UPDATED 2024 ABFM IN TRAINING
EXAM PEARLS WITH ACCURATE
ANSWERS
,UPDATED 2024 ABFM IN TRAINING
EXAM PEARLS WITH ACCURATE
ANSWERS
Where do the fungal infections originate from? - CORRECT ANSWERSCoccidiodomycosis - southwest US -
Arizona - fevers, night sweats, dry cough, weight loss, myalgia
Histo - Midwest (mild sxs) (ohio and mississippi river valleys); bird or bat droppings, bat caves,
spulunking
Blastomycosis - midwest, and south east, atlantic states (also ohio and mississippi river valley stuff)
abrupt onset of fever, chills, pleuritic chest pain, arthralgias, and myalgias. The cough is initially
nonproductive but frequently becomes purulent.
Expedited Partner Therapy (EPT) - CORRECT ANSWERS- Is the clinical practice of treating the sex
partners of patients diagnosed with chlamydia or gonorrhea by providing
prescriptions or medications to the patient to take to his/her partner without the health care provider
first examining the partner
CDC recommends when to do antibiotic time out in inpatient therapy? - CORRECT ANSWERS48 hours
after starting
Pre-exposure prophylaxis (PrEP), what meds, and what do you have check first? - CORRECT
ANSWERSEmtricitabine/tenofovir
gotta check Hep B first
-apparently they kill hep B too, so if you suddenly stop the med, then reactivated hep B can lead to liver
disease
entry to balloon time for PCI! - CORRECT ANSWERS120 minutes
time limit from onset of MI to balloon time - CORRECT ANSWERSshould get it done w/in 12 hours
Absolute contraindications to Fibrinolysis - CORRECT ANSWERSPrevious hemorrhage stroke
, Previous ischemic stroke (4.5hrs-3months prior)
Suspected aortic dissection
Active bleeding (except menstruation)
BP >180/110 (severe hypertension)
Streptokinase 6 months prior
acute cholecystitis - CORRECT ANSWERSAcute inflammation of the gallbladder wall
Patient with pulmonary HTN due to left heart failure, can they have vasodilators (PDE5?) - CORRECT
ANSWERSNO! can make things worse
-maximize heart failure treatment!
Sever's Diseaese - CORRECT ANSWERSCalcaneal apophysitis, also called Sever's disease, is a common
cause of heel pain in young athletes, especially those who participate in basketball, soccer, track, and
other sports that involve running. Typically the heel apophysis closes by age 15. Treatment options
include activity modification, the use of ice packs and/or moist heat, stretching, analgesics, and orthotic
devices. The use of therapeutic ultrasound on the active bone growth plates in children is
contraindicated.
in pressure ulcers what solutions to avoid, and what to use! - CORRECT ANSWERSrecommended that
pressure ulcers not be cleaned with povidone/iodine, Dakin's solution, hydrogen peroxide, wet-to-dry
dressings, or any solutions that may impede granulation tissue formation. These sites should be cleaned
with either saline or tap water and covered with hydrocolloid, foam, or another nonadherent dressing
that promotes a moist environment.
Chronic paraoxysmal hemicrania - CORRECT ANSWERSresembles cluster headache but has some
important differences. Like cluster headaches, these headaches are unilateral and accompanied by
conjunctival hyperemia and rhinorrhea. However, these headaches are more frequent in women, and
the paroxysms occur many times each day. This type of headache falls into a group of headaches that
have been labeled indomethacin-responsive headaches because they respond dramatically to
*indomethacin.*
normal spirometry but low DLCO - CORRECT ANSWERSchronic pulmonary embolus
EXAM PEARLS WITH ACCURATE
ANSWERS
,UPDATED 2024 ABFM IN TRAINING
EXAM PEARLS WITH ACCURATE
ANSWERS
Where do the fungal infections originate from? - CORRECT ANSWERSCoccidiodomycosis - southwest US -
Arizona - fevers, night sweats, dry cough, weight loss, myalgia
Histo - Midwest (mild sxs) (ohio and mississippi river valleys); bird or bat droppings, bat caves,
spulunking
Blastomycosis - midwest, and south east, atlantic states (also ohio and mississippi river valley stuff)
abrupt onset of fever, chills, pleuritic chest pain, arthralgias, and myalgias. The cough is initially
nonproductive but frequently becomes purulent.
Expedited Partner Therapy (EPT) - CORRECT ANSWERS- Is the clinical practice of treating the sex
partners of patients diagnosed with chlamydia or gonorrhea by providing
prescriptions or medications to the patient to take to his/her partner without the health care provider
first examining the partner
CDC recommends when to do antibiotic time out in inpatient therapy? - CORRECT ANSWERS48 hours
after starting
Pre-exposure prophylaxis (PrEP), what meds, and what do you have check first? - CORRECT
ANSWERSEmtricitabine/tenofovir
gotta check Hep B first
-apparently they kill hep B too, so if you suddenly stop the med, then reactivated hep B can lead to liver
disease
entry to balloon time for PCI! - CORRECT ANSWERS120 minutes
time limit from onset of MI to balloon time - CORRECT ANSWERSshould get it done w/in 12 hours
Absolute contraindications to Fibrinolysis - CORRECT ANSWERSPrevious hemorrhage stroke
, Previous ischemic stroke (4.5hrs-3months prior)
Suspected aortic dissection
Active bleeding (except menstruation)
BP >180/110 (severe hypertension)
Streptokinase 6 months prior
acute cholecystitis - CORRECT ANSWERSAcute inflammation of the gallbladder wall
Patient with pulmonary HTN due to left heart failure, can they have vasodilators (PDE5?) - CORRECT
ANSWERSNO! can make things worse
-maximize heart failure treatment!
Sever's Diseaese - CORRECT ANSWERSCalcaneal apophysitis, also called Sever's disease, is a common
cause of heel pain in young athletes, especially those who participate in basketball, soccer, track, and
other sports that involve running. Typically the heel apophysis closes by age 15. Treatment options
include activity modification, the use of ice packs and/or moist heat, stretching, analgesics, and orthotic
devices. The use of therapeutic ultrasound on the active bone growth plates in children is
contraindicated.
in pressure ulcers what solutions to avoid, and what to use! - CORRECT ANSWERSrecommended that
pressure ulcers not be cleaned with povidone/iodine, Dakin's solution, hydrogen peroxide, wet-to-dry
dressings, or any solutions that may impede granulation tissue formation. These sites should be cleaned
with either saline or tap water and covered with hydrocolloid, foam, or another nonadherent dressing
that promotes a moist environment.
Chronic paraoxysmal hemicrania - CORRECT ANSWERSresembles cluster headache but has some
important differences. Like cluster headaches, these headaches are unilateral and accompanied by
conjunctival hyperemia and rhinorrhea. However, these headaches are more frequent in women, and
the paroxysms occur many times each day. This type of headache falls into a group of headaches that
have been labeled indomethacin-responsive headaches because they respond dramatically to
*indomethacin.*
normal spirometry but low DLCO - CORRECT ANSWERSchronic pulmonary embolus
