi
arkable. He does not take medicines, illicit drugs and is not a sn
and HB BP are normal, pulse-B6. Physical examinati on shows W soft, non tender abdomen.
od dare no 1al ul {= [a < 1 i t with increased bowel sounds Which of the following is the best next step?
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22
Anas Foabi
A 25-year-old woman com ff V ed 1 1 ~ i fs | the : abdominal pain and diarrhea for 3 months. She alsors
in her stool several tim xa ition 1s norma I 1 after a re ramination. While looking over her records you notice that she has
saw you 3 months ago g 1 approj t
1 (¥) Obtain colonoscopy
20) Offer her symptomatic relief with loperamide
3 | = Refer her for anit | i
ry Recomme nd th: R
4 ho neCOl »
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&
22
Anas Zoabi
A S53 year old war
hypertension that is well contro
2 (@) metformin
3 ( } Sitagliptin
Family Medicine | Final exam 1 0.01
.2022
Anas Zoabi
Patie
atient sith newly
with newly establi
e< lished
shed d agnosis
” of t dia me 1 with 1 rei O of the followin
fol g gist
is the most st approprialate initial
tial management? 5
1 (@) Mealtime injections of short n u
2 Oral metformin
8 (() | Single daily injection of glare in
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Anas Zoabi
Which of the following is true
1 (=) Antibiotics are indicated in the treatment of
F | tria i (§ Thr
2 here is a good evid
Fa | iz aff treatin f =
3 | lh
4 Dexamethazone has | h It ; sn EE
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&
1.2022
Anas Zoabi
ave ype 2 diabetes mellitus and currently takes metformin. Her |
1 Shoulder dy
2~/7 Fetal malformations
3 (0) FPolvhydramnios
4 (®) rn | Fetal macrosomia
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Anas Zoabi
Question 7 of 40 (True/False)
Current newborn screening can diagn
1 ko iy False
2 f True
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Anas Foabi
It 1s common for throat pain to be referred t
1 inner ea
2 ear i
3 WW iddle ear
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Anas Zoabi
A 59-year-old man w he is afebrile. His br ath sounds are decreased bilaterally. He is noted to hay
distension (JVD) and 2+ pitting edema of the lower extremities. Which of the followir q is the most likely cause of his increasing dyspnea?
1) COPD exacerbation = :
neumothorax
[5]
3 Ng, Cor pulmonale
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&
Anas Zoabi
A 62-year-old man with recently diagnosed emphysema presents to vo n November for a routine examination. He has not had any immunizationsin mare than 10 year
immunizations would be most appropriate f
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Anas Zoabi
A 38-year-old African-American man is evaluated for the new

e elevated blood pressure readings in the past few months
other medical conditions. You plan to initiate an antihypertensive medic t initial choice?
1 hh} ang i ng Vy I
2 (() | B-bloker
3 (1) angiotensin receptor blocker

Anas Zoabi
32 years -old man has 4 month hist 1 1 discomfor ni radiates to the neck. The pain is not related to physical
at rest, lasts for 2 hours. He has no shortness of | ] at } swelling 13000, alcohol and illicit drugs. Family history is unremé
pressure is 120/75mm, pulse 75, regular. BMI 1 i ora | J 15 the: mast likely cause of this patient's chast pain
1 @ I al d i
aE ral disease
i
Fil) \ortic di ea
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Anas Zoabi
A 52-year-old obese man |

' 8 dally dose of hydrochlorothiazide. A finger-stick blood sugar
lunch was 130 mg/ di tes!
ED, The nonfasting, finger-stick
rr JL i | A fasting plasn )
a~@ A random plasma glucose

22
Anas Zoabi
Which of the following statements about EBV nf an 1s tr
i Js (i) ection usual

Infection usually occursr via contact with the blood of an affected pe =
J splenic rupture is a frequent complication of infect [ —
3 Tl The syndrome of infectious mononue Ir pri r ¥ ct I hth I

=
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Family Medicine | Final exam 10.
01.2022
Anas Zoabi
A 67 year old man comes t [a 1 y vd dy ea on exert

