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ABFM ITE 2015 (American Board of Family Medicine In-Training Examination) Questions with Correct Answers Download!!

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ABFM ITE 2015 (American Board of Family Medicine In-Training Examination) Questions with Correct Answers Download!! 2ndry Polycythemia - Answer -increased carboxy Hb Actinic Keratosis - Answer -Precursor to SCC Actions against physician morals (e.g abortion) - Answer -AFFP -> Dr. Not compelled, but provide resources on how to do. Acute otitis externa - Answer -treat with any topical antibiotic + steroid if significant swelling Acute stress disorder - Answer -2 days to <4wk Addison's ds Dx - Answer -Hypotension, Hyperkalemia (عكس Conn's) anorexia, fatigue, muscle pain, orthostasis Vitilligo, hyperpigmentation Dx by 8am S.Cortisol --> Confirm by Cosyntropin Stim test Adult, joint pain, deformity, high AlkP, worse by weight and heat - Answer -Paget's disease of the bone Anaphylaxis resistance to epinephrin - Answer -In taking b-Blockers tt: Glucagon

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ABFM ITE 2015 (American Board of
Family Medicine In-Training
Examination) Questions with Correct
Answers Download!!
2ndry Polycythemia - Answer -increased carboxy Hb

Actinic Keratosis - Answer -Precursor to SCC

Actions against physician morals (e.g abortion) - Answer -AFFP -> Dr. Not compelled, but provide
resources on how to do.

Acute otitis externa - Answer -treat with any topical antibiotic + steroid if significant swelling

Acute stress disorder - Answer -2 days to <4wk

Addison's ds Dx - Answer -Hypotension, Hyperkalemia (‫ عكس‬Conn's)

anorexia, fatigue, muscle pain, orthostasis

Vitilligo, hyperpigmentation

Dx by 8am S.Cortisol --> Confirm by Cosyntropin Stim test

Adult, joint pain, deformity, high AlkP, worse by weight and heat - Answer -Paget's disease of the
bone

Anaphylaxis resistance to epinephrin - Answer -In taking b-Blockers

tt: Glucagon

Anemia in CKD - Answer -target hg 10-12

Ankle brachial index - Answer -<= 0.9 in PAD

>1.4 in atherosclerosis & long stand DM (not reliable)

Ankle sprain ttt - Answer -ankle support

Anorexia Nervosa arrhythmia - Answer -Sinus bradycardia

Anterior wall MI ECG - Answer -

Aromatase inhibitors (letrozol) - Answer -Myalgia and arthralgia

,Aspirin in USPSTF - Answer -Give to adults 50-59 if CVD risk >10% to prevent CVD and CoCa
(moderate benefit)

If 60-69 (small benefit)

<50&>70 (insufficient evid)

Asplenic pt Penicillin - Answer -With any fever

Atrial fib ECG - Answer -

Atrial flutter ECG - Answer -

Baby wheeing while feeding - Answer -GERD (most common)

TOF (rare)

Laryngeal cleft (rare)

Biceps tendino - Answer -ant elbow pain, cubital pain with resisted supination

Bilious vomiting + Abdominal pain in baby - Answer -Voluvolus --> upper GI series

Bipolar disorder ttt - Answer -Acute mania: lithium/divalproex

Maintenance ttt: lithium/valproate/lamotrigine/quetiapine

Birth weight regain - Answer -in 14 days

weight increases 30gm/d in 1st yr of life

doubles in 4-5ms

triples by 1st yr

Bisphosphonates SE - Answer -Atypical femoral shaft fractures, Jaw osteonecrosis, Oesophagitis
with ulcers

BP in children according to - Answer -Age, Sex, Height (ASH :D)

Ca Oxalate stone ttt (recurrent) - Answer -low sodium, low protein diet, low oxalate foods
(spinach, tea, chocolate)

Plenty of fluids

Potassium citrate at mealtime to Alkalinize urine

Calcific tendinitis of rotator cuff ttt - Answer -- Extracorp Shockwave

- Irrigation

- PT

- steroid inj

, - Surgery

Calcium citrate advantage - Answer -no relation to stomach acid or to meals

Campylobacter ttt - Answer -Erythromycin

if resistant (south east Asia) Azithro (500qd for 3d)

Cat scratch ds - Answer -dt. Bartonella Henslae

ttt: Aithromycin (Rifamp, TMP/SMX, Cipro, Genta)

Cellulitis ttt - Answer -MRSA = vancomycin

Child heel pain - Answer -Calcaneal apophysitis (SEVER ds)

ttt: dec activities. NSAIDs, ice, stretching and strength, orthotics

Cluster headache - Answer -s/o: tearing, rhinorrhea unilat + unilat headache

ttt: Abortive: Oxygen, Sumatriptan

Prophylactic: Verapamil

Colon Ca screening - Answer -hyperplastic aden OR 1-2 tubular aden (<10mm) : 10 yrs

>2 or >10mm or any villous: 3 yrs



Normal >50yr every 10yr by colonoscope, or FOBT+sigmoido every 5yr



in FHx HNPCC at age 25 every 1-2 yr

in FHx FAP at 12yr annual

in FHx of CoCa start at 40 or 0yrs b4 dx age whichever earlier

Contraception in obese - Answer -Depot Medroxyprog

OR

Combination Vaginal ring

COPD cor pulmonal - Answer -oxygen

COPD Dx - Answer -Spiro post BD: FEV1/FVC <70%

COPD exacerbation - Answer -Prednisolone 5 days

Croup - Answer -kids 6m - 3y

dt parainfluenza
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