ABFM ITE Final Exam 2026/2027 EXAM
STUDY GUIDE 2026/2027 COMPLETE
QUESTIONS WITH VERIFIED CORRECT
ANSWERS || 100% GUARANTEED PASS
NEWEST VERSION
1. Hypertension – Initial Management
Description: A 52-year-old with stage 1 hypertension and no comorbidities.
Key Words: JNC 8, lifestyle, thiazide, ACE inhibitor
Q: What is the most appropriate initial management?
A. Lifestyle modification only
B. Thiazide diuretic ✅
C. Beta-blocker
D. Alpha-blocker
2. Diabetes – Metformin
Description: Newly diagnosed type 2 diabetes, A1c 7.2%.
Key Words: First-line, metformin, eGFR
Q: What is the first-line pharmacologic therapy?
A. Sulfonylurea
B. Metformin ✅
C. Insulin
D. DPP-4 inhibitor
,3. Hyperlipidemia – Statin Therapy
Description: 58-year-old with ASCVD risk >20%.
Key Words: Primary prevention, high-intensity statin
Q: What is the recommended therapy?
A. Low-intensity statin
B. Moderate-intensity statin
C. High-intensity statin ✅
D. Fibrate
4. Atrial Fibrillation – Anticoagulation
Description: CHA2DS2-VASc score 3.
Key Words: Stroke risk, DOAC, warfarin
Q: What is the best treatment?
A. Aspirin
B. DOAC ✅
C. Clopidogrel
D. No anticoagulation
5. COPD – Initial Therapy
Description: GOLD stage 2 with dyspnea.
Key Words: Bronchodilator, LABA, SABA
,Q: What is the first-line treatment?
A. Inhaled corticosteroid
B. LABA ✅
C. Theophylline
D. Oral steroids
6. Asthma – Controller Medication
Description: Persistent asthma symptoms >2/week.
Key Words: Inhaled corticosteroid, GINA
Q: What is the preferred controller?
A. SABA
B. ICS ✅
C. LTRA
D. Theophylline
7. Pneumonia – CAP Outpatient
Description: Healthy 40-year-old with CAP.
Key Words: Macrolide, doxycycline
Q: What is first-line therapy?
A. Amoxicillin
B. Azithromycin ✅
C. Levofloxacin
D. Ceftriaxone
, 8. UTI – Uncomplicated
Description: Non-pregnant female with dysuria.
Key Words: Nitrofurantoin, TMP-SMX
Q: What is first-line?
A. Nitrofurantoin ✅
B. Ciprofloxacin
C. Amoxicillin
D. Doxycycline
9. Depression – First-Line
Description: Moderate MDD.
Key Words: SSRI, psychotherapy
Q: What is first-line?
A. SSRI ✅
B. TCA
C. MAOI
D. Antipsychotic
10. Anxiety – GAD
Description: Generalized anxiety disorder.
Key Words: SSRI, CBT
Q: What is first-line?
A. Benzodiazepine
B. SSRI ✅
STUDY GUIDE 2026/2027 COMPLETE
QUESTIONS WITH VERIFIED CORRECT
ANSWERS || 100% GUARANTEED PASS
NEWEST VERSION
1. Hypertension – Initial Management
Description: A 52-year-old with stage 1 hypertension and no comorbidities.
Key Words: JNC 8, lifestyle, thiazide, ACE inhibitor
Q: What is the most appropriate initial management?
A. Lifestyle modification only
B. Thiazide diuretic ✅
C. Beta-blocker
D. Alpha-blocker
2. Diabetes – Metformin
Description: Newly diagnosed type 2 diabetes, A1c 7.2%.
Key Words: First-line, metformin, eGFR
Q: What is the first-line pharmacologic therapy?
A. Sulfonylurea
B. Metformin ✅
C. Insulin
D. DPP-4 inhibitor
,3. Hyperlipidemia – Statin Therapy
Description: 58-year-old with ASCVD risk >20%.
Key Words: Primary prevention, high-intensity statin
Q: What is the recommended therapy?
A. Low-intensity statin
B. Moderate-intensity statin
C. High-intensity statin ✅
D. Fibrate
4. Atrial Fibrillation – Anticoagulation
Description: CHA2DS2-VASc score 3.
Key Words: Stroke risk, DOAC, warfarin
Q: What is the best treatment?
A. Aspirin
B. DOAC ✅
C. Clopidogrel
D. No anticoagulation
5. COPD – Initial Therapy
Description: GOLD stage 2 with dyspnea.
Key Words: Bronchodilator, LABA, SABA
,Q: What is the first-line treatment?
A. Inhaled corticosteroid
B. LABA ✅
C. Theophylline
D. Oral steroids
6. Asthma – Controller Medication
Description: Persistent asthma symptoms >2/week.
Key Words: Inhaled corticosteroid, GINA
Q: What is the preferred controller?
A. SABA
B. ICS ✅
C. LTRA
D. Theophylline
7. Pneumonia – CAP Outpatient
Description: Healthy 40-year-old with CAP.
Key Words: Macrolide, doxycycline
Q: What is first-line therapy?
A. Amoxicillin
B. Azithromycin ✅
C. Levofloxacin
D. Ceftriaxone
, 8. UTI – Uncomplicated
Description: Non-pregnant female with dysuria.
Key Words: Nitrofurantoin, TMP-SMX
Q: What is first-line?
A. Nitrofurantoin ✅
B. Ciprofloxacin
C. Amoxicillin
D. Doxycycline
9. Depression – First-Line
Description: Moderate MDD.
Key Words: SSRI, psychotherapy
Q: What is first-line?
A. SSRI ✅
B. TCA
C. MAOI
D. Antipsychotic
10. Anxiety – GAD
Description: Generalized anxiety disorder.
Key Words: SSRI, CBT
Q: What is first-line?
A. Benzodiazepine
B. SSRI ✅
