Family Medicine Board Exam Started: Jul 12, 2026 21:04 Page 112 of 112 Attempt #981 Overall: 0 / 560 questions answered Question 556 / 560 Not answered At a chronic disease review appointment: a 47-year-old woman is being assessed for depression primary care workflow; What is the most appropriate next step? A. Use PHQ-9 once and discharge without plan B. Avoid asking about self-harm to reduce distress C. Delay treatment until psychosis develops D. Confirm diagnosis, assess suicide risk, and initiate evidence-based treatment/follow-up E. Treat with sedatives as first-line monotherapy Show Answer & Explanation Correct Answer: D Explanation: Confirm diagnosis, assess suicide risk, and initiate evidence-based treatment/follow-up. This aligns with current family medicine standards and should be tailored to patient context, comorbidities, risk profile, and shared decision-making. Reference: NICE Depression Guideline; APA 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 557 / 560 Not answered During a same-day outpatient consultation: a 68-year-old man is being assessed for self-harm immediate assessment; What is the most appropriate next step? A. Focus only on school/work stress without safety screen B. Perform immediate safety assessment including intent, plan, means, and supports C. Discharge immediately if vitals are stable D. Use antibiotics as first-line intervention E. Promise absolute confidentiality without risk assessment Show Answer & Explanation Correct Answer: B Explanation: Perform immediate safety assessment including intent, plan, means, and supports. This aligns with current family medicine standards and should be tailored to patient context, comorbidities, risk profile, and shared decision-making. Reference: NICE Self-harm Guideline (2022) 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 558 / 560 Not answered In a community health center follow-up: a 35-year-old woman is being assessed for low back pain red flags; What is the most appropriate next step? A. Ignore bladder dysfunction when back pain is present B. Use strict bed rest for two weeks in uncomplicated pain C. Urgently investigate when red flags suggest serious pathology D. Use opioids indefinitely as first-line treatment E. Order MRI for all acute low back pain at first visit Show Answer & Explanation Correct Answer: C Explanation: Urgently investigate when red flags suggest serious pathology. This aligns with current family medicine standards and should be tailored to patient context, comorbidities, risk profile, and shared decision-making. Reference: NICE Low Back Pain and Sciatica 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 559 / 560 Not answered At a continuity-of-care review: a 61-year-old man is being assessed for ckd monitoring in diabetes; What is the most appropriate next step? A. Avoid albumin testing because it does not change management B. Screen only after edema develops C. Monitor only if random glucose exceeds 300 mg/dL D. Monitor eGFR and urine albumin at least annually in diabetes E. Use serum creatinine once every 5 years Show Answer & Explanation Correct Answer: D Explanation: Monitor eGFR and urine albumin at least annually in diabetes. This aligns with current family medicine standards and should be tailored to patient context, comorbidities, risk profile, and shared decision-making. Reference: ADA Standards of Care; KDIGO CKD 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 560 / 560 Not answered During an annual wellness examination: a 44-year-old woman is being assessed for adult vaccination in primary care; What is the most appropriate next step? A. Use tetanus booster monthly B. Apply age- and risk-based vaccination schedule including annual influenza vaccination C. Avoid influenza vaccination in all adults with chronic disease D. Give live vaccines during severe immunosuppression routinely E. Vaccinate only after laboratory confirmation of infection Show Answer & Explanation Correct Answer: B Explanation: Apply age- and risk-based vaccination schedule including annual influenza vaccination. This aligns with current family medicine standards and should be tailored to patient context, comorbidities, risk profile, and shared decision-making. Reference: CDC Adult Immunization Schedule (2024) Comments & Discussion No comments yet. 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