ABFM EXAM QUESTIONS WITH VERIFIED CORRECT
DETAILED ANSWERS
QUESTION>In patients who present with an ear discharge and have ventilation tubes in place, ___ can
resolve the discharge and improve the illness-related quality of life more quickly than oral antibiotics,
corticosteroid eardrops, or saline rinses - CORRECT ANSWER~antibiotic eardrops (with or without
corticosteroids)
QUESTION>___ is appropriate for intrapartum prophylaxis against group B Streptococcus (GBS) in
penicillin-allergic patients who do not have a history of anaphylaxis, urticaria, angioedema, or respiratory
distress. Depending on the antibiotic sensitivity of the GBS organism, either vancomycin or clindamycin is
recommended for patients at higher risk for anaphylaxis. - CORRECT ANSWER~Cefazolin
QUESTION>Which one of the following is a cause of pseudohyponatremia? - CORRECT
ANSWER~Hypertriglyceridemia
QUESTION>In a patient with a normal free T4 the TSH level must be ___ μU/mL for a diagnosis of
hypothyroidism - CORRECT ANSWER~>10
QUESTION>When the puncture wound is through the rubber sole of an athletic shoe, ___ is the most
frequent pathogen. ___is the only oral antibiotic that has antipseudomonal activity, and would be the
most appropriate choice. - CORRECT ANSWER~Pseudomonas
Ciprofloxacin
QUESTION >What class of medications for T2DM is associated with ketoacidosis? - CORRECT
ANSWER~SGLT2 inhibitors such as dapagliflozin
QUESTION>Definition of febrile neutropenia. - CORRECT ANSWER~Single oral temp of 38.5 C, sustained
temp of 38 C for over 1 hr with ANC < 500
QUESTION>Antihypertensive of choice in gout patients? - CORRECT ANSWER~Losartan (ARBs)
QUESTION>Preferred method for diagnosing lymphoma?
,Staging? - CORRECT ANSWER~Open lymph node biopsy?
Staging = PET-CT
QUESTION>Name 2 nonsynthetic opioids that drug tests will usually catch? - CORRECT
ANSWER~Morphine and codeine
The rest are synthetic
QUESTION>Typical incubation period for COVID 19? - CORRECT ANSWER~4-5 days
QUESTION>All patients aged 40-75 with diabetes and an LDL above 70 should be taking... - CORRECT
ANSWER~A moderate intensity statin
QUESTION>USPSTF recommends ASA 81mg daily after ___ weeks gestation for those at high risk for
preeclampsia. - CORRECT ANSWER~12
QUESTION>According to the ADVANCE and ACCORD trials, harms increase in aggressive tx of T2DM with
an A1c less than 6.5%. In choosing between removing MTF vs insulin you should remove... - CORRECT
ANSWER~Insulin
QUESTION>Best regimen for preventing exacerbations in mild asthma? - CORRECT ANSWER~ICS/LABA
PRN
QUESTION>What are HIDA scans used to diagnose? - CORRECT ANSWER~Functional gallbladder diseases
such as acalculous cholecystitis, biliary dyskinesia, biliary dysmotility
QUESTION>The AAP recommends screening for maternal depression at which WCCs? - CORRECT
ANSWER~1, 2, 4, 6 months
QUESTION>In women with large symptomatic fibroids which treatment option reduces size, bleeding
and improves QOL? - CORRECT ANSWER~Uterine artery embolization and occlusion
, QUESTION>Consider use of the Hunter Serotonin Toxicity criteria when serotonin syndrome is
suspected. SSRIs mixed with ___ puts pt at higher risk? - CORRECT ANSWER~Tramadol
QUESTION>Guidelines from the American College of Radiology recommend imaging in children and
adolescents that meet which criteria? - CORRECT ANSWER~Pain that awakens them at night
Abnormal neurologic findings
Pain that radiates
Pain that persists more than 4 weeks
QUESTION>AAA screening is for... - CORRECT ANSWER~Men aged 65-75 who have ever smoked
QUESTION>Treatment of delusion of infestation? - CORRECT ANSWER~Initial blood work and then
typical antipsychotic such as olanzapine or risperidone
QUESTION>Triad of Meniere's disease? - CORRECT ANSWER~Episodic vertigo
Hearing loss
Tinnitus
QUESTION>Children do not need a booster / car seat when they reach what height? - CORRECT
ANSWER~145 cm
57 inches
QUESTION>Best prevention of CAUTIs in patients with chronic indwelling Foley? - CORRECT
ANSWER~Routine cleaning of meatal surface with soap and water during baths / shower
QUESTION>Which type of burns blister, but do NOT blanch with pressure? - CORRECT ANSWER~Deep
partial thickness burns
QUESTION>Tx of CAP in pt with comorbidity? - CORRECT ANSWER~Augmentin + macrolide
