CFPC PRACTICE EXAM 150
QUESTIONS
Question 1: A 28-year-old woman presents with sudden right lower-quadrant pain
and a positive pregnancy test. What diagnosis must be excluded urgently?
Choices:
1) Acute cystitis 2) Ectopic pregnancy 3) Irritable bowel syndrome 4) Mittelschmerz
Correct Answer: Ectopic pregnancy
Explanation: Ectopic pregnancy can rupture and cause life-threatening hemorrhage, so it must be excluded promptly in a pregnant patient with acute abdominal pain.Page 1
Question 2: A pulseless adult is found in ventricular �brillation. What is the most appropriate immediate intervention?
Choices:
1) Synchronized cardioversion 2) De�brillation 3) Atropine 4) Transcutaneous pacing
Correct Answer: De�brillation
Explanation: Ventricular �brillation is a shockable cardiac-arrest rhythm. Immediate de�brillation with high-quality CPR is indicated.Question 3: A patient reports hives and wheeze within minutes of eating peanuts.Which medication should be used �rst for a future similar reaction?
Choices:
1) Oral diphenhydramine 2) Intramuscular epinephrine 3) Inhaled corticosteroid 4) Oral prednisone
Correct Answer: Intramuscular epinephrine
Explanation: Intramuscular epinephrine is �rst-line treatment for anaphylaxis; antihistamines and steroids are adjuncts and must not delay epinephrine.Page 2
Question 4: A 72-year-old patient has fatigue and microcytic anemia. What is the most important next step?
Choices:
1) Assume dietary iron de�ciency 2) Evaluate for occult gastrointestinal blood loss 3) Start folate only 4) Observe for six months
Correct Answer: Evaluate for occult gastrointestinal blood loss
Explanation: New iron-de�ciency anemia in an older adult requires evaluation for gastrointestinal blood loss and possible malignancy rather than assuming dietary de�ciency.
Question 5: A patient with an uncomplicated viral upper respiratory infection
requests antibiotics. What is the best response?
Choices:
1) Prescribe azithromycin to prevent pneumonia 2) Explain that antibiotics do not treat viral infections and discuss symptomatic care 3) Prescribe amoxicillin because symptoms last more than 24 hours 4) Give cipro�oxacin because it is broad spectrum Correct Answer: Explain that antibiotics do not treat viral infections and discuss symptomatic care Explanation: Antibiotics do not bene�t routine viral URIs and expose patients to adverse e�ects and antimicrobial resistance. Supportive care and safety-netting are appropriate.Page 3