ABFM ITE Exam With Verified Questions
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Testing genital herpes in pregnancy - correct answer - Best
method of diagnosis is either a tissue culture or a polymerase
chain reaction (PCR) test
Presents with typical GORD signs and symptoms - correct answer
- Treat conservatively with PPI/H2-antihistamines first
Presence of dyspepsia (fullness, bloating, nausea), which can be
associated with GORD, testing for and
treating H. pylori is expected to be beneficial.
Enlarged thyroid and a radioactive iodine uptake scan showing
accumulation of tracer in multiple areas - correct answer -
Radioactive iodine ablation and thyroidectomy with subsequent
thyroid hormone replacement are both appropriate treatments for
toxic multinodular goiter, but thyroidectomy is indicated if
compressive symptoms from the goiter itself is present.
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Characteristic of plantar fasciitis - correct answer - Most common
cause of heel pain, typically worst when the patient first gets out
of bed and improves with activity.
Best predictors of the severity of pancreatitis? - correct answer -
Hematocrit, BUN, and creatinine levels reflect the degree of
intravascular volume depletion.
According to state child abuse mandatory reporter laws, what is
the
threshold that must be met for physicians to make a report to local
child protective services or law enforcement? - correct answer - If
they suspect that a child has experienced abuse or neglect
Monitoring diabetes control in those with haemoglobinopathies -
correct answer - Fructosamine correlates well with HbA1c and is
recommended instead
Evaluate CHA2DSVASc in all AF patients - correct answer - Treat
if >/= 2 for males and >/= 3 for females
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In patients with atrial fibrillation and stable coronary artery
disease, NOACs preferred.
Preadolescent children with hypertension should be evaluated for
possible secondary causes using - correct answer - Renal
ultrasonography
Medication that increases risk of kidney stones - correct answer -
Topiramate is a carbonic anhydrase inhibitor, which induces a
metabolic acidosis that leads to hypercalciuria and the formation
of calcium phosphate stones.
Tuberosity avulsion fracture of the fifth metatarsal - correct
answer - Nondisplaced tuberosity fractures can generally be
treated with compressive dressings such as an Aircast or Ace
bandage, with weight bearing and range-of motion exercises as
tolerated.
Minimally displaced (<3 mm) can be treated with a short leg
walking boot.
If the displacement is >3 mm, an orthopedic referral is
warranted.
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Managing menopausal symptoms - correct answer - Hormone
therapy is the gold standard for treatment of vasomotor
symptoms. Combination oestrogen and progesterone therapy is
highly effective for vasomotor symptoms and provides protection
against uterine neoplasia.
Most appropriate treatment for a patient with symptomatic Wolff
Parkinson-White syndrome (WPW) - correct answer - Catheter
ablation
Influenza vaccination in children - correct answer - Previously
unvaccinated patients ages 6 months to 8 years should receive
two doses of either trivalent or quadrivalent vaccine separated by
1 month.
Intervention to reduce respiratory-related hospital admissions in
COPD - correct answer - Written self-management plans that
include smoking cessation plans
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