Exam examples with answer

Exam sample 1

1. A 52-year-old man comes into the outpatient clinic for an annual “checkup.” He is in good health, and has a relatively unremarkable family history. For which of the following disorders should a screening test be performed?

A. Prostate cancer

B. Lung cancer

C. Abdominal aortic aneurysm

D. Colon cancer

2. A 62-year-old man with recently diagnosed emphysema presents to your office in November for a routine examination. He has not had any immunizations in more than 10 years. Which of the following immunizations would be the most appropriate for this individual?

A. Tetanus-diphtheria (Td) only

B. Tdap, pneumococcal, and influenza

C. Pneumococcal and influenza

D. Tdap, pneumococcal, influenza, and meningococcal

3. A 49-year-old sedentary man has made an appointment because his best friend died of an MI at age 50. He asks about an exercise and weight loss program. In counseling him, which of the following statements regarding exercise is most accurate?

A. To be beneficial, exercise must be performed everyday.

B. Walking for exercise has not been shown to improve meaningful clinical outcomes.

C. Counseling patients to exercise has not been shown consistently to increase the number of patients who exercise.

D. Intense exercise offers no health benefit over mild to moderate amounts of exercise.

ANSWERS

1. D. Colon cancer screening is given a Level A recommendation by the USPSTF and is routinely recommended for all adults older than 50 years. There is insufficient evidence to recommend for or against routine lung or prostate cancer screening. Abdominal aortic aneurysm screening is recommended in men aged 65 to 75 years who have smoked.

2. B. In an adult with a chronic lung disease, one-time vaccination with pneumococcal vaccine and annual vaccination with influenza vaccine are recommended. A Tdap booster should be recommended to all adults who have not had a Td booster within 10 years and have never had a Tdap vaccine.

1. C. The benefits of exercise are clear. Exercise decreases cardiovas- cular risk factors, increases insulin sensitivity, decreases the incidence of the metabolic syndrome, and decreases cardiovascular mortality regardless of obesity. The benefits of counseling patients regarding exercise are not so clear and counseling does not seem to increase the number of patients who exercise.