ABFM ITE EXAMINATION COMPLETE
QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS
YEAR JUST RELEASED
Exam Coverage
1. Preventive Medicine and Health Maintenance
o Age-appropriate screening, immunizations, counseling, and evidence-based
preventive care.
2. Cardiovascular Disorders
o Hypertension, coronary artery disease, heart failure, arrhythmias, lipid
management, and vascular disease.
3. Endocrinology and Metabolism
o Diabetes, thyroid disorders, adrenal diseases, osteoporosis, obesity, and metabolic
syndrome.
4. Pulmonary Medicine
o Asthma, COPD, pneumonia, pulmonary embolism, sleep disorders, and
respiratory emergencies.
5. Gastroenterology
o GERD, peptic ulcer disease, liver disease, pancreatitis, inflammatory bowel
disease, and colorectal disorders.
6. Women's, Men's, and Reproductive Health
o Prenatal care, contraception, menopause, prostate disorders, STIs, infertility, and
gynecologic conditions.
7. Pediatrics and Adolescent Medicine
o Growth and development, childhood infections, congenital disorders,
immunizations, behavioral conditions, and emergencies.
8. Geriatrics and Chronic Disease Management
o Dementia, falls, polypharmacy, frailty, end-of-life care, and functional
assessment.
9. Neurology, Psychiatry, Musculoskeletal Medicine, and Dermatology
o Stroke, headache, seizures, depression, anxiety, arthritis, fractures, common skin
disorders, and sports medicine.
10. Emergency Medicine, Infectious Disease, Ethics, and Evidence-Based Practice
Trauma, sepsis, toxicology, antibiotic stewardship, clinical decision-making, patient
safety, and professionalism.
,ABFM ITE Examination
1.
A 57-year-old man with long-standing hypertension
presents for an annual examination, and repeated office
blood pressure measurements remain above goal despite
adherence to lifestyle modifications. Which medication
class is generally recommended as first-line therapy for
uncomplicated hypertension?
A. Alpha blockers
B. Loop diuretics
C. ACE inhibitors
D. Digoxin
Answer: C
Rationale: ACE inhibitors are evidence-based first-line
antihypertensive medications for many adults without
contraindications.
2.
A healthy 52-year-old woman with no family history of
colorectal cancer asks when she should begin routine
colorectal cancer screening according to current
recommendations. Which answer is most appropriate?
,A. Age 40
B. Age 45
C. Age 55
D. Age 65
Answer: B
Rationale: Average-risk adults generally begin colorectal
cancer screening at age 45.
3.
A patient with type 2 diabetes has persistent albuminuria
despite adequate glycemic control. Which medication
provides additional renal protection independent of
glucose lowering?
A. Sulfonylurea
B. SGLT2 inhibitor
C. Meglitinide
D. Acarbose
Answer: B
Rationale: SGLT2 inhibitors reduce progression of diabetic
kidney disease and cardiovascular events.
, 4.
An elderly patient suddenly develops facial droop,
unilateral arm weakness, and difficulty speaking forty-five
minutes before arriving at the emergency department.
What should be the immediate priority?
A. Routine outpatient MRI
B. Immediate stroke evaluation
C. Oral aspirin at home
D. Observe overnight
Answer: B
Rationale: Suspected acute ischemic stroke requires urgent
evaluation for reperfusion eligibility.
5.
A 68-year-old smoker reports worsening exertional
dyspnea and chronic productive cough lasting several
years. Pulmonary function testing demonstrates persistent
airflow obstruction. Which diagnosis is most likely?
A. Pulmonary fibrosis
B. COPD
C. Sarcoidosis
QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS
YEAR JUST RELEASED
Exam Coverage
1. Preventive Medicine and Health Maintenance
o Age-appropriate screening, immunizations, counseling, and evidence-based
preventive care.
2. Cardiovascular Disorders
o Hypertension, coronary artery disease, heart failure, arrhythmias, lipid
management, and vascular disease.
3. Endocrinology and Metabolism
o Diabetes, thyroid disorders, adrenal diseases, osteoporosis, obesity, and metabolic
syndrome.
4. Pulmonary Medicine
o Asthma, COPD, pneumonia, pulmonary embolism, sleep disorders, and
respiratory emergencies.
5. Gastroenterology
o GERD, peptic ulcer disease, liver disease, pancreatitis, inflammatory bowel
disease, and colorectal disorders.
6. Women's, Men's, and Reproductive Health
o Prenatal care, contraception, menopause, prostate disorders, STIs, infertility, and
gynecologic conditions.
7. Pediatrics and Adolescent Medicine
o Growth and development, childhood infections, congenital disorders,
immunizations, behavioral conditions, and emergencies.
8. Geriatrics and Chronic Disease Management
o Dementia, falls, polypharmacy, frailty, end-of-life care, and functional
assessment.
9. Neurology, Psychiatry, Musculoskeletal Medicine, and Dermatology
o Stroke, headache, seizures, depression, anxiety, arthritis, fractures, common skin
disorders, and sports medicine.
10. Emergency Medicine, Infectious Disease, Ethics, and Evidence-Based Practice
Trauma, sepsis, toxicology, antibiotic stewardship, clinical decision-making, patient
safety, and professionalism.
,ABFM ITE Examination
1.
A 57-year-old man with long-standing hypertension
presents for an annual examination, and repeated office
blood pressure measurements remain above goal despite
adherence to lifestyle modifications. Which medication
class is generally recommended as first-line therapy for
uncomplicated hypertension?
A. Alpha blockers
B. Loop diuretics
C. ACE inhibitors
D. Digoxin
Answer: C
Rationale: ACE inhibitors are evidence-based first-line
antihypertensive medications for many adults without
contraindications.
2.
A healthy 52-year-old woman with no family history of
colorectal cancer asks when she should begin routine
colorectal cancer screening according to current
recommendations. Which answer is most appropriate?
,A. Age 40
B. Age 45
C. Age 55
D. Age 65
Answer: B
Rationale: Average-risk adults generally begin colorectal
cancer screening at age 45.
3.
A patient with type 2 diabetes has persistent albuminuria
despite adequate glycemic control. Which medication
provides additional renal protection independent of
glucose lowering?
A. Sulfonylurea
B. SGLT2 inhibitor
C. Meglitinide
D. Acarbose
Answer: B
Rationale: SGLT2 inhibitors reduce progression of diabetic
kidney disease and cardiovascular events.
, 4.
An elderly patient suddenly develops facial droop,
unilateral arm weakness, and difficulty speaking forty-five
minutes before arriving at the emergency department.
What should be the immediate priority?
A. Routine outpatient MRI
B. Immediate stroke evaluation
C. Oral aspirin at home
D. Observe overnight
Answer: B
Rationale: Suspected acute ischemic stroke requires urgent
evaluation for reperfusion eligibility.
5.
A 68-year-old smoker reports worsening exertional
dyspnea and chronic productive cough lasting several
years. Pulmonary function testing demonstrates persistent
airflow obstruction. Which diagnosis is most likely?
A. Pulmonary fibrosis
B. COPD
C. Sarcoidosis
