UPDATED 2024 RAUH - ABFM ITE
PRACTICE FOR PGY-2 WITH ACCURATE
ANSWERS
,UPDATED 2024 RAUH - ABFM ITE
PRACTICE FOR PGY-2 WITH ACCURATE
ANSWERS
In hypothyroidism, upon starting Levothyroxine - CORRECT ANSWERSRecheck TSH in 6-8w
- It is NOT necessary to include a T3 level to assess dose efficacy
Major risk factor for a successful suicide attempt - CORRECT ANSWERSEasy access to a lethal means of
suicide e.g. firearms, drugs, or toxins.
Treatment for Dupuytren's contracture - CORRECT ANSWERSSurgical release is indicated when the MCPJ
contracture reaches 30° or with any degree of contracture of the PIPJ.
Intralesional injection may reduce the need for later surgery in a patient with grade 1 disease, but not if
there is a contracture.
CAP Antibiotic that causes V. Fib - CORRECT ANSWERSAzithromycin
Prolongation of QTi --> V. Fib
MC if prior cardiac history
Best DM Rx for Weight Loss - CORRECT ANSWERSGLP-1 Receptor Agonists e.g. Exenatide (Byetta)
SGLT-2 Inhibitor e.g. Canagliflozin (Invokana)
Screening test with greatest potential for OVER diagnosis - CORRECT ANSWERSPSA
Clinical manifestation of amyotrophic lateral sclerosis - CORRECT ANSWERSAsymmetric leg weakness
,Opioid to AVOID in palliative patient with severe hepatic dysfunction - CORRECT ANSWERSMethadone
because metabolized/cleared by the liver
You CAN use Methadone in renal disease
Lung cancer screening with low dose CT Chest annually - CORRECT ANSWERSAdults 50-80yo with 20pyhx
+ currently smoke or quit <15 years ago
NOAC with reversal agent - CORRECT ANSWERSDabigatran (idarucizumab is reversal agent)
Reduces alcoholism but creating an acute ethanol sensitivity - CORRECT ANSWERSDisulfiram (aka
Antabuse)
Which antidepressant should you avoid in elderly? - CORRECT ANSWERSPaxil/Paroxetine (associated
with more anticholinergic effects)
SSRIs > SNRIs, atypical antipsychotics may be added for resistant depression
Age group between which AAP recommends screening for ASD? - CORRECT ANSWERS18-24 months old
Paget's Disease of Bone - MC Neuro Complication? - CORRECT ANSWERSHearing loss due to CN VII
involvement
Lyme Diseaes - MC Cardiac Complication? - CORRECT ANSWERSHeart blocks
Bacterial Vaginosis pH - CORRECT ANSWERSVaginal pH >4.5 (normal vaginal pH should be acidic) --> tx
with Flagyl
MCC of Rx-Related Adverse Events in USA? - CORRECT ANSWERSAntibiotics
Should you screen for asymptomatic carotid artery stenosis? - CORRECT ANSWERSNot Recommended
, In anaphylaxis, which drug is most likely going to prevent need for intubation? - CORRECT ANSWERSIM
Epinephrine
Mgmt for Barrett's Esophagus with No Dysplasia - CORRECT ANSWERSMonitor with Endo q2-3 years
Fam Hx of Colorectal Cancer - Colonoscopy Guidelines? - CORRECT ANSWERSIndividuals who have a
first-degree relative with colorectal cancer or advanced adenoma diagnosed before 60 years of age or
two first-degree relatives diagnosed at any age should be advised to start screening colonoscopy at 40
years of age or 10 years younger than the earliest diagnosis in their family, whichever comes first.
MCC of Newborn Hearing Loss - CORRECT ANSWERSGenetic Inheritance
Lab findings in Von Willebrand disease - CORRECT ANSWERSGet Riscocetin Assay
~Platelet Count
~Bleeding Time
+Elevated PTT
FMLA requires companies with >50 employees to provide what for nursing mothers.? - CORRECT
ANSWERStime + space for breastfeeding at work
Flu Vaccines with Egg Allergy - CORRECT ANSWERSAll currently available influenza vaccines, with the
exceptions of recombinant and cell-culture-based inactivated influenza vaccines, are prepared using
embryonated egg culture and can potentially provoke allergic and anaphylactic reactions.
For those who report that they can eat lightly cooked scrambled eggs, vaccination can proceed without
precaution or observation. Those who have experienced only hives can also receive any influenza
vaccine appropriate for their age and health status.
People who have experienced symptoms such as hypotension, wheezing, nausea, or vomiting, or
reactions requiring emergency attention or epinephrine after eating eggs or egg-containing foods can
also receive any influenza vaccine appropriate for their age and health status and also do not need to be
PRACTICE FOR PGY-2 WITH ACCURATE
ANSWERS
,UPDATED 2024 RAUH - ABFM ITE
PRACTICE FOR PGY-2 WITH ACCURATE
ANSWERS
In hypothyroidism, upon starting Levothyroxine - CORRECT ANSWERSRecheck TSH in 6-8w
- It is NOT necessary to include a T3 level to assess dose efficacy
Major risk factor for a successful suicide attempt - CORRECT ANSWERSEasy access to a lethal means of
suicide e.g. firearms, drugs, or toxins.
Treatment for Dupuytren's contracture - CORRECT ANSWERSSurgical release is indicated when the MCPJ
contracture reaches 30° or with any degree of contracture of the PIPJ.
Intralesional injection may reduce the need for later surgery in a patient with grade 1 disease, but not if
there is a contracture.
CAP Antibiotic that causes V. Fib - CORRECT ANSWERSAzithromycin
Prolongation of QTi --> V. Fib
MC if prior cardiac history
Best DM Rx for Weight Loss - CORRECT ANSWERSGLP-1 Receptor Agonists e.g. Exenatide (Byetta)
SGLT-2 Inhibitor e.g. Canagliflozin (Invokana)
Screening test with greatest potential for OVER diagnosis - CORRECT ANSWERSPSA
Clinical manifestation of amyotrophic lateral sclerosis - CORRECT ANSWERSAsymmetric leg weakness
,Opioid to AVOID in palliative patient with severe hepatic dysfunction - CORRECT ANSWERSMethadone
because metabolized/cleared by the liver
You CAN use Methadone in renal disease
Lung cancer screening with low dose CT Chest annually - CORRECT ANSWERSAdults 50-80yo with 20pyhx
+ currently smoke or quit <15 years ago
NOAC with reversal agent - CORRECT ANSWERSDabigatran (idarucizumab is reversal agent)
Reduces alcoholism but creating an acute ethanol sensitivity - CORRECT ANSWERSDisulfiram (aka
Antabuse)
Which antidepressant should you avoid in elderly? - CORRECT ANSWERSPaxil/Paroxetine (associated
with more anticholinergic effects)
SSRIs > SNRIs, atypical antipsychotics may be added for resistant depression
Age group between which AAP recommends screening for ASD? - CORRECT ANSWERS18-24 months old
Paget's Disease of Bone - MC Neuro Complication? - CORRECT ANSWERSHearing loss due to CN VII
involvement
Lyme Diseaes - MC Cardiac Complication? - CORRECT ANSWERSHeart blocks
Bacterial Vaginosis pH - CORRECT ANSWERSVaginal pH >4.5 (normal vaginal pH should be acidic) --> tx
with Flagyl
MCC of Rx-Related Adverse Events in USA? - CORRECT ANSWERSAntibiotics
Should you screen for asymptomatic carotid artery stenosis? - CORRECT ANSWERSNot Recommended
, In anaphylaxis, which drug is most likely going to prevent need for intubation? - CORRECT ANSWERSIM
Epinephrine
Mgmt for Barrett's Esophagus with No Dysplasia - CORRECT ANSWERSMonitor with Endo q2-3 years
Fam Hx of Colorectal Cancer - Colonoscopy Guidelines? - CORRECT ANSWERSIndividuals who have a
first-degree relative with colorectal cancer or advanced adenoma diagnosed before 60 years of age or
two first-degree relatives diagnosed at any age should be advised to start screening colonoscopy at 40
years of age or 10 years younger than the earliest diagnosis in their family, whichever comes first.
MCC of Newborn Hearing Loss - CORRECT ANSWERSGenetic Inheritance
Lab findings in Von Willebrand disease - CORRECT ANSWERSGet Riscocetin Assay
~Platelet Count
~Bleeding Time
+Elevated PTT
FMLA requires companies with >50 employees to provide what for nursing mothers.? - CORRECT
ANSWERStime + space for breastfeeding at work
Flu Vaccines with Egg Allergy - CORRECT ANSWERSAll currently available influenza vaccines, with the
exceptions of recombinant and cell-culture-based inactivated influenza vaccines, are prepared using
embryonated egg culture and can potentially provoke allergic and anaphylactic reactions.
For those who report that they can eat lightly cooked scrambled eggs, vaccination can proceed without
precaution or observation. Those who have experienced only hives can also receive any influenza
vaccine appropriate for their age and health status.
People who have experienced symptoms such as hypotension, wheezing, nausea, or vomiting, or
reactions requiring emergency attention or epinephrine after eating eggs or egg-containing foods can
also receive any influenza vaccine appropriate for their age and health status and also do not need to be
