Family Medicine Board Exam Started: Jul 12, 2026 21:03 Page 2 of 112 Attempt #939 Overall: 0 / 560 questions answered Question 6 / 560 Not answered During morning rounds: 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. Normal albumin excretion B. Nephrotic-range proteinuria C. Hematuria syndrome D. Acute tubular necrosis E. Moderately increased albuminuria Show Answer & Explanation Correct Answer: E 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 7 / 560 Not answered During morning rounds: 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. Acute uncomplicated cystitis E. Interstitial nephritis Show Answer & Explanation Correct Answer: D 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 Question 8 / 560 Not answered During morning rounds: 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. Advise cutting down only without follow-up B. Order chest CT before counseling C. Set a quit date, provide behavioral support, and offer pharmacotherapy if not contraindicated D. Use antibiotics to reduce craving E. Avoid nicotine replacement in all smokers Show Answer & Explanation Correct Answer: C 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 9 / 560 Not answered During morning rounds: A 40-year-old man has persistent dyspepsia without weight loss, anemia, dysphagia, vomiting, or GI bleeding. He is not taking NSAIDs. What is the best initial approach? A. Immediate colonoscopy B. Noninvasive Helicobacter pylori testing and treatment if positive C. Long-term antibiotics without testing D. Urgent laparotomy E. Serum gastrin as first test Show Answer & Explanation Correct Answer: B Explanation: [Family Medicine] In patients under the usual endoscopy threshold without alarm features, test-and-treat for H. pylori is appropriate. Reference: ACG/CAG Dyspepsia 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 10 / 560 Not answered During morning rounds: A patient with suspected stroke has hypoglycemia on capillary testing. What should be done? A. Give thrombolysis without glucose correction B. Start warfarin C. Discharge without treatment D. Delay glucose correction until CT E. Treat hypoglycemia immediately and reassess neurologic deficit Show Answer & Explanation Correct Answer: E 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 2 of 112 Next → »