Family Medicine Board Exam Started: Jul 12, 2026 22:42 Page 6 of 112 Attempt #1201 Overall: 0 / 560 questions answered Question 26 / 560 Not answered In a rural clinic with limited resources: 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. Screen only if anemia develops D. Offer CT abdomen annually E. Start screening now with colonoscopy or an approved stool-based strategy Show Answer & Explanation Correct Answer: E 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 27 / 560 Not answered At a preventive-care consultation: 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. Long-term oral steroid for all C. Antibiotic D. Second-generation H1 antihistamine E. Warfarin Show Answer & Explanation Correct Answer: D 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 28 / 560 Not answered At a preventive-care consultation: A pregnant patient needs influenza prevention. Which vaccine type is appropriate? A. Live intranasal influenza vaccine B. BCG vaccine C. Inactivated influenza vaccine D. Varicella vaccine E. No vaccine in pregnancy ever Show Answer & Explanation Correct Answer: C 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 29 / 560 Not answered At a preventive-care consultation: A patient with suspected stroke has hypoglycemia on capillary testing. What should be done? A. Give thrombolysis without glucose correction B. Treat hypoglycemia immediately and reassess neurologic deficit C. Start warfarin D. Discharge without treatment E. Delay glucose correction until CT Show Answer & Explanation Correct Answer: B Explanation: [Family Medicine] Hypoglycemia can mimic stroke and should be corrected immediately while continuing appropriate assessment. Reference: AHA/ASA Stroke 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 30 / 560 Not answered In a rural clinic with limited resources: 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. Pyelonephritis B. Pelvic inflammatory disease C. Renal colic D. Interstitial nephritis E. Acute uncomplicated cystitis Show Answer & Explanation Correct Answer: E 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 6 of 112 Next → »