160/80mm. pulse
She does not take medicines and did not have cardiovascular disorder
110 spirations-: Auscultat s Body th
{ i E i the sg fi tht inte tal spac th normal
gualac negativ stools, ECG-sinus tachycardia. According to la it
52 splitting Na peripheral edema is noted. Rect
{ ta jaf inemia. Which we Toliowing
is the mast appropriate next step?
1 © Echocardiography
2 (2 \ Tl l
3 (OQ Colonos
4 (@ Colonoscopy and nd
7 45°F Cloudy 4
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Anas Toabi
A 28-year-old woman with a history of ef ng is the most important advice to give to this patient?
Diabetes screening prior to preanan

1 § 5 J
2 & Preconception folate suf tat
i EEG yang i TOT |

3
r reqn
1.2022
Anas Zoabi
61 years old woman admits for health eva
0 Mammography
20 (F lo
Anas 7oabl
A 33-year-old obese woma

5 pain that starts in the mid epigastric region, radiating
to
with nausea and vomiting. Past |
y El Pepti wl: i
2 Nf nCLite Creat
FIC Gastroesoph |
4 () | Acute append
Y 45°F Cloudy. A
&
Type her
Anas Zoabi
A 52-year-old obese man |

' 8 dally dose of hydrochlorothiazide. A finger-stick blood sugar
lunch was 130 mg/ di tes!
1 () The nonfasting, finger-stick
rr JL i | A fasting plasm )
3 = A random plasma glucose

2022
Anas Zoabi
A 24-year-old woman who is B weeks pregnant is found t

appropriate?
e thyraid is diagnosed. Which of the following mana
10 Tre: th radi e iodine abl 1 1

NN
2 (() | Confirm the diagnosis of cancer using radioisotope ¢
3 () Perform an immediate thyroidecton
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EEO
.
O
1 .2022
Anas Zoabi
Pain from distended intestine:

1 IS appre
1 (w mid-abdomen
Fa
2 () in the upper right quadrant
3 () | epigastrium
['vpe here to searct

22
Anas Zoabi
A S53 year old war
hypertension that is well contro
2 (MW metformin
3 ( } Sitagliptin
1.2022
Anas Zoabi
ave ype 2 diabetes mellitus and currently takes metformin. Her |
1 () Shoulder dystoci:
2 NJ) Fetal malformations
3 (0) FPolvhydramnios
4 (®) rn | Fetal macrosomia
TASTE Cloudy
jo Type here io seal
1.2022
Anas Zoabi
61 years old woman admits for health eva
0 Mammography
20 (F lo
01.2022
Anas Zoabi
A 12 year-old male with 4 days of e thi mes into the office, H een afebrile, has rhinorre 2. cough and one day of diarrhea associated with his sore
with otherwise normal appenng tonsils, The f action
throat. The tf
Ailey b his throat , withhold anti unless his culture is |
2 (\) / swab his throat and gi irse of antibloti f the culture is negative for gr A strep he will stop antibiotic treatment NB
T Give him antibioti t testin gro Sire

=:
ry symptomatic treatmen
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2 Type here to search
22
Anas Zoabi
Which of the following H pylori eradication th sgimen
1 "Fi Metronidazole and tetracveline
2 ( Th) H2 receptor antagonist, Bismuth subsalicylate and or
3 PPI (proton pump inhibitor arithromycin and amoxicitlis
4 () Ciprofloxacin, tetracycline and PP!
fi [3
SASF Goudy 7
Anas Zoabi
A 45-year-old man presents for a routine phys tion.He has no known medical history and has not seen a dactor in several
cholesterol of 330 mg/dL
years. On a screening lipid panel he is foun
,HDL-50 mg/ dl trig 100 mag, di, and LOL cholesterol of 2 0 mg/ d Which of the following management optics is mast appropria
te?
BO Type here to sears

22
Anas Zoabi
Question 14 of 40 {True/False)
A digital rectal examibation carefully perf
) ASF Cloudy 4
.2022
Anas Zoabi
Which of the following a
~~] 24 hour unne test
2 § | Blood glucose
3() Cholesterol
Type here i
Anas Zoabi
Question 7 of 40 (True/False)
Current newborn screening can diagn
1 ko iy False
2 \& True
po Type here to searct

