FM EOR Exam Questions and Answers
Which of the following portends the greatest risk for the development of breast cancer?
A. Nulliparity
B. Early menarche
C. BRCA 1 positivity
D. Maternal family history of breast cancer - Answer-C. BRCA1 positivity is associated with half of the
early onset breast cancers and 90% of the hereditary ovarian
cancers.
In order to help delay the progression to kidney disease in a diabetic patient with proteinuria, which of
the following
would you consider using to treat the patient's concomitant hypertension?
A. Atenolol (Tenormin)
B. Amlodipine (Norvasc)
C. Accupril (Quinapril)
,D. Amiloride (Midamor) - Answer-C. Accupril is an ACE inhibitor. Because of their beneficial effects in
diabetic neuropathy, ACE inhibitors (and
ARBs) should be part of the initial treatment regimen for hypertension in diabetics.
A 58 year-old with a 20 pack-year history of tobacco use presents to the emergency department with
sudden onset of
severe, progressive right-sided chest pain and shortness of breath. She denies fever, nausea and
productive cough but reports returning from a mission trip to South Africa yesterday. Her exam reveals
tachycardia, tachypnea, clear
lung fields and 3+ edema and erythema of the left leg. Her chest radiograph is normal. Which of the
following is the
most likely diagnosis?
A. Pulmonary embolism
B. Pneumothorax
C. Pneumonia
D. Pleurisy - Answer-A. The patient's risk factors, acutely progressive presentation and normal chest
radiograph make a pulmonary
embolism the most likely and most worrisome diagnosis.
A 46 year-old male is brought to the emergency department after sustaining burns to his entire right
arm and leg in a
house fire. Which of the following percentages best classifies the extent of his burns?
A. 12
B. 18
C. 27
D. 36 - Answer-C. According to the "rule of nines" the percentages can be calculated as follows: entire
arm = 9% of body surface
area (BSA). Anterior surface of each leg = 9% BSA, posterior surface of each leg = 9% BSA. The patient
has a
,total of 27% BSA with burns.
Which of the following imaging modalities is most appropriate in the evaluation of chronic sinusitis?
A. Coronal CT
B. Sinus MRI
C. Panorex
D. Sinus radiographs - Answer-A. Coronal CT is the most effective imaging to determine the anatomy of
the sinuses as well as the presence and
extent of sinusitis.
Which of the following is indicated as the first-line treatment of an initial case of acute gouty arthritis?
A. Indomethacin (Indocin)
B. Colchicine (Probenicid)
C. Methylprednisolone (Medrol)
D. Allopurinol (Zyloprim) - Answer-A. A nonsteroidal antiinflammatory agent is indicated as the first-line
treatment for an initial case of acute gout.
Which of the following is the most sensitive laboratory test to diagnose herpes simplex virus?
A. Polymerase chain reaction (PCR)
B. Enzyme-linked immunosorbent assay (ELISA)
C. Tzanck smear
D. HSV antibody titer - Answer-(c) A. Diagnosis is usually made clinically however, PCR is more sensitive
than culture.
Which of the following is the drug of choice for the prevention of Wernicke's encephalopathy?
A. Folic acid
B. Calcium gluconate
, C. Vitamin B 12
D. Thiamine - Answer-D. Wernicke's encephalopathy, also called alcoholic encephalopathy, is an acute
neurological disorder of thiamine
deficiency. Patients are given 100mg po BID to TID for 1 to 2 weeks or parenterally 100mg in each liter of
glucose.
S3 and S4 gallops are both signs of which type of cardiac abnormality?
A. Atrial non-compliance
B. Ventricular septal defect
C. Valvular insufficiency
D. Ventricular dysfunction - Answer-D. S3 may be louder if filling pressure is increased or if ventricular
compliance is reduced. S4 is most commonly
heard when there is increased resistance to filling because of loss of compliance of the ventricular walls
or the
increased stroke volume of high-output states.
A 48 year-old male presents with a mild tremor that seems to increase with stressful situations and
subsides when he
has a glass of wine with dinner. The patient does not demonstrate the tremor at rest but it reappears
when he
reaches for a pen. Which of the following is most likely the cause of this patient's symptoms?
A. Parkinson disease
B. Essential tremor
C. Huntington disease
D. Focal torsion dystonia - Answer-B. Essential tremor can be familial and cause action related hand
tremor, head tremor, or voice tremor. The
lower extremities are spared and generally no further neurologic findings are present.
