Family Practice Exam Family Medicine Exam 2

Question 1

A 58-year-old man with type 2 diabetes has a blood pressure of 148/92 mmHg on two separate visits. Which antihypertensive class is preferred as first-line therapy?

Accepted Answer

ACE inhibitor

Answer

ACE inhibitors (or ARBs) are preferred first-line antihypertensives in diabetic patients due to their nephroprotective effects.

Question 2

A 32-year-old woman presents with a painless, soft, mobile neck lump that moves upward when she swallows. What is the most likely diagnosis?

Accepted Answer

Thyroglossal duct cyst

Answer

A midline neck mass that elevates with swallowing or tongue protrusion is characteristic of a thyroglossal duct cyst.

Question 3

Which finding on urinalysis is most specific for a urinary tract infection caused by Escherichia coli?

Accepted Answer

Nitrites

Answer

Nitrites are produced when gram-negative bacteria (like E. coli) convert urinary nitrates, making it specific for gram-negative UTIs.

Question 4

A 70-year-old woman is started on alendronate for osteoporosis. What is the most important instruction to give her?

Accepted Answer

Remain upright for 30 minutes after taking it

Answer

Patients must remain upright for at least 30 minutes after taking bisphosphonates to prevent esophageal irritation and ulceration.

Question 5

A 45-year-old male smoker presents with a chronic productive cough for at least 3 months per year for 2 consecutive years. What is the diagnosis?

Accepted Answer

Chronic bronchitis

Answer

Chronic bronchitis is defined clinically by a productive cough for at least 3 months per year for 2 consecutive years.

Family Practice Exam Practice Test

Family Practice Exam Practice Test

Family Practice Exam Family Medicine Exam 2