Family Medicine Board Exam Started: Jul 13, 2026 09:08 Page 15 of 112 Attempt #2499 Overall: 0 / 560 questions answered Question 71 / 560 Not answered Question 131: During an emergency department assessment: A 35-year-old woman wants smoking cessation help. She smokes 15 cigarettes/day and is ready to quit within 2 weeks. What is the most effective family medicine intervention? A. Set a quit date, provide behavioral support, and offer pharmacotherapy if not contraindicated B. Advise cutting down only without follow-up C. Order chest CT before counseling D. Use antibiotics to reduce craving E. Avoid nicotine replacement in all smokers Show Answer & Explanation Correct Answer: A Explanation: [Family Medicine] The 5As approach combines advice, assessment, assistance, pharmacotherapy, and follow-up for smokers ready to quit. Reference: USPHS Treating Tobacco Use and Dependence Guideline; NICE Tobacco 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 72 / 560 Not answered Question 139: During an emergency department assessment: A pregnant patient needs influenza prevention. Which vaccine type is appropriate? A. Live intranasal influenza vaccine B. BCG vaccine C. Varicella vaccine D. Inactivated influenza vaccine E. No vaccine in pregnancy ever Show Answer & Explanation Correct Answer: D 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 73 / 560 Not answered Question 138: During an emergency department assessment: A patient with suspected stroke has hypoglycemia on capillary testing. What should be done? A. Give thrombolysis without glucose correction B. Start warfarin C. Treat hypoglycemia immediately and reassess neurologic deficit D. Discharge without treatment E. Delay glucose correction until CT Show Answer & Explanation Correct Answer: C 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 74 / 560 Not answered Question 137: During an emergency department assessment: A patient with severe asthma exacerbation has silent chest and exhaustion. What is the implication? A. Mild asthma suitable for discharge B. Life-threatening asthma requiring urgent escalation C. Normal finding after salbutamol D. Pneumonia excluded E. No oxygen required Show Answer & Explanation Correct Answer: B Explanation: [Family Medicine] Silent chest and exhaustion are life-threatening asthma signs needing urgent escalation. Reference: GINA Strategy Report. 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 75 / 560 Not answered Question 136: During an emergency department assessment: A patient with acute coronary syndrome is allergic to aspirin with true anaphylaxis. What should be considered in specialist care when aspirin is essential? A. Aspirin desensitization if benefits outweigh risks B. Ignore allergy and give full dose unsupervised C. Avoid all antiplatelets forever D. Use antihistamine as antiplatelet E. Give only paracetamol Show Answer & Explanation Correct Answer: A Explanation: [Family Medicine] Aspirin desensitization may be considered when aspirin is essential and allergy is confirmed, under specialist supervision. Reference: ACC/AHA ACS guidance; AAAAI drug allergy practice parameter. 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 15 of 112 Next → »