ABFM ITE EXAM ACTUAL 2025 EXAM MOST TESTED
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES | ALREADY GRADED A+ | ASSURED
SUCCESS !!
HOCM systolic murmur intensifies with Valsava's and is the
most common primary cardiomyopathy - ANSWER -First-line
treatment with beta-blockers, CCBs (non-dipines) if beta-
blockers not tolerated
What is anchoring bias in diagnostic errors? - ANSWER -Also
known as premature closure, is defined by the Agency for
Healthcare Research and Quality as relying on an initial
diagnostic impression despite subsequent information to the
contrary. This is the most frequent single cause of diagnostic
error.
Lymphadenopathy in patient with high risk for malignancy -
ANSWER -FNA as
first-line TRO malignancy (ddx
reactive node)
,In women who have a family member with breast, ovarian,
tubal, or peritoneal
cancer, what does USPTF recommend? - ANSWER -Use
of familial risk
stratification tools to assess for an increased risk of a
BRCA1 or BRCA2
mutation. If the screen is positive, a referral for genetic
counseling is
recommended to determine if BRCA testing
is indicated.
What is most appropriate to improve symptoms of croup in a
child? - ANSWER -
Oral
Dexamethasone
Early systemic Lyme disease may manifest with facial nerve
palsy, and treatment
should include corticosteroids. - ANSWER -Doxycycline or
amoxicillin for 14 days
is
effective.
,- If more severe neurologic manifestations, may require
longer duration of
antibiotics
given IV.
According to U.S. Preventive Services Task Force guidelines,
patients who are overweight or obese should be screened for
diabetes mellitus beginning at age - ANSWER -40
Boxer's fracture - ANSWER -Fracture of the 5th metacarpal head
requiring ulnar
gutter
splint.
The wrist should be positioned in slight extension with the
metacarpophalangeal joint in 70°-90° of flexion and the proximal
interphalangeal joint in 5°-10° of flexion. Generally, 3 or 4 weeks
of continuous splinting is adequate for healing.
Anti-DM medication for those with CKD and NYHA III/IV heart
failure - ANSWER
-GLP-1 agonists e.g.
Liraglutide
, Metformin is contraindicated in males with a creatinine level
>1.5 mg/dL and in
females with a creatinine level
>1.4 mg/dL.
SGLT2 inhibitors are not as safe or effective if the patient's
estimated glomerular
filtration rate (eGFR) is <50 mL/min/1.73m2, and it is not
recommended in
patients with an eGFR <30
mL/min/1.73 m2.
The initiation of rosiglitazone is contraindicated in patients with
established New
York Heart Association class III or class IV heart failure due to
fluid retention.
Test of choice to confirm microscopic colitis - ANSWER -Colonic
biopsy
While it is important to debride necrotic tissue and slough, a
dry, intact eschar over the heels without any sign of infection
should be left in place as a natural
biologic
cover.
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES | ALREADY GRADED A+ | ASSURED
SUCCESS !!
HOCM systolic murmur intensifies with Valsava's and is the
most common primary cardiomyopathy - ANSWER -First-line
treatment with beta-blockers, CCBs (non-dipines) if beta-
blockers not tolerated
What is anchoring bias in diagnostic errors? - ANSWER -Also
known as premature closure, is defined by the Agency for
Healthcare Research and Quality as relying on an initial
diagnostic impression despite subsequent information to the
contrary. This is the most frequent single cause of diagnostic
error.
Lymphadenopathy in patient with high risk for malignancy -
ANSWER -FNA as
first-line TRO malignancy (ddx
reactive node)
,In women who have a family member with breast, ovarian,
tubal, or peritoneal
cancer, what does USPTF recommend? - ANSWER -Use
of familial risk
stratification tools to assess for an increased risk of a
BRCA1 or BRCA2
mutation. If the screen is positive, a referral for genetic
counseling is
recommended to determine if BRCA testing
is indicated.
What is most appropriate to improve symptoms of croup in a
child? - ANSWER -
Oral
Dexamethasone
Early systemic Lyme disease may manifest with facial nerve
palsy, and treatment
should include corticosteroids. - ANSWER -Doxycycline or
amoxicillin for 14 days
is
effective.
,- If more severe neurologic manifestations, may require
longer duration of
antibiotics
given IV.
According to U.S. Preventive Services Task Force guidelines,
patients who are overweight or obese should be screened for
diabetes mellitus beginning at age - ANSWER -40
Boxer's fracture - ANSWER -Fracture of the 5th metacarpal head
requiring ulnar
gutter
splint.
The wrist should be positioned in slight extension with the
metacarpophalangeal joint in 70°-90° of flexion and the proximal
interphalangeal joint in 5°-10° of flexion. Generally, 3 or 4 weeks
of continuous splinting is adequate for healing.
Anti-DM medication for those with CKD and NYHA III/IV heart
failure - ANSWER
-GLP-1 agonists e.g.
Liraglutide
, Metformin is contraindicated in males with a creatinine level
>1.5 mg/dL and in
females with a creatinine level
>1.4 mg/dL.
SGLT2 inhibitors are not as safe or effective if the patient's
estimated glomerular
filtration rate (eGFR) is <50 mL/min/1.73m2, and it is not
recommended in
patients with an eGFR <30
mL/min/1.73 m2.
The initiation of rosiglitazone is contraindicated in patients with
established New
York Heart Association class III or class IV heart failure due to
fluid retention.
Test of choice to confirm microscopic colitis - ANSWER -Colonic
biopsy
While it is important to debride necrotic tissue and slough, a
dry, intact eschar over the heels without any sign of infection
should be left in place as a natural
biologic
cover.
