Family Medicine Board Exam Started: Jul 12, 2026 23:37 Page 7 of 112 Attempt #1313 Overall: 0 / 560 questions answered Question 31 / 560 Not answered In a rural clinic with limited resources: 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. Moderately increased albuminuria B. Normal albumin excretion C. Nephrotic-range proteinuria D. Hematuria syndrome E. Acute tubular necrosis Show Answer & Explanation Correct Answer: A 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 32 / 560 Not answered During morning rounds: 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. Start screening now with colonoscopy or an approved stool-based strategy E. Offer CT abdomen annually Show Answer & Explanation Correct Answer: D 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 33 / 560 Not answered In a rural clinic with limited resources: 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. Second-generation H1 antihistamine D. Antibiotic E. Warfarin Show Answer & Explanation Correct Answer: C 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 34 / 560 Not answered In a rural clinic with limited resources: A pregnant patient needs influenza prevention. Which vaccine type is appropriate? A. Live intranasal influenza vaccine B. Inactivated influenza vaccine C. BCG vaccine D. Varicella vaccine E. No vaccine in pregnancy ever Show Answer & Explanation Correct Answer: B 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 35 / 560 Not answered In a rural clinic with limited resources: A patient with suspected stroke has hypoglycemia on capillary testing. What should be done? A. Treat hypoglycemia immediately and reassess neurologic deficit B. Give thrombolysis without glucose correction C. Start warfarin D. Discharge without treatment E. Delay glucose correction until CT Show Answer & Explanation Correct Answer: A 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 Cancel « ← Previous Page 7 of 112 Next → »