Anas Zoabi
A 41-year-old man preser evalua f i mfort pre t e fast L '& say that he has a “ful” sensation in the epigastric region He denies blood |
vomiting, and has ha lysphagia. He ha t the lastf week ntentionally, which he attributes to not eating. His mother has hemomhods, and no family memb
cancer. Which af the |
& ASF Cloudy. >

=
HH pe Type here to sea

22
Anas Zoabi
Which of the follow ng H pylori eradication the 4 A
1 "Fi Metronidazole and tetracycline
2 ( ) H2 receptor antagonist, Bismuth subsalicylate and or
3~@) PPI (proton pump inhibitor), clarithromycin and amoxicilli
4 () Ciprofloxacin, tetracycline and PP!
fi [3
I ik L
SASF Goudy 7
1 .2022
Anas Zoabi
Pain from distended intestine:

1 IS appre
1g mid-abdomen
Fa
2 () | inthe upper right quadrant
alin, i Er —
3 () | epigastrium
to
0 Type here search
Anas Zoabi
Which of these patients need treatment for hypertension? (JNC -7)
astolic blood pre e B5mf 5 =n

1 (() 27 year old man, smoker. systolic blood pressure 1:
li Ey pe eRe ira
pressure 83] 3 —
2 (7) 35 vear old obese woman systolicI blood pres
a0
+139 mmi Hag,Fae diastolic blood
dias )mm found during ] one measurement |

a ( )
oT: 41 vear old woman Systolic
5 nod pressure
blood pres 1400 mr m Ha,Ha, dias
4 (@ 55 year old man with Systolic blood pi
#= © Type here to seart hn

01.2022
Anas Zoabi
A 12 year-old male with 4 days of e thi mes into the office, H een afebrile, has rhinorre 2. cough and one day of diarrhea associated with his sore
with otherwise normal appenng tonsils, The f action
throat. The tf
TET) b his throat , withhold anti unless his culture is |
2 Swab his throat and gi Ire f I i f the culture is negative f I A strep he will stop antibiotic treatment =
icy Give him antibioti t testin gro Sire

=
ry symptomatic treatmen
© 45°F Cloudy
2 Type here to search
Anas Zoabl
60 year-old man coms

of appetite and occasiona '
tenderness in epigastic area. Upper endoscopy reveals gastr|
MALT) Which of the following is most likely involved in {
condition?
1 (@ Pemicious aner
& 45°F Cloudy f©

.2022
Anas Zoabi
Which of the following a
1X (3) 24 hour urine test
2 § | Blood glucose
3() Cholesterol
Type here i
22
Anas Zoabi
Which of the following statements about EBV nf an 1s tr
i Js (7) ection usual

Infection usually occursr via contact with the blood of an affected pe =
2 (7) splenic rupture is a frequent complication of infect [ =
Ig The syndrome of infectious mononue fr pri r ) ct {| hth I 3
0 Type here to sear

Anas Zoabi
Al19-vear-old male presents w

A M{ ture is dona which is positive for group A streptococcus. Treatment is inftiated wit
days later with woarser pite taking : W
propnate step to do next
1% Obtain a CBC and Mor 1
2 () | Switch
to azitromycin
30) Assume
the patient he L | |
In
J ATE Cetin
searcl
© Type here to
Anas Zoabl
60 year-old man coms

of appetite and occasionally
tenderness in epigastic area. Upper endoscopy reveals gastr|
he tf the |
MALT) Which of the following is most likely involved in {
condition?
1 iC J Permit HOH, aner
& 45°F Cloudy f©

22
Anas Zoabi
Question 14 of 40 {True/False)
A digital rectal examibation carefully perf
) ASF Cloudy 4
22
Anas Zoabi
You are caring

: q for a 12-year-old
1 bo \ wich C We
1 Psy i 11 Aor eses rab ity evaluation
5 show heat
high serum and urine copper levels. Eye et
examination reveals kay
of the following is the most likel of dition
=
1 @ ral hepatiti
=
2 Wilson di
3 O Autoimmune he
4 (i) Hemochromatosis
[i
& 7 ASF Cloudy.
Type here to sear

