ABFM In Training Exam 2024 with Guaranteed Correct Answers

Pre-exposure prophylaxis (PrEP), what meds, and what do you have check first? - correct answer Emtricitabine/tenofovir gotta check Hep B first -apparently they kill hep B too, so if you suddenly stop the med, then reactivated hep B can lead to liver disease entry to balloon time for PCI! - correct answer 120 minutes time limit from onset of MI to balloon time - correct answer should get it done w/in 12 hours Absolute contraindications to Fibrinolysis - correct 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 acute cholecystitis - correct answer Acute inflammation of the gallbladder wall Patient with pulmonary HTN due to left heart failure, can they have vasodilators (PDE5?) - correct answer NO! can make things worse -maximize heart failure treatment! Sever's Diseaese - correct 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. in pressure ulcers what solutions to avoid, and what to use! - correct 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. Chronic paraoxysmal hemicrania - correct 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.* normal spirometry but low DLCO - correct answer chronic pulmonary embolus Antibiotic ppx for dental procedures - correct answer give amoxicillin only if prior endocarditis, prosthetic