Family Medicine Quizzes
,./ ,./
You,./are,./seeing,./a,./previously,./healthy,./42-year-
old,./man,./who,./is,./brought,./to,./the,./ER,./1,./day,./after,./the,./sudden,./onset,./of,./shortness,./of
,./breath,./and,./chest,./pain.,./He,./notes,./the,./pain,./is,./exacerbated,./by,./deep,./inspiration.
,./
On,./exam,./his,./pulse,./is,./120/min,,./respirations,./are,./24/min,,./and,./blood,./pressure,./is,./1
40/90,./mm,./Hg.,./Breath,./sounds,./are,./normal.,./The,./remainder,./of,./the,./examination,./sh
ows,./no,./abnormalities.,./Arterial,./blood,./gas,./analysis,./on,./room,./air,./shows:
,./
pH,./7.49
PCO2,./30,./mm,./Hg
PO2,./64,./mm,./Hg
O2,./saturation,./91%
,./
An,./x-ray,./of,./the,./chest,./shows,./no,./abnormalities.
,./
Which,./of,./the,./following,./is,./the,./most,./likely,./mechanism,./of,./these,./findings?,./-
,./correct,./answer,./✔ ✔ Ventilation-perfusion,./mismatch
What,./is,./the,./most,./common,./cause,./of,./right,./heart,./failure,./in,./adults?,./-
,./correct,./answer,./✔ ✔ left,./sided,./heart,./failure
According,./to,./JNC,./8,,./what,./is,./the,./diastolic,./blood,./pressure,./goal,./in,./diabetes?,./-
,./correct,./answer,./✔ ✔ <,./90,./mm,./Hg
,True,./or,./False:,./Per,./JNC,./8,./Guidelines,,./all,./patients,./diagnosed,./with,./hypertension,./
should,./be,./screened,./for,./secondary,./causes.,./-,./correct,./answer,./✔ ✔ False
In,./the,./medical,./management,./of,./malignant,./hypertension,,./which,./of,./the,./following,./
actions,./should,./be,./undertaken?,./-,./correct,./answer,./✔ ✔
Assessment,./of,./secondary,./causes,./of,./hypertension
Of,./the,./options,./below,,./what,./is,./the,./recommended,./first,./step,./of,./the,./abdominal,./exa
m?,./-,./correct,./answer,./✔ ✔ Inspection
Which,./of,./the,./following,./abnormalities,./defines,./a,./patient,./with,./"Unstable,./or,./Massi
ve",./Pulmonary,./Embolism,./(PE)?,./-,./correct,./answer,./✔ ✔
Hypotension,./with,./systolic,./BP,./<,./90,./mmhg
Which,./of,./the,./following,./is,./a,./symptom,./of,./a,./peripheral,./cause,./of,./vertigo?,./-
,./correct,./answer,./✔ ✔ All,./of,./the,./above
You,./are,./seeing,./a,./64-
year,./old,./male,./in,./clinic,./for,./a,./follow,./up,./visit,./for,./his,./recurrent,./severe,./GERD,./sy
mptoms,,./hoarseness,,./and,./chronic,./cough.,./He,./has,./a,./past,./medical,./history,./of,./GER
D,./for,./the,./last,./10,./years,./and,./has,./had,./2-
3,./EGDs,./in,./the,./past,./with,./no,./evidence,./or,./signs,./of,./Barrett's,./esophagus.,./He,./takes,./
(omeprazole,./40,./mg,./BID),./but,./is,./always,./forgetful,./about,./taking,./his,./medication.,./
Which,./of,./the,./following,./statements,./is,./true,./regarding,./further,./surgical,./treatment,./f
or,./this,./patient?,./-,./correct,./answer,./✔ ✔
The,./Nissen,./fundoplication,./has,./been,./found,./superior,./to,./other,./procedures,,./with,./
symptomatic,./improvement,./occurring,./in,./85,./to,./90,./percent,./of,./patients
,Below,./are,./list,./of,./drugs,./that,./are,./associated,./with,./nephrotoxicity.,./Which,./of,./the,./fo
llowing,./causes,./acute,./interstitial,./nephritis,./as,./its,./mechanism?,./-,./correct,./answer,./✔
✔ Vancomycin
You,./are,./seeing,./a,./67-
year,./old,./black,./male,./in,./your,./clinic,./for,./a,./routine,./health,./visit.,./He,./has,./a,./past,./med
ical,./history,./of,./type,./II,./diabetes,,./hypertension,./and,./stage,./IV,./CKD,./(last,./GFR,./was,.
