Family Medicine Question Bank

Family Medicine Question Bank

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1. A 72 year old avid runner presents and describes a decline in his work out. You tell him that there are many physiologic changes due to aging that can reduce his performance. Which of the following physiologic changes occur in aging?

a. Decrease in systolic blood pressure

b. Increase in pulse pressure

c. Increased maximum heart rate

d. Increased residual lung volume and decreased vital capacity total

e. Increased cardiac output

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2. The anion gap is calculated as follows:

[K+] + [HCO3- + Cl-]

[Na+] + [Cl- + HCO3-]

[Na+] “ [HCO3- + Cl-]

This is typically machine derived so I will not have to calculate it.

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3. Herpes labialis is usually mild and self limiting. It spontaneously heals in how many days?

7 “ 10

3 “ 5

2 “ 3

1 “ 2

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4. Below are some hypothetical results from women who had a mammogram and the incidence with breast cancer.

	Breast Cancer
Mamogram (Test)		(+)	(-)
	(+)	70	180
	(-)	30	720

What is the negative predictive value of the Mammogram test?

10%

28%

70%

80%

96%

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5. The anticlotting properties of aspirin are well studied. In a trial studying the long term outcome of stoke patients, 1% of patients on long term aspirin therapy developed new onset of strokes and 50% of patients without aspirin therapy developed new strokes.

2

8

10

12

25

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6. Infection with either salmonella or campylobacter increases the risk of ulcerative colitis in the next year by what %?

100%

200 - 300 %

400 - 500 %

600 - 800 %

800 - 1000 %

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7. A man breathing room air at sea level has a PaCo2 of 48 mmHg. Which of the following is his alveolar oxygen tension (PaO2)?

150 mmHg

110mmHg

100 mmHg

90 mmHg

60mmHg

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8. All of the following are true regarding ulcers in pregnancy EXCEPT:

symptoms of ulcers are milder in pregnancy

symptoms are typically worse in the first trimester

ulcer complications are infrequent during pregnancy

omeprazole is pregnancy category C

lansoprazole is pregnancy category B

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9. According to the Institute of Medicine, normal serum 25-OH D3 serum concentrations should exceed

20 ng/mL

30 ng/mL

40 ng/mL

50 ng/mL

60 ng/mL

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10. Which of the following is NOT true regarding biomarkers for pancreatitis?

Amylase levels decrease with time from the onset of pain

Amylase may be normal in patients with acute pancreatitis and alcoholism

Amylase is more sensitive and specific than lipase for acute pancreatitis

Elevated ALT is associated with gallstone pancreatitis

Amylase levels are elevated with renal insufficiency

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