Family Practice Exam Family Practice Exam MCQ 3

Question 1

A 67-year-old man with a 40 pack-year smoking history presents for a wellness visit. He quit smoking 2 years ago. Which cancer screening is specifically recommended for him?

Accepted Answer

Low-dose CT of the chest

Answer

USPSTF recommends annual low-dose CT for lung cancer screening in adults aged 50-80 with a 20 pack-year history who currently smoke or quit within 15 years.

Question 2

A 55-year-old woman presents with a 2-week history of epigastric pain, early satiety, and unintentional 10-lb weight loss. She denies dysphagia. What is the most appropriate next step?

Accepted Answer

Upper endoscopy

Answer

Alarm symptoms (age >45, unintentional weight loss, early satiety) mandate prompt upper endoscopy to rule out malignancy.

Question 3

A 4-year-old boy is brought in for fever, ear pain, and irritability for 2 days. Otoscopy shows a bulging, erythematous tympanic membrane with loss of landmarks. He has no drug allergies. What is the first-line treatment?

Accepted Answer

Amoxicillin 80-90 mg/kg/day

Answer

Children under 2 or those with severe symptoms (bilateral AOM, fever ≥39°C, severe otalgia) should be treated with high-dose amoxicillin as first-line.

Question 4

A 32-year-old woman at 10 weeks gestation asks about prenatal vitamins. Which supplement is most important to prevent neural tube defects when started before conception?

Accepted Answer

Folic acid 400-800 mcg daily

Answer

Folic acid supplementation before conception and through the first trimester reduces the risk of neural tube defects such as spina bifida.

Question 5

A 68-year-old woman presents with a T-score of -2.7 on DEXA scan at the lumbar spine. She has no prior fractures. What is the most appropriate initial pharmacologic therapy?

Accepted Answer

Alendronate

Answer

Oral bisphosphonates such as alendronate are first-line pharmacologic treatment for postmenopausal osteoporosis due to proven fracture risk reduction.

Family Practice Exam Practice Test

Family Practice Exam Practice Test

Family Practice Exam Family Practice Exam MCQ 3