ABFM ITE
CAP antibiotic that causes VF Azithromycin
- The arrhythmia results from prolongation of the QT interval and is also more
common in patients with a prior cardiac history.
Anti-DM medications for weight loss GLP1 receptor agonists e.g. Exenatide
SGLT-2 inhibitor e.g. Canagliflozin
Screening test with greatest potential for over diagnosis PSA
Clinical manifestation of amyotrophic lateral sclerosis Asymmetric leg weakness
Opioid to avoid in palliative patient with severe hepatic Methadone
dysfunction
- It is metabolized and cleared by the liver, and should therefore not be used in
patients with severe hepatic impairment. It is, however, a reasonable option for
patients with severe renal impairment.
Lung cancer screening with low dose CT Chest annually Adults 55-80yo with 30 pack year history and currently smoking or quit within last 15
years
NOAC with reversal agent Dabigatran
Reduces alcoholism but creating an acute ethanol Disulfiram
sensitivity
Antidepressant to be avoided in the elderly Paroxetine (associated with more anticholinergic effects)
SSRIs > SNRIs, atypical antipsychotics may be added for resistant depression
Age group between which American Academy of Pediatrics 18-24 months old
recommends administration of an autism-specific
screening tool
Most common neurological complication of Paget's Hearing loss
disease of the bone
Most common cardiac complication of Lyme disease Heart blocks
Examination finding of those with bacterial vaginosis Vaginal pH >4.5 (normal vaginal pH should be acidic)
Most common cause of medication-related adverse events Antibiotics
across health care settings in the United States
, ABFM ITE
Screening for asymptomatic carotid artery stenosis Not recommended
May start statins.
Repeating ultrasonography annually to monitor for progression of the disease and
to guide intervention is also considered reasonable.
In anaphylaxis, which drug is most likely helpful in Epinephrine
preventing the need for intubation?
Barrett's oesophagus with no dysplasia Surveillance with endoscopy every 3 years
Positive family history of colorectal cancer Individuals who have a first-degree relative with colorectal cancer or advanced
adenoma diagnosed before 60 years of age or two first-degree relatives diagnosed
at any age should be advised to start screening colonoscopy at 40 years of age or
10 years younger than the earliest diagnosis in their family, whichever comes first.
Most common cause of hearing loss in newborns Genetic inheritance
Influenza vaccination in those with potential egg allergy All currently available influenza vaccines, with the exceptions of recombinant and
cell-culture-based inactivated influenza vaccines, are prepared using embryonated
egg culture and can potentially provoke allergic and anaphylactic reactions.
For those who report that they can eat lightly cooked scrambled eggs, vaccination
can proceed without precaution or observation. Those who have experienced only
hives can also receive any influenza vaccine appropriate for their age and health
status.
People who have experienced symptoms such as hypotension, wheezing, nausea,
or vomiting, or reactions requiring emergency attention or epinephrine after eating
eggs or egg-containing foods can also receive any influenza vaccine appropriate for
their age and health status and also do not need to be observed. However, the
vaccine should be administered by a provider who can recognize and manage
severe allergic reactions.
How is the Timed Up and Go test useful in GRM patients? Helps to assess the risk of falling
Antidepressant that can prolong QT interval to be avoided Citalopram, Escitalopram
in those on concomitant atypical antipsychotics
Other SSRIs, as well as bupropion, venlafaxine, and mirtazapine, do not have this
effect. Both tricyclic antidepressants and antipsychotics, commonly used in patients
also taking SSRIs, can cause QT prolongation, making their combined use
problematic.
Antibiotic for traveller's diarrhoea Azithromycin
Prevented by washing hands frequently
Most effective medication for treating fibromyalgia TCAs > SSRIs (helps with some pain reduction)
In a healthy full-term infant who is exclusively breastfed, 4 months
iron supplementation should begin at what age in order to
prevent iron deficiency anaemia? - In preterm babies (before 37w), elemental iron supplementation (2mg/kg per day)
should begin at 1 month of age and should continue until 12 months of age, unless
the infant had multiple blood transfusions.
, ABFM ITE
Strongest risk factor for primary hypertension in children Elevated BMI
and adolescents
Treatment of erythrasma (Wood's lamp coral pink/red Erythromycin
fluorescence, fine-scaled with a cigarette-paper
appearance) caused by Corynebacterium minutissimum
infection
Which investigation is routine in all newborns with Down Echocardiography
syndrome?
Treatment duration for provoked vs unprovoked PE 3 months and indefinitely respectively
In patients with symptoms indicative of pneumonia or heart BNP and procalcitonin levels
failure, what investigations can be done to determine
treatment of either condition or both?
How to increase HDL (good cholesterol)? Add niacin
Dietary recommendation in diverticulosis High fibre or take fibre supplements
Side effects of prolonged PPI use C diff infection, hypoMg, hip fracture
Which antiemetic blocks dopamine stimulation in the Metoclopramide
chemoreceptor trigger zone?
Little League shoulder is a repetitive use injury causing Proximal humeral epiphysitis.
disruption at the proximal growth plate of the humerus
Can be seen on plain radiographs as widening, demineralization, or sclerosis at the
growth plate.
Fluoride supplementation should be started at what age 6 months
when primary water supply is deficient in fluoride
Medications that can reduce serum Vitamin D levels Rifampicin, Phenytoin
Isolated posterior cruciate ligament tear Direct blow to the anterior tibia whilst knee is in flexion
What should patients be periodically monitored for whilst TSH
on Amiodarone?
Drug of choice in depressed persons with cardiovascular SSRIs
disease
, ABFM ITE
Antibiotics causing prolonged QT Macrolides
Benign nocturnal limb pains of childhood (previously Usually occur in the evening or night time, may sometimes wake patient from sleep,
known as "growing pains") short-lived (about 30min), not associated with redness/swelling/tenderness/limping.
No further work-up necessary.
Treatment of OSA in children Adenotonsillectomy
What is most likely seen with diastolic dysfunction? A preserved ejection fraction
Positive hip FADIR and FABER testing Hip labral tear
Childhood vaccination carrying risk of febrile seizure in up MMR
to 2 weeks post-administration
Elbow Moving Valgus Stress Test Ulnar collateral ligament injury
In United Stated, at what age is it recommended for cow's 12 months
milk be introduced?
Treatment for lateral dislocation of the patella Medically directed pressure on the patella while extending the leg
Treatment of SSRI overdose
Finkelstein's test For detecting De Quervain's Tenosynovitis, where thumb is in the fist and you
ulnarly deviate looking for pain in the radial wrist.
Indication for 2nd dose of pneumococcal polysaccharide Sickle Cell Disease
vaccine in children
Excessive femoral anteversion with normal mobility Observation
Surgery should be reserved for children 8-10 years of age who still have
cosmetically unacceptable, dysfunctional gaits.
Most effective treatment for OCD Repetitive exposure to fearful stimuli
Tricyclic antidepressants and SSRIs are also effective
Effective treatment for post-herpetic neuralgia Topical agents such as lidocaine patches and capsaicin cream or patches, as have
the oral agents gabapentin, pregabalin, and amitriptyline.
CAP antibiotic that causes VF Azithromycin
- The arrhythmia results from prolongation of the QT interval and is also more
common in patients with a prior cardiac history.
Anti-DM medications for weight loss GLP1 receptor agonists e.g. Exenatide
SGLT-2 inhibitor e.g. Canagliflozin
Screening test with greatest potential for over diagnosis PSA
Clinical manifestation of amyotrophic lateral sclerosis Asymmetric leg weakness
Opioid to avoid in palliative patient with severe hepatic Methadone
dysfunction
- It is metabolized and cleared by the liver, and should therefore not be used in
patients with severe hepatic impairment. It is, however, a reasonable option for
patients with severe renal impairment.
Lung cancer screening with low dose CT Chest annually Adults 55-80yo with 30 pack year history and currently smoking or quit within last 15
years
NOAC with reversal agent Dabigatran
Reduces alcoholism but creating an acute ethanol Disulfiram
sensitivity
Antidepressant to be avoided in the elderly Paroxetine (associated with more anticholinergic effects)
SSRIs > SNRIs, atypical antipsychotics may be added for resistant depression
Age group between which American Academy of Pediatrics 18-24 months old
recommends administration of an autism-specific
screening tool
Most common neurological complication of Paget's Hearing loss
disease of the bone
Most common cardiac complication of Lyme disease Heart blocks
Examination finding of those with bacterial vaginosis Vaginal pH >4.5 (normal vaginal pH should be acidic)
Most common cause of medication-related adverse events Antibiotics
across health care settings in the United States
, ABFM ITE
Screening for asymptomatic carotid artery stenosis Not recommended
May start statins.
Repeating ultrasonography annually to monitor for progression of the disease and
to guide intervention is also considered reasonable.
In anaphylaxis, which drug is most likely helpful in Epinephrine
preventing the need for intubation?
Barrett's oesophagus with no dysplasia Surveillance with endoscopy every 3 years
Positive family history of colorectal cancer Individuals who have a first-degree relative with colorectal cancer or advanced
adenoma diagnosed before 60 years of age or two first-degree relatives diagnosed
at any age should be advised to start screening colonoscopy at 40 years of age or
10 years younger than the earliest diagnosis in their family, whichever comes first.
Most common cause of hearing loss in newborns Genetic inheritance
Influenza vaccination in those with potential egg allergy All currently available influenza vaccines, with the exceptions of recombinant and
cell-culture-based inactivated influenza vaccines, are prepared using embryonated
egg culture and can potentially provoke allergic and anaphylactic reactions.
For those who report that they can eat lightly cooked scrambled eggs, vaccination
can proceed without precaution or observation. Those who have experienced only
hives can also receive any influenza vaccine appropriate for their age and health
status.
People who have experienced symptoms such as hypotension, wheezing, nausea,
or vomiting, or reactions requiring emergency attention or epinephrine after eating
eggs or egg-containing foods can also receive any influenza vaccine appropriate for
their age and health status and also do not need to be observed. However, the
vaccine should be administered by a provider who can recognize and manage
severe allergic reactions.
How is the Timed Up and Go test useful in GRM patients? Helps to assess the risk of falling
Antidepressant that can prolong QT interval to be avoided Citalopram, Escitalopram
in those on concomitant atypical antipsychotics
Other SSRIs, as well as bupropion, venlafaxine, and mirtazapine, do not have this
effect. Both tricyclic antidepressants and antipsychotics, commonly used in patients
also taking SSRIs, can cause QT prolongation, making their combined use
problematic.
Antibiotic for traveller's diarrhoea Azithromycin
Prevented by washing hands frequently
Most effective medication for treating fibromyalgia TCAs > SSRIs (helps with some pain reduction)
In a healthy full-term infant who is exclusively breastfed, 4 months
iron supplementation should begin at what age in order to
prevent iron deficiency anaemia? - In preterm babies (before 37w), elemental iron supplementation (2mg/kg per day)
should begin at 1 month of age and should continue until 12 months of age, unless
the infant had multiple blood transfusions.
, ABFM ITE
Strongest risk factor for primary hypertension in children Elevated BMI
and adolescents
Treatment of erythrasma (Wood's lamp coral pink/red Erythromycin
fluorescence, fine-scaled with a cigarette-paper
appearance) caused by Corynebacterium minutissimum
infection
Which investigation is routine in all newborns with Down Echocardiography
syndrome?
Treatment duration for provoked vs unprovoked PE 3 months and indefinitely respectively
In patients with symptoms indicative of pneumonia or heart BNP and procalcitonin levels
failure, what investigations can be done to determine
treatment of either condition or both?
How to increase HDL (good cholesterol)? Add niacin
Dietary recommendation in diverticulosis High fibre or take fibre supplements
Side effects of prolonged PPI use C diff infection, hypoMg, hip fracture
Which antiemetic blocks dopamine stimulation in the Metoclopramide
chemoreceptor trigger zone?
Little League shoulder is a repetitive use injury causing Proximal humeral epiphysitis.
disruption at the proximal growth plate of the humerus
Can be seen on plain radiographs as widening, demineralization, or sclerosis at the
growth plate.
Fluoride supplementation should be started at what age 6 months
when primary water supply is deficient in fluoride
Medications that can reduce serum Vitamin D levels Rifampicin, Phenytoin
Isolated posterior cruciate ligament tear Direct blow to the anterior tibia whilst knee is in flexion
What should patients be periodically monitored for whilst TSH
on Amiodarone?
Drug of choice in depressed persons with cardiovascular SSRIs
disease
, ABFM ITE
Antibiotics causing prolonged QT Macrolides
Benign nocturnal limb pains of childhood (previously Usually occur in the evening or night time, may sometimes wake patient from sleep,
known as "growing pains") short-lived (about 30min), not associated with redness/swelling/tenderness/limping.
No further work-up necessary.
Treatment of OSA in children Adenotonsillectomy
What is most likely seen with diastolic dysfunction? A preserved ejection fraction
Positive hip FADIR and FABER testing Hip labral tear
Childhood vaccination carrying risk of febrile seizure in up MMR
to 2 weeks post-administration
Elbow Moving Valgus Stress Test Ulnar collateral ligament injury
In United Stated, at what age is it recommended for cow's 12 months
milk be introduced?
Treatment for lateral dislocation of the patella Medically directed pressure on the patella while extending the leg
Treatment of SSRI overdose
Finkelstein's test For detecting De Quervain's Tenosynovitis, where thumb is in the fist and you
ulnarly deviate looking for pain in the radial wrist.
Indication for 2nd dose of pneumococcal polysaccharide Sickle Cell Disease
vaccine in children
Excessive femoral anteversion with normal mobility Observation
Surgery should be reserved for children 8-10 years of age who still have
cosmetically unacceptable, dysfunctional gaits.
Most effective treatment for OCD Repetitive exposure to fearful stimuli
Tricyclic antidepressants and SSRIs are also effective
Effective treatment for post-herpetic neuralgia Topical agents such as lidocaine patches and capsaicin cream or patches, as have
the oral agents gabapentin, pregabalin, and amitriptyline.
