FAMILY MEDICINE AQUIFER
TEST STUDY GUIDE 2026/2027
WITH QUESTIONS AND VERIFIED
CORRECT ANSWERS | ALREADY
GRADED A+ | GUARANTEED PASS
| AQUIFER LATEST EXAM
A 48-year-old male with a past medical history that includes hypertension, chronic
obstructive pulmonary disease (COPD), and hyperlipidemia presents to clinic as a
new patient in October for a general physical exam. History reveals that he has
been smoking a pack of cigarettes daily since age 20. He drinks two beers daily.
He is intermittently nonadherent with his medications. Review of the state
immunization database reveals that the only immunization he has received as an
adult was a tetanus diphtheria shot administered 12 years ago. Which of the
following vaccine combinations would be most appropriate for this patient?
The best option is indicated below. Your selections are indicated by the shaded
boxes.
· A. Influenza, meningococcal, and zoster
· B. Influenza, pneumococcal, and Tdap
,· C. Influenza, zoster, and Tdap
· D. Meningococcal, pneumococcal, and Tdap
· E. Meningococcal, pneumococcal, and zoster - ANSWER-B. Influenza,
pneumococcal, and Tdap
A 55-year-old male comes to the clinic for a visit. He has read about the dangers of
being overweight and inquires about which category he fits into. He is 5' 10'' (1.78
m) and weighs 220 lbs (100 kg), BMI = 31.6. Which of the following categories
most accurately describes the patient based on his BMI?
The best option is indicated below. Your selections are indicated by the shaded
boxes.
· A. Ideal
· B. Morbidly (very severely) obese
· C. Obese
· D. Overweight
E. Underweight - ANSWER-C. Obese
A 55-year-old male with a family history of melanoma presents to the clinic for
evaluation of a skin lesion on his back which appeared three months ago. His wife
first alerted him to it, hasn't noticed it change and he has not noticed any symptoms
associated with it. Physical examination reveals a 7 mm uniformly black macule
that is symmetrically round with sharply demarcated borders on his upper back
near the right shoulder. Which of the following characteristics would most justify it
being biopsied today?
The best option is indicated below. Your selections are indicated by the shaded
boxes.
· A. Borders
· B. Color
· C. Diameter
,· D. Location
· E. Symmetry - ANSWER-C. Diameter
A 55-year-old male with no significant past medical history and generally healthy
behaviors presents to clinic for a health care maintenance exam. He says, "I'd like
to get tested for all types of cancer." He does not have any family history of cancer.
Review of systems is negative for any symptoms of prostate cancer, such as
urinary frequency, urgency, retention, hematuria, weight loss, or back pain. He is a
lifelong non-smoker, and he doesn't drink alcohol or use recreational drugs. Which
of the following screening tests is given either a USPSTF A or B recommendation
in favor of its routine use for patients such as this one?
The best option is indicated below. Your selections are indicated by the shaded
boxes.
· A. Colon cancer screening
· B. ECG screening for coronary artery disease
· C. Lung cancer screening
· D. Pancreatic cancer screening
· E. Prostate specific antigen (PSA) testing - ANSWER-A. Colon cancer screening
Ms. Marcos is a 65-year-old woman with a past medical history of type 2 diabetes,
hypertension, and hypercholesterolemia who presents with six months of insomnia
despite self-medication with acetaminophen, diphenhydramine, and herbal
remedies. Her height is 157 cm (62 in), and weight is 113 kg (250 lbs).
When considering a differential diagnosis, which one of the following is a common
cause of insomnia in the elderly?
The best option is indicated below. Your selections are indicated by the shaded
boxes.
· A. Asymptomatic coronary artery disease
· B. Chronic sinusitis
· C. Hypoparathyroidism
, · D. Pneumonia
· E. Sleep Apnea - ANSWER-E. sleep apnea
Ms. Anderson is a 60-year-old woman who comes in to clinic as a walk in
appointment. She is tearful and is carrying a box of tissues in her hand. She says
she doesn't know why but she has been very sad of late. She reports trouble falling
asleep and staying asleep. She used to be the head of her Bridge club, but quit two
weeks ago and doesn't feel like going out anymore. She also says she has lost
interest in walking her dog, and now just allows him to use the doggie door to let
himself out. She also says she feels weak and fatigued and no longer has the
energy to do her gardening or shopping. She spends most of her day on the sofa
crying while watching TV. She also reports a greatly diminished appetite. She
denies suicidal or homicidal ideation, but she does have a history of a previous
suicide attempt following her divorce seven years ago for which she was
hospitalized. A recent CBC, CMP, CXR, TSH, U/A and CT of th - ANSWER-E.
Two weeks
Mr. Jones is an 82-year-old man who presents to the office for his six-month
chronic disease visit. His diabetes and hypertension are controlled on his usual
home medications. He reports that his wife died four weeks ago, and he is now
experiencing insomnia most days of the week and fatigue and loss of energy nearly
every day; reports decreased enjoyment of his activities, such as playing chess with
his neighbor; and is also experiencing loss of appetite but no weight loss. He
denies any suicidal ideation and has no previous suicide attempts. Mr. Jones says
he often hears his wife's voice while going to bed. He says he goes to church to
pray. You are trying to determine if your patient's symptoms are normal grief or if
you should diagnose and treat him for Major Depressive Disorder (MDD). Which
feature of Mr. Jones' case would suggest MDD rather than a normal grief reaction?
