ABFM ITE Exam Test Script Questions with Correct Answers
(Grade A+)
Question 1: entry to balloon time for PCI!
Answer: 120 minutes
Question 2: time limit from onset of MI to balloon time
Answer: should get it
done w/in 12 hours
Question 3: Absolute contraindications to Fibrinolysis
Answer: Previous
hemorrhage stroke
Previous ischemic stroke (4.5hrs-3months prior)
Suspected aortic dissection
Active bleeding (except menstruation)
BP >180/110 (severe hypertension)
Streptokinase 6 months prior
Question 4: acute cholecystitis
Answer: Acute inflammation of the gallbladder wall
Question 5: Patient with pulmonary HTN due to left heart failure, can they have vasodilators
(PDE5?)
Answer: NO! can make things worse
-maximize heart failure treatment!
Question 6: Sever's Diseaese
Answer: Calcaneal apophysitis, also called
Sever's disease, is a common cause of heel pain in young athletes, especially those who participate in
basketball, soccer, track, and other sports that involve running. Typically the heel apophysis closes by age 15.
Treatment options include activity modification, the use of ice packs and/or moist heat, stretching, analgesics,
and orthotic devices. The use of therapeutic ultrasound on the active bone growth plates in children is
contraindicated.
Question 7: in pressure ulcers what solutions to avoid, and what to use!
Answer: recommended that pressure ulcers not be cleaned with povidone/iodine, Dakin's solution, hydrogen
peroxide, wet-to-dry dressings, or any solutions that may impede granulation tissue formation. These sites
should be cleaned with either saline or tap water and covered with hydrocolloid, foam, or another nonadherent
dressing that promotes a moist environment.
Page 1
, Question 8: Chronic paraoxysmal hemicrania
Answer: resembles cluster
headache but has some important differences. Like cluster headaches, these headaches are unilateral and
accompanied by conjunctival hyperemia and rhinorrhea. However, these headaches are more frequent in
women, and the paroxysms occur many times each day. This type of headache falls into a group of headaches
that have been labeled indomethacin-responsive headaches because they respond dramatically to
*indomethacin.*
Question 9: normal spirometry but low DLCO
Answer: chronic pulmonary
embolus
Question 10: give amoxicillin only if prior endocarditis, prosthetic valve, heart txp, or severe or
repaired congenital heart -if allergic to penicillin, then give clinda!!
Answer: Antibiotic ppx for dental procedures
Question 11: when to refer patient with CKD to nephrology
Answer: Current
guidelines recommend referral to a nephrologist if a patient's renal disease is either of unknown etiology, is
deteriorating quickly (eGFR decreasing by >5 mL/min/1.73 m2 per year), or is severe. Thresholds used to
define severe chronic kidney disease include an eGFR <30 mL/min/1.73 m2, a urine albumin to creatinine
ratio >300 g/mg, persistent acidosis or potassium imbalance, non-iron deficiency anemia with a hemoglobin
level <10 g/dL, and evidence of secondary hyperparathyroidism.
Question 12: Causes of peripheral neuropathy
Answer: common treatable
causes of peripheral neuropathy, which include *diabetes mellitus, hypothyroidism, and nutritional
deficiencies*. Additional causes of peripheral neuropathy include *chronic liver disease and renal disease*. It
is important to consider medications as a possible cause, including *amiodarone, digoxin, nitrofurantoin, and
statins. Excessive alcohol* use is another important consideration. In addition think *MGUS, and Multiple
Myeloma*
Question 13: Failure rates of contraception
Answer: The annual failure rate of
combined oral contraceptive pills with typical use is 9%. Typical failure rates for other contraceptive methods
are 0.2% for the levonorgestrel IUD, 6% for injectable progestin, 18% for male condoms, and 22% for the
withdrawal method.
Question 14: mental status exam for acute changes like delerium
Answer: Confusion Assessment Method (CAM)
Page 2
(Grade A+)
Question 1: entry to balloon time for PCI!
Answer: 120 minutes
Question 2: time limit from onset of MI to balloon time
Answer: should get it
done w/in 12 hours
Question 3: Absolute contraindications to Fibrinolysis
Answer: Previous
hemorrhage stroke
Previous ischemic stroke (4.5hrs-3months prior)
Suspected aortic dissection
Active bleeding (except menstruation)
BP >180/110 (severe hypertension)
Streptokinase 6 months prior
Question 4: acute cholecystitis
Answer: Acute inflammation of the gallbladder wall
Question 5: Patient with pulmonary HTN due to left heart failure, can they have vasodilators
(PDE5?)
Answer: NO! can make things worse
-maximize heart failure treatment!
Question 6: Sever's Diseaese
Answer: Calcaneal apophysitis, also called
Sever's disease, is a common cause of heel pain in young athletes, especially those who participate in
basketball, soccer, track, and other sports that involve running. Typically the heel apophysis closes by age 15.
Treatment options include activity modification, the use of ice packs and/or moist heat, stretching, analgesics,
and orthotic devices. The use of therapeutic ultrasound on the active bone growth plates in children is
contraindicated.
Question 7: in pressure ulcers what solutions to avoid, and what to use!
Answer: recommended that pressure ulcers not be cleaned with povidone/iodine, Dakin's solution, hydrogen
peroxide, wet-to-dry dressings, or any solutions that may impede granulation tissue formation. These sites
should be cleaned with either saline or tap water and covered with hydrocolloid, foam, or another nonadherent
dressing that promotes a moist environment.
Page 1
, Question 8: Chronic paraoxysmal hemicrania
Answer: resembles cluster
headache but has some important differences. Like cluster headaches, these headaches are unilateral and
accompanied by conjunctival hyperemia and rhinorrhea. However, these headaches are more frequent in
women, and the paroxysms occur many times each day. This type of headache falls into a group of headaches
that have been labeled indomethacin-responsive headaches because they respond dramatically to
*indomethacin.*
Question 9: normal spirometry but low DLCO
Answer: chronic pulmonary
embolus
Question 10: give amoxicillin only if prior endocarditis, prosthetic valve, heart txp, or severe or
repaired congenital heart -if allergic to penicillin, then give clinda!!
Answer: Antibiotic ppx for dental procedures
Question 11: when to refer patient with CKD to nephrology
Answer: Current
guidelines recommend referral to a nephrologist if a patient's renal disease is either of unknown etiology, is
deteriorating quickly (eGFR decreasing by >5 mL/min/1.73 m2 per year), or is severe. Thresholds used to
define severe chronic kidney disease include an eGFR <30 mL/min/1.73 m2, a urine albumin to creatinine
ratio >300 g/mg, persistent acidosis or potassium imbalance, non-iron deficiency anemia with a hemoglobin
level <10 g/dL, and evidence of secondary hyperparathyroidism.
Question 12: Causes of peripheral neuropathy
Answer: common treatable
causes of peripheral neuropathy, which include *diabetes mellitus, hypothyroidism, and nutritional
deficiencies*. Additional causes of peripheral neuropathy include *chronic liver disease and renal disease*. It
is important to consider medications as a possible cause, including *amiodarone, digoxin, nitrofurantoin, and
statins. Excessive alcohol* use is another important consideration. In addition think *MGUS, and Multiple
Myeloma*
Question 13: Failure rates of contraception
Answer: The annual failure rate of
combined oral contraceptive pills with typical use is 9%. Typical failure rates for other contraceptive methods
are 0.2% for the levonorgestrel IUD, 6% for injectable progestin, 18% for male condoms, and 22% for the
withdrawal method.
Question 14: mental status exam for acute changes like delerium
Answer: Confusion Assessment Method (CAM)
Page 2
