AQUIFER FAMILY MEDICINE EXAM |QUESTIONS BANK | QUESTIONS ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES SURE TO PASS - JUST RELEASED

AQUIFER FAMILY MEDICINE EXAM |QUESTIONS BANK | QUESTIONS ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES SURE TO PASS - JUST RELEASED 1. A 55-year-old male with a family history of melanoma presents to the clinic for evaluation of a skin lesion on his back which appeared three months ago. His wife first alerted him to it, hasn't noticed it change and he has not noticed any symptoms associated with it. Physical examination reveals a 7 mm uniformly black macule that is symmetrically round with sharply demarcated borders on his upper back near the right shoulder. Which of the following characteristics would most justify it being biopsied today? A. Borders B. Color C. Diameter D. Location E. Symmetry - ANSWER C. Diameter 2. A 29-year-old trans male not on hormones presents to your office complaining of very heavy periods. These started about six months ago. He reports that his periods were always normal until six months ago, when he started passing a significant number of clots each day. His cycles occur in a regular pattern but usually last more than eight days. He reports having to change a super-absorbent pad every two to three hours. He is sexually oriented toward women but has never been sexually active. After sensitively asking for permission, you perform a pelvic exam that shows the uterus is small, nontender, and has uniform, smooth contour. On physical exam, you note a moderately enlarged thyroid and dry skin. What is his most likely diagnosis? A. Cervical polyp B. Chronic pelvic inflammatory disease C. Menorrhagia D. Metrorrhagia E. Uterine leiomyoma" - ANSWER C. Menorrhagia " 3. Mr. Jones is a 67-year-old male brought into your office because he has been having ""dizzy spells and room spinning"" for the past two days that are intermittent. Your records indicate a history of back pain, diabetes and hypertension. Upon further questioning, Mr. Jones cannot identify when these spells come on and nothing seems to relieve them. His temperature is 98.6 Fahrenheit; blood pressure is 165/95 mmHg; heart rate is 78 beats/minute; and respiratory rate is 18 breaths/minute. On physical exam, you notice a slight nystagmus. You ask him to focus on your nose but the nystagmus continues. What is the most likely cause of his ""dizzy spells""? A. Anemia B. Bleeding gastric ulcer C. Hyperthyroidism with thyroid storm D. Stroke E. Vestibular neuritis" - ANSWER D. Stroke " 3. You are seeing a 54-year-old female with a past medical history of kidney stones who presents with a chief complaint of ""I have a terrible summer cold."" She reports three days of low grade fevers (peak of 100.0 Fahrenheit), cough, sore throat, headaches, and nasal congestion. She denies myalgias. Her temperature today is 99.2 Fahrenheit, respirations 14/minute, pulse 78 beats/minute, and blood pressure of 128/74 mmHg. Her head and neck exam reveals normal tympanic membranes, mildly congested nasal turbinates with thin mucous, erythema of the tonsillar pillars and soft palate without tonsillar enlargement or exudate, and mild anterior cervical lymphadenopathy. Her lungs are clear to auscultation. Which of the following options would be the most appropriate therapeutic option for this patient? A. Echinacea supplementation B. Oseltamivir (Tamiflu) 75 mg twice daily for five days C. Pseudoephedrine (Sudafed) as neede - ANSWER C. Pseudoephedrine (Sudafed) as needed for nasal congestion "