Thursday, August 14, 2008

Common 10 Questions for Family Medicine for QE1 exam

1. Which one of the following statements about antithyroid drug therapy is correct?

A. Methimazole (Tapazole) should not be given with a beta blocker.
B. The medication of choice for patients who are pregnant is methimazole.
C. The most serious complication of antithyroid drug therapy is agranulocytosis.
D. Relapse is more common in nonsmokers.

2. Which one of the following is the best modality for initially evaluating patients with suspected gallstones?

A. Magnetic resonance imaging.
B. Cholecystography.
C. Plain radiography.
D. Ultrasonography.
E. Computerized axial tomography.

3. The highest cure rates for cutaneous warts are achieved when cryotherapy is administered at which one of the following time intervals?

A. Seven to 10 days.
B. Two to three weeks.
C. Four to five weeks.
D. Seven to eight weeks.

4. A patient with hepatitis C virus (HCV) infection presents with a detectable RNA viral load higher than 50 copies per mL and portal fibrosis and necrosis on liver biopsy. Which one of the following is the recommended treatment?

A. Pegylated interferon (PEG-Intron) plus ribavirin (Rebetol).
B. Ribavirin alone.
C. Pegylated interferon alone.
D. Interferon alfa-2a recombinant plus ribavirin.
E. Interferon alfa-2a recombinant alone.

6. A 24-year-old man has stabbing tendon pain during increased activity. Which one of the following factors points to a diagnosis of tendinosus rather than tendonitis?

A. The initial pain should resolve in three days.
B. The likelihood of a full recovery is greater than 95 percent.
C. Surgical excision of abnormal tendon tissue is effective if conservative treatment fails.
D. A and C is correct
E. The focus of conservative therapy is anti-inflammatory agents.

7. A Wood's light examination can help identify which of the following?

A. Erythrasma.
B. Candida species.
C. Pseudomonas infection.
D. Group A beta-hemolytic streptococcus.
E. A and C is correct
f. all of the above

8. A 67-year-old woman presents with a list of herbal therapies she has been using for her hot flashes. She states that she does not believe in taking prescription medicines but wants guidance about which herbal therapies are safe and effective. Which one of the following is the best herbal therapy option for hot flashes based on current evidence?

A. Black cohosh.
B. Ginseng.
C. Dong quai.
D. Evening primrose oil.

9. Which one of the following is the most accurate noninvasive screening method for peripheral arterial disease (PAD)?

A. Palpation of peripheral pulses.
B. Validated PAD questionnaire.
C. History taking.
D. Ankle-brachial index.
E. History taking and physical examination combined.

10. Which one of the following findings suggests a diagnosis of functional constipation?

A. Fecal soiling.
B. Absence of pain with defecation.
C. Soft, small-caliber stools.
D. Abnormal anal sphincter tone.

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