Which of the following portends the greatest risk for the development of breast cancer?
A. Nulliparity
B. Early menarche
C. BRCA 1 positivity
D. Maternal family history of breast cancer - Answer-C. BRCA1 positivity is associated with half of the
early onset breast cancers and 90% of the hereditary ovarian
cancers.
In order to help delay the progression to kidney disease in a diabetic patient with proteinuria, which of
the following
would you consider using to treat the patient's concomitant hypertension?
A. Atenolol (Tenormin)
B. Amlodipine (Norvasc)
C. Accupril (Quinapril)
,D. Amiloride (Midamor) - Answer-C. Accupril is an ACE inhibitor. Because of their beneficial effects in
diabetic neuropathy, ACE inhibitors (and
ARBs) should be part of the initial treatment regimen for hypertension in diabetics.
A 58 year-old with a 20 pack-year history of tobacco use presents to the emergency department with
sudden onset of
severe, progressive right-sided chest pain and shortness of breath. She denies fever, nausea and
productive cough but reports returning from a mission trip to South Africa yesterday. Her exam reveals
tachycardia, tachypnea, clear
lung fields and 3+ edema and erythema of the left leg. Her chest radiograph is normal. Which of the
following is the
most likely diagnosis?
A. Pulmonary embolism
B. Pneumothorax
C. Pneumonia
D. Pleurisy - Answer-A. The patient's risk factors, acutely progressive presentation and normal chest
radiograph make a pulmonary
embolism the most likely and most worrisome diagnosis.
A 46 year-old male is brought to the emergency department after sustaining burns to his entire right
arm and leg in a
house fire. Which of the following percentages best classifies the extent of his burns?
A. 12
B. 18
C. 27
D. 36 - Answer-C. According to the "rule of nines" the percentages can be calculated as follows: entire
arm = 9% of body surface
area (BSA). Anterior surface of each leg = 9% BSA, posterior surface of each leg = 9% BSA. The patient
has a
,total of 27% BSA with burns.
Which of the following imaging modalities is most appropriate in the evaluation of chronic sinusitis?
A. Coronal CT
B. Sinus MRI
C. Panorex
D. Sinus radiographs - Answer-A. Coronal CT is the most effective imaging to determine the anatomy of
the sinuses as well as the presence and
extent of sinusitis.
Which of the following is indicated as the first-line treatment of an initial case of acute gouty arthritis?
A. Indomethacin (Indocin)
B. Colchicine (Probenicid)
C. Methylprednisolone (Medrol)
D. Allopurinol (Zyloprim) - Answer-A. A nonsteroidal antiinflammatory agent is indicated as the first-line
treatment for an initial case of acute gout.
Which of the following is the most sensitive laboratory test to diagnose herpes simplex virus?
A. Polymerase chain reaction (PCR)
B. Enzyme-linked immunosorbent assay (ELISA)
C. Tzanck smear
D. HSV antibody titer - Answer-(c) A. Diagnosis is usually made clinically however, PCR is more sensitive
than culture.
Which of the following is the drug of choice for the prevention of Wernicke's encephalopathy?
A. Folic acid
B. Calcium gluconate
, C. Vitamin B 12
D. Thiamine - Answer-D. Wernicke's encephalopathy, also called alcoholic encephalopathy, is an acute
neurological disorder of thiamine
deficiency. Patients are given 100mg po BID to TID for 1 to 2 weeks or parenterally 100mg in each liter of
glucose.
S3 and S4 gallops are both signs of which type of cardiac abnormality?
A. Atrial non-compliance
B. Ventricular septal defect
C. Valvular insufficiency
D. Ventricular dysfunction - Answer-D. S3 may be louder if filling pressure is increased or if ventricular
compliance is reduced. S4 is most commonly
heard when there is increased resistance to filling because of loss of compliance of the ventricular walls
or the
increased stroke volume of high-output states.
A 48 year-old male presents with a mild tremor that seems to increase with stressful situations and
subsides when he
has a glass of wine with dinner. The patient does not demonstrate the tremor at rest but it reappears
when he
reaches for a pen. Which of the following is most likely the cause of this patient's symptoms?
A. Parkinson disease
B. Essential tremor
C. Huntington disease
D. Focal torsion dystonia - Answer-B. Essential tremor can be familial and cause action related hand
tremor, head tremor, or voice tremor. The
lower extremities are spared and generally no further neurologic findings are present.
