ABFM ITE 2026 CORE EXAM SET QUESTIONS AND
ANSWERS RATED A+
✔✔Pertussis - ✔✔Dx: Nasopharyngeal culture and PCR
ttt: Azithromycin
Prophylaxis:
Pre-exposure: DTap (must in pregnant regardless of status)
Post-exposure: Azithromycin (TMP/SMX 2nd line)
Give within 3wks from s/o start, within 6wks in children and pregos.
✔✔JNC8 - ✔✔Targets:
- 140/90 < 60 no comorbs
- 150/90 > 60 no comorbs
- 140/90 > 18 in DM, CKD
(summary: all <140/90, exept >60 no comorbs)
Do's:
start with CCBs or thiazides in Blacks
Don'ts:
No ACE + ARB
Don't start with b-Blockers
✔✔COPD exacerbation - ✔✔Prednisolone 5 days
✔✔Lights criteria - ✔✔PLeural:
protein fluid/serum > 0.5
LDH fluid/serum > 0.6
Absolute LDH > 0.67
= Exudate (infections, pulm embolism)
✔✔Mirena IUD # - ✔✔Liver ds, BrCa
✔✔High risk bites - ✔✔Cat, Hand, Near prosthetic joint, DM, venous/lymph
compromise, Crush, puncture, delayed presentation
✔✔Geriatric changes - ✔✔more body fat
Less lean mass, GFR, tubular excretion
So
- More distribution of fat sol drugs (e.g diazepam) --> give lower dose
- increase elimination half life of fat sol drugs
- less vol of distrib in water sol drugs (e.g digoxin) --> give lower dose
, ✔✔Newborn with pneumonia - ✔✔Chlamydia at 3-16wks
s/o: cough, tachypnia
exam: crackles, conjunctivitis (no fever, no toxic)
image: XR> diffuse infiltration, hyperinflation,
ttt: oral erythromycin
takes weeks
✔✔Distal finger fractures - ✔✔Mallet finger: extensor tendon problem --> splint in
extension 8wks
Jersey finger: flexor tendon problem --> refer to surgery dt risk of tendon retraction
✔✔Bipolar disorder ttt - ✔✔Acute mania: lithium/divalproex
Maintenance ttt: lithium/valproate/lamotrigine/quetiapine
✔✔Spirometry - ✔✔low FEV1 , low FVC, low ratio --> obstructive
N FEV11, low FVC, N ratio --> restrictive
Low DLCO + obstructive --> emphysema, COPD
Low DLCO + restrictive --> IPF
Just Low DLCO --> vascular causes: PE, pHTN, Anemia
✔✔SCFE - ✔✔Adolescent, overweight, african-american
ttt: no weight bearing, Surgery
✔✔Meralgia parasthetica - ✔✔Adolescent female, obese, tight clothes ()كارينا بادي
s/o: upper thight numbness
Impingment of lat cut nerve of thigh
✔✔Ostler Weber Rendu syndrome - ✔✔heridetary hagic telangiectasia
Screen for pulm AV malform by Echo
✔✔Orthostatic hypotension ttt - ✔✔Fludrocortisone, Midodrine, Physostigmine
✔✔Loeffler syndrome - ✔✔lung Ascariasis or Schistosomiasis
transient fever, cough, hemoptysis
✔✔Neonatal CPR - ✔✔if HR<60
✔✔Neonate cyanosis ttt - ✔✔1) Supplemental oxygen
2) exclude DDx
- hyaline memb ds (RDS) --> newborns
- Choanal atresia --> NGT bedside
- Pneumonia, pneumothx --> CXR
- Anemia, sepsis --> labs
3) ttt cause or observe if Transient Tachypnea of newborn (TTN)
ANSWERS RATED A+
✔✔Pertussis - ✔✔Dx: Nasopharyngeal culture and PCR
ttt: Azithromycin
Prophylaxis:
Pre-exposure: DTap (must in pregnant regardless of status)
Post-exposure: Azithromycin (TMP/SMX 2nd line)
Give within 3wks from s/o start, within 6wks in children and pregos.
✔✔JNC8 - ✔✔Targets:
- 140/90 < 60 no comorbs
- 150/90 > 60 no comorbs
- 140/90 > 18 in DM, CKD
(summary: all <140/90, exept >60 no comorbs)
Do's:
start with CCBs or thiazides in Blacks
Don'ts:
No ACE + ARB
Don't start with b-Blockers
✔✔COPD exacerbation - ✔✔Prednisolone 5 days
✔✔Lights criteria - ✔✔PLeural:
protein fluid/serum > 0.5
LDH fluid/serum > 0.6
Absolute LDH > 0.67
= Exudate (infections, pulm embolism)
✔✔Mirena IUD # - ✔✔Liver ds, BrCa
✔✔High risk bites - ✔✔Cat, Hand, Near prosthetic joint, DM, venous/lymph
compromise, Crush, puncture, delayed presentation
✔✔Geriatric changes - ✔✔more body fat
Less lean mass, GFR, tubular excretion
So
- More distribution of fat sol drugs (e.g diazepam) --> give lower dose
- increase elimination half life of fat sol drugs
- less vol of distrib in water sol drugs (e.g digoxin) --> give lower dose
, ✔✔Newborn with pneumonia - ✔✔Chlamydia at 3-16wks
s/o: cough, tachypnia
exam: crackles, conjunctivitis (no fever, no toxic)
image: XR> diffuse infiltration, hyperinflation,
ttt: oral erythromycin
takes weeks
✔✔Distal finger fractures - ✔✔Mallet finger: extensor tendon problem --> splint in
extension 8wks
Jersey finger: flexor tendon problem --> refer to surgery dt risk of tendon retraction
✔✔Bipolar disorder ttt - ✔✔Acute mania: lithium/divalproex
Maintenance ttt: lithium/valproate/lamotrigine/quetiapine
✔✔Spirometry - ✔✔low FEV1 , low FVC, low ratio --> obstructive
N FEV11, low FVC, N ratio --> restrictive
Low DLCO + obstructive --> emphysema, COPD
Low DLCO + restrictive --> IPF
Just Low DLCO --> vascular causes: PE, pHTN, Anemia
✔✔SCFE - ✔✔Adolescent, overweight, african-american
ttt: no weight bearing, Surgery
✔✔Meralgia parasthetica - ✔✔Adolescent female, obese, tight clothes ()كارينا بادي
s/o: upper thight numbness
Impingment of lat cut nerve of thigh
✔✔Ostler Weber Rendu syndrome - ✔✔heridetary hagic telangiectasia
Screen for pulm AV malform by Echo
✔✔Orthostatic hypotension ttt - ✔✔Fludrocortisone, Midodrine, Physostigmine
✔✔Loeffler syndrome - ✔✔lung Ascariasis or Schistosomiasis
transient fever, cough, hemoptysis
✔✔Neonatal CPR - ✔✔if HR<60
✔✔Neonate cyanosis ttt - ✔✔1) Supplemental oxygen
2) exclude DDx
- hyaline memb ds (RDS) --> newborns
- Choanal atresia --> NGT bedside
- Pneumonia, pneumothx --> CXR
- Anemia, sepsis --> labs
3) ttt cause or observe if Transient Tachypnea of newborn (TTN)
