AQUIFER FAMILY MEDICINE EXAM 2026
WITH VERIFIED QUESTIONS AND ANSWERS||
ALREADY GRADED A+
A 58-year-old man presents to clinic with right upper quadrant pain. The patient
has a history of hypertension and GERD, but denies any past surgeries. His
abdominal exam reveals a positive Murphy's sign. What would be the next best
step to confirm your working diagnosis?
A. Complete blood count
B. Liver tests
C. CT abdomen without contrast
D. CT abdomen with contrast
E. Abdominal ultrasound - ANSWER-E. Abdominal ultrasound
"Which of the following is correct regarding breast self-examination? Choose
the single best answer. A. Breast self-examination increases the number of
biopsies performed. B. It is recommended to teach females breast self-
examination C. Most females should regularly perform breast self-examination.
D. The practice of regular breast self-examination by trained female patients
reduces mortality. - ANSWER-A. Breast self-examination increases the number
of biopsies performed.
A 47-year-old female presents to the clinic complaining of an ""itchy patch"" on
her skin. On further examination, you note a solid, elevated 1.5cm lesion on the
extensor surface of the right forearm. How would you best describe the lesion?
A. Plaque
,B. Papule
C. Patch
D. Nodule
E. Macule" - ANSWER-A. Plaque
"
A 12-year-old male is brought to the clinic with a pruritic, red, scaly rash in the
creases of his elbows. He denies new topical exposures and generally feels well.
He has a history of seasonal allergies. Which of the following is the most
appropriate course of action?
A. Biopsy the skin lesion
B. Ask the patient to return to the clinic after three days
C. Prescribe topical corticosteroids
D. Prescribe oral antibiotics
E. Prescribe oral corticosteroids" - ANSWER-C. Prescribe topical
corticosteroids
"
A 26-year-old male professional football player comes to the clinic with the
concern of hair loss. On examination, the scalp is scaly and erythematous, and
certain regions are purulent. There are several circular spots where the hair
follicles are no longer present. KOH of skin shows hyphae. What is the most
appropriate next step in the management of this patient?
A. Punch biopsy of lesion
B. Topical griseofulvin
C. Oral griseofulvin
,D. Oral prednisone
E. Topical prednisone" - ANSWER-C. Oral griseofulvin
"
A 64-year-old male comes in for a routine physical examination. He notes that
over the past few months he has had to get up to urinate in the middle of the
night. Benign prostatic hypertrophy (BPH) is on your differential. What other
symptom is consistent with BPH?
A. Cloudy penile discharge
B. Erectile dysfunction
C. Hematuria
D. Urinary urgency
E. Dysuria" - ANSWER-D. Urinary urgency
"
A 57-year-old female comes in, concerned about a 1.5 cm dark multicolored
mole lateral to her left eye that has been increasing in size over the past six
months. A punch biopsy shows pathology indicative of squamous cell
carcinoma. What is the most appropriate intervention?
A. Three-month follow-up visits for the first year; then every six months
B. Avoid artificial sources of UV light, such as indoor tanning
C. Cryotherapy extending 4 mm beyond the lesion margins
D. Mohs surgery
E. Excisional biopsy extending 5 mm beyond lesional border" - ANSWER-D.
Mohs surgery
"
, Ms. Kovacs is a first-time mother you are seeing on postpartum day two in the
hospital, with her newborn son Christopher. Her pregnancy was uncomplicated
and Christopher was born full-term via spontaneous vaginal delivery with no
complications and a birth weight of 7 lbs, 0 oz (3,178 grams). Ms. Kovacs is
getting ready to be discharged home today but is concerned because the baby
now weighs 6.8 lbs (3,087 grams) and she hasn't been able to produce milk
every time Christopher wants to feed. Upon receiving your recommendations,
she has been attempting to breastfeed with good technique every two to three
hours with strong latching and vigorous suckling. She is still concerned her
baby isn't getting enough to eat.
Which of the following would be the most appropriate advice for mom?
A. Continue to attempt breastfeeding
B. Request a lactation consultation to ensure the baby gains weight
C. Remain in the hospital until Ch - ANSWER-A. Continue to attempt
breastfeeding
"
You are on call over the weekend for the pediatric clinic and a concerned
mother calls in. She has three children at home, her youngest being a 5-week-
old. She's very busy and about to leave town on Monday to visit relatives out of
state. She tells you that for the last week her two oldest children have had a
cough, runny nose, and one or two fevers as high as 38.4 C (101.2 F), but these
symptoms have improved in both children with Tylenol. Her youngest child is
now having the same symptoms and has a temperature of 38.1 C (100.5 F).
Because they're about to go out of town, the mother wants to know if you can
call in something stronger like an antibiotic so her youngest can feel better
sooner.
What is the most appropriate step in managing this child?