/27,./ml).,./He,./notes,./prior,./TIA,./and,./MI,./and,./has,./had,./2,./stents,./in,./the,./last,./5,./years.,./
Which,./of,./the,./following,./is,./the,./most,./likely,./outcome,./of,./this,./patient?,./-
,./correct,./answer,./✔ ✔ Death,./from,./MI
A,./24-year-
old,./female,./with,./insomnia,./and,./mild,./depression,./comes,./to,./the,./office,./because,./of,./r
ecurrent,./severe,./generalized,,./throbbing,./headaches,./associated,./with,./nausea,,./occasi
onal,./vomiting,,./and,./light,./and,./noise,./sensitivity.,./The,./headaches,./occur,./2,./to,./3,./time
s,./weekly,./and,./last,./12,./to,./24,./hours.,./She,./misses,./approximately,./1,./workday,./each,./m
onth.,./She,./has,./been,./taking,./zolmitriptan,,./5,./mg,./orally,,./for,./acute,./attacks,,./with,./goo
d,./benefit,./approximately,./two,./thirds,./of,./the,./time.,./Which,./of,./the,./following,./medicat
ions,./is,./most,./appropriate,./to,./prevent,./the,./headaches,./in,./this,./patient?,./-
,./correct,./answer,./✔ ✔ amitriptyline
You,./are,./seeing,./a,./26-
year,./old,./white,./female,./in,./clinic,./for,./consultation,./for,./her,./recurrent,./headaches,./ove
r,./the,./last,./4,./years.,./She,./has,./no,./medical,./problems,./and,./only,./takes,./NSAIDs,./(alleve
,./or,./motrin),./for,./her,./headaches.,./Which,./one,./of,./the,./following,./therapeutic,./agents,./is
,./most,./appropriate,./for,./daily,./use,./in,./the,./prevention,./of,./migraine,./headache?,./-
,./correct,./answer,./✔ ✔ Amitriptyline,./(Elavil)
A,./previously,./healthy,./24-
year,./old,./female,./presents,./to,./you,./complaining,./of,./recurrent,./headaches,./over,./the,./la
, st,./2,./months.,./Which,./of,./the,./following,./symptoms,./would,./be,./more,./suggestive,./of,./a,.
/tension,./type,./headache?,./-,./correct,./answer,./✔ ✔
not,./aggravated,./by,./routine,./physical,./activity,./such,./as,./walking,./or,./climbing,./stairs
Which,./of,./the,./following,./is,./considered,./criteria,./to,./diagnose,./STEMI,./on,./ECG?,./-
,./correct,./answer,./✔ ✔ All,./of,./the,./above
Which,./of,./the,./following,./symptoms,./has,./been,./found,./to,./be,./the,./strongest,./predictor,.
/for,./Detecting,./Myocardial,./Infarction,./in,./Patients,./with,./Chest,./Pain,./in,./the,./Emergen
cy,./Department?,./-,./correct,./answer,./✔ ✔ Diaphoresis
Normal,./or,./near-
normal,./ECG,./findings,./decrease,./the,./risk,./of,./MI,,./especially,./in,./patients,./with,./no,./hi
story,./of,./coronary,./artery,./disease,,./but,./NSTEMI,./may,./occur,./in,./what,./percentage,./of
,./these,./patients?,./-,./correct,./answer,./✔ ✔ 1-6%
You,./are,./seeing,./a,./previously,./healthy,./28-year-
old,./female,./in,./your,./clinic,./with,./a,./complaint,./of,./intermittent,./irregular,./heartbeats,./o
r,./palpitations.,./She,./states,./the,./symptoms,./occur,./a,./few,./times,./per,./week.,./They,./last,./
only,./a,./few,./seconds,./and,./resolve,./spontaneously.,./She,./denies,./chest,./pains,,./or,./short
ness,./of,./breath,./and,./has,./never,./passed,./out,./or,./had,./difficulty,./with,./exertion.,./She,./ta
kes,./no,./medications,,./denies,./drugs,./or,./tobacco,,./and,./denies,./family,./history,./of,./heart,
./disease.,./Her,./physical,./examination,./is,./normal,./including,./normal,./heart,./sounds,./in,./
which,./you,./ascultate,./no,./murmurs,,./rubs,,./or,./gallops.,./Which,./of,./the,./following,./state
ments,./regarding,./"palpitations",./is,./false?,./-,./correct,./answer,./✔ ✔ Standard,./12-
lead,./ECG,./has,./been,./shown,./determine,./the,./cause,./of,./palpitations,./in,./only,./10%,./of,./
patients
,./ ,./
You,./are,./seeing,./a,./previously,./healthy,./42-year-
old,./man,./who,./is,./brought,./to,./the,./ER,./1,./day,./after,./the,./sudden,./onset,./of,./shortness,./of
,./breath,./and,./chest,./pain.,./He,./notes,./the,./pain,./is,./exacerbated,./by,./deep,./inspiration.
