pg. 1 2025 Internal Family Med EOR Exam Test Bank
- With 120 Exam Prep Questions and Correct
Answers/ EOR Internal Medicine Test 2025 Prep Questions Bank 1 With Answers (Brand New!)
(Correct answer provided after the : and rationales marked with a **)
- A 75-year-old woman presents to the clinic from the nursing home facility
- A 35-year-old woman has cardiac indications for antibiotic prophylaxis for
with fatigue, a productive cough, malaise, and chest pain for 1 week. Her medical history includes hypertension and dementia. Vital signs today include heart rate of 105 bpm, blood pressure of 132/86 mm Hg, respiratory rate of 24/minute, oxygen saturation of 95% on room air, and temperature of 100.8°F. Chest X-ray is shown above. Which of the following physical examination findings is most consistent with the suspected diagnosis?ADecreased tactile fremitus BHyperresonance to percussion CSpoken words muffled and indistinct on auscultation DSpoken "E" heard as "A" on auscultation: Spoken "E" heard as "A" on auscul- tation **community acquired pneumonia
dental care and is referred to your clinic to gain preoperative clearance and medication instructions for dental surgery. Her vital signs are a BP of 110/76 mm Hg, HR of 76 bpm, RR of 16/min, SpO2 of 97% on room air, T of 98.0°F, and BMI of 21 kg/m2. While you take her history, she reports she has had hives and difficulty breathing in response to sulfa drugs and penicillins but no prior incidents with anesthesia. Her gums show moderate swelling and significant recession.Which of the following antibiotic regimens would be recommended as prophylaxis in this patient?AAmoxicillin BCephalexin CClarithromycin
DClindamycin: Clarithromycin 1 / 4
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- A 60-year-old man with benign prostatic hyperplasia controlled by alfuzosin
presents to the urgent care clinic with an inability to urinate for the past 12 hours.He states that he did not have any discomfort with urination prior to his inability to urinate, and he did not notice any blood in his urine. His vital signs are a BP of 128/88 mm Hg, HR of 90 bpm, RR of 20/min, SpO2 of 99% on room air, and a T of 98.8°F. Upon abdominal examination, the urinary bladder is palpable anteriorly, and pain is elicited from the patient upon deep abdominal palpation. The remainder of the physical examination is within normal limits, and the patient does not appear to be in acute distress. What is the best next step in the management of this patient's condition?ABladder ultrasound BReferral to urologist
CTransfer to emergency department DUrinary catheter: bladder ultrasound
**acute urinary retention due to BPH
- A 79-year-old man under your treatment for hypertension presents with
concerns about tightness in his chest after follow-up with his cardiologist. He first noticed the tightness when he was climbing the stairs at a football stadium last month, but the tightness resolved when he sat down. He also noticed chest pain lasting 5 minutes while he prepared the quarterly tax report for his store. His current medications include lisinopril and a multivitamin. Vital signs are BP of 126/80 mm Hg, HR of 70 bpm, RR of 18/min, SpO2 of 95% on room air, T of 98.0°F, and BMI of 25.5 kg/m2. Heart and lung auscultation are normal. The patient feels no pain upon palpation of the anterior ribs. An ECG is obtained and shown above. His cardiologist prescribed a sublingual medication to be taken as needed at the first sign of chest pain and suggests the patient also try using it before heavy exertion. Which of the following is the mechanism of action of the prescribed medication?AActivates central alpha-2 receptors BCreates nitric oxide, which stimulates guanylate cyclase CInhibits entry of calcium ions into "slow" channels of the myocardium DOpens potassium channels in arteriolar smooth muscle cells: creates nitric oxide, which stimulates guanylate cyclase **angina with nitroglycerin 2 / 4
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- Which of the following patients is most appropriate for osteoporosis screen-
ing using dual-energy X-ray absorptiometry scanning?AA 45-year-old woman with a body mass index of 25 kg/m2 and maternal history of a hip fracture BA 54-year-old woman with a body mass index of 23 kg/m2 and recent distal radius fracture from a fall at home CA 59-year-old woman with a body mass index of 26 kg/m2, remote smoking history (quit 30 years ago), and recent 10-day course of glucocorticoids for asthma exacerbation DA 62-year-old woman with a body mass index of 27 kg/m2 and recent fifth
metatarsal fracture while playing soccer: A 54-year-old woman with a body mass
index of 23 kg/m2 and recent distal radius fracture from a fall at home
- A 35-year-old man presents to the clinic for occupational tuberculosis
screening. The patient is an emergency medicine nurse and reports that he received the Bacille Calmette-Guérin vaccine when he was 5 years old before he started school in South America. He has not had a cough, fever, or short- ness of breath recently. Vital signs include HR of 80 bpm, BP of 130/80 mm Hg, RR of 20/minute, oxygen saturation of 97% on room air, and T of 98.2°F. The patient's lungs are clear to auscultation bilaterally on physical examination. Which of the following is the recommended method of tuberculosis screening in this patient?AAcid-fast bacilli smear of sputum samples BChest X-ray CInterferon-gamma release assay
DTuberculin skin test: interferon-gamma release assay
- A 3-year-old boy presents to the clinic with a painful and swollen right
ankle. His parent accompanying him to the visit states there was no trauma or injury. The patient has had two prior episodes of similar symptoms that occurred without trauma. Vital signs include an HR of 95 bpm, BP of 95/70 mm Hg, RR of 22/minute, oxygen saturation of 99% on room air, and T of 98.6°F. Physical examination reveals an effusion of the right ankle, and the patient is not moving his right lower extremity. Radiographs of the right ankle show soft tissue swelling but no acute bony abnormality. The patient's laboratory studies include: 3 / 4
pg. 4 White blood cell count: 10,000/µL Platelet count: 250,000/µL Prothrombin time: 13 sec Activated partial thromboplastin time: 55 sec Von Willebrand factor antigen: 125 IU/dL Which of the following is the recommended treatment?AAircast splint placement BAnalgesics and ice packs CFactor VIII infusion
DTranexamic acid: Factor VIII infusion
**hemophilia A
- A 29-year-old woman presents to her primary care clinician reporting ner-
vousness, worrying, rapid heart rate, occasional tremor, and frequent sweat- ing for the past 8 months. Vital signs reveal an HR of 114 bpm, RR of 17 breaths/minute, BP of 118/74 mm Hg, SpO2 of 99% on room air, T of 98.7°F, and BMI of 20.3 kg/m2. Physical exam reveals tachycardia and moist skin. Before making the most likely diagnosis, what testing should the clinician order?AEstrogen levels BHepatic panel CSerum thyrotropin
DUrine pregnancy test: serum thyrotropin
**generalized anxiety disorder; thyrotropin is TSH
- A 62-year-old woman presents to her primary care office with concerns
about vaginal dryness. She has not had a menstrual cycle for the past 4 years. She states she has experienced dyspareunia for the past 1-2 years. Her vital signs are HR of 70 bpm, RR of 17/min, BP of 120/76 mm Hg, T of 98.2°F, oxygen saturation of 100% on room air, and BMI of 23.2 kg/m2. Consent for a pelvic exam is obtained, and a pelvic exam is performed. On exam, the vaginal epithelium is pale, dry, and shiny. Which of the following is the most appropriate management for this patient's condition?AIntravaginal clotrimazole BIntravaginal estrogen CSystemic estrogen and progesterone
DVaginal moisturizers and lubricants: vaginal moisturizers and lubricants
- A 52-year-old man with a medical history of diabetes mellitus and hy-
- / 4
perthyroidism, for which he takes metformin and methimazole, presents to the