Family Med PAEA Practice Test Questions and Answers

Family Med PAEA Practice Test 1. A 31-year-old woman seeks evaluation for episodic waves of terror and anxiety. She frequently awakens from a sound sleep due to a rush of anxiety accompanied by palpitations, dyspnea, chest pain, and numbness in her fingers and toes. Which of the following is the most appropriate initial therapy for this patient? A. Fluvoxamine (Luvox) B. Amitriptyline (Elavil) C. Phenelzine (Nardil) D. Fluoxetine (Prozac) - Answer- D A 66-year-old woman with a history of diabetes, hypertension and a 50-pack-year smoking history is evaluated for dyspnea. On examination she has distended neck veins, tachycardia with distant heart sounds, and pulsus paradoxus. Which of the following is the most likely diagnosis? A. Acute coronary syndrome B. Cardiac tamponade C. Pericarditis D. Infective endocarditis E. Hypertrophic cardiomyopathy - Answer- B A 56-year-old man seen for routine evaluation is noted to have a slightly raised lesion involving the bulbar conjunctiva of the left eye which stretches across the cornea. This finding is most consistent with which of the following? A. Pterygium B. Chalazion C. Xanthelasma D. Dacryocystitis E. Entropion - Answer- A A 68-year-old man with a history of well-controlled hypertension comes to clinic with calf pain while walking over the past three weeks. He typically walks one to two miles most days of the week, but now can tolerate less than 0.5 mile before he stops due to bilateral calf pain. This pain resolves after resting one to two minutes, but returns with increasing levels of activity. He denies chest pain, shortness of breath, headache, or dizziness. Which of the following physical examination findings is most likely? A. Absence of leg hair B. Bounding posterior tibial pulses C. 2+ pitting edema of lower extremities D. Stasis dermatitis of lower extremities - Answer- A A 45-year-old woman is evaluated for a one-year history of itchy and irritated skin along her lower shins and vaginal region. She also has dyspareunia despite lubricant use. Her menses occur monthly. Physical