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Family Medicine Board Review Sample Question 1

A 23-year-old black female presents to urgent care with approximately 3 weeks of body and joint aches. Past medical history is significant for a kidney stone. She also reports fatigue, hoarse voice, and waxing and waning cough. She does not smoke and denies fever or sputum. She has a family history of hypertension and diabetes. Her vitals upon arrival are BP 130/80, HR 90, RR 20, Temp 99.1, and O2 Sat 99% on RA. What workup is required for this patient?

  • APET scan
  • BNo workup needed; treat with Levaquin for 1 week
  • CPeak flow and methacholine challenge
  • DSed rate
  • EACE level and bronchoscopy
Family Medicine Board Review Sample Question 2

An 81-year-old male presents by ambulance to the emergency room for evaluation of new onset confusion. He has a history of hypertension, type 2 diabetes mellitus, hyperlipidemia, and congestive heart failure. He takes metformin, lisinopril, and pravastatin. He lives in a nursing home. He appears acutely ill and confused about the date and place. His blood pressure is 90/60 mmHg. His heart rate is 92 beats per minute, and his respiratory rate is 22/minute. His temperature is 35 degrees C. SaO2 is 92%. He has crackles in his lung bases. Auscultation of the heart reveals a regular rhythm without murmur, rub, or gallop. Which of the following is appropriate?

  • AMechanical ventilation, CVP monitoring, vancomycin and imipenem pending cultures, renal-dose dopamine, and intensive insulin therapy targeted to normoglycemia
  • BMechanical ventilation, vancomycin and imipenem pending cultures, empiric treatment for systemic candidiasis, and dopamine and insulin infusion
  • CEmpiric antibiotics with coverage for systemic candidiasis and platelet and packed red blood cell transfusion
  • DRenal-dose dopamine, transfuse PRBCs, platelets, empiric antibiotics with coverage for candidiasis, and intensive insulin therapy
  • ECultures, empiric antibiotics including coverage for disseminated candidiasis, supplemental oxygen, maintain blood pressure, and consider dobutamine

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