,./
On,./exam,./his,./pulse,./is,./120/min,,./respirations,./are,./24/min,,./and,./blood,./pressure,./is,./1
40/90,./mm,./Hg.,./Breath,./sounds,./are,./normal.,./The,./remainder,./of,./the,./examination,./sh
ows,./no,./abnormalities.,./Arterial,./blood,./gas,./analysis,./on,./room,./air,./shows:
,./
pH,./7.49
PCO2,./30,./mm,./Hg
PO2,./64,./mm,./Hg
O2,./saturation,./91%
,./
An,./x-ray,./of,./the,./chest,./shows,./no,./abnormalities.
,./
Which,./of,./the,./following,./is,./the,./most,./likely,./mechanism,./of,./these,./findings?,./-
,./correct,./answer,./✔ ✔ Ventilation-perfusion,./mismatch
What,./is,./the,./most,./common,./cause,./of,./right,./heart,./failure,./in,./adults?,./-
,./correct,./answer,./✔ ✔ left,./sided,./heart,./failure
According,./to,./JNC,./8,,./what,./is,./the,./diastolic,./blood,./pressure,./goal,./in,./diabetes?,./-
,./correct,./answer,./✔ ✔ <,./90,./mm,./Hg
,True,./or,./False:,./Per,./JNC,./8,./Guidelines,,./all,./patients,./diagnosed,./with,./hypertension,./
should,./be,./screened,./for,./secondary,./causes.,./-,./correct,./answer,./✔ ✔ False
In,./the,./medical,./management,./of,./malignant,./hypertension,,./which,./of,./the,./following,./
actions,./should,./be,./undertaken?,./-,./correct,./answer,./✔ ✔
Assessment,./of,./secondary,./causes,./of,./hypertension
Of,./the,./options,./below,,./what,./is,./the,./recommended,./first,./step,./of,./the,./abdominal,./exa
m?,./-,./correct,./answer,./✔ ✔ Inspection
Which,./of,./the,./following,./abnormalities,./defines,./a,./patient,./with,./"Unstable,./or,./Massi
ve",./Pulmonary,./Embolism,./(PE)?,./-,./correct,./answer,./✔ ✔
Hypotension,./with,./systolic,./BP,./<,./90,./mmhg
Which,./of,./the,./following,./is,./a,./symptom,./of,./a,./peripheral,./cause,./of,./vertigo?,./-
,./correct,./answer,./✔ ✔ All,./of,./the,./above
You,./are,./seeing,./a,./64-
year,./old,./male,./in,./clinic,./for,./a,./follow,./up,./visit,./for,./his,./recurrent,./severe,./GERD,./sy
mptoms,,./hoarseness,,./and,./chronic,./cough.,./He,./has,./a,./past,./medical,./history,./of,./GER
D,./for,./the,./last,./10,./years,./and,./has,./had,./2-
3,./EGDs,./in,./the,./past,./with,./no,./evidence,./or,./signs,./of,./Barrett's,./esophagus.,./He,./takes,./
(omeprazole,./40,./mg,./BID),./but,./is,./always,./forgetful,./about,./taking,./his,./medication.,./
Which,./of,./the,./following,./statements,./is,./true,./regarding,./further,./surgical,./treatment,./f
or,./this,./patient?,./-,./correct,./answer,./✔ ✔
The,./Nissen,./fundoplication,./has,./been,./found,./superior,./to,./other,./procedures,,./with,./
symptomatic,./improvement,./occurring,./in,./85,./to,./90,./percent,./of,./patients
,Below,./are,./list,./of,./drugs,./that,./are,./associated,./with,./nephrotoxicity.,./Which,./of,./the,./fo
llowing,./causes,./acute,./interstitial,./nephritis,./as,./its,./mechanism?,./-,./correct,./answer,./✔
✔ Vancomycin
You,./are,./seeing,./a,./67-
year,./old,./black,./male,./in,./your,./clinic,./for,./a,./routine,./health,./visit.,./He,./has,./a,./past,./med
ical,./history,./of,./type,./II,./diabetes,,./hypertension,./and,./stage,./IV,./CKD,./(last,./GFR,./was,.
