ABFM ITE REAL EXAM COMPLETE 200 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (CORRECT VERIFIED SOLUTIONS) LATEST
UPDATES |ALREADY GRADED A+ (BRAND NEW!!)
child with head lice
rx'd with shampoo permethrin
still has nits in her
can she go to school? - ANSWER: yes
as long as continue home remedy, nit combing and repeat permethrin shampoo in 6
days
is diverticular bleeding painful? - ANSWER: no
- abdominal pains
BP recommendation for >65 - ANSWER: 150/90
young boy
left hip pain
afebrile
ESR normal
WBC normal
Radiograph knee and hip normal
dx?
rx? - ANSWER: transient synovitis
rx: nsaids
rx for SVTs but short-term and llong term - ANSWER: CCB eg verapamil, diltiazem
16 yo
fatigue
on OCPs
low bleed on periods
normal TSH
normal Hct
normal RBC count
MCV <80
what lab test next? - ANSWER: Hgb electrophoresis
- check beta thalassemia
Signs of ALS
- mainly motor sx - ANSWER: asymmetrical weakness in legs, feet, ankles
,slurred speech
trouble swallowing
SOB
wt loss
mcc urge incontinence in elderly - ANSWER: detrusor instability
what diabetes medications are good for prevention of developing DM in pre-
diabetes pt - ANSWER: metformin
"alpha-glucosidase inhibitors (acarbose)
orlistat
thiazolidinediones
most specific sign of peritonsillar abscess - ANSWER: difficulty opening mouth
rx management for concussion - ANSWER: physical and cognitive rest
- avoid physical activity that exacerbate sx
- avoid activities that require
concentration or attention, such as schoolwork and electronics use.
lung cancer screening recommendation - ANSWER: ANNUAL
low-dose noncontrast CT
Asymptomatic adults 55-80 yo who have a 30-pack-year smoking history and
currently smoke or have quit smoking within the past 15 years.
non-medical indicated (elective) induction of labor or C-section deliveries should be
scheduled at what GA? - ANSWER: 39wks 0 d
drug to prevent seizure in alcohol withdrawal - ANSWER: benzos
initial rx allergic rhinitis - ANSWER: intranasal steroids
most effective medication to prevent relapse in alcohol abuse - ANSWER: naltrexone
do not use acamprosate if renal disease
which SSRI should be prevented in elderly - ANSWER: paroxetine
- anticholinergic effects
screen for autism at what age in kids? - ANSWER: 18 - 24months
,bacterial vaginosis has vagina pH ? - ANSWER: >4.5
29 yo woman
30weeks gestation
received Tdap 3 years ago
what vaccine should she receive? - ANSWER: Tdap again
27 -36 weeks gestation, regardless of when they last received it
rx for acute gout
pt has HTN and CKD - ANSWER: prednisone
note: nsaids, colchicine and steroids can be used for acute gout...but prednisone is
best in CKD
mcc med-induced adverse drug events in US - ANSWER: anti-coags
most common risk factor for uncomplicated cystitis - ANSWER: Frequent sexual
intercourse
others:
- spermicide use
- previous UTI
- new sex partner
- fam hx UTI in first degree female relative
first line rx primary dysmenorrhea - ANSWER: nsaids
surveillance for barett's esophagus without dyspasia - ANSWER: endoscopy q 3 years
best initial rx for keloid - ANSWER: intralesional corticosteroid injections.
rx osteoporosis if 10yr risk of major osteoporotic fracture > ___ % - ANSWER: 20%
pt with osteopenia (T <2.5)
risk of fracture <20%
what meds do you start on - ANSWER: calcium and vit d supplements
test for meniscus tears - ANSWER: thessaly test
This patient has low energy, menstrual irregularities, and a history of stress
fractures, BMI <18...is consistent with ______ dx?
what test does she need? - ANSWER: the female athlete triad.
She is at risk for altered bone density and needs a bone mineral density test.
, pt with exercise induced asthma
pt can prevent this by? - ANSWER: albuterol 10-15min before exercise
does ankylosing spondylitis improve with exercise and activity? - ANSWER: yes
also note:
- pain worse in evening
- stiffness worse in morning
pt wwith ASCVD risk >7.5% should be started on? - ANSWER: moderate-or-high
intensity statin
note:
- fibrates don't have effect on CVD and are not part of recommendation guidelines
what pneumococcal vaccine should 65yo receive - ANSWER: PCV13 now and PPSV23
in 1 year
mcc hearing loss in newborn - ANSWER: genetics
A 32-year-old female at 12 weeks gestation presents with an itchy vulvar lesion,
which you
diagnose as external genital warts. Which one of the following would be accurate
advice
regarding treatment?
- The recurrence rate is low with treatment
- Cryotherapy is the most effective treatment
- Treatment should be based on patient preference
- Treatment is effective in preventing congenital transmission - ANSWER: Treatment
of genital warts should be based on patient preference and cost. There is no
treatment that is more effective than others, and the recurrence rate for any
treatment is relatively high.
pt took extra pill prescribed by psychiatrist
PMH: depression
normal RR, HR
diaphoretic
resting symmetrical tremor
4+ reflexes
dx? - ANSWER: derotonin syndrome
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (CORRECT VERIFIED SOLUTIONS) LATEST
UPDATES |ALREADY GRADED A+ (BRAND NEW!!)
child with head lice
rx'd with shampoo permethrin
still has nits in her
can she go to school? - ANSWER: yes
as long as continue home remedy, nit combing and repeat permethrin shampoo in 6
days
is diverticular bleeding painful? - ANSWER: no
- abdominal pains
BP recommendation for >65 - ANSWER: 150/90
young boy
left hip pain
afebrile
ESR normal
WBC normal
Radiograph knee and hip normal
dx?
rx? - ANSWER: transient synovitis
rx: nsaids
rx for SVTs but short-term and llong term - ANSWER: CCB eg verapamil, diltiazem
16 yo
fatigue
on OCPs
low bleed on periods
normal TSH
normal Hct
normal RBC count
MCV <80
what lab test next? - ANSWER: Hgb electrophoresis
- check beta thalassemia
Signs of ALS
- mainly motor sx - ANSWER: asymmetrical weakness in legs, feet, ankles
,slurred speech
trouble swallowing
SOB
wt loss
mcc urge incontinence in elderly - ANSWER: detrusor instability
what diabetes medications are good for prevention of developing DM in pre-
diabetes pt - ANSWER: metformin
"alpha-glucosidase inhibitors (acarbose)
orlistat
thiazolidinediones
most specific sign of peritonsillar abscess - ANSWER: difficulty opening mouth
rx management for concussion - ANSWER: physical and cognitive rest
- avoid physical activity that exacerbate sx
- avoid activities that require
concentration or attention, such as schoolwork and electronics use.
lung cancer screening recommendation - ANSWER: ANNUAL
low-dose noncontrast CT
Asymptomatic adults 55-80 yo who have a 30-pack-year smoking history and
currently smoke or have quit smoking within the past 15 years.
non-medical indicated (elective) induction of labor or C-section deliveries should be
scheduled at what GA? - ANSWER: 39wks 0 d
drug to prevent seizure in alcohol withdrawal - ANSWER: benzos
initial rx allergic rhinitis - ANSWER: intranasal steroids
most effective medication to prevent relapse in alcohol abuse - ANSWER: naltrexone
do not use acamprosate if renal disease
which SSRI should be prevented in elderly - ANSWER: paroxetine
- anticholinergic effects
screen for autism at what age in kids? - ANSWER: 18 - 24months
,bacterial vaginosis has vagina pH ? - ANSWER: >4.5
29 yo woman
30weeks gestation
received Tdap 3 years ago
what vaccine should she receive? - ANSWER: Tdap again
27 -36 weeks gestation, regardless of when they last received it
rx for acute gout
pt has HTN and CKD - ANSWER: prednisone
note: nsaids, colchicine and steroids can be used for acute gout...but prednisone is
best in CKD
mcc med-induced adverse drug events in US - ANSWER: anti-coags
most common risk factor for uncomplicated cystitis - ANSWER: Frequent sexual
intercourse
others:
- spermicide use
- previous UTI
- new sex partner
- fam hx UTI in first degree female relative
first line rx primary dysmenorrhea - ANSWER: nsaids
surveillance for barett's esophagus without dyspasia - ANSWER: endoscopy q 3 years
best initial rx for keloid - ANSWER: intralesional corticosteroid injections.
rx osteoporosis if 10yr risk of major osteoporotic fracture > ___ % - ANSWER: 20%
pt with osteopenia (T <2.5)
risk of fracture <20%
what meds do you start on - ANSWER: calcium and vit d supplements
test for meniscus tears - ANSWER: thessaly test
This patient has low energy, menstrual irregularities, and a history of stress
fractures, BMI <18...is consistent with ______ dx?
what test does she need? - ANSWER: the female athlete triad.
She is at risk for altered bone density and needs a bone mineral density test.
, pt with exercise induced asthma
pt can prevent this by? - ANSWER: albuterol 10-15min before exercise
does ankylosing spondylitis improve with exercise and activity? - ANSWER: yes
also note:
- pain worse in evening
- stiffness worse in morning
pt wwith ASCVD risk >7.5% should be started on? - ANSWER: moderate-or-high
intensity statin
note:
- fibrates don't have effect on CVD and are not part of recommendation guidelines
what pneumococcal vaccine should 65yo receive - ANSWER: PCV13 now and PPSV23
in 1 year
mcc hearing loss in newborn - ANSWER: genetics
A 32-year-old female at 12 weeks gestation presents with an itchy vulvar lesion,
which you
diagnose as external genital warts. Which one of the following would be accurate
advice
regarding treatment?
- The recurrence rate is low with treatment
- Cryotherapy is the most effective treatment
- Treatment should be based on patient preference
- Treatment is effective in preventing congenital transmission - ANSWER: Treatment
of genital warts should be based on patient preference and cost. There is no
treatment that is more effective than others, and the recurrence rate for any
treatment is relatively high.
pt took extra pill prescribed by psychiatrist
PMH: depression
normal RR, HR
diaphoretic
resting symmetrical tremor
4+ reflexes
dx? - ANSWER: derotonin syndrome
