Family Medicine Board Exam Started: Jul 14, 2026 02:58 Page 30 of 112 Attempt #3052 Overall: 0 / 560 questions answered Question 146 / 560 Not answered In a ward handover scenario: 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. Lifestyle intervention and consider metformin because she is high risk E. Diagnose type 1 diabetes Show Answer & Explanation Correct Answer: D 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 Question 147 / 560 Not answered In a ward handover scenario: 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. Wait until age 60 if asymptomatic B. Order CEA as the screening test C. Start screening now with colonoscopy or an approved stool-based strategy D. Screen only if anemia develops E. Offer CT abdomen annually Show Answer & Explanation Correct Answer: C 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 148 / 560 Not answered At a primary-care follow-up visit: A patient has acute urticaria without airway, breathing, circulation, or GI compromise. What is first-line symptomatic therapy? A. IM epinephrine for every isolated wheal B. Second-generation H1 antihistamine C. Long-term oral steroid for all D. Antibiotic E. Warfarin Show Answer & Explanation Correct Answer: B Explanation: [Family Medicine] Acute urticaria without anaphylaxis is treated with non-sedating H1 antihistamines. Reference: EAACI/GA2LEN/EuroGuiDerm/APAAACI Urticaria 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 149 / 560 Not answered At a primary-care follow-up visit: A pregnant patient needs influenza prevention. Which vaccine type is appropriate? A. Inactivated influenza vaccine B. Live intranasal influenza vaccine C. BCG vaccine D. Varicella vaccine E. No vaccine in pregnancy ever Show Answer & Explanation Correct Answer: A Explanation: [Family Medicine] Inactivated influenza vaccine is recommended in pregnancy; live attenuated intranasal vaccine is avoided. Reference: CDC/ACIP Immunization in Pregnancy 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 150 / 560 Not answered In a ward handover scenario: 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. Nephrotic-range proteinuria C. Hematuria syndrome D. Moderately increased albuminuria E. Acute tubular necrosis Show Answer & Explanation Correct Answer: D 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 Cancel « ← Previous Page 30 of 112 Next → »