FAMILY MEDICINE EOR PRACTICE EXAM
QUESTIONS WITH VERIFIED SOLUTIONS NEWLY
MODIFIED CURRENTLY TESTED AND GRADED A+
2026 NEW UPDATE
A 45-year-old woman with a no significant past medical history presents with a
4-month history of dull, aching heaviness sensation in her proximal right leg.
She notes that this sensation is provoked by extended periods of standing and
walking, and is relieved when she lies in a recumbent position. Her past medical
history is remarkable for pregnancy 4 times, the most recent being
approximately 2 years ago. She denies a history of smoking, trauma, injuries,
fever, chills, chest pain, shortness of breath, hemoptysis, cough, skin changes
and coolness, and peripheral edema. Her physical exam reveals several dilated,
tortuous, elongated veins along the medial right thigh, which are especially
pronounced upon standing. The remainder of the physical exam is normal. What
will be the most appropriate therapeutic approach for this patient at this time?
Warfarin (Coumadin)
Hint:
Warfarin is indicated for myocardial infarction or cerebrovascular accident
prevention and in patients with atrial fibrillation, mechanical heart valves, or
deep venous thrombosis.
A Warfarin
B Clopidogrel (Plavix)
C Sclerotherapy
D Furosemide (Lasix)
Page 1 of 56
,--ANSWER-- E Cilostazol (Pletal)
This patient's diagnosis is varicose veins. Sclerotherapy can be used to treat
varicose veins. It involves the injection of an irritating solution into the varicose
vein to promote an inflammatory response, scarring, and obliteration of the
lumen
A 62-year-old woman with a long-standing history of hypertension presents
with a severe headache; it started this morning and is rapidly worsening. During
the interview, she suddenly collapses. Your brief examination shows that she
responds with extensor posturing on external stimuli. Her deep tendon reflexes
are 3, and you elicit Babinski bilaterally. You also notice that her breathing has
a peculiar pattern: deep inspiration with a pause at full inspiration, followed by
a brief insufficient release and the end-inspiration pause. How do you best
describe her respiratory pattern?
A Cheyne-Stokes
B Apneusis
C Ataxic
D Cluster
--ANSWER-- E Kussmaul
Deficiency of what factor may predispose a person to recurrent thrombosis?
A Platelet deficiency
Page 2 of 56
,B Factor VIIIC deficiency
C Protein C deficiency
D von Willebrand factor deficiency
E Factor VII deficiency
--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
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?
--ANSWER-- synchronized cardioversion
which cancers is the AFP tumor marker associated with?
Page 3 of 56
, --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
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
Page 4 of 56
QUESTIONS WITH VERIFIED SOLUTIONS NEWLY
MODIFIED CURRENTLY TESTED AND GRADED A+
2026 NEW UPDATE
A 45-year-old woman with a no significant past medical history presents with a
4-month history of dull, aching heaviness sensation in her proximal right leg.
She notes that this sensation is provoked by extended periods of standing and
walking, and is relieved when she lies in a recumbent position. Her past medical
history is remarkable for pregnancy 4 times, the most recent being
approximately 2 years ago. She denies a history of smoking, trauma, injuries,
fever, chills, chest pain, shortness of breath, hemoptysis, cough, skin changes
and coolness, and peripheral edema. Her physical exam reveals several dilated,
tortuous, elongated veins along the medial right thigh, which are especially
pronounced upon standing. The remainder of the physical exam is normal. What
will be the most appropriate therapeutic approach for this patient at this time?
Warfarin (Coumadin)
Hint:
Warfarin is indicated for myocardial infarction or cerebrovascular accident
prevention and in patients with atrial fibrillation, mechanical heart valves, or
deep venous thrombosis.
A Warfarin
B Clopidogrel (Plavix)
C Sclerotherapy
D Furosemide (Lasix)
Page 1 of 56
,--ANSWER-- E Cilostazol (Pletal)
This patient's diagnosis is varicose veins. Sclerotherapy can be used to treat
varicose veins. It involves the injection of an irritating solution into the varicose
vein to promote an inflammatory response, scarring, and obliteration of the
lumen
A 62-year-old woman with a long-standing history of hypertension presents
with a severe headache; it started this morning and is rapidly worsening. During
the interview, she suddenly collapses. Your brief examination shows that she
responds with extensor posturing on external stimuli. Her deep tendon reflexes
are 3, and you elicit Babinski bilaterally. You also notice that her breathing has
a peculiar pattern: deep inspiration with a pause at full inspiration, followed by
a brief insufficient release and the end-inspiration pause. How do you best
describe her respiratory pattern?
A Cheyne-Stokes
B Apneusis
C Ataxic
D Cluster
--ANSWER-- E Kussmaul
Deficiency of what factor may predispose a person to recurrent thrombosis?
A Platelet deficiency
Page 2 of 56
,B Factor VIIIC deficiency
C Protein C deficiency
D von Willebrand factor deficiency
E Factor VII deficiency
--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
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?
--ANSWER-- synchronized cardioversion
which cancers is the AFP tumor marker associated with?
Page 3 of 56
, --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
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
Page 4 of 56
