family medicine: ROSH Review (set 2) UPDATED ACTUAL Questions and
CORRECT Answers
1. CBilateral screen- 58-year-old woman who is postmenopausal presents to the clinic for an annual
ing mammogra- exam. She has no complaints, and physical exam is normal. Family history is pos-
phy every 2 years itive for diabetes mellitus and hypertension but negative for cancer. Which of the
following represents appropriate health maintenance for this patient, according
to the U.S. Preventive Services Task Force?
ABilateral breast ultrasound every 2 years
BBilateral screening mammography and breast ultrasound every 3 years
CBilateral screening mammography every 2 years
DBilateral screening mammography every year
2. False. Ultrasound True or false: Screening breast ultrasound is recommended for patients with
increases diag- previous breast cancer.
nostic yield but
also increas-
es false-positive
rates and thus
is not a recom-
mended screen-
ing tool.
3. screening for The U.S. Preventive Services Task Force suggests beginning bilateral screening
breast cancer mammography for women at normal risk of breast cancer at age 50 years and
with normal risk repeating the screening every 2 years until the patient is 74 years old.
4. screening for with high risk
breast cancer
,Women at increased risk
for breast cancer include
those who have a first-
degreerelative with breast
cancer, a personal history
of radiation therapy to the
chest between the ages of
10 and 30 years, an
ancestry associated with
increased
, incidence of BRCA1 and BRCA2 mutations, patients with a known hereditary breast
or ovarian cancer syndrome, or a personal history of breast, ovarian, tubal, or
peritoneal cancer. Patients at high risk for breast cancer should receive annual
magnetic resonance imaging of the breasts.
5. A Amoxicillin 60-year-old woman presents to your oflce with a complaint of epigastric pain
after eating. She describes the pain as dull, aching, and gnawing. Physical exam
reveals mild epigastric tenderness to palpation. Urea breath testing is positive.
Which of the following is a component of first-line therapy?
AAmoxicillin
BAzithromycin
CCeftriaxone
DRifabutin
6. - Amoxicillin What triple therapy is used to treat H.pylori?
(metronidazole if
PCN allergy)
- Omeprazole
(PPI)
- Clarithromycin
7. BPallor with low- A 70-year-old woman with a history of hypertension and coronary artery disease
er extremity ele- presents to the oflce for evaluation of intermittent claudication. Physical exam-
vation ination reveals diminished peripheral pulses. What other physical examination
finding would you expect to find?
ABrown pigmentation around the ankles
BPallor with lower extremity elevation
, CUlceration at the medial malleolus
DWarm lower extremities
8. Peripheral Artery - Sx: pain in the affected extremity related to activity (intermittent claudication)
Disease - PE: cool extremity with absent or diminished pulses
- Dx: ankle-brachial index (ABI) d0.9
If limb is threatened: contrast arteriography (gold standard)
- Caused by atherosclerotic disease
- Risk factors: smoking, DM, HTN
- Management: risk factor modification, supervised exercise therapy
9. BDry age-related A 62-year-old man presents to the ophthalmology clinic with a gradual onset of
macular degen- decreased visual acuity bilaterally. He describes it as diflculty reading the text on
eration his computer screen and diflculty driving. Dilated eye examination with a slit lamp
reveals drusen deposits around the macula. Which of the following is the most
likely diagnosis?
ACataract
BDry age-related macular degeneration
CGlaucoma
DWet age-related macular degeneration
CORRECT Answers
1. CBilateral screen- 58-year-old woman who is postmenopausal presents to the clinic for an annual
ing mammogra- exam. She has no complaints, and physical exam is normal. Family history is pos-
phy every 2 years itive for diabetes mellitus and hypertension but negative for cancer. Which of the
following represents appropriate health maintenance for this patient, according
to the U.S. Preventive Services Task Force?
ABilateral breast ultrasound every 2 years
BBilateral screening mammography and breast ultrasound every 3 years
CBilateral screening mammography every 2 years
DBilateral screening mammography every year
2. False. Ultrasound True or false: Screening breast ultrasound is recommended for patients with
increases diag- previous breast cancer.
nostic yield but
also increas-
es false-positive
rates and thus
is not a recom-
mended screen-
ing tool.
3. screening for The U.S. Preventive Services Task Force suggests beginning bilateral screening
breast cancer mammography for women at normal risk of breast cancer at age 50 years and
with normal risk repeating the screening every 2 years until the patient is 74 years old.
4. screening for with high risk
breast cancer
,Women at increased risk
for breast cancer include
those who have a first-
degreerelative with breast
cancer, a personal history
of radiation therapy to the
chest between the ages of
10 and 30 years, an
ancestry associated with
increased
, incidence of BRCA1 and BRCA2 mutations, patients with a known hereditary breast
or ovarian cancer syndrome, or a personal history of breast, ovarian, tubal, or
peritoneal cancer. Patients at high risk for breast cancer should receive annual
magnetic resonance imaging of the breasts.
5. A Amoxicillin 60-year-old woman presents to your oflce with a complaint of epigastric pain
after eating. She describes the pain as dull, aching, and gnawing. Physical exam
reveals mild epigastric tenderness to palpation. Urea breath testing is positive.
Which of the following is a component of first-line therapy?
AAmoxicillin
BAzithromycin
CCeftriaxone
DRifabutin
6. - Amoxicillin What triple therapy is used to treat H.pylori?
(metronidazole if
PCN allergy)
- Omeprazole
(PPI)
- Clarithromycin
7. BPallor with low- A 70-year-old woman with a history of hypertension and coronary artery disease
er extremity ele- presents to the oflce for evaluation of intermittent claudication. Physical exam-
vation ination reveals diminished peripheral pulses. What other physical examination
finding would you expect to find?
ABrown pigmentation around the ankles
BPallor with lower extremity elevation
, CUlceration at the medial malleolus
DWarm lower extremities
8. Peripheral Artery - Sx: pain in the affected extremity related to activity (intermittent claudication)
Disease - PE: cool extremity with absent or diminished pulses
- Dx: ankle-brachial index (ABI) d0.9
If limb is threatened: contrast arteriography (gold standard)
- Caused by atherosclerotic disease
- Risk factors: smoking, DM, HTN
- Management: risk factor modification, supervised exercise therapy
9. BDry age-related A 62-year-old man presents to the ophthalmology clinic with a gradual onset of
macular degen- decreased visual acuity bilaterally. He describes it as diflculty reading the text on
eration his computer screen and diflculty driving. Dilated eye examination with a slit lamp
reveals drusen deposits around the macula. Which of the following is the most
likely diagnosis?
ACataract
BDry age-related macular degeneration
CGlaucoma
DWet age-related macular degeneration
