ABFM ITE Exam Questions with Correct Answers (Grade A+)
Question 1: Ibuprofen / naproxen for primary dysmenorrhea, if side effect or not controlled,
Answer: OCP
Question 2: Reduce risk of pressure ulcers in at risk-patients
Answer: use
advanced static mattresses of overlays
Question 3: life expectancy of at least --- years is expected to benefit from screening mammography
Answer: 10 years
Question 4: Frequent episodes of binge eating >1/week followed by innapropriate compensatory
behaviors (vomiting, laxatives,enema etc) due to fear of gaining weight
Answer: Bulimia nervosa
Question 5: anorexia BMI
Answer: generally underweight, or less than 18.5
Question 6: otitis media with effusion management
Answer: observe, usually
resolves in 12 weeks
Question 7: otitis externa treatment
Answer: combined antibiotic and
glucocorticoid ototopical medication, ee.g neomycin +polymyxin b +hydrocortisone
Question 8: topical lidocaine is effective in treatment of herpetic neuralgia
Answer: topical lidocaine
Question 9: describe uveitis
Answer: unilateral eye pain, photophobia, ciliary flush (Circumferential redness along the border of the sclera
and cornea), there may be miosis
Question 10: Indications for bariatric surgery
Answer: BMI 40 or higher
without comorbidities, BMI 35 with comorbities
Page 1
,Question 11: Orlistat
Answer: Weight loss medication, loose stool common side effect. Lose about 3.5kg over 1 year
Question 12: Lorcaserin
Answer: Weight loss medication, avoid in pts taking
SSRIs sue to elevation in serotonin
Question 13: Phentermine-topiramate
Answer: Weight loss medication, avoid
in glaucoma
Question 14: acromioclavicular join degeneration presentation
Answer: pain
on superior aspect of shoulder, tenderness on palpation of A-C joint, pain with shoulder adduction and
abduction >120 degrees
Question 15: Supraspinatus tear test
Answer: Positive drop arm test
Question 16: supraspinatus tendinitis
Answer: pain on shoulder abduction or
painful arc
Question 17: Lung cancer screening
Answer: ANNUAL LOW-DOSE CT for age
55-80 years with 30-pack year smoking history, including those who quit within 15 years
Question 18: AAA Screening
Answer: One time abdominal US for men 65-75 who have smoked at least 100 cigarrettes
Question 19: standard outcome measure for cohort study
Answer: relative risk
Question 20: Treatment options for bipolar depression
Answer: Seroquel
monotherapy, combination olanzapine-fluoxetine
Question 21: hormonal estrogen is contraindicated in women with migraines+aura due to risk of
Answer: stroke
Page 2
, Question 22: PAP smear screening
Answer: women 21-65 , every 3 years. In
women 30 - 65, every 5 years if combined with HPV testing
Question 23: Indications for high intensity statin
Answer: Age 40 - 75 with
diabetes and an LDL of 70 - 189,and 10 years >7.5% ASCVD risk
Question 24: men with low or low-normal testosterone level should have a repeat confirmatory
morning testosterone prior to begining testosterone treatment
Answer:
Question 25: severe vasomotor symptoms in postmenopausal women are best treated with
Answer: systemic hormonal therapy;- oral estradiol- progrestin combo
Question 26: test to be performed in all patients with syncope
Answer: EKG
Question 27: Panic disorder treatment
Answer: SSRI (sertraline), SNRI, TCAs,
MAOi
Question 28: Trichomoniasis treatment
Answer: single dose of metronidazole
2g, and treat partner
Question 29: Treatment of vasomotor symptoms in postmenopausal women without a uterus
Answer: Transdermal or oral Estradiol only (no need for progestin as they have no uterus)
Question 30: Statins, ACE-i/ARB are teratogenic
Answer: discontinue in
pregnant women
Question 31: Indications for pharmacologic weight loss treatment
Answer: BMI greater than 30, or BMI greater than 27 with obesity associated complications
