NMS Q&A Family Medicine

276 NMS Q&A Family Medicine(D) Every 3 years(E) Every 5 years5 A 55-year-old woman is being followed for her type 2diabetes. She takes metformin 500 mg thrice dailyand glyburide 2.5 mg twice daily, and the diabetescontrol has been fair, but she has been somewhatcareless in complying with the recommended frequencyof visits. The glycohemoglobin was 7.1 on herlast visit 2 weeks ago. Each of the following is recommendedby the American Diabetes Association(ADA) in monitoring this diabetic’s progress exceptfor which?(A) Annual examination by an ophthalmologist(B) Glycohemoglobin level check every 3 months(C) Annual EKG(D) Annual check of blood urea nitrogen and creatininelevels(E) Examination of the feet on each visit6 A 48-year-old male municipal bus driver is 40 lb (18kg) overweight. In counseling him to lose weight, youallude to all of the following problems as aggravatedby obesity except for which one?(A) Coronary heart disease(B) Diabetes(C) Osteoporosis(D) Osteoarthritis(E) Hypertension7 A 41-year-old black man comes to you for his firstcomprehensive physical examination. Of the following,which screening procedures merit attention notaccorded to white men, otherwise matched for age,weight, and other risk factors?(A) Prostate cancer and glaucoma(B) CRC and lung cancer(C) Diabetes and dyslipidemia(D) Coronary artery disease and mitral valve prolapse(E) Hypertrophic cardiomyopathy8 In selecting out special guidelines for management ofcertain diseases in certain ethnic groups, in which ofthe following groups should you adjust therapeutic targetsto tighter control of hypertension and diabetes?(A) Mexican Americans(B) Ashkenazi Jews(C) South Asians (Indians and Pakistani)(D) Chinese Americans(E) African-Americans9 A 45-year-old man, a new patient, visits the office fora complete physical examination. You discover whileeliciting the family history that his father died ofcolon cancer, contracted at the age of 60. He has noother first-degree relatives with colon cancer. On thebasis of the American Cancer Society recommendations,you recommend that this patient have CRCscreening by what modalities?(A) Digital rectal examination (DRE), FOBT, andflexible sigmoidoscopy every 2 years(B) DRE and FOBT annually(C) DRE and colonoscopy now and every 3 years ifnegative(D) Colonoscopy annually(E) Flexible sigmoidoscopy and barium enemaevery 5 years10 The Guide to Preventive Services notwithstanding,what is the community standard for screening forprostate cancer in men of average risk?(A) DRE annually for all males starting at 40 yearsof age(B) Serum PSA for males starting at age 50(C) BUN and creatinine at age 40 and above(D) PSA and DRE starting at age 50(E) Urinalysis, BUN, and creatinine at age 40