ABFM ITE questions with answers graded A+

ABFM ITECAP antibiotic that causes VF - correct answer Azithromycin - The arrhythmia results from prolongation of the QT interval and is also more common in patients with a prior cardiac history. Anti-DM medications for weight loss - correct answer GLP1 receptor agonists e.g. Exenatide SGLT-2 inhibitor e.g. Canagliflozin Screening test with greatest potential for over diagnosis - correct answer PSA Clinical manifestation of amyotrophic lateral sclerosis - correct answer Asymmetric leg weakness Opioid to avoid in palliative patient with severe hepatic dysfunction - correct answer Methadone - It is metabolized and cleared by the liver, and should therefore not be used in patients with severe hepatic impairment. It is, however, a reasonable option for patients with severe renal impairment. Lung cancer screening with low dose CT Chest annually - correct answer Adults 55-80yo with 30 pack year history and currently smoking or quit within last 15 years NOAC with reversal agent - correct answer Dabigatran Reduces alcoholism but creating an acute ethanol sensitivity - correct answer Disulfiram Antidepressant to be avoided in the elderly - correct answer Paroxetine (associated with more anticholinergic effects) SSRIs > SNRIs, atypical antipsychotics may be added for resistant depression Age group between which American Academy of Pediatrics recommends administration of an autism-specific screening tool - correct answer 18-24 months old Most common neurological complication of Paget's disease of the bone - correct answer Most common cardiac complication of Lyme disease - correct answer Heart blocks Examination finding of those with bacterial vaginosis - correct answer Vaginal pH >4.5 (normal vaginal pH should be acidic) Most common cause of medication-related adverse events across health care settings in the United States - correct answer Antibiotics Screening for asymptomatic carotid artery stenosis - correct answer Not recommended