AQUIFER FAMILY MEDICINE END
EXAM QUESTIONS ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES – JUST
RELEASED
1. What will a positive cross leg test indicate? -
ANSWER ✓ high ankle sprain
2. How should you instruct a patient to take care of their
ankle sprain? - ANSWER ✓ -rest for the first 72 hours
-stretch after the first few days to improve range of
motion and outcomes
-ensure good pain control as this improves outcomes
then, daily ankle exercises, no flip flops until the ankle
heals and wear a protective device when returning to
sports
3. What is the most effect way to support an ankle sprain
(compression)? - ANSWER ✓ semi-rigid support
,4. At what percent resistance in the area should you
consider using a different antibiotic than bactrim? -
ANSWER ✓ 20% resistance
5. What do you do when someone has the classic
symptoms of a UTI and the urinalysis is normal? -
ANSWER ✓ Bactrim BID for three days
**current evidence says that symptoms outweigh normal
urinalysis
6. Most common cause of hyperthyroidism - ANSWER
✓ Graves
7. Medication causes of palpitations - ANSWER ✓
caffeine, stimulants, theophylline, or albuterol use
**drugs causes hyperthyroidism like amiodarone
8. Substance causes of palpitations - ANSWER ✓
tobacco
caffeine
alcohol intoxication or withdrawal
,cocaine
9. Endocrine causes of palpitations - ANSWER ✓
hyperthyroidism
pheochromocytoma
hypoglycemia
10. heme causes of palpitations - ANSWER ✓ anemia
11. What do you prescribe for the symptoms of
hyperthyroidism? - ANSWER ✓ propanolol
(tachycardia, palpitations, heat intolerance)
12. What tests should be done to discover the etiology of
hyperthyroidism? - ANSWER ✓ -radioactive iodine
uptake
-anti-thyrotropin receptor antibodies
13. What does thyroiditis look like on iodine uptake
scans? - ANSWER ✓ decreased uptake
, 14. What does graves disease look like on RAIU? -
ANSWER ✓ increased uptake
15. The eye problems that patients with Graves disease
have are related to what? - ANSWER ✓ eyelid retraction
and exophthalmos causing corneal irritation
16. biggest downside to oral dose of radioactive iodine? -
ANSWER ✓ They usually become hypothyroid
eventually
17. cautions and side effects of radioactive iodine tx -
ANSWER ✓ SE: transient soreness of the neck,
worsening of symptoms including the eye symptoms
Caution: should not be pregnant or close to pregnant
women or small children because the iodine is excreted in
the urine and feces and can be detrimental to the
developing child's thyroid
EXAM QUESTIONS ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES – JUST
RELEASED
1. What will a positive cross leg test indicate? -
ANSWER ✓ high ankle sprain
2. How should you instruct a patient to take care of their
ankle sprain? - ANSWER ✓ -rest for the first 72 hours
-stretch after the first few days to improve range of
motion and outcomes
-ensure good pain control as this improves outcomes
then, daily ankle exercises, no flip flops until the ankle
heals and wear a protective device when returning to
sports
3. What is the most effect way to support an ankle sprain
(compression)? - ANSWER ✓ semi-rigid support
,4. At what percent resistance in the area should you
consider using a different antibiotic than bactrim? -
ANSWER ✓ 20% resistance
5. What do you do when someone has the classic
symptoms of a UTI and the urinalysis is normal? -
ANSWER ✓ Bactrim BID for three days
**current evidence says that symptoms outweigh normal
urinalysis
6. Most common cause of hyperthyroidism - ANSWER
✓ Graves
7. Medication causes of palpitations - ANSWER ✓
caffeine, stimulants, theophylline, or albuterol use
**drugs causes hyperthyroidism like amiodarone
8. Substance causes of palpitations - ANSWER ✓
tobacco
caffeine
alcohol intoxication or withdrawal
,cocaine
9. Endocrine causes of palpitations - ANSWER ✓
hyperthyroidism
pheochromocytoma
hypoglycemia
10. heme causes of palpitations - ANSWER ✓ anemia
11. What do you prescribe for the symptoms of
hyperthyroidism? - ANSWER ✓ propanolol
(tachycardia, palpitations, heat intolerance)
12. What tests should be done to discover the etiology of
hyperthyroidism? - ANSWER ✓ -radioactive iodine
uptake
-anti-thyrotropin receptor antibodies
13. What does thyroiditis look like on iodine uptake
scans? - ANSWER ✓ decreased uptake
, 14. What does graves disease look like on RAIU? -
ANSWER ✓ increased uptake
15. The eye problems that patients with Graves disease
have are related to what? - ANSWER ✓ eyelid retraction
and exophthalmos causing corneal irritation
16. biggest downside to oral dose of radioactive iodine? -
ANSWER ✓ They usually become hypothyroid
eventually
17. cautions and side effects of radioactive iodine tx -
ANSWER ✓ SE: transient soreness of the neck,
worsening of symptoms including the eye symptoms
Caution: should not be pregnant or close to pregnant
women or small children because the iodine is excreted in
the urine and feces and can be detrimental to the
developing child's thyroid
