Family Med PAEA Practice Test
dyspareunia despite lubricant use. Her menses occur monthly. Physical
examination reveals hypopigmented plaques with surrounding
erythema along the labia majora and anterior portions of the medial
malleoli. The vaginal fourchette also has a white reticulate rash
present. Which of the following diagnostic studies would confirm
the suspected diagnosis in this patient?
A. Punch biopsy
B. Tzanck smear
C. KOH prep
D. Saline wet mount
E. Fungal culture - ✔️✔️Lichen sclerosis how do you dx this ?
A 75-year-old man is brought to the Emergency Department with
left-sided chest pain, nausea and diaphoresis. Electrocardiogram reveals
sinus rhythm at 52 bpm and 3-mm ST-segment elevation in
leads II, III, and aVF and reciprocal changes. In addition to oxygen,
morphine, and nitroglycerine, which of the following medications
should be administered?
A. Atropine (AtroPen)
B. Aspirin
C. Enalapril (Vasotec)
D. Clonidine (Catapres) - ✔️✔️B
A 12-year-old boy sustained a perforated tympanic membrane after
falling while wakeboarding. Which of the following should be included
in this patient's discharge instructions?
A. Cotton tipped swabs should be used to clean debris from the ear.
B. Earplugs should be used while bathing or swimming.
C. Ascetic acid should be instilled in the ear canal.
D. Oral antimicrobial therapy will be necessary until the perforation
heals - ✔️✔️b
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) - ✔️✔️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 - ✔️✔️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 - ✔️✔️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 - ✔️✔️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
A 53-year-old man returns to the clinic for follow up one week being
told he had blood in his urine during a health fair. He has a 10-packyear
smoking history but quit smoking 10 years ago. The patient
denies dysuria or flank pain. He is not taking any current medications.
His dipstick urinalysis at the health fair showed 2+ blood, and
his microscopic exam revealed 2 RBC/HPF. Which of the following
is the most appropriate next step in the evaluation of this patient?
dyspareunia despite lubricant use. Her menses occur monthly. Physical
examination reveals hypopigmented plaques with surrounding
erythema along the labia majora and anterior portions of the medial
malleoli. The vaginal fourchette also has a white reticulate rash
present. Which of the following diagnostic studies would confirm
the suspected diagnosis in this patient?
A. Punch biopsy
B. Tzanck smear
C. KOH prep
D. Saline wet mount
E. Fungal culture - ✔️✔️Lichen sclerosis how do you dx this ?
A 75-year-old man is brought to the Emergency Department with
left-sided chest pain, nausea and diaphoresis. Electrocardiogram reveals
sinus rhythm at 52 bpm and 3-mm ST-segment elevation in
leads II, III, and aVF and reciprocal changes. In addition to oxygen,
morphine, and nitroglycerine, which of the following medications
should be administered?
A. Atropine (AtroPen)
B. Aspirin
C. Enalapril (Vasotec)
D. Clonidine (Catapres) - ✔️✔️B
A 12-year-old boy sustained a perforated tympanic membrane after
falling while wakeboarding. Which of the following should be included
in this patient's discharge instructions?
A. Cotton tipped swabs should be used to clean debris from the ear.
B. Earplugs should be used while bathing or swimming.
C. Ascetic acid should be instilled in the ear canal.
D. Oral antimicrobial therapy will be necessary until the perforation
heals - ✔️✔️b
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) - ✔️✔️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 - ✔️✔️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 - ✔️✔️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 - ✔️✔️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
A 53-year-old man returns to the clinic for follow up one week being
told he had blood in his urine during a health fair. He has a 10-packyear
smoking history but quit smoking 10 years ago. The patient
denies dysuria or flank pain. He is not taking any current medications.
His dipstick urinalysis at the health fair showed 2+ blood, and
his microscopic exam revealed 2 RBC/HPF. Which of the following
is the most appropriate next step in the evaluation of this patient?
