Family Medicine Exam Practice Tests
Course Introduction
Family Medicine is a comprehensive clinical discipline that emphasizes holistic, patient-centered healthcare across all ages, genders, and diseases. This course introduces students to the principles and practices of primary care, including preventive medicine, health promotion, chronic disease management, and acute care within the context of family and community. Students will develop diagnostic, therapeutic, and communication skills necessary to address a wide range of medical issues, while cultivating an understanding of continuity of care, interdisciplinary collaboration, and the psychosocial factors impacting patient health. Through lectures, case studies, and practical experiences, learners will gain the knowledge and skills required to deliver integrated, compassionate care in diverse community settings.
Recommended Textbook
Respiratory Disease A Case Study Approach to Patient Care 3rd Edition by James R. Dexter
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20 Chapters
484 Verified Questions
484 Flashcards
Source URL: https://quizplus.com/study-set/3793
Page 2
Chapter 1: Introduction to Patient Assessment
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/75737
Sample Questions
Q1) Which of the following can cause secondary polycythemia?
A)Living at high altitude
B)Congenital heart disease
C)Chronic lung disease
D)All the above
Answer: D
Q2) Which of the following conditions is associated with copious amounts of sputum production?
A)Asthma
B)Emphysema
C)Bronchiectasis
D)Congestive heart failure
Answer: C
Q3) Which of the following conditions causes the patient to breathe with a prolonged expiratory time?
A)Acute asthma
B)Congetive heart failure
C)Atelectasis
D)All the above
Answer: A
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Chapter 2: Introduction to Respiratory Failure
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The patient with inadequate oxygenation of the brain will usually display what symptom(s)?
A)Confusion
B)Excitement
C)Diminished cognitive function
D)A and C only
Answer: D
Q2) You are monitoring a patient during mechanical ventilation and the peak pressure is reaching 55 cm H<sub>2</sub>0.What problem does this potentially cause?
A)Barotrauma
B)Renal failure
C)Hypertension
D)Auto-PEEP
Answer: A
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Chapter 3: Asthma
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/75735
Sample Questions
Q1) What can be said about the incidence of asthma and the death rate from asthma in the past decade or so?
A)Both are on the decrease
B)Both are on the increase
C)Incidence is up,but death rate is down
D)Incidence is down,but death rate is up
Answer: B
Q2) What is indicated by a paradoxical breathing pattern during an acute asthma attack?
A)Severe hypoxia
B)Severe hypercapnia
C)Diaphragm fatigue
D)Pneumothorax
Answer: C
Q3) Which of the following is NOT associated with provoking an asthma attack?
A)Aspirin use
B)Exercise
C)Viral respiratory infection
D)Use of Atropine to increase heart rate
Answer: D
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Chapter 4: Chronic Obstructive Pulmonary Disease
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) About how many deaths are attributed to COPD each year in the United States?
A)10,000
B)50,000
C)100,000
D)200,000
Q2) Which of the following symptoms is least common among COPD patients?
A)Cough
B)Exertional dyspnea
C)Sputum production
D)Chest pain
Q3) What clinical finding in the COPD patient suggests that long-term oxygen therapy is likely to benefit the patient?
A)Loud P-2
B)Diminished heart sounds
C)Diminished PMI
D)Diminished breath sounds
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Chapter 5: Cystic Fibrosis
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) If your patient with cystic fibrosis has bilateral polyphonic wheezing,what therapy would you initially recommend?
A)Inhaled albuterol
B)Inhaled corticosteroids
C)Oral aminophylline
D)Inhaled atropine
Q2) Why are patients with cystic fibrosis frequently malnourished?
A)Pancreatic exocrine insufficiency
B)Inadequate food intake
C)High metabolic demand from infections
D)All the above
Q3) Which of the following statements is most true regarding the prognosis of cystic fibrosis patients today?
A)Most don't live past the age of 15 years
B)Many now live past the age of 30 years
C)The prognosis has not changed in the past several decades
D)The prognosis varies with age of diagnosis
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Chapter 6: Hemodynamic Monitoring and Shock
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) What type of shock is most likely to cause ARDS?
A)Hypovolemic shock
B)Septic shock
C)Cardiogenic shock
D)None of the above
Q2) What hemodynamic monitoring result is most consistent with cardiogenic shock?
A)CVP = 2 mmHg
B)Cardiac output = 5 L/min
C)PCWP = 20 mmHg
D)Mean blood pressure = 85 mmHg
Q3) Your patient is a large male with a body surface area of 2.2 m<sup>2</sup>.His cardiac output is 4.0 L/min and his body temperature is 38.5°C.What interpretation is most appropriate for his cardiac output?
A)It is probably adequate
B)It is probably more than adequate
C)It is probably less than adequate
D)It indicates hypovolemia
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Chapter 7: Pulmonary Thromboembolic Disease
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Which of the following statements is true about the use of "D-dimer" in evaluating the patient for PTE?
A)A value of >200 ng/mL is suggestive of PTE
B)Negative results are good evidence that PTE is not present
C)High values are proof of PTE
D)None of the above
Q2) What test is used to monitor oral anticoagulation therapy?