22
Anas Zoabl
Definition of family medic Inefgeneral practice (according to European definition 2002) includes all abo VE, BXCE
=>
1 (2) itis a clinical specialty orientated to primary care
2 (() | Family medicine is a scientific discipline, which is orientated t:
-
3 ()
J 3PAEM isis anar academic
| GP/FM z and scientific discipline with its own educational
| content,nt, research,
research, evidence
evidence babase cal activityactiv
and clinical ==
4 2) It is a specialty orientated to the management of Chronic diseases only =
SASF Cloudy
a= o Type here to search
01.2022
Anas Zoabi
A 67 year old man comes t [a 1 y vd dy ea on exert

160/80mm. pulse
She does not take medicines and did not have cardiovascular disorder
110 spirations-: Auscultat s Body th
{ i E i the sg fi tht inte tal spac th normal
gualac negativ stools, ECG-sinus tachycardia. According to la it
52 splitting Na peripheral edema is noted. Rect
{ ta jaf inemia. Which we Toliowing
is the mast appropriate next step?
1 © Echocardiography
3D) In I
3 (L~"Colonos
4 (@ Colonoscopy and nd
7 45°F Cloudy 4
>

Family Medicine I Final Exam 10.01.2022: Question 11 of 40 (Multiple Choice)

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Family Medicine I Final Exam 10.01.2022: Question 11 of 40 (Multiple Choice)

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Family Medicine I Final exam 10.01.

Question 11 of 40 (Multiple Choice)

You are caring

& 7 ASF Cloudy.

Type here to sear

Question 32 of 40 (Multiple Choice)

right pyriform fossa malignancy wwotl Last

Question 4 of 40 (Multiple Choice)

& ASF Cloudy. >

HH pe Type here to sea

Question 13 of 40 (Multiple Choice)

A 53-year-old obese woma

Question 1 of 40 (Multiple Choice)

140 mm Ho, dias mm found during one measurement

blood pressure 150

HH LQ Type here to sear h

Question 2 of 40 (Multiple Choice)

BO Type here to sears

Question 38 of 40 (Multiple Choice)

1 O By quitting, hs pulmonary function will app ht if an ker of t me aq

4 Cc) By quitting, his pulmonary fun ti vill ificantly improve

Question 9 of 40 {Multiple Choice)

Al19-vear-old male presents w

1 (@ Obtain a CBC and Mor 1

Question 8 of 40 (Multiple Choice)

1 (2) itis a clinical specialty orientated to primary care

2 (Nn Family medicine is a scientific discipline, which is orientated tx

. nt, research, evidence

4 (®) | Itisaspecialty orientated to the management of chronic diseases only

Question 36 of 40 (Multiple Choice)

a 331 year old man has acute§ diarrhea

Question 35 of 40 (Multiple Choice)

3 (0) Pain radiating to th |

Question 34 of 40 (Multiple Choice)

Question 3 of 40 (Multiple Choice)

A 24-year-old woman who is 8 weeks preqr ant is fi

10) Tres th radi e iodine abl 1 11 =

2 (() | Confirm the diagnosis of cancer using radioisotope ¢

3 () ,Perform an immediate thyroidecton

Question 37 of 40 (Multiple Choice)

2? {i 4i-h ine pir

Question 40 of 40 (Multiple Choice)

Aree gE : f In is appetite, A firm n

mis Radioacti fine uptake st

Question 33 of 40 (Multiple Choice)

Question 39 of 40 (Multiple Choice)

1 (¥) Obtain colonoscopy

20) Offer her symptomatic relief with loperamide

3 | = Refer her for anit | i

Question 19 of 40 (Multiple Choice)

A S53 year old war

hypertension that is well contro

Question 23 of 40 (Multiple Choice)

1 (@) Mealtime injections of short n u

8 (() | Single daily injection of glare in

Question 27 of 40 (Multiple Choice)

Which of the following is true

1 (=) Antibiotics are indicated in the treatment of

Question 6 of 40 (Multiple Choice)

ave ype 2 diabetes mellitus and currently takes metformin. Her |

2~/7 Fetal malformations

4 (®) rn | Fetal macrosomia

Current newborn screening can diagn