Page 3
Question 1: Ibuprofen / naproxen for primary dysmenorrhea, if side effect or not controlled,
Answer: OCP
Question 2: Reduce risk of pressure ulcers in at risk-patients
Answer: use
advanced static mattresses of overlays
Question 3: life expectancy of at least --- years is expected to benefit from screening mammography
Answer: 10 years
Question 4: Frequent episodes of binge eating >1/week followed by innapropriate compensatory
behaviors (vomiting, laxatives,enema etc) due to fear of gaining weight
Answer: Bulimia nervosa
Question 5: anorexia BMI
Answer: generally underweight, or less than 18.5
Question 6: otitis media with effusion management
Answer: observe, usually
resolves in 12 weeks
Question 7: otitis externa treatment
Answer: combined antibiotic and
glucocorticoid ototopical medication, ee.g neomycin +polymyxin b +hydrocortisone
Question 8: topical lidocaine is effective in treatment of herpetic neuralgia
Answer: topical lidocaine
Question 9: describe uveitis
Answer: unilateral eye pain, photophobia, ciliary flush (Circumferential redness along the border of the sclera
and cornea), there may be miosis
Question 10: Indications for bariatric surgery
Answer: BMI 40 or higher
without comorbidities, BMI 35 with comorbities
Page 1
,Question 11: Orlistat
Answer: Weight loss medication, loose stool common side effect. Lose about 3.5kg over 1 year
Question 12: Lorcaserin
Answer: Weight loss medication, avoid in pts taking
SSRIs sue to elevation in serotonin
Question 13: Phentermine-topiramate
Answer: Weight loss medication, avoid
in glaucoma
Question 14: acromioclavicular join degeneration presentation
Answer: pain
on superior aspect of shoulder, tenderness on palpation of A-C joint, pain with shoulder adduction and
abduction >120 degrees
Question 15: Supraspinatus tear test
Answer: Positive drop arm test
Question 16: supraspinatus tendinitis
Answer: pain on shoulder abduction or
painful arc
Question 17: Lung cancer screening
Answer: ANNUAL LOW-DOSE CT for age
55-80 years with 30-pack year smoking history, including those who quit within 15 years
Question 18: AAA Screening
Answer: One time abdominal US for men 65-75 who have smoked at least 100 cigarrettes
Question 19: standard outcome measure for cohort study
Answer: relative risk
Question 20: Treatment options for bipolar depression
Answer: Seroquel
monotherapy, combination olanzapine-fluoxetine
Question 21: hormonal estrogen is contraindicated in women with migraines+aura due to risk of
Answer: stroke
Page 2
, Question 22: PAP smear screening
Answer: women 21-65 , every 3 years. In
women 30 - 65, every 5 years if combined with HPV testing
Question 23: Indications for high intensity statin
Answer: Age 40 - 75 with
diabetes and an LDL of 70 - 189,and 10 years >7.5% ASCVD risk
Question 24: men with low or low-normal testosterone level should have a repeat confirmatory
morning testosterone prior to begining testosterone treatment
Answer:
Question 25: severe vasomotor symptoms in postmenopausal women are best treated with
Answer: systemic hormonal therapy;- oral estradiol- progrestin combo
Question 26: test to be performed in all patients with syncope
Answer: EKG
Question 27: Panic disorder treatment
Answer: SSRI (sertraline), SNRI, TCAs,
MAOi
Question 28: Trichomoniasis treatment
Answer: single dose of metronidazole
2g, and treat partner
Question 29: Treatment of vasomotor symptoms in postmenopausal women without a uterus
Answer: Transdermal or oral Estradiol only (no need for progestin as they have no uterus)
Question 30: Statins, ACE-i/ARB are teratogenic
Answer: discontinue in
pregnant women
Question 31: Indications for pharmacologic weight loss treatment
Answer: BMI greater than 30, or BMI greater than 27 with obesity associated complications
Page 3
