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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 35-year-old woman presents with palpitations, heat intolerance, and a 10-lb weight loss over 2 months. Exam reveals a diffusely enlarged thyroid and lid lag. TSH is undetectable. What is the most likely diagnosis?

    Answer: Graves' disease

    Diffuse goiter, ophthalmopathy signs, and suppressed TSH in a young woman is classic for Graves' disease.

  2. A 50-year-old man with hypertension and gout presents with a serum uric acid of 9.2 mg/dL. He has had 3 gout attacks in the past year. Which medication is most appropriate for urate-lowering therapy?

    Answer: Allopurinol

    Allopurinol is the first-line urate-lowering therapy for chronic gout, targeting a serum urate below 6 mg/dL.

  3. A 68-year-old woman with COPD and FEV1/FVC ratio of 0.58 is symptomatic despite SABA use. What is the most appropriate next step in management?

    Answer: Add long-acting muscarinic antagonist (LAMA)

    GOLD guidelines recommend adding a LAMA (e.g., tiotropium) as maintenance therapy in symptomatic COPD when SABA alone is insufficient.

  4. A 25-year-old man presents with fever, pharyngitis, and cervical lymphadenopathy. Monospot test is positive. Which complication should be specifically discussed with this patient?

    Answer: Splenic rupture with contact sports

    Splenomegaly in infectious mononucleosis creates a risk of splenic rupture, so patients must avoid contact sports for at least 3–4 weeks.

  5. A 72-year-old woman falls at home and is found to have osteoporosis on DEXA (T-score -2.8). She has no prior fractures. Which treatment is most appropriate?

    Answer: Alendronate plus calcium and vitamin D

    Bisphosphonates like alendronate are the first-line pharmacologic treatment for osteoporosis to reduce fracture risk.

  6. A 40-year-old man presents with 3 months of epigastric pain relieved by eating. H. pylori testing is positive. What is the recommended treatment?

    Answer: Triple therapy: omeprazole + clarithromycin + amoxicillin

    Clarithromycin-based triple therapy remains a common first-line regimen for H. pylori eradication in areas of low clarithromycin resistance.

  7. A 55-year-old man with a 30 pack-year smoking history and no current symptoms is seen for a routine visit. Per USPSTF guidelines, which screening is recommended?

    Answer: Low-dose CT scan of the chest annually

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