AQUIFER FAMILY MEDICINE END OF CASE EXAM
QUESTIONS 2023-2024 ACTUAL EXAM 170
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES
Save
Terms in this set (95)
,You are seeing a 55-year- B
old female with a past
medical history of
hypertension, diabetes,
and gout. She has no
complaints today and is
here to manage her
chronic conditions. She is
taking her medications,
which include lisinopril 10
mg daily, metformin 500
mg twice daily, and
allopurinol 100 mg daily.
She is trying to focus on
her diet in an effort to lose
weight. She smokes a pack
of cigarettes every day,
and she is worried that
quitting will make her gain
weight and worsen her
diabetes. Her family
history is positive for a
recent myocardial
infarction in her father at
age 78. Her vitals today
include a blood pressure
of 128/78 mmHg, pulse of
78 beats/minute,
respirations of 14/minute
and a BMI of 32 kg/m2.
Her general exam is
unremarkable today.
Which of the following is
not a risk factor for
coronary artery disease in
this patient?
, p
A. Hypertension
B. Her family history
C. Smoking
D. Diabetes
E. Obesity
, 56-year old male with a E
past medical history of
hypertension and type 2
diabetes mellitus presents
with progressive dyspnea
on exertion, orthopnea,
paroxysmal nocturnal
dyspnea, and dependent
edema over the prior 4
days. His social history is
notable for a 30 pack-year
tobacco history and
occasional marijuana use.
His family history is
positive for bypass
surgery in his mother at
the age of 62. On exam,
his vitals include a blood
pressure of 166/86 mmHg,
pulse of 98 beats/minute,
respirations of 21/minute
and a BMI of 32 kg/m^2.
He appears mildly
dyspneic. His neck reveals
an elevated jugular
venous pulse, his chest
exam reveals bilateral
crackles in the lower lung
fields, and his
cardiovascular exam
reveals mild tachycardia, a
regular rhythm, and no
murmurs. His abdominal
exam is unremarkable, and
he has 2+ edema in his
legs midway to his knees.
An EKG reveals sinus
QUESTIONS 2023-2024 ACTUAL EXAM 170
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES
Save
Terms in this set (95)
,You are seeing a 55-year- B
old female with a past
medical history of
hypertension, diabetes,
and gout. She has no
complaints today and is
here to manage her
chronic conditions. She is
taking her medications,
which include lisinopril 10
mg daily, metformin 500
mg twice daily, and
allopurinol 100 mg daily.
She is trying to focus on
her diet in an effort to lose
weight. She smokes a pack
of cigarettes every day,
and she is worried that
quitting will make her gain
weight and worsen her
diabetes. Her family
history is positive for a
recent myocardial
infarction in her father at
age 78. Her vitals today
include a blood pressure
of 128/78 mmHg, pulse of
78 beats/minute,
respirations of 14/minute
and a BMI of 32 kg/m2.
Her general exam is
unremarkable today.
Which of the following is
not a risk factor for
coronary artery disease in
this patient?
, p
A. Hypertension
B. Her family history
C. Smoking
D. Diabetes
E. Obesity
, 56-year old male with a E
past medical history of
hypertension and type 2
diabetes mellitus presents
with progressive dyspnea
on exertion, orthopnea,
paroxysmal nocturnal
dyspnea, and dependent
edema over the prior 4
days. His social history is
notable for a 30 pack-year
tobacco history and
occasional marijuana use.
His family history is
positive for bypass
surgery in his mother at
the age of 62. On exam,
his vitals include a blood
pressure of 166/86 mmHg,
pulse of 98 beats/minute,
respirations of 21/minute
and a BMI of 32 kg/m^2.
He appears mildly
dyspneic. His neck reveals
an elevated jugular
venous pulse, his chest
exam reveals bilateral
crackles in the lower lung
fields, and his
cardiovascular exam
reveals mild tachycardia, a
regular rhythm, and no
murmurs. His abdominal
exam is unremarkable, and
he has 2+ edema in his
legs midway to his knees.
An EKG reveals sinus