A)PTT
B)PT
C)Platelet count
D)Sedimentation rates
Q3) Which of the following is NOT considered one of the three main factors associated with the formation of deep venous thrombi?
A)Venous status
B)Hypercoagulability
C)Thrombocytopenia
D)Damage to venous blood vessels
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Chapter 8: Heart Failure
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/75730
Sample Questions
Q1) If your patient with heart failure develops bradycardia,what drug would you suggest to be used?
A)Atropine
B)Isuprel
C)Epinephrine
D)Norepinephrine
Q2) Which of the following ABG findings is most suggestive of a severe case of congestive heart failure?
A)Respiratory alkalosis
B)PaO<sub>2</sub> = 40 mmHg
C)Metabolic acidosis
D)PaCO<sub>2</sub> = 44 mmHg
Q3) Which of the following is NOT one of the primary ways in which edema forms from leakage of fluid out of the capillaries?
A)Increased capillary permeability
B)Increased capillary hydrostatic pressure
C)Increased blood protein concentrations
D)Lymphatic obstruction
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10
Chapter 9: Smoke Inhalation Injury and Burns
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/75729
Sample Questions
Q1) Delayed neuropsychological sequelae of carbon monoxide poisoning include all of the following except:
A)Movement disorders
B)Cognitive deficits
C)Arrhythmias
D)Personality changes
Q2) Most burn injuries occur in what locale?
A)The workplace
B)Automotive accidents
C)The home
D)Wildfires
Q3) Which of the following is advised for the prevention of infection in the burn patient?
A)Wound covering
B)Room pressurization
C)Air filtration
D)All the above
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11
Chapter 10: Near Drowning
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/75728
Sample Questions
Q1) Which of the following facts is/are important to determine when a near drowning victim arrives at the emergency room?
A)The approximate temperature of the water
B)The length of time the victim was submerged
C)The victim's age
D)All the above
Q2) What two abnormalities are seen most often in near drowning victims on an arterial blood gas sample?
A)Respiratory alkalosis and metabolic acidosis
B)Respiratory acidosis and metabolic alkalosis
C)Hypoxemia and metabolic acidosis
D)Hypoxemia and respiratory alkalosis
Q3) Which of the following statements is NOT true regarding factors associated with drowning and near drowning?
A)Drowning rates are inversely related to per capita income
B)Drowning increases during the summer months
C)Most drowning deaths occur in a large body of water far from shore
D)Most drowning deaths in children occur while supervision is present
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Chapter 11: Acute Respiratory Distress Syndrome
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/75727
Sample Questions
Q1) Your patient presents with bilateral pulmonary edema as a consequence of acute lung injury.Which of the following is the least likely finding?
A)Increased pulmonary wedge pressure
B)Normal sized heart on x-ray
C)PaO<sub>2</sub>/FIO<sub>2</sub> ratio <200
D)Increased pulmonary capillary permeability
Q2) Which of the following is NOT true regarding "permissive hypercapnia" in managing your ARDS patients?
A)Volumes should be kept low,but pH kept >7.20
B)Use of volumes which keep plateau pressures <30 cm
C)PaCO<sub>2</sub> can be allowed to be as high as 100 mmHg as long as pH is corrected with NaHCO<sub>3</sub>-
D)Pressure-limited ventilation is acceptable in some,but not all cases
Q3) When ARDS was first recognized the mortality rate was about 90%.What is the mortality rate currently?
A)It remains about 90%
B)About 60-75%
C)About 35-40%
D)25%
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Page 13
Chapter 12: Chest Trauma
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/75726
Sample Questions
Q1) Which is the most common site of aortic rupture in chest trauma?
A)Descending aorta near its hiatus in the diaphragm
B)Ascending aorta just distal to its semilunar valve
C)Upper thoracic aorta,near the left subclavian artery
D)Arch of the aorta near the brachiocephalic artery
Q2) Beck's triad,which includes the three signs of cardiac tamponade,contains all of the following except:
A)Distended neck veins
B)Increased pulse pressure
C)Diminished heart tones
D)Hypotension
Q3) Unilateral trauma to the lung or bronchi might necessitate which of these?
A)Double-sided chest tubes
B)Placing the patient in the lateral position with the involved side down
C)Independent lung ventilation with a double-lumen endotracheal tube
D)None of the above
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14
Chapter 13: Postoperative Atelectasis
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) What therapy is often very effective in treating lobar atelectasis in the postoperative patient?
A)A short,vigorous course of chest physical therapy
B)IPPB
C)CPAP with humidity therapy
D)Simulated coughing
Q2) What surgical site represents the greatest risk for postoperative atelectasis?
A)Upper thoracic
B)Lower abdominal
C)Upper abdominal
D)Pelvic
Q3) What abnormalities would be seen in bedside spirometry tests for the patient with severe atelectasis?
A)Reduced vital capacity
B)Reduced inspiratory capacity
C)Reduced FEV1/FVC
D)A and B only
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15
Chapter 14: Interstitial Lung Disease
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The drug amiodarone,a particularly potent drug associated with ILD,is used to treat what group of disorders?
