Family Medicine Board Exam Started: Jul 13, 2026 23:06 Page 27 of 112 Attempt #3005 Overall: 0 / 560 questions answered Question 131 / 560 Not answered At a preventive-care consultation: A 52-year-old man with hypertension asks about colorectal cancer screening. He is average risk and has no rectal bleeding or family history. What is the most appropriate preventive advice? A. Start screening now with colonoscopy or an approved stool-based strategy B. Wait until age 60 if asymptomatic C. Order CEA as the screening test D. Screen only if anemia develops E. Offer CT abdomen annually Show Answer & Explanation Correct Answer: A Explanation: [Family Medicine] Average-risk adults should start colorectal cancer screening at age 45 using colonoscopy or validated stool-based options; CEA is not a screening test. Reference: USPSTF Colorectal Cancer Screening Recommendation; American Cancer Society guideline. 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 132 / 560 Not answered At a preventive-care consultation: 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. Nebulized only D. Intramuscular injection into the mid-anterolateral thigh E. Topical application Show Answer & Explanation Correct Answer: D 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 133 / 560 Not answered At a preventive-care consultation: 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. No contraception is needed if cycles are regular C. Enzyme-inducing antiepileptics can reduce combined oral contraceptive effectiveness D. Copper IUD is contraindicated because of epilepsy E. Emergency contraception is never effective Show Answer & Explanation Correct Answer: C 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 134 / 560 Not answered At a preventive-care consultation: A 67-year-old man with diabetes has an annual review. His urine albumin-to-creatinine ratio is 8 mg/mmol on two samples. What does this represent? A. Normal albumin excretion B. Moderately increased albuminuria C. Nephrotic-range proteinuria D. Hematuria syndrome E. Acute tubular necrosis Show Answer & Explanation Correct Answer: B Explanation: [Family Medicine] An ACR around 3-30 mg/mmol corresponds to moderately increased albuminuria and signals CKD risk. Reference: KDIGO CKD Evaluation and Management Guideline. 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 135 / 560 Not answered At a preventive-care consultation: A 29-year-old woman presents with urinary frequency and dysuria for 1 day, no fever, flank pain, pregnancy, or vaginal discharge. What is the most likely diagnosis? A. Acute uncomplicated cystitis B. Pyelonephritis C. Pelvic inflammatory disease D. Renal colic E. Interstitial nephritis Show Answer & Explanation Correct Answer: A Explanation: [Family Medicine] Dysuria and frequency without systemic symptoms in a nonpregnant woman is typical of acute uncomplicated cystitis. Reference: IDSA Uncomplicated UTI Guideline. 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 27 of 112 Next → »