DETAILED ANSWERS
QUESTION>In patients who present with an ear discharge and have ventilation tubes in place, ___ can
resolve the discharge and improve the illness-related quality of life more quickly than oral antibiotics,
corticosteroid eardrops, or saline rinses - CORRECT ANSWER~antibiotic eardrops (with or without
corticosteroids)
QUESTION>___ is appropriate for intrapartum prophylaxis against group B Streptococcus (GBS) in
penicillin-allergic patients who do not have a history of anaphylaxis, urticaria, angioedema, or respiratory
distress. Depending on the antibiotic sensitivity of the GBS organism, either vancomycin or clindamycin is
recommended for patients at higher risk for anaphylaxis. - CORRECT ANSWER~Cefazolin
QUESTION>Which one of the following is a cause of pseudohyponatremia? - CORRECT
ANSWER~Hypertriglyceridemia
QUESTION>In a patient with a normal free T4 the TSH level must be ___ μU/mL for a diagnosis of
hypothyroidism - CORRECT ANSWER~>10
QUESTION>When the puncture wound is through the rubber sole of an athletic shoe, ___ is the most
frequent pathogen. ___is the only oral antibiotic that has antipseudomonal activity, and would be the
most appropriate choice. - CORRECT ANSWER~Pseudomonas
Ciprofloxacin
QUESTION >What class of medications for T2DM is associated with ketoacidosis? - CORRECT
ANSWER~SGLT2 inhibitors such as dapagliflozin
QUESTION>Definition of febrile neutropenia. - CORRECT ANSWER~Single oral temp of 38.5 C, sustained
temp of 38 C for over 1 hr with ANC < 500
QUESTION>Antihypertensive of choice in gout patients? - CORRECT ANSWER~Losartan (ARBs)
QUESTION>Preferred method for diagnosing lymphoma?
,Staging? - CORRECT ANSWER~Open lymph node biopsy?
Staging = PET-CT
QUESTION>Name 2 nonsynthetic opioids that drug tests will usually catch? - CORRECT
ANSWER~Morphine and codeine
The rest are synthetic
QUESTION>Typical incubation period for COVID 19? - CORRECT ANSWER~4-5 days
QUESTION>All patients aged 40-75 with diabetes and an LDL above 70 should be taking... - CORRECT
ANSWER~A moderate intensity statin
QUESTION>USPSTF recommends ASA 81mg daily after ___ weeks gestation for those at high risk for
preeclampsia. - CORRECT ANSWER~12
QUESTION>According to the ADVANCE and ACCORD trials, harms increase in aggressive tx of T2DM with
an A1c less than 6.5%. In choosing between removing MTF vs insulin you should remove... - CORRECT
ANSWER~Insulin
QUESTION>Best regimen for preventing exacerbations in mild asthma? - CORRECT ANSWER~ICS/LABA
PRN
QUESTION>What are HIDA scans used to diagnose? - CORRECT ANSWER~Functional gallbladder diseases
such as acalculous cholecystitis, biliary dyskinesia, biliary dysmotility
QUESTION>The AAP recommends screening for maternal depression at which WCCs? - CORRECT
ANSWER~1, 2, 4, 6 months
QUESTION>In women with large symptomatic fibroids which treatment option reduces size, bleeding
and improves QOL? - CORRECT ANSWER~Uterine artery embolization and occlusion
, QUESTION>Consider use of the Hunter Serotonin Toxicity criteria when serotonin syndrome is
suspected. SSRIs mixed with ___ puts pt at higher risk? - CORRECT ANSWER~Tramadol
QUESTION>Guidelines from the American College of Radiology recommend imaging in children and
adolescents that meet which criteria? - CORRECT ANSWER~Pain that awakens them at night
Abnormal neurologic findings
Pain that radiates
Pain that persists more than 4 weeks
QUESTION>AAA screening is for... - CORRECT ANSWER~Men aged 65-75 who have ever smoked
QUESTION>Treatment of delusion of infestation? - CORRECT ANSWER~Initial blood work and then
typical antipsychotic such as olanzapine or risperidone
QUESTION>Triad of Meniere's disease? - CORRECT ANSWER~Episodic vertigo
Hearing loss
Tinnitus
QUESTION>Children do not need a booster / car seat when they reach what height? - CORRECT
ANSWER~145 cm
57 inches
QUESTION>Best prevention of CAUTIs in patients with chronic indwelling Foley? - CORRECT
ANSWER~Routine cleaning of meatal surface with soap and water during baths / shower
QUESTION>Which type of burns blister, but do NOT blanch with pressure? - CORRECT ANSWER~Deep
partial thickness burns
QUESTION>Tx of CAP in pt with comorbidity? - CORRECT ANSWER~Augmentin + macrolide