A)Bronchogenic carcinoma
B)Rheumatoid lung disease
C)Gastrointestinal disorders
D)Cardiac dysrrhythmias
Q2) Arterial blood gases done in the early stages of ILD nearly always reveal
A)Mixed (metabolic and respiratory)acidosis with hypoxemia
B)Widening (P[A-a] O<sub>2</sub>)
C)Hypoxemia initially limited to exercise
D)Both B and C are correct
Q3) What is the first symptom of lung involvement in ILD?
A)Productive cough
B)Hepatojugular reflex
C)Bubbling rales
D)Progressive dyspnea on exertion
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16
Chapter 15: Neuromuscular Diseases
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/75723
Sample Questions
Q1) What type of sleep apnea may play a role in sudden infant death syndrome?
A)Central
B)Obstructive
C)Both A and B
D)Mixed
Q2) Which of the following statements is true regarding amyotrophic lateral sclerosis?
A)It is also called Lou Gehrig's disease
B)It has no known cause
C)It results in damage to the anterior horn cell
D)All the above
Q3) Which of the following is the major muscle of inspiration?
A)Rectus abdominus
B)Diaphragm
C)External oblique
D)Internal intercostals
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17
Chapter 16: Bacterial Pneumonia
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/75722
Sample Questions
Q1) Specific immunological defense mechanisms include all of the following except:
A)Phagocytosis by leukocytes
B)Compliment
C)Antibodies
D)None of the above
Q2) Gram staining allows the patient to
A)"Fine tune" antibiotic therapy to treat a specific organism
B)Provide the CDC statistical research data
C)Identify the more virulent strains of pseudomonas
D)None of the above
Q3) What are major factors that make nosocomial pneumonia so hard to eradicate?
A)Person-to-person spread of contagion
B)Antibiotic resistance
C)Numerous reservoirs for infection
D)All the above
Q4) Which of these is not a pathway for organisms to enter the lungs in the adult?
A)Aspiration
B)From the blood
C)Inhalation
D)From the lymphatic system
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Chapter 17: Pneumonia in the Immunocompromised Patient
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) What are the initial staining techniques for sputum cultures in the immunocompromised?
A)Acid-fast stain
B)Gram stain
C)Neither A nor B
D)Both A and B
Q2) Which of these statements does not describe empiric therapy for immunocompromised pneumonia patients?
A)Is initiated with a broad-spectrum antibiotic
B)Is directed toward organisms least likely to have caused infection
C)Initiated without waiting for culture results
D)Is not directed at any as yet identified organisms
Q3) Which of the following is NOT a common opportunistic pulmonary infection seen in a patient with a compromised immune system?
A)P.jaroveci
B)Mycobacterium avium complex
C)Candida albicans
D)Streptococcal pneumoniae
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Chapter 18: Sleep Disordered Breathing
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/75720
Sample Questions
Q1) How would you describe the normal changes in breathing and breathing patterns during the deeper stages of NREM sleep?
A)Increased and regular
B)Decreased and regular
C)Increased and irregular
D)Decreased and irregular
Q2) What term is also used to describe stage III and IV NREM sleep?
A)Slow-wave sleep
B)K-wave sleep
C)Low-voltage sleep
D)Beta sleep
Q3) What is the goal of surgery in patients with obstructive sleep apnea?
A)Bypass the obstruction
B)Widen the airway
C)Increase the upper airway muscle tone
D)A and B only
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Chapter 19: Tuberculosis
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/75719
Sample Questions
Q1) What is the most common abnormality seen on the chest x-ray of the patient with primary TB?
A)Cavitation in the lower lobes
B)Dense consolidation in the upper lobes
C)Hilar lymph node enlargement
D)None of the above
Q2) What arterial blood gas findings are typical for the patient with dormant TB lung infection?
A)Moderate hypoxemia
B)Mild hypercapnia
C)Metabolic acidosis
D)None of the above
Q3) Which of the following is NOT a known side effect of the medications used to treat TB?
A)Chemical hepatitis
B)Skin eruptions
C)Bluish discoloration of the urine and saliva
D)Gastrointestinal upset
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21
Chapter 20: Lung Cancer
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/75718
Sample Questions
Q1) Your patient has been determined to have this stage - TX,NO MO - in his lung cancer.What should be recommended?
A)Nothing.Cancer is totally metastasized
B)Imaging and bronchoscopy to ascertain site and nature of the tumor
C)Immediate surgery accompanied by chemotherapy and radiation therapy
D)None of the above
Q2) Hoarseness in your lung cancer patient may lead you to suspect what?
A)Acute bronchitis
B)Subglottic edema
C)Vocal cord paralysis
D)Acid-reflux disease
Q3) The fact that the overall survival rate for patients presenting with lung cancer is about 10% reflects what fact?
A)The disease is already advanced at time of diagnosis
B)The patients generally continue smoking
C)Infections are common
D)The patient is noncompliant with antineoplastic regimen
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