Rauh - ABFM ITE Practice for PGY-2 Exam With Complete Solutions
Rauh - ABFM ITE Practice for PGY-2
Exam With Complete Solutions
CAP Antibiotic that causes V. Fib - ✔✔✔-Azithromycin
Prolongation of QTi --> V. Fib
MC if prior cardiac history
Best DM Rx for Weight Loss - ✔✔✔-GLP-1 Receptor Agonists e.g. Exenatide (Byetta)
SGLT-2 Inhibitor e.g. Canagliflozin (Invokana)
Screening test with greatest potential for OVER diagnosis - ✔✔✔-PSA
Clinical manifestation of amyotrophic lateral sclerosis - ✔✔✔-Asymmetric leg
weakness
Opioid to AVOID in palliative patient with severe hepatic dysfunction - ✔✔✔-
Methadone because metabolized/cleared by the liver
You CAN use Methadone in renal disease
Lung cancer screening with low dose CT Chest annually - ✔✔✔-Adults 50-80yo with
20pyhx + currently smoke or quit <15 years ago
NOAC with reversal agent - ✔✔✔-Dabigatran (idarucizumab is reversal agent)
Reduces alcoholism but creating an acute ethanol sensitivity - ✔✔✔-Disulfiram (aka
Antabuse)
©®™ Page 1
,Rauh - ABFM ITE Practice for PGY-2 Exam With Complete Solutions
Which antidepressant should you avoid in elderly? - ✔✔✔-Paxil/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? - ✔✔✔-18-24
months old
Paget's Disease of Bone - MC Neuro Complication? - ✔✔✔-Hearing loss due to CN
VII involvement
Lyme Diseaes - MC Cardiac Complication? - ✔✔✔-Heart blocks
Bacterial Vaginosis pH - ✔✔✔-Vaginal pH >4.5 (normal vaginal pH should be acidic)
--> tx with Flagyl
MCC of Rx-Related Adverse Events in USA? - ✔✔✔-Antibiotics
Should you screen for asymptomatic carotid artery stenosis? - ✔✔✔-Not
Recommended
In anaphylaxis, which drug is most likely going to prevent need for intubation? -
✔✔✔-IM Epinephrine
Mgmt for Barrett's Esophagus with No Dysplasia - ✔✔✔-Monitor with Endo q2-3
years
©®™ Page 2
,Rauh - ABFM ITE Practice for PGY-2 Exam With Complete Solutions
Fam Hx of Colorectal Cancer - Colonoscopy Guidelines? - ✔✔✔-Individuals 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 - ✔✔✔-Genetic Inheritance
Lab findings in Von Willebrand disease - ✔✔✔-Get Riscocetin Assay
~Platelet Count
~Bleeding Time
+Elevated PTT
FMLA requires companies with >50 employees to provide what for nursing
mothers.? - ✔✔✔-time + space for breastfeeding at work
Flu Vaccines with Egg Allergy - ✔✔✔-All 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 observed. However, the
©®™ Page 3
, Rauh - ABFM ITE Practice for PGY-2 Exam With Complete Solutions
vaccine should be administered by a provider who can recognize and manage
severe allergic reactions.
How is the Timed Up and Go test useful in GRM patients? - ✔✔✔-Fall Risk
Assessment
Antidepressant that can prolong QT interval to be avoided in those on concomitant
atypical antipsychotics - ✔✔✔-Citalopram, Escitalopram
Other SSRIs, as well as bupropion, venlafaxine, and mirtazapine, do not have this
effect. Both TCAs and antipsychotics, commonly used in patients also taking SSRIs,
can cause QT prolongation, making their combined use problematic.
Traveler's Diarrhea Abx? - ✔✔✔-Hand Washing --> Azithromycin
Fibromyalgia Rx - ✔✔✔-TCAs > SSRIs (helps with some pain reduction)
In a healthy full-term infant who is exclusively breastfed, iron supplementation
should begin at what age in order to prevent iron deficiency anaemia? - ✔✔✔-4
months
- In preterm babies (before 37w), elemental iron supplementation (2mg/kg per day)
should begin at 1 month of age and should continue until 12 months of age, unless
the infant had multiple blood transfusions.
