ABFM ITE Test Exam Questions With Correct Answers

ABFM ITE Test Exam Questions With Correct Answers Erythematous rash of the face (slapped cheek appearance), arms, and legs associated with parvovirus B19 infection and is usually seen in young children. Name of rash? - ANSWER -Erythema infectiosum expanding, erythematous, annular rash with or without central clearing and is often associated with tick exposure (Lyme disease). Name of rash? - ANSWER -Erythema migrans raised, annular, target-like lesions with central erythema and is usually associated with herpes simplex virus type 1. Name of rash? - ANSWER -Erythema multiforme Screening frequency for esophageal varices in patients with cirrhosis and clinically significant portal hypertension? - ANSWER -EGD every 2-3 years - High risk of bleeding features: small varices in patients with decompensated cirrhosis, small varices with red wale signs (thinning of the variceal wall), and medium to large varices. Patient's EGD has small esophageal varices without red wale signs. Next step in the mgmt of esophageal varices ? - ANSWER -Repeat EGD in 1-2 years High risk features of esophageal varices? Tx? - ANSWER -Small varices in patients with decompensated cirrhosis, small varices with red wale signs (thinning of the variceal wall), and medium to large varices. - primary prophylaxis of hemorrhage include nonselective B-blockers such as propranolol or endoscopic variceal ligation. If nonselective B-blockers are used, they should be continued indefinitely. Octreotide is only given intravenously for acute hemorrhage. No evidence that omeprazole slows the progression of esophageal varices. Best nonpharmacologic management of sundowning (aka behavioral and psychological symptoms of dementia) - ANSWER -Sensory stimulation (massage, touch, and music therapy). - Cognitive training is NOT useful in treatment of sundowning ______ level can be checked if Cushing syndrome is suspected. Hypertension, obesity and an elevated blood glucose level due to insulin resistance. - ANSWER -Cortisol level Suspect Primary hyperaldosteronism. What Lab? - ANSWER -elevated aldosterone/renin ratio painful, subcutaneous, nonulcerated, erythematous nodules, is associated with coccidioidomycosis. Name of rash? - ANSWER -Erythema nodosum. can also be associated with streptococcal infections and tuberculosis. cutaneous rash caused by prolonged heat exposure (such as a heating pad) presenting as an otherwise asymptomatic, red, reticulated pattern on the skin. Name of rash? - ANSWER -Erythema ab igne use of prophylactic antibiotics for dental procedures in patients with a history of joint replacement? - ANSWER -American Dental Association and the American Academy of Orthopaedic Surgeons recommend against routine use of prophylactic antibiotics. Cardiovascular Medication that is associated with hyperthyroidism. - ANSWER Amiodarone. Amiodarone-induced thyrotoxicosis (AIT): a less common cause of hyperthyroidism. - Type 1: iodine induced thyrotoxicosis caused by the high iodine content in amiodarone - Type 2: amiodarone-induced thyroiditis. Tetanus prophylaxis for laceration in a pregnant pt who is up to date on her vaccines? - ANSWER -Tdap between 27 and 36 weeks gestation to protect against pertussis Tetanus prophylaxis in nonpregnant patients who have previously received Tdap. - ANSWER -Td Tetanus prophylaxis if patient had not previously completed the primary series or were showing signs of clinical tetanus. - ANSWER -Tetanus immune globulin Frequency of EGD in Cirrhosis patient with no varices? - ANSWER -EGD every 2-3 years - All Cirrhosis patients get EGD every 2-3 yrs - But if Small varices w/o weal sign present them EGD every 1-2 yrs - if Varices are medium-large or has weal signs —> Propranolol or Variceal ligation Based on the current CDC guidelines, which one of the following is recommended as first-line treatment of urethritis in a 24-year-old male who weighs 152 kg (335 lb), NAAT for gonorrhea is positive and Chlamydia testing is negative? - ANSWER -One dose of ceftriaxone, 1 g IM if wt > 150kg. - One dose of ceftriaxone, 500 mg IM if wt < 150kg. - Patients presenting with an UNKNOWN cause of urethritis, such as BEFORE urine or urethral nucleic acid amplification test results are known, should be prescribed a combination of one dose of ceftriaxone, 500 mg intramuscularly (1 g if >150 kg), and doxycycline, 100 mg orally for 7 days. - Azithromycin, 1 g orally as a single dose, may be used as an alternative to doxycycline for treatment of chlamydial infection, but it is no longer the preferred agent in nonpregnant adults and adolescents. Persistent HTN is defined as ______. - ANSWER -HTN despite 3 or more antiHTN rx, including a diuretics HTN + Hyperkalemia + low renin + elevated aldosterone. Dx? - ANSWER -Primary hyperaldosteronism A ______ would be used to evaluate for a neuroendocrine tumor, which can present as chronic flushing and diarrhea. - ANSWER -24-hour urine collection for 5 hydroxyindoleacetic acid (5-HIAA)