Practice Test GeeksSPEX Exam Practice Test
← All SPEX Flashcard Decks

Family Medicine Flashcards

7 cards from real SPEX practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Family Medicine flashcards as text

  1. A 55-year-old woman presents with a TSH of 8.5 mIU/L and free T4 of 0.9 ng/dL. She reports fatigue and mild constipation. What is the most appropriate next step?

    Answer: Initiate levothyroxine therapy

    Overt hypothyroidism (elevated TSH with low-normal free T4) with symptoms warrants levothyroxine therapy.

  2. Which of the following is the first-line pharmacologic treatment for essential tremor?

    Answer: Propranolol

    Propranolol is the first-line treatment for essential tremor, along with primidone.

  3. A 45-year-old man with obesity and snoring reports excessive daytime sleepiness. His Epworth Sleepiness Scale score is 16. What is the most appropriate next diagnostic step?

    Answer: Home sleep apnea test

    Home sleep apnea testing is recommended as an appropriate initial test for patients with high pretest probability of obstructive sleep apnea without comorbidities.

  4. A 70-year-old man develops confusion, restlessness, and tremor 48 hours after being admitted for hip fracture. Vital signs show HR 110, BP 160/95, temp 37.9°C. What is the most likely diagnosis?

    Answer: Delirium tremens

    Autonomic instability with tremor and altered consciousness 48 hours after admission strongly suggests alcohol withdrawal delirium (delirium tremens).

  5. A 28-year-old woman presents with recurrent episodes of severe unilateral headache with photophobia and nausea lasting 6–18 hours. She has no aura. She uses ibuprofen frequently. What is the best preventive strategy?

    Answer: Daily topiramate

    Topiramate is an FDA-approved preventive agent for migraine, indicated when attacks are frequent or disabling.

  6. A 62-year-old man with type 2 diabetes, CKD stage 3 (eGFR 42), and heart failure with reduced ejection fraction is being optimized. Which diabetes medication has demonstrated cardiovascular and renal benefits in this clinical profile?

    Answer: Empagliflozin

    SGLT2 inhibitors like empagliflozin have proven cardiovascular and nephroprotective benefits in patients with HFrEF and CKD.

  7. According to USPSTF guidelines, at what age should average-risk adults begin colorectal cancer screening?

    Answer: 45 years

    The USPSTF updated its recommendation in 2021 to begin colorectal cancer screening at age 45 for average-risk adults.