In primary nephrotic syndrome, other than proteinuria and low albumin, what else
is commonly observed? - ✔✔✔-Coagulopathy
Chronic medication that can cause B12 deficiency - ✔✔✔-Metformin
©®™ Page 4
Rauh - ABFM ITE Practice for PGY-2
Exam With Complete Solutions
CAP Antibiotic that causes V. Fib - ✔✔✔-Azithromycin
Prolongation of QTi --> V. Fib
MC if prior cardiac history
Best DM Rx for Weight Loss - ✔✔✔-GLP-1 Receptor Agonists e.g. Exenatide (Byetta)
SGLT-2 Inhibitor e.g. Canagliflozin (Invokana)
Screening test with greatest potential for OVER diagnosis - ✔✔✔-PSA
Clinical manifestation of amyotrophic lateral sclerosis - ✔✔✔-Asymmetric leg
weakness
Opioid to AVOID in palliative patient with severe hepatic dysfunction - ✔✔✔-
Methadone because metabolized/cleared by the liver
You CAN use Methadone in renal disease
Lung cancer screening with low dose CT Chest annually - ✔✔✔-Adults 50-80yo with
20pyhx + currently smoke or quit <15 years ago
NOAC with reversal agent - ✔✔✔-Dabigatran (idarucizumab is reversal agent)
Reduces alcoholism but creating an acute ethanol sensitivity - ✔✔✔-Disulfiram (aka
Antabuse)
©®™ Page 1
,Rauh - ABFM ITE Practice for PGY-2 Exam With Complete Solutions
Which antidepressant should you avoid in elderly? - ✔✔✔-Paxil/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? - ✔✔✔-18-24
months old
Paget's Disease of Bone - MC Neuro Complication? - ✔✔✔-Hearing loss due to CN
VII involvement
Lyme Diseaes - MC Cardiac Complication? - ✔✔✔-Heart blocks
Bacterial Vaginosis pH - ✔✔✔-Vaginal pH >4.5 (normal vaginal pH should be acidic)
--> tx with Flagyl
MCC of Rx-Related Adverse Events in USA? - ✔✔✔-Antibiotics
Should you screen for asymptomatic carotid artery stenosis? - ✔✔✔-Not
Recommended
In anaphylaxis, which drug is most likely going to prevent need for intubation? -
✔✔✔-IM Epinephrine
Mgmt for Barrett's Esophagus with No Dysplasia - ✔✔✔-Monitor with Endo q2-3
years
©®™ Page 2
,Rauh - ABFM ITE Practice for PGY-2 Exam With Complete Solutions
Fam Hx of Colorectal Cancer - Colonoscopy Guidelines? - ✔✔✔-Individuals 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 - ✔✔✔-Genetic Inheritance
Lab findings in Von Willebrand disease - ✔✔✔-Get Riscocetin Assay
~Platelet Count
~Bleeding Time
+Elevated PTT
FMLA requires companies with >50 employees to provide what for nursing
mothers.? - ✔✔✔-time + space for breastfeeding at work
Flu Vaccines with Egg Allergy - ✔✔✔-All 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 observed. However, the
©®™ Page 3
, Rauh - ABFM ITE Practice for PGY-2 Exam With Complete Solutions
vaccine should be administered by a provider who can recognize and manage
severe allergic reactions.
How is the Timed Up and Go test useful in GRM patients? - ✔✔✔-Fall Risk
Assessment
Antidepressant that can prolong QT interval to be avoided in those on concomitant
atypical antipsychotics - ✔✔✔-Citalopram, Escitalopram
Other SSRIs, as well as bupropion, venlafaxine, and mirtazapine, do not have this
effect. Both TCAs and antipsychotics, commonly used in patients also taking SSRIs,
can cause QT prolongation, making their combined use problematic.
Traveler's Diarrhea Abx? - ✔✔✔-Hand Washing --> Azithromycin
Fibromyalgia Rx - ✔✔✔-TCAs > SSRIs (helps with some pain reduction)
In a healthy full-term infant who is exclