ABFM ITE Exam Certification Evaluation Questions with
Correct Answers (Grade A+)
Question 1: Strongest risk factor for primary hypertension in children and adolescents
Answer: Elevated BMI
Question 2: While Staphylococcus aureus and Streptococcus species are the most common causes of
skin and soft-tissue infection, which organism should also be considered
Answer: Pseudomonas
Question 3: Treatment of erythrasma (Wood's lamp coral pink/red fluorescence, fine-scaled with a
cigarette-paper appearance) caused by Corynebacterium minutissimum infection
Answer: Erythromycin
Question 4: Which radiologic funding of a lung nodule is most predictive of malignancy?
Answer:
Question 5: Which investigation is routine in all newborns with Down syndrome?
Answer: Echocardiography
Question 6: Treatment duration for provoked vs unprovoked PE
Answer: 3
months and indefinitely respectively
Question 7: In patients with symptoms indicative of pneumonia or heart failure, what investigations
can be done to determine treatment of either condition or both?
Answer: BNP and procalcitonin levels
Question 8: How to increase HDL (good cholesterol)?
Answer: Add niacin
Question 9: Dietary recommendation in diverticulosis
Answer: High fibre or
take fibre supplements
Question 10: Side effects of prolonged PPI use
Answer: C diff infection,
hypoMg, hip fracture
Page 1
,Question 11: Which antiemetic blocks dopamine stimulation in the chemoreceptor trigger zone?
Answer: Metoclopramide
Question 12: Little League shoulder is a repetitive use injury causing disruption at the proximal
growth plate of the humerus
Answer: Proximal
humeral epiphysitis.
Can be seen on plain radiographs as widening, demineralization, or sclerosis at the growth plate.
Question 13: Taking beta carotene and Vit E to prevent cancer and heart disease
Answer:
Question 14: Fluoride supplementation should be started at what age when primary water supply is
deficient in fluoride
Answer: 6 months
Question 15: Medications that can reduce serum Vitamin D levels
Answer: Rifampicin, Phenytoin
Question 16: Isolated posterior cruciate ligament tear
Answer: Direct blow to
the anterior tibia whilst knee is in flexion
Question 17: What should patients be periodically monitored for whilst on Amiodarone?
Answer: TSH
Question 18: Drug of choice in depressed persons with cardiovascular disease
Answer: SSRIs
Question 19: Antibiotics causing prolonged QT
Answer: Macrolides
Question 20: Benign nocturnal limb pains of childhood (previously known as "growing pains")
Answer: Usually occur in the evening or night time, may sometimes wake patient from sleep, short-lived
(about 30min), not associated with redness/swelling/tenderness/limping. No further work-up necessary.
Question 21: Treatment of OSA in children
Answer: Adenotonsillectomy
Page 2
,Question 22: What is most likely seen with diastolic dysfunction?
Answer: A
preserved ejection fraction
Question 23: Positive hip FADIR and FABER testing
Answer: Hip labral tear
Question 24: Childhood vaccination carrying risk of febrile seizure in up to 2 weeks
post-administration
Answer: MMR
Question 25: Elbow Moving Valgus Stress Test
Answer: Ulnar collateral
ligament injury
Question 26: In United Stated, at what age is it recommended for cow's milk be introduced?
Answer: 12 months
Question 27: Treatment for lateral dislocation of the patella
Answer: Medically
directed pressure on the patella while extending the leg
Question 28: Treatment of SSRI overdose
Answer:
Question 29: Finkelstein's test
Answer: For detecting De Quervain's
Tenosynovitis, where thumb is in the fist and you ulnarly deviate looking for pain in the radial wrist.
Question 30: Indication for 2nd dose of pneumococcal polysaccharide vaccine in children
Answer: Sickle Cell Disease
Question 31: Excessive femoral anteversion with normal mobility
Answer: Observation
Surgery should be reserved for children 8-10 years of age who still have cosmetically unacceptable,
dysfunctional gaits.
Page 3
, Question 32: Most effective treatment for OCD
Answer: Repetitive exposure to
fearful stimuli
Tricyclic antidepressants and SSRIs are also effective
Question 33: Effective treatment for post-herpetic neuralgia
Answer: Topical
agents such as lidocaine patches and capsaicin cream or patches, as have the oral agents gabapentin,
pregabalin, and amitriptyline.
Question 34: Empiric treatment of pyelonephritis
Answer: Ciprofloxacin
Question 35: Light's criteria: exudative if pleural:serum protein >0.5 and LDH >0.6 (or >2/3 upper
limit of normal LDH)
Answer: Pulmonary
embolism
- Pleural effusions associated with malignancy, pneumonia, viral
illness, and asbestosis tend to be exudative.
Question 36: Brachial cleft cyst
Answer: Congenital lesion, usually results in solitary cyst located in lateral neck anterior to the SCM; may
have sinus to skin.
Question 37: Antibiotic prophylaxis for dog bites
Answer: Hand involvement
Question 38: Leading cause of death worldwide
Answer: Cardiovascular
disease
Question 39: Which one of the following potential bioterrorism agents requires treatment with 60
days of continuous antibiotics?
Answer: Anthrax
Question 40: What is a pet reptile most likely to transmit to its human contacts?
Answer: Salmonella
Page 4
Correct Answers (Grade A+)
Question 1: Strongest risk factor for primary hypertension in children and adolescents
Answer: Elevated BMI
Question 2: While Staphylococcus aureus and Streptococcus species are the most common causes of
skin and soft-tissue infection, which organism should also be considered
Answer: Pseudomonas
Question 3: Treatment of erythrasma (Wood's lamp coral pink/red fluorescence, fine-scaled with a
cigarette-paper appearance) caused by Corynebacterium minutissimum infection
Answer: Erythromycin
Question 4: Which radiologic funding of a lung nodule is most predictive of malignancy?
Answer:
Question 5: Which investigation is routine in all newborns with Down syndrome?
Answer: Echocardiography
Question 6: Treatment duration for provoked vs unprovoked PE
Answer: 3
months and indefinitely respectively
Question 7: In patients with symptoms indicative of pneumonia or heart failure, what investigations
can be done to determine treatment of either condition or both?
Answer: BNP and procalcitonin levels
Question 8: How to increase HDL (good cholesterol)?
Answer: Add niacin
Question 9: Dietary recommendation in diverticulosis
Answer: High fibre or
take fibre supplements
Question 10: Side effects of prolonged PPI use
Answer: C diff infection,
hypoMg, hip fracture
Page 1
,Question 11: Which antiemetic blocks dopamine stimulation in the chemoreceptor trigger zone?
Answer: Metoclopramide
Question 12: Little League shoulder is a repetitive use injury causing disruption at the proximal
growth plate of the humerus
Answer: Proximal
humeral epiphysitis.
Can be seen on plain radiographs as widening, demineralization, or sclerosis at the growth plate.
Question 13: Taking beta carotene and Vit E to prevent cancer and heart disease
Answer:
Question 14: Fluoride supplementation should be started at what age when primary water supply is
deficient in fluoride
Answer: 6 months
Question 15: Medications that can reduce serum Vitamin D levels
Answer: Rifampicin, Phenytoin
Question 16: Isolated posterior cruciate ligament tear
Answer: Direct blow to
the anterior tibia whilst knee is in flexion
Question 17: What should patients be periodically monitored for whilst on Amiodarone?
Answer: TSH
Question 18: Drug of choice in depressed persons with cardiovascular disease
Answer: SSRIs
Question 19: Antibiotics causing prolonged QT
Answer: Macrolides
Question 20: Benign nocturnal limb pains of childhood (previously known as "growing pains")
Answer: Usually occur in the evening or night time, may sometimes wake patient from sleep, short-lived
(about 30min), not associated with redness/swelling/tenderness/limping. No further work-up necessary.
Question 21: Treatment of OSA in children
Answer: Adenotonsillectomy
Page 2
,Question 22: What is most likely seen with diastolic dysfunction?
Answer: A
preserved ejection fraction
Question 23: Positive hip FADIR and FABER testing
Answer: Hip labral tear
Question 24: Childhood vaccination carrying risk of febrile seizure in up to 2 weeks
post-administration
Answer: MMR
Question 25: Elbow Moving Valgus Stress Test
Answer: Ulnar collateral
ligament injury
Question 26: In United Stated, at what age is it recommended for cow's milk be introduced?
Answer: 12 months
Question 27: Treatment for lateral dislocation of the patella
Answer: Medically
directed pressure on the patella while extending the leg
Question 28: Treatment of SSRI overdose
Answer:
Question 29: Finkelstein's test
Answer: For detecting De Quervain's
Tenosynovitis, where thumb is in the fist and you ulnarly deviate looking for pain in the radial wrist.
Question 30: Indication for 2nd dose of pneumococcal polysaccharide vaccine in children
Answer: Sickle Cell Disease
Question 31: Excessive femoral anteversion with normal mobility
Answer: Observation
Surgery should be reserved for children 8-10 years of age who still have cosmetically unacceptable,
dysfunctional gaits.
Page 3
, Question 32: Most effective treatment for OCD
Answer: Repetitive exposure to
fearful stimuli
Tricyclic antidepressants and SSRIs are also effective
Question 33: Effective treatment for post-herpetic neuralgia
Answer: Topical
agents such as lidocaine patches and capsaicin cream or patches, as have the oral agents gabapentin,
pregabalin, and amitriptyline.
Question 34: Empiric treatment of pyelonephritis
Answer: Ciprofloxacin
Question 35: Light's criteria: exudative if pleural:serum protein >0.5 and LDH >0.6 (or >2/3 upper
limit of normal LDH)
Answer: Pulmonary
embolism
- Pleural effusions associated with malignancy, pneumonia, viral
illness, and asbestosis tend to be exudative.
Question 36: Brachial cleft cyst
Answer: Congenital lesion, usually results in solitary cyst located in lateral neck anterior to the SCM; may
have sinus to skin.
Question 37: Antibiotic prophylaxis for dog bites
Answer: Hand involvement
Question 38: Leading cause of death worldwide
Answer: Cardiovascular
disease
Question 39: Which one of the following potential bioterrorism agents requires treatment with 60
days of continuous antibiotics?
Answer: Anthrax
Question 40: What is a pet reptile most likely to transmit to its human contacts?
Answer: Salmonella
Page 4