The best option is indicated below. Your s - ANSWER-D. Inability to experience
any joy
Ms. Rogers is a 75-year-old woman who was found unresponsive in her house by
her neighbor who had come over to help clean her house. An empty unlabeled pill
TEST STUDY GUIDE 2026/2027
WITH QUESTIONS AND VERIFIED
CORRECT ANSWERS | ALREADY
GRADED A+ | GUARANTEED PASS
| AQUIFER LATEST EXAM
A 48-year-old male with a past medical history that includes hypertension, chronic
obstructive pulmonary disease (COPD), and hyperlipidemia presents to clinic as a
new patient in October for a general physical exam. History reveals that he has
been smoking a pack of cigarettes daily since age 20. He drinks two beers daily.
He is intermittently nonadherent with his medications. Review of the state
immunization database reveals that the only immunization he has received as an
adult was a tetanus diphtheria shot administered 12 years ago. Which of the
following vaccine combinations would be most appropriate for this patient?
The best option is indicated below. Your selections are indicated by the shaded
boxes.
· A. Influenza, meningococcal, and zoster
· B. Influenza, pneumococcal, and Tdap
,· C. Influenza, zoster, and Tdap
· D. Meningococcal, pneumococcal, and Tdap
· E. Meningococcal, pneumococcal, and zoster - ANSWER-B. Influenza,
pneumococcal, and Tdap
A 55-year-old male comes to the clinic for a visit. He has read about the dangers of
being overweight and inquires about which category he fits into. He is 5' 10'' (1.78
m) and weighs 220 lbs (100 kg), BMI = 31.6. Which of the following categories
most accurately describes the patient based on his BMI?
The best option is indicated below. Your selections are indicated by the shaded
boxes.
· A. Ideal
· B. Morbidly (very severely) obese
· C. Obese
· D. Overweight
E. Underweight - ANSWER-C. Obese
A 55-year-old male with a family history of melanoma presents to the clinic for
evaluation of a skin lesion on his back which appeared three months ago. His wife
first alerted him to it, hasn't noticed it change and he has not noticed any symptoms
associated with it. Physical examination reveals a 7 mm uniformly black macule
that is symmetrically round with sharply demarcated borders on his upper back
near the right shoulder. Which of the following characteristics would most justify it
being biopsied today?
The best option is indicated below. Your selections are indicated by the shaded
boxes.
· A. Borders
· B. Color
· C. Diameter
,· D. Location
· E. Symmetry - ANSWER-C. Diameter
A 55-year-old male with no significant past medical history and generally healthy
behaviors presents to clinic for a health care maintenance exam. He says, "I'd like
to get tested for all types of cancer." He does not have any family history of cancer.
Review of systems is negative for any symptoms of prostate cancer, such as
urinary frequency, urgency, retention, hematuria, weight loss, or back pain. He is a
lifelong non-smoker, and he doesn't drink alcohol or use recreational drugs. Which
of the following screening tests is given either a USPSTF A or B recommendation
in favor of its routine use for patients such as this one?
The best option is indicated below. Your selections are indicated by the shaded
boxes.
· A. Colon cancer screening
· B. ECG screening for coronary artery disease
· C. Lung cancer screening
· D. Pancreatic cancer screening
· E. Prostate specific antigen (PSA) testing - ANSWER-A. Colon cancer screening
Ms. Marcos is a 65-year-old woman with a past medical history of type 2 diabetes,
hypertension, and hypercholesterolemia who presents with six months of insomnia
despite self-medication with acetaminophen, diphenhydramine, and herbal
remedies. Her height is 157 cm (62 in), and weight is 113 kg (250 lbs).
When considering a differential diagnosis, which one of the following is a common
cause of insomnia in the elderly?
The best option is indicated below. Your selections are indicated by the shaded
boxes.
· A. Asymptomatic coronary artery disease
· B. Chronic sinusitis
· C. Hypoparathyroidism
, · D. Pneumonia
· E. Sleep Apnea - ANSWER-E. sleep apnea
Ms. Anderson is a 60-year-old woman who comes in to clinic as a walk in
appointment. She is tearful and is carrying a box of tissues in her hand. She says
she doesn't know why but she has been very sad of late. She reports trouble falling
asleep and staying asleep. She used to be the head of her Bridge club, but quit two
weeks ago and doesn't feel like going out anymore. She also says she has lost
interest in walking her dog, and now just allows him to use the doggie door to let
himself out. She also says she feels weak and fatigued and no longer has the
energy to do her gardening or shopping. She spends most of her day on the sofa
crying while watching TV. She also reports a greatly diminished appetite. She
denies suicidal or homicidal ideation, but she does have a history of a previous
suicide attempt following her divorce seven years ago for which she was
hospitalized. A recent CBC, CMP, CXR, TSH, U/A and CT of th - ANSWER-E.
Two weeks
Mr. Jones is an 82-year-old man who presents to the office for his six-month
chronic disease visit. His diabetes and hypertension are controlled on his usual
home medications. He reports that his wife died four weeks ago, and he is now
experiencing insomnia most days of the week and fatigue and loss of energy nearly
every day; reports decreased enjoyment of his activities, such as playing chess with
his neighbor; and is also experiencing loss of appetite but no weight loss. He
denies any suicidal ideation and has no previous suicide attempts. Mr. Jones says
he often hears his wife's voice while going to bed. He says he goes to church to
pray. You are trying to determine if your patient's symptoms are normal grief or if
you should diagnose and treat him for Major Depressive Disorder (MDD). Which
feature of Mr. Jones' case would suggest MDD rather than a normal grief reaction?
The best option is indicated below. Your s - ANSWER-D. Inability to experience
any joy
Ms. Rogers is a 75-year-old woman who was found unresponsive in her house by
her neighbor who had come over to help clean her house. An empty unlabeled pill
