Family Medicine Board Exam Started: Jul 13, 2026 10:04 Page 18 of 112 Attempt #2540 Overall: 0 / 560 questions answered Question 86 / 560 Not answered During an emergency department assessment: A patient with severe asthma exacerbation has silent chest and exhaustion. What is the implication? A. Mild asthma suitable for discharge B. Normal finding after salbutamol C. Pneumonia excluded D. No oxygen required E. Life-threatening asthma requiring urgent escalation Show Answer & Explanation Correct Answer: E Explanation: [Family Medicine] Silent chest and exhaustion are life-threatening asthma signs needing urgent escalation. Reference: GINA Strategy Report. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 87 / 560 Not answered During an emergency department assessment: A patient with acute coronary syndrome is allergic to aspirin with true anaphylaxis. What should be considered in specialist care when aspirin is essential? A. Ignore allergy and give full dose unsupervised B. Avoid all antiplatelets forever C. Use antihistamine as antiplatelet D. Aspirin desensitization if benefits outweigh risks E. Give only paracetamol Show Answer & Explanation Correct Answer: D Explanation: [Family Medicine] Aspirin desensitization may be considered when aspirin is essential and allergy is confirmed, under specialist supervision. Reference: ACC/AHA ACS guidance; AAAAI drug allergy practice parameter. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 88 / 560 Not answered During an emergency department assessment: A patient with suspected anaphylaxis has airway swelling and hypotension. What is the correct route for first-line epinephrine? A. Subcutaneous injection into forearm B. Oral tablet C. Intramuscular injection into the mid-anterolateral thigh D. Nebulized only E. Topical application Show Answer & Explanation Correct Answer: C Explanation: [Family Medicine] IM epinephrine into the mid-anterolateral thigh is first-line for anaphylaxis. Reference: World Allergy Organization Anaphylaxis Guidance. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 89 / 560 Not answered During an emergency department assessment: A 24-year-old woman asks about contraception while taking carbamazepine for epilepsy. Which counseling point is most important? A. Carbamazepine improves oral contraceptive efficacy B. Enzyme-inducing antiepileptics can reduce combined oral contraceptive effectiveness C. No contraception is needed if cycles are regular D. Copper IUD is contraindicated because of epilepsy E. Emergency contraception is never effective Show Answer & Explanation Correct Answer: B Explanation: [Family Medicine] Enzyme-inducing antiseizure medicines can reduce hormonal contraceptive effectiveness; long-acting noninteracting methods should be discussed. Reference: CDC Medical Eligibility Criteria for Contraceptive Use. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 90 / 560 Not answered At a primary-care follow-up visit: A 48-year-old woman with BMI 33 kg/m2 and previous gestational diabetes has HbA1c 6.1%. What is the best next step? A. Start basal insulin B. Reassure and repeat in 5 years C. Start sulfonylurea D. Diagnose type 1 diabetes E. Lifestyle intervention and consider metformin because she is high risk Show Answer & Explanation Correct Answer: E Explanation: [Family Medicine] Prediabetes with BMI >=35 or previous gestational diabetes is a high-risk situation where intensive lifestyle intervention and metformin can be considered. Reference: ADA Standards of Care in Diabetes 2026. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Cancel « ← Previous Page 18 of 112 Next → »