Page 1 of 254
ABFM ITE EXAM | FREQUENTLY TESTED
QUESTIONS WITH CORRECT ANSWERS |
BRAND NEW!
The inability to use and make sense of numbers is a common
problem encountered in
physician-patient communication that can make it difficult to
achieve shared decision-making.
Which one of the following methods has been shown to be a
helpful strategy when discussing
numbers?
A) Using relative risk instead of absolute risk
B) Using icon arrays (pictographs) to show ratios
C) Using percentages instead of frequencies
D) Framing outcomes in either positive or negative terms, but not
both - ✔✔✔ correct answer > ANSWER: B
Use of simple graphical representations and other visual aids
can greatly enhance a patient's
comprehension of numbers. One useful tool is expressing ratios
as an icon array in which a shape is
,Page 2 of 254
repeated a specific number of times to represent the
denominator and some of the shapes are shaded in to
represent the numerator. Other techniques include using
absolute risk instead of relative risk, using
frequencies instead of percentages, and framing outcomes in
both positive and negative terms.
A 60-year-old male with a long-standing history of type 2
diabetes is admitted to the hospital.
He takes four oral medications for the treatment of diabetes at
home. You decide to switch him
to insulin instead of continuing oral medications while he is
hospitalized. He is eating his meals
well.
After calculating the total daily insulin dose, which one of the
following would be most
appropriate?
A) Administer the total daily dose as long-acting insulin in equal
doses every 12 hours
B) Administer half of the total daily dose of insulin as long-acting
insulin and the other half
as short-acting insulin in three divided doses, given with each
meal
,Page 3 of 254
C) Administer the total daily dose as short-acting insulin in three
divided doses, given with
each meal
D) Administer the total daily dose as short-acting insulin in four
divided doses, given with
each meal and at bedtime
E) Administer the total daily dose as a short-acting slid - ✔✔✔
correct answer > ANSWER: B
Frequently patients taking oral medications for the treatment of
diabetes mellitus need to be switched to
insulin while hospitalized. There are formulas to calculate the
total daily dose based on weight, renal
function, insulin resistance, and other factors. The recommended
regimen is half of the calculated total
daily dose given as long-acting insulin such as glargine to
provide basal insulin and half given as
short-acting insulin such as lispro to provide prandial insulin.
The short-acting insulin is divided into thirds
to be given with each meal.
The American Diabetes Association (ADA) recommends an
insulin regimen with a basal and a prandial
component for non-critically ill patients in the hospital with good
nutritional intake. A correction
, Page 4 of 254
component can be added to this regimen. The ADA strongly
discourages the use of only a sliding scale
insulin regimen. The reactive nature of sliding scale does not
control glucose levels well and does not
address the basal insulin needs of patients.
A 60-year-old male presents with dyspnea on exertion,
occasional wheezing, and a chronic
cough that is productive. He has never been hospitalized. He has
smoked one pack of cigarettes
per day since the age of 20. An examination reveals diminished
breath sounds but no crackles,
jugular venous distention, gallop, or edema. Spirometry shows a
postbronchodilator FEV1 that
is 45% of the predicted value, and the severity of his disease is
rated as Global Initiative for
Chronic Obstructive Lung Disease (GOLD) group C.
In addition to albuterol as needed for symptomatic relief and
smoking cessation, the initial
treatment should include
A) beclomethasone
B) budesonide/formoterol (Symbicort)
C) roflumilast (Daliresp)
ABFM ITE EXAM | FREQUENTLY TESTED
QUESTIONS WITH CORRECT ANSWERS |
BRAND NEW!
The inability to use and make sense of numbers is a common
problem encountered in
physician-patient communication that can make it difficult to
achieve shared decision-making.
Which one of the following methods has been shown to be a
helpful strategy when discussing
numbers?
A) Using relative risk instead of absolute risk
B) Using icon arrays (pictographs) to show ratios
C) Using percentages instead of frequencies
D) Framing outcomes in either positive or negative terms, but not
both - ✔✔✔ correct answer > ANSWER: B
Use of simple graphical representations and other visual aids
can greatly enhance a patient's
comprehension of numbers. One useful tool is expressing ratios
as an icon array in which a shape is
,Page 2 of 254
repeated a specific number of times to represent the
denominator and some of the shapes are shaded in to
represent the numerator. Other techniques include using
absolute risk instead of relative risk, using
frequencies instead of percentages, and framing outcomes in
both positive and negative terms.
A 60-year-old male with a long-standing history of type 2
diabetes is admitted to the hospital.
He takes four oral medications for the treatment of diabetes at
home. You decide to switch him
to insulin instead of continuing oral medications while he is
hospitalized. He is eating his meals
well.
After calculating the total daily insulin dose, which one of the
following would be most
appropriate?
A) Administer the total daily dose as long-acting insulin in equal
doses every 12 hours
B) Administer half of the total daily dose of insulin as long-acting
insulin and the other half
as short-acting insulin in three divided doses, given with each
meal
,Page 3 of 254
C) Administer the total daily dose as short-acting insulin in three
divided doses, given with
each meal
D) Administer the total daily dose as short-acting insulin in four
divided doses, given with
each meal and at bedtime
E) Administer the total daily dose as a short-acting slid - ✔✔✔
correct answer > ANSWER: B
Frequently patients taking oral medications for the treatment of
diabetes mellitus need to be switched to
insulin while hospitalized. There are formulas to calculate the
total daily dose based on weight, renal
function, insulin resistance, and other factors. The recommended
regimen is half of the calculated total
daily dose given as long-acting insulin such as glargine to
provide basal insulin and half given as
short-acting insulin such as lispro to provide prandial insulin.
The short-acting insulin is divided into thirds
to be given with each meal.
The American Diabetes Association (ADA) recommends an
insulin regimen with a basal and a prandial
component for non-critically ill patients in the hospital with good
nutritional intake. A correction
, Page 4 of 254
component can be added to this regimen. The ADA strongly
discourages the use of only a sliding scale
insulin regimen. The reactive nature of sliding scale does not
control glucose levels well and does not
address the basal insulin needs of patients.
A 60-year-old male presents with dyspnea on exertion,
occasional wheezing, and a chronic
cough that is productive. He has never been hospitalized. He has
smoked one pack of cigarettes
per day since the age of 20. An examination reveals diminished
breath sounds but no crackles,
jugular venous distention, gallop, or edema. Spirometry shows a
postbronchodilator FEV1 that
is 45% of the predicted value, and the severity of his disease is
rated as Global Initiative for
Chronic Obstructive Lung Disease (GOLD) group C.
In addition to albuterol as needed for symptomatic relief and
smoking cessation, the initial
treatment should include
A) beclomethasone
B) budesonide/formoterol (Symbicort)
C) roflumilast (Daliresp)