A. Call in a prescription for amoxicillin as this will cover the likely causative
organisms for this infection
WITH VERIFIED QUESTIONS AND ANSWERS||
ALREADY GRADED A+
A 58-year-old man presents to clinic with right upper quadrant pain. The patient
has a history of hypertension and GERD, but denies any past surgeries. His
abdominal exam reveals a positive Murphy's sign. What would be the next best
step to confirm your working diagnosis?
A. Complete blood count
B. Liver tests
C. CT abdomen without contrast
D. CT abdomen with contrast
E. Abdominal ultrasound - ANSWER-E. Abdominal ultrasound
"Which of the following is correct regarding breast self-examination? Choose
the single best answer. A. Breast self-examination increases the number of
biopsies performed. B. It is recommended to teach females breast self-
examination C. Most females should regularly perform breast self-examination.
D. The practice of regular breast self-examination by trained female patients
reduces mortality. - ANSWER-A. Breast self-examination increases the number
of biopsies performed.
A 47-year-old female presents to the clinic complaining of an ""itchy patch"" on
her skin. On further examination, you note a solid, elevated 1.5cm lesion on the
extensor surface of the right forearm. How would you best describe the lesion?
A. Plaque
,B. Papule
C. Patch
D. Nodule
E. Macule" - ANSWER-A. Plaque
"
A 12-year-old male is brought to the clinic with a pruritic, red, scaly rash in the
creases of his elbows. He denies new topical exposures and generally feels well.
He has a history of seasonal allergies. Which of the following is the most
appropriate course of action?
A. Biopsy the skin lesion
B. Ask the patient to return to the clinic after three days
C. Prescribe topical corticosteroids
D. Prescribe oral antibiotics
E. Prescribe oral corticosteroids" - ANSWER-C. Prescribe topical
corticosteroids
"
A 26-year-old male professional football player comes to the clinic with the
concern of hair loss. On examination, the scalp is scaly and erythematous, and
certain regions are purulent. There are several circular spots where the hair
follicles are no longer present. KOH of skin shows hyphae. What is the most
appropriate next step in the management of this patient?
A. Punch biopsy of lesion
B. Topical griseofulvin
C. Oral griseofulvin
,D. Oral prednisone
E. Topical prednisone" - ANSWER-C. Oral griseofulvin
"
A 64-year-old male comes in for a routine physical examination. He notes that
over the past few months he has had to get up to urinate in the middle of the
night. Benign prostatic hypertrophy (BPH) is on your differential. What other
symptom is consistent with BPH?
A. Cloudy penile discharge
B. Erectile dysfunction
C. Hematuria
D. Urinary urgency
E. Dysuria" - ANSWER-D. Urinary urgency
"
A 57-year-old female comes in, concerned about a 1.5 cm dark multicolored
mole lateral to her left eye that has been increasing in size over the past six
months. A punch biopsy shows pathology indicative of squamous cell
carcinoma. What is the most appropriate intervention?
A. Three-month follow-up visits for the first year; then every six months
B. Avoid artificial sources of UV light, such as indoor tanning
C. Cryotherapy extending 4 mm beyond the lesion margins
D. Mohs surgery
E. Excisional biopsy extending 5 mm beyond lesional border" - ANSWER-D.
Mohs surgery
"
, Ms. Kovacs is a first-time mother you are seeing on postpartum day two in the
hospital, with her newborn son Christopher. Her pregnancy was uncomplicated
and Christopher was born full-term via spontaneous vaginal delivery with no
complications and a birth weight of 7 lbs, 0 oz (3,178 grams). Ms. Kovacs is
getting ready to be discharged home today but is concerned because the baby
now weighs 6.8 lbs (3,087 grams) and she hasn't been able to produce milk
every time Christopher wants to feed. Upon receiving your recommendations,
she has been attempting to breastfeed with good technique every two to three
hours with strong latching and vigorous suckling. She is still concerned her
baby isn't getting enough to eat.
Which of the following would be the most appropriate advice for mom?
A. Continue to attempt breastfeeding
B. Request a lactation consultation to ensure the baby gains weight
C. Remain in the hospital until Ch - ANSWER-A. Continue to attempt
breastfeeding
"
You are on call over the weekend for the pediatric clinic and a concerned
mother calls in. She has three children at home, her youngest being a 5-week-
old. She's very busy and about to leave town on Monday to visit relatives out of
state. She tells you that for the last week her two oldest children have had a
cough, runny nose, and one or two fevers as high as 38.4 C (101.2 F), but these
symptoms have improved in both children with Tylenol. Her youngest child is
now having the same symptoms and has a temperature of 38.1 C (100.5 F).
Because they're about to go out of town, the mother wants to know if you can
call in something stronger like an antibiotic so her youngest can feel better
sooner.
What is the most appropriate step in managing this child?
A. Call in a prescription for amoxicillin as this will cover the likely causative
organisms for this infection
