Family Medicine Board Exam Started: Jul 14, 2026 21:17 Page 53 of 112 Attempt #3271 Overall: 0 / 560 questions answered Question 261 / 560 Not answered At a multidisciplinary case conference: a 67-year-old man is evaluated for persistently elevated office blood pressure in the context of current tobacco use. Which is the most appropriate next investigation? A. HbA1c with fasting glucose B. Colorectal cancer screening test C. Lipid panel with ASCVD risk estimation D. TSH with free T4 E. PHQ-9 assessment Show Answer & Explanation Correct Answer: B Explanation: Colorectal cancer screening test is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Family Medicine. Reference: ADA Standards of Care in Diabetes (2024) 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 262 / 560 Not answered During morning rounds: a 44-year-old man is evaluated for dysuria with urinary frequency in the context of obesity and sedentary lifestyle. Which is the most appropriate next investigation? A. HbA1c with fasting glucose B. TSH with free T4 C. Colorectal cancer screening test D. PHQ-9 assessment E. Urine albumin-to-creatinine ratio Show Answer & Explanation Correct Answer: B Explanation: TSH with free T4 is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Family Medicine. Reference: NICE Depression Guideline 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 263 / 560 Not answered During ward handover: a 31-year-old man presents with persistently elevated office blood pressure. Relevant risk context includes current tobacco use. What is the most likely diagnosis? A. Community-acquired pneumonia B. Major depressive disorder C. Iron deficiency anemia D. Acute uncomplicated cystitis E. Type 2 diabetes mellitus Show Answer & Explanation Correct Answer: C Explanation: The pattern of persistently elevated office blood pressure with risk factors such as current tobacco use is most consistent with Iron deficiency anemia. This answer best matches the expected diagnostic framework for Family Medicine. Reference: ACC/AHA Primary Prevention and Hypertension Guidelines 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 264 / 560 Not answered During ward handover: a 72-year-old woman is evaluated for polyuria with elevated fasting glucose in the context of obesity and sedentary lifestyle. Which is the most appropriate next investigation? A. TSH with free T4 B. Urine albumin-to-creatinine ratio C. HbA1c with fasting glucose D. Colorectal cancer screening test E. PHQ-9 assessment Show Answer & Explanation Correct Answer: C Explanation: HbA1c with fasting glucose is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Family Medicine. Reference: NICE Depression Guideline 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 265 / 560 Not answered In an emergency department assessment: a 29-year-old man presents with anhedonia with low mood and sleep disturbance. Relevant risk context includes poor diet quality. What is the most likely diagnosis? A. Community-acquired pneumonia B. Iron deficiency anemia C. Essential hypertension D. Type 2 diabetes mellitus E. Acute uncomplicated cystitis Show Answer & Explanation Correct Answer: C Explanation: The pattern of anhedonia with low mood and sleep disturbance with risk factors such as poor diet quality is most consistent with Essential hypertension. This answer best matches the expected diagnostic framework for Family Medicine. Reference: ACC/AHA Primary Prevention and Hypertension Guidelines 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 53 of 112 Next → »