2026 | Updated Final Exam with
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Comprehensive Study Guide for
Family Physicians
,Which one of the following statements is TRUE regarding the use of antidepressants forsmoking
cessation? - ANSWER-Bupropion is contraindicated in a patient with an eating disorder
The number 1 cause of preventable morbidity and mortality in the US today is which
ofthe following? - ANSWER-Tobacco
Which of the following statements is true regarding alcohol abuse counseling? -
The USPSTF recommends screening and counseling adults the risks of
alcoholmisuse
Which immunization would be considered safe to administer during pregnancy?
- Tdap
Self-help measures recommended for patients with NYHA class 2 HF is on
optimalmedications include which one of the following? - ANSWER-Avoiding NSAID use
How much daily vitamin D supplementation do infants need during the first month oflife?
- ANSWER-Breastfed infants should have 400 IU of Vitamin D
Following a scheduled repeat C-section delivery, a term infant has a respiratory
rate >60. What is the most common cause of this presentation? - ANSWER-
Transient tachypnea of the newborn
Breastfeeding jaundice is characterized by - ANSWER-insufficient feeds
What advice would you give parents to reduce the risk of death from sudden infantdeath
syndrome (SIDS) in their infant? - ANSWER-Avoid exposure of the infant to second-
hand smoke
The majority of failure to thrive cases in infants is due to - ANSWER-inadequate caloricintake
What will Medicare cover for an elderly couple asks you how they will pay to live in facility.
Which of the following is NOT true? - ANSWER-Medicare will pay once a medicalneed for
,services is clearly documented
, The largest portion of the Medicare budget is spent on - ANSWER-the 20% of
Medicare recipients with five or more chronic diseases
Patient on meds including risperdone, metoclopramide, and valproate presents with
Parkinson's symptoms (trouble standing, walking then freezing, flat affect), so your nextstep is
- ANSWER-stop his risperdone, metoclopramide, and valproate
Patient with Parkinson's doing well on carbidopa/levodopa therapy, but worried about
dyskinesia. Which would be a good choice to decrease long term effects of this?
- Dopamine agonist, such as ropinirole
Elderly patient develops C. Diff, so your next step is - ANSWER-begin PO vancomycin125mg
QID
What causes peripheral vision loss? - ANSWER-glaucoma
Presbycusis is typically associated with the reduction in what type of hearing loss?
- ANSWER-hearing threshold at higher frequencies
Elderly woman presents with 4 week history of early morning shoulder and hip discomfort
and ESR of 52. What condition associated this primary diagnosis is she atrisk for developing?
- ANSWER-giant cell arteritis (polymyalgia rheumatica)
A 72 yo obese, Black woman complains of sudden onset of mid-back pain. X-ray confirms
T4 vertebral compression fracture and diffuse osteopenia. Your next step: -ANSWER-
work up for secondary causes of osteoporosis
Which of the following has been shown to have analgesic benefit in acute osteoporoticfractures?
- ANSWER-calcitonin
A demented 70 yo, widowed woman is admitted to your service and determined to
lackcapacity. There are no advance directives. Who is typically next in line for decision
making: - ANSWER-her sister