Family Med Aquifer Questions and
answers
W hich of the follow ing is cor r ect r egar din g br east self-exam ination ?
Choose the single best answ er .
A. B r east self-exam ination incr eases the n um ber of biopsies per for m ed.
B . It is r ecom m ended that clinician s teach br east self-exam in ation dur in g an n ual
visits.
C. Most cisgender w om en should r egular ly per for m br east self-exam ination .
D. The pr actice of r egular br east self-exam in ation r educes m or tality. - **
VERIFIED ANSW ERS **✔✔A
W hat do you think ar e the r isk factor s for developin g cer vical can cer ?
A. Cigar ette sm oking
B . Ear ly onset of sexual inter cour se
C. Im m un osuppr ession fr om HIV or other diseases
D. Multiple sexual par tner s - ** VERIFIED ANSW ERS **✔✔A, B , C, D.
W hat ar e the r isk factor s for developin g br east can cer in the gen er al population ?
Select all that apply.
The best options ar e indicated below . Y our selection s ar e in dicated by the shaded
boxes.
,A. Age
B . Excessive alcohol intake
C. Fam ily histor y of br east cancer in fi r st-degr ee r elative
D. Genetic factor s
E. Postm enopausal obesity
F. Pr olonged exposur e to estr ogen - ** VERIFIED ANSW ERS **✔✔A, B , C, D, E, F.
W hich of the follow ing ar e r isk factor s for osteopor osis?
Select all that apply.
A. B MI > 30
B . Ear ly m enopause
C. Histor y of pr evious fr actur e as an adult
D. Sedentar y lifestyle
E. Sm oking - ** VERIFIED ANSW ERS **✔✔B , C, D, E.
Higher B MI (A) seem s to be pr otective by in cr easin g estr ogen levels.
A 34-year-old cisgender fem ale w ho has n o past m edical pr oblem s an d is n ot
cur r ently taking any m edications com es in to your offi ce because she n oticed a
tender lum p in her left br east startin g appr oxim ately on e m on th ago. She is
w or r ied because she has a m ater nal aun t w ho had br east can cer that w as B RCA
positive, though her m other is B RCA n egative. Her per iods have been r egular sin ce
they star ted at the age of 13 and occur ever y 32 days. She is cur r en tly
m enstr uating. She has thr ee childr en , aged 12, 9, an d 4. On exam , her B MI is 32,
up fr om 28 thr ee year s ago, and her other vital sign s are stable. On br east exam ,
you note a m obile r ubber y m ass appr oxim ately 1 x 1cm that has r egular bor der s
and is tender to palpation. Y ou appr eciate n o axillar y aden opathy. The r est of her
physical exam is unr em ar kable. Of the in for m ation pr ovided, w hich of the
follow ing puts this patient at incr eased r isk for br east can cer ?
A. Age
,B . - ** VERIFIED ANSW ERS **✔✔E. W eight
A 64-year -old cisgender fem ale w ho is over w eight w ith w ell-con tr olled
hyper tension com es to your offi ce w ith con cer n s of a lum p in her br east that she
noticed w hile show er ing. She r epor ts havin g n o pain , ten der n ess, or sk in chan ges.
A per tinent r eview of system s is n egative. Men ar che began at the age of 10. Her
fi r st child w as bor n w hen she w as 31 an d she had her secon d an d last child at the
age of 33. She exper ienced m enopause at the age of 44. Her m other died of colon
cancer w hen she w as 65 and her father passed aw ay fr om m etastatic pr ostate
cancer at the age of 70. She has no histor y of tobacco use ever an d occasion ally
dr inks a glass of w ine w ith dinner . Her B MI is 34. W hich of the in for m ation
pr ovided thus far puts the patien t at decr eased r isk for br east can cer ?
A. Age
B . Age at fi r st bir th
C. Age at m enar che
D. Age at m enopause
E. W eight - ** VERIFIED ANSW ERS **✔✔D. Age at m en opause
A 63-year old cisgender fem ale com es in to your offi ce for her an n ual pr even tive
exam . She has hyper tension and type 2 diabetes. She is n ot sexually active. Her
blood pr essur e is 125/80 and her physical exam other w ise is w ithin nor m al lim its.
Y ou r ecom m end infl uenza and zoster vaccin ation . Her last colon oscopy w as eight
year s ago and her last m am m ogr am on e year ago; both w er e n or m al. She has
never had an abnor m al Pap test. At the age of 45 she had a total hyster ectom y for
fi br oids. Of the details pr ovided about this patien t, w hich is an appr opr iate r eason
to explain w hy she does not need a Pap test today?