/27,./ml).,./He,./notes,./prior,./TIA,./and,./MI,./and,./has,./had,./2,./stents,./in,./the,./last,./5,./years.,./
Which,./of,./the,./following,./is,./the,./most,./likely,./outcome,./of,./this,./patient?,./-
,./correct,./answer,./✔ ✔ Death,./from,./MI
A,./24-year-
old,./female,./with,./insomnia,./and,./mild,./depression,./comes,./to,./the,./office,./because,./of,./r
ecurrent,./severe,./generalized,,./throbbing,./headaches,./associated,./with,./nausea,,./occasi
onal,./vomiting,,./and,./light,./and,./noise,./sensitivity.,./The,./headaches,./occur,./2,./to,./3,./time
s,./weekly,./and,./last,./12,./to,./24,./hours.,./She,./misses,./approximately,./1,./workday,./each,./m
onth.,./She,./has,./been,./taking,./zolmitriptan,,./5,./mg,./orally,,./for,./acute,./attacks,,./with,./goo
d,./benefit,./approximately,./two,./thirds,./of,./the,./time.,./Which,./of,./the,./following,./medicat
ions,./is,./most,./appropriate,./to,./prevent,./the,./headaches,./in,./this,./patient?,./-
,./correct,./answer,./✔ ✔ amitriptyline
You,./are,./seeing,./a,./26-
year,./old,./white,./female,./in,./clinic,./for,./consultation,./for,./her,./recurrent,./headaches,./ove
r,./the,./last,./4,./years.,./She,./has,./no,./medical,./problems,./and,./only,./takes,./NSAIDs,./(alleve
,./or,./motrin),./for,./her,./headaches.,./Which,./one,./of,./the,./following,./therapeutic,./agents,./is
,./most,./appropriate,./for,./daily,./use,./in,./the,./prevention,./of,./migraine,./headache?,./-
,./correct,./answer,./✔ ✔ Amitriptyline,./(Elavil)
A,./previously,./healthy,./24-
year,./old,./female,./presents,./to,./you,./complaining,./of,./recurrent,./headaches,./over,./the,./la
, st,./2,./months.,./Which,./of,./the,./following,./symptoms,./would,./be,./more,./suggestive,./of,./a,.
/tension,./type,./headache?,./-,./correct,./answer,./✔ ✔
not,./aggravated,./by,./routine,./physical,./activity,./such,./as,./walking,./or,./climbing,./stairs
Which,./of,./the,./following,./is,./considered,./criteria,./to,./diagnose,./STEMI,./on,./ECG?,./-
,./correct,./answer,./✔ ✔ All,./of,./the,./above
Which,./of,./the,./following,./symptoms,./has,./been,./found,./to,./be,./the,./strongest,./predictor,.
/for,./Detecting,./Myocardial,./Infarction,./in,./Patients,./with,./Chest,./Pain,./in,./the,./Emergen
cy,./Department?,./-,./correct,./answer,./✔ ✔ Diaphoresis
Normal,./or,./near-
normal,./ECG,./findings,./decrease,./the,./risk,./of,./MI,,./especially,./in,./patients,./with,./no,./hi
story,./of,./coronary,./artery,./disease,,./but,./NSTEMI,./may,./occur,./in,./what,./percentage,./of
,./these,./patients?,./-,./correct,./answer,./✔ ✔ 1-6%
You,./are,./seeing,./a,./previously,./healthy,./28-year-
old,./female,./in,./your,./clinic,./with,./a,./complaint,./of,./intermittent,./irregular,./heartbeats,./o
r,./palpitations.,./She,./states,./the,./symptoms,./occur,./a,./few,./times,./per,./week.,./They,./last,./
only,./a,./few,./seconds,./and,./resolve,./spontaneously.,./She,./denies,./chest,./pains,,./or,./short
ness,./of,./breath,./and,./has,./never,./passed,./out,./or,./had,./difficulty,./with,./exertion.,./She,./ta
kes,./no,./medications,,./denies,./drugs,./or,./tobacco,,./and,./denies,./family,./history,./of,./heart,
./disease.,./Her,./physical,./examination,./is,./normal,./including,./normal,./heart,./sounds,./in,./
which,./you,./ascultate,./no,./murmurs,,./rubs,,./or,./gallops.,./Which,./of,./the,./following,./state
ments,./regarding,./"palpitations",./is,./false?,./-,./correct,./answer,./✔ ✔ Standard,./12-
lead,./ECG,./has,./been,./shown,./determine,./the,./cause,./of,./palpitations,./in,./only,./10%,./of,./
patients
