ABFM ITE LATEST 2026 STUDY GUIDE QUESTIONS AND
ANSWERS RATED A+
✔✔Tamoxifen effects - ✔✔decreases: Fractures, BrCa
Increases: VULVET
V: Vasomotor s/o
U: Urinary Incontinence
L: leg cramps
V: Vaginal dryness, itching, discharge
E: Endom Ca
T: Thromboembolism VTE
✔✔Prolonged recovery from sports concussion - ✔✔headache >60hrs
Fatigue/fogginess
>=4 s/o at injury onset
ttt if non of above: gradual graded return to activity
✔✔Opioid side effects - ✔✔Long term: Hypogonadism
Long lasting: Constipation (PolyEthGlyc for prophylaxis)
✔✔Gromet tubes (tympanostomy) - ✔✔if AOM >3/6ms
or >4/yr with last in prev 6ms
✔✔Muscle power grades - ✔✔0 = no contraction
1 = contraction but no movement
2 = movement with no gravity
3 = movment againts gravity no resistance
4 = movement with little resistance
5 = movement with more resistance (normal)
✔✔Lung Ca screen - ✔✔55-80yr + smoking >30 pkyr + current smoker (or quit< 15yr)
✔✔Cluster headache - ✔✔s/o: tearing, rhinorrhea unilat + unilat headache
ttt: Abortive: Oxygen, Sumatriptan
Prophylactic: Verapamil
✔✔Birth weight regain - ✔✔in 14 days
weight increases 30gm/d in 1st yr of life
doubles in 4-5ms
triples by 1st yr
✔✔Decreased warfarin effect - ✔✔Hypothyroidism, hyperlipidemia, diabetes, visceral
Ca, vit K intake --> increase dose
, ✔✔Increased warfarin effect - ✔✔Malnutrition, Malabs, cachexia, scurvy, fever,
infections, hyperthyroidism, hypermetabolic states, hepatorenal failure, heart failure,
biliary obstruction, vit K deficiency
✔✔Hypoglycemia most with - ✔✔Glyburide
✔✔Calcium citrate advantage - ✔✔no relation to stomach acid or to meals
✔✔Dengue fever - ✔✔By: Aedes Mosquito
IP: 3-14d
s/o: spiking fever, hage
lab: leucopenia, thrombocytopenia (hence hage), hemoconcentration, high AST ALT
ttt: supportive, no Aspirin or NSAIDS
✔✔yellow fever - ✔✔as dengue but with jaundice
✔✔Polymialgia rheumatica ttt - ✔✔Prednisone 15mg/d over 1-2yrs slow taper
OR
Methylpred 120mg IM/3wk
Response in 48 hrs is diagnostic
Don't use NSAIDs
✔✔Immunosuppresion - ✔✔ttt e:
- prednisone 20mg/d at least 2 wks
- 6-mercaptopurine or Azathio
- Methotrex
- Infliximab
- Severe protein/caloric malnutrition
✔✔OGTT test values in GDM - ✔✔75gm:
- fasting 92
- 1hr 180
- 2hr 153
50gm:
- 1hr 140
100gm:
- Fasting > 95 mg/dL.
- 1 hr > 180 mg/dL.
- 2 hr > 155 mg/dL.
- 3 hr > 140 mg/dL.
ANSWERS RATED A+
✔✔Tamoxifen effects - ✔✔decreases: Fractures, BrCa
Increases: VULVET
V: Vasomotor s/o
U: Urinary Incontinence
L: leg cramps
V: Vaginal dryness, itching, discharge
E: Endom Ca
T: Thromboembolism VTE
✔✔Prolonged recovery from sports concussion - ✔✔headache >60hrs
Fatigue/fogginess
>=4 s/o at injury onset
ttt if non of above: gradual graded return to activity
✔✔Opioid side effects - ✔✔Long term: Hypogonadism
Long lasting: Constipation (PolyEthGlyc for prophylaxis)
✔✔Gromet tubes (tympanostomy) - ✔✔if AOM >3/6ms
or >4/yr with last in prev 6ms
✔✔Muscle power grades - ✔✔0 = no contraction
1 = contraction but no movement
2 = movement with no gravity
3 = movment againts gravity no resistance
4 = movement with little resistance
5 = movement with more resistance (normal)
✔✔Lung Ca screen - ✔✔55-80yr + smoking >30 pkyr + current smoker (or quit< 15yr)
✔✔Cluster headache - ✔✔s/o: tearing, rhinorrhea unilat + unilat headache
ttt: Abortive: Oxygen, Sumatriptan
Prophylactic: Verapamil
✔✔Birth weight regain - ✔✔in 14 days
weight increases 30gm/d in 1st yr of life
doubles in 4-5ms
triples by 1st yr
✔✔Decreased warfarin effect - ✔✔Hypothyroidism, hyperlipidemia, diabetes, visceral
Ca, vit K intake --> increase dose
, ✔✔Increased warfarin effect - ✔✔Malnutrition, Malabs, cachexia, scurvy, fever,
infections, hyperthyroidism, hypermetabolic states, hepatorenal failure, heart failure,
biliary obstruction, vit K deficiency
✔✔Hypoglycemia most with - ✔✔Glyburide
✔✔Calcium citrate advantage - ✔✔no relation to stomach acid or to meals
✔✔Dengue fever - ✔✔By: Aedes Mosquito
IP: 3-14d
s/o: spiking fever, hage
lab: leucopenia, thrombocytopenia (hence hage), hemoconcentration, high AST ALT
ttt: supportive, no Aspirin or NSAIDS
✔✔yellow fever - ✔✔as dengue but with jaundice
✔✔Polymialgia rheumatica ttt - ✔✔Prednisone 15mg/d over 1-2yrs slow taper
OR
Methylpred 120mg IM/3wk
Response in 48 hrs is diagnostic
Don't use NSAIDs
✔✔Immunosuppresion - ✔✔ttt e:
- prednisone 20mg/d at least 2 wks
- 6-mercaptopurine or Azathio
- Methotrex
- Infliximab
- Severe protein/caloric malnutrition
✔✔OGTT test values in GDM - ✔✔75gm:
- fasting 92
- 1hr 180
- 2hr 153
50gm:
- 1hr 140
100gm:
- Fasting > 95 mg/dL.
- 1 hr > 180 mg/dL.
- 2 hr > 155 mg/dL.
- 3 hr > 140 mg/dL.