A. She exper ienced m enopause m or e than 10 year s ago
B . She had a total hyster ectom y for fi br oids
C. She has never had an abnor m al Pap test
D. She is 63 year s old
E. She is not sexually active - ** VERIFIED ANSW ERS **✔✔B . She had a total
hyster ectom y for fi br oids
, A 47-year -old cisgender fem ale com es into your offi ce for a health car e
m aintenance exam . She has hyper ten sion an d type 2 diabetes. She is n ot sexually
active and has not yet exper ienced m en opause. Ther e is n o fam ily histor y of
cancer . Her blood pr essur e is 118/78, her B MI is 34, an d the r em ainder of her
physical exam is w ithin nor m al lim its. Her vaccin ation s ar e up to date, and she has
a Pap test today and w ill have labs dr aw n . Accor din g to USPSTF, w hich of the
follow ing is the best r ecom m endation to give her con cer n in g m am m ogr aphy?
A. Should have star ted at age 40 and ever y year ther eafter
B . Should have star ted at age 40 an d ever y tw o year s ther eafter
C. Should have star ted at age 45 and ever y year ther eafter
D. Star t at age 50 and ever y year ther eafter
E. Star t at age 50 and ever y tw o year s ther eafter - ** VERIFIED ANSW ERS **✔✔E.
Star t at age 50 and ever y tw o year s ther eafter
A 25-year -old patient pr esents to the offi ce for follow -up on an xiety an d tobacco
dependence. She r epor ts she is doin g w ell on her n ew m edication to help w ith both
her m ood and sm oking, though she con tin ues to sm ok e. She r ecen tly star ted her
fi r st sexual r elationship w ith a new fem ale par tn er . She r eceived a tetan us vaccin e
at the age of 18, and she r eceived her fl u vaccin e this year . Her blood pr essur e is
122/70, and her physical exam is w ithin n or m al lim its. Y ou r eview her r ecen t Pap
test, w hich w as negative. W hich of the follow in g in dicates the vaccin es she should
r eceive today?
Choose the single best answ er .
A. HPV vaccine alone
B . HPV vaccine and pneum ococcal con jugate vaccin e (PCV13)
C. HPV vaccine and pneum ococcal polysacchar ide vaccin e (PPSV23)
D. HPV vaccine and Zoster vaccin e
E. No vaccines ar e needed - ** VERIFIED ANSW ERS **✔✔C. HPV vaccin e an d
pneum ococcal polysacchar ide vaccin e (PPSV23)
The pneum ococcal polysacchar ide vaccin e (PPSV23) is r ecom m en ded for adults
w ho sm oke (like this patient); have chr on ic hear t, lun g, or liver illn ess; have
alcohol use disor der ; or have diabetes. The pn eum ococcal con jugate vaccin e
(PCV13) is not r outinely r ecom m en ded for adults, though it can be given to som e
patients at the age of 65.
answers
W hich of the follow ing is cor r ect r egar din g br east self-exam ination ?
Choose the single best answ er .
A. B r east self-exam ination incr eases the n um ber of biopsies per for m ed.
B . It is r ecom m ended that clinician s teach br east self-exam in ation dur in g an n ual
visits.
C. Most cisgender w om en should r egular ly per for m br east self-exam ination .
D. The pr actice of r egular br east self-exam in ation r educes m or tality. - **
VERIFIED ANSW ERS **✔✔A
W hat do you think ar e the r isk factor s for developin g cer vical can cer ?
A. Cigar ette sm oking
B . Ear ly onset of sexual inter cour se
C. Im m un osuppr ession fr om HIV or other diseases
D. Multiple sexual par tner s - ** VERIFIED ANSW ERS **✔✔A, B , C, D.
W hat ar e the r isk factor s for developin g br east can cer in the gen er al population ?
Select all that apply.
The best options ar e indicated below . Y our selection s ar e in dicated by the shaded
boxes.
,A. Age
B . Excessive alcohol intake
C. Fam ily histor y of br east cancer in fi r st-degr ee r elative
D. Genetic factor s
E. Postm enopausal obesity
F. Pr olonged exposur e to estr ogen - ** VERIFIED ANSW ERS **✔✔A, B , C, D, E, F.
W hich of the follow ing ar e r isk factor s for osteopor osis?
Select all that apply.
A. B MI > 30
B . Ear ly m enopause
C. Histor y of pr evious fr actur e as an adult
D. Sedentar y lifestyle
E. Sm oking - ** VERIFIED ANSW ERS **✔✔B , C, D, E.
Higher B MI (A) seem s to be pr otective by in cr easin g estr ogen levels.
A 34-year-old cisgender fem ale w ho has n o past m edical pr oblem s an d is n ot
cur r ently taking any m edications com es in to your offi ce because she n oticed a
tender lum p in her left br east startin g appr oxim ately on e m on th ago. She is
w or r ied because she has a m ater nal aun t w ho had br east can cer that w as B RCA
positive, though her m other is B RCA n egative. Her per iods have been r egular sin ce
they star ted at the age of 13 and occur ever y 32 days. She is cur r en tly
m enstr uating. She has thr ee childr en , aged 12, 9, an d 4. On exam , her B MI is 32,
up fr om 28 thr ee year s ago, and her other vital sign s are stable. On br east exam ,
you note a m obile r ubber y m ass appr oxim ately 1 x 1cm that has r egular bor der s
and is tender to palpation. Y ou appr eciate n o axillar y aden opathy. The r est of her
physical exam is unr em ar kable. Of the in for m ation pr ovided, w hich of the
follow ing puts this patient at incr eased r isk for br east can cer ?
A. Age
,B . - ** VERIFIED ANSW ERS **✔✔E. W eight
A 64-year -old cisgender fem ale w ho is over w eight w ith w ell-con tr olled
hyper tension com es to your offi ce w ith con cer n s of a lum p in her br east that she
noticed w hile show er ing. She r epor ts havin g n o pain , ten der n ess, or sk in chan ges.
A per tinent r eview of system s is n egative. Men ar che began at the age of 10. Her
fi r st child w as bor n w hen she w as 31 an d she had her secon d an d last child at the
age of 33. She exper ienced m enopause at the age of 44. Her m other died of colon
cancer w hen she w as 65 and her father passed aw ay fr om m etastatic pr ostate
cancer at the age of 70. She has no histor y of tobacco use ever an d occasion ally
dr inks a glass of w ine w ith dinner . Her B MI is 34. W hich of the in for m ation
pr ovided thus far puts the patien t at decr eased r isk for br east can cer ?
A. Age
B . Age at fi r st bir th
C. Age at m enar che
D. Age at m enopause
E. W eight - ** VERIFIED ANSW ERS **✔✔D. Age at m en opause
A 63-year old cisgender fem ale com es in to your offi ce for her an n ual pr even tive
exam . She has hyper tension and type 2 diabetes. She is n ot sexually active. Her
blood pr essur e is 125/80 and her physical exam other w ise is w ithin nor m al lim its.
Y ou r ecom m end infl uenza and zoster vaccin ation . Her last colon oscopy w as eight
year s ago and her last m am m ogr am on e year ago; both w er e n or m al. She has
never had an abnor m al Pap test. At the age of 45 she had a total hyster ectom y for
fi br oids. Of the details pr ovided about this patien t, w hich is an appr opr iate r eason
to explain w hy she does not need a Pap test today?
A. She exper ienced m enopause m or e than 10 year s ago
B . She had a total hyster ectom y for fi br oids
C. She has never had an abnor m al Pap test
D. She is 63 year s old
E. She is not sexually active - ** VERIFIED ANSW ERS **✔✔B . She had a total
hyster ectom y for fi br oids
, A 47-year -old cisgender fem ale com es into your offi ce for a health car e
m aintenance exam . She has hyper ten sion an d type 2 diabetes. She is n ot sexually
active and has not yet exper ienced m en opause. Ther e is n o fam ily histor y of
cancer . Her blood pr essur e is 118/78, her B MI is 34, an d the r em ainder of her
physical exam is w ithin nor m al lim its. Her vaccin ation s ar e up to date, and she has
a Pap test today and w ill have labs dr aw n . Accor din g to USPSTF, w hich of the
follow ing is the best r ecom m endation to give her con cer n in g m am m ogr aphy?
A. Should have star ted at age 40 and ever y year ther eafter
B . Should have star ted at age 40 an d ever y tw o year s ther eafter
C. Should have star ted at age 45 and ever y year ther eafter
D. Star t at age 50 and ever y year ther eafter
E. Star t at age 50 and ever y tw o year s ther eafter - ** VERIFIED ANSW ERS **✔✔E.
Star t at age 50 and ever y tw o year s ther eafter
A 25-year -old patient pr esents to the offi ce for follow -up on an xiety an d tobacco
dependence. She r epor ts she is doin g w ell on her n ew m edication to help w ith both
her m ood and sm oking, though she con tin ues to sm ok e. She r ecen tly star ted her
fi r st sexual r elationship w ith a new fem ale par tn er . She r eceived a tetan us vaccin e
at the age of 18, and she r eceived her fl u vaccin e this year . Her blood pr essur e is
122/70, and her physical exam is w ithin n or m al lim its. Y ou r eview her r ecen t Pap
test, w hich w as negative. W hich of the follow in g in dicates the vaccin es she should
r eceive today?
Choose the single best answ er .
A. HPV vaccine alone
B . HPV vaccine and pneum ococcal con jugate vaccin e (PCV13)
C. HPV vaccine and pneum ococcal polysacchar ide vaccin e (PPSV23)
D. HPV vaccine and Zoster vaccin e
E. No vaccines ar e needed - ** VERIFIED ANSW ERS **✔✔C. HPV vaccin e an d
pneum ococcal polysacchar ide vaccin e (PPSV23)
The pneum ococcal polysacchar ide vaccin e (PPSV23) is r ecom m en ded for adults
w ho sm oke (like this patient); have chr on ic hear t, lun g, or liver illn ess; have
alcohol use disor der ; or have diabetes. The pn eum ococcal con jugate vaccin e
(PCV13) is not r outinely r ecom m en ded for adults, though it can be given to som e
patients at the age of 65.
