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FAMILY MEDICINE EOR Exam
Questions with Verified Solutions Newly
Modified Currently Tested and Graded
A+
Deficiency of what factor may predispose a person to recurrent thrombosis?
A Platelet deficiency
B Factor VIIIC deficiency
C Protein C deficiency
D von Willebrand factor deficiency
E Factor VII deficiency
<Correct Answer>>C Protein C deficiency
A 15-year-old girl presents with a 1-hour history of rapid heartbeat, faintness,
sweating, and nervousness. She is also experiencing shortness of breath and
chest pain. The patient has no significant past medical history. There is no
history of similar episodes. The patient is on no medications, and she denies
illicit drug use. On exam, her vital signs are BP70/60 mmHg; pulse 200 bpm;
RR 22/min, temperature afebrile. She looks pale, and her palms are slightly
sweaty. She is not comfortable sitting up, so she prefers lying down. She looks
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slightly apprehensive. Her heart and lung exam are negative except for the
tachycardia; except for cool sweaty hands, a brief abdominal and extremity
exam are non-revealing. The physician quickly places the paddles on the
patient's chest to record the rhythm; this shows a narrow-complex regular
tachycardia at 210 bpm. He requests oxygen, IV line, and continuous
monitoring. An EKG is in the process of being completed. At this point, what
should be done?
<Correct Answer>>synchronized cardioversion
which cancers is the AFP tumor marker associated with?
<Correct Answer>>hepatocellular carcinoma
germ cell tumors
50-year-old man presents with a 3-month history of weakness, fatigue, and
abdominal discomfort. Upon further questioning, he acknowledges a lack of
sexual desire. He denies any photosensitivity. On physical examination, his
liver is enlarged, and his spleen is palpable. He has abnormal skin pigmentation
on his face, neck and his elbows and which gives his skin a metallic gray hue.
His laboratory results are in the chart.
TESTRESULTS
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TIBC275 (250 - 350)
Plasma iron 220 (80 - 160)
Transferring saturation 90% (16 - 57%)
What serious complication is associated with the patient's condition?
A Hepatocellular carcinoma
B Bronchogenic carcinoma
C Pancreatic carcinoma
D Lymphoma
E Leukemia
<Correct Answer>>A Hepatocellular carcinoma
A 54-year-old man presents with chest pain. He has a past medical history of
hypertension and diabetes mellitus. The pain is located in the middle of his
chest and radiates to his jaw. The pain began about 20 minutes ago, and he rates
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the pain as a 10 on a 0 - 10 point scale, with 10 being the worst pain he has ever
felt. He has had 3 similar episodes, but they have always resolved after 5
minutes or so of rest. He has smoked 1 pack of cigarettes a day for the past 36
years. He drinks 2 or 3 beers on Friday nights. Review of systems (ROS) is
positive for diaphoresis, acute dyspnea, and impending doom. ROS negative for
fever, chills, and malaise. Physical exam shows an obese, middle-aged man in
moderate distress. BP 126/80, pulse 100, respirations 26. Heart and lung exams
are normal, except for tachycardia and tachypnea. He has no pedal edema. What
aspect of the patient's history is the largest risk factor for an acute myocardial
infarction?
A. alcohol use
B. cigarette smoking
C. diabetes mellitus
D. hypertension
E. obesity
<Correct Answer>>C. Diabetes mellitus
(DM) is an independent risk factor for atherosclerosis. The risk of myocardial
infarction (MI) in a patient with diabetes is the same risk as someone without
diabetes who has had a previous MI. The risk of death from cardiac events is
also the same between the 2 groups. Patients with diabetes mellitus should be
advised to stop smoking and aggressively control other risk factors, such as
glucose, hypertension, and dyslipidemia, in order to reduce the risk of ischemic
heart disease.
Page 4 of 57
FAMILY MEDICINE EOR Exam
Questions with Verified Solutions Newly
Modified Currently Tested and Graded
A+
Deficiency of what factor may predispose a person to recurrent thrombosis?
A Platelet deficiency
B Factor VIIIC deficiency
C Protein C deficiency
D von Willebrand factor deficiency
E Factor VII deficiency
<Correct Answer>>C Protein C deficiency
A 15-year-old girl presents with a 1-hour history of rapid heartbeat, faintness,
sweating, and nervousness. She is also experiencing shortness of breath and
chest pain. The patient has no significant past medical history. There is no
history of similar episodes. The patient is on no medications, and she denies
illicit drug use. On exam, her vital signs are BP70/60 mmHg; pulse 200 bpm;
RR 22/min, temperature afebrile. She looks pale, and her palms are slightly
sweaty. She is not comfortable sitting up, so she prefers lying down. She looks
Page 1 of 57
,2
slightly apprehensive. Her heart and lung exam are negative except for the
tachycardia; except for cool sweaty hands, a brief abdominal and extremity
exam are non-revealing. The physician quickly places the paddles on the
patient's chest to record the rhythm; this shows a narrow-complex regular
tachycardia at 210 bpm. He requests oxygen, IV line, and continuous
monitoring. An EKG is in the process of being completed. At this point, what
should be done?
<Correct Answer>>synchronized cardioversion
which cancers is the AFP tumor marker associated with?
<Correct Answer>>hepatocellular carcinoma
germ cell tumors
50-year-old man presents with a 3-month history of weakness, fatigue, and
abdominal discomfort. Upon further questioning, he acknowledges a lack of
sexual desire. He denies any photosensitivity. On physical examination, his
liver is enlarged, and his spleen is palpable. He has abnormal skin pigmentation
on his face, neck and his elbows and which gives his skin a metallic gray hue.
His laboratory results are in the chart.
TESTRESULTS
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,3
TIBC275 (250 - 350)
Plasma iron 220 (80 - 160)
Transferring saturation 90% (16 - 57%)
What serious complication is associated with the patient's condition?
A Hepatocellular carcinoma
B Bronchogenic carcinoma
C Pancreatic carcinoma
D Lymphoma
E Leukemia
<Correct Answer>>A Hepatocellular carcinoma
A 54-year-old man presents with chest pain. He has a past medical history of
hypertension and diabetes mellitus. The pain is located in the middle of his
chest and radiates to his jaw. The pain began about 20 minutes ago, and he rates
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the pain as a 10 on a 0 - 10 point scale, with 10 being the worst pain he has ever
felt. He has had 3 similar episodes, but they have always resolved after 5
minutes or so of rest. He has smoked 1 pack of cigarettes a day for the past 36
years. He drinks 2 or 3 beers on Friday nights. Review of systems (ROS) is
positive for diaphoresis, acute dyspnea, and impending doom. ROS negative for
fever, chills, and malaise. Physical exam shows an obese, middle-aged man in
moderate distress. BP 126/80, pulse 100, respirations 26. Heart and lung exams
are normal, except for tachycardia and tachypnea. He has no pedal edema. What
aspect of the patient's history is the largest risk factor for an acute myocardial
infarction?
A. alcohol use
B. cigarette smoking
C. diabetes mellitus
D. hypertension
E. obesity
<Correct Answer>>C. Diabetes mellitus
(DM) is an independent risk factor for atherosclerosis. The risk of myocardial
infarction (MI) in a patient with diabetes is the same risk as someone without
diabetes who has had a previous MI. The risk of death from cardiac events is
also the same between the 2 groups. Patients with diabetes mellitus should be
advised to stop smoking and aggressively control other risk factors, such as
glucose, hypertension, and dyslipidemia, in order to reduce the risk of ischemic
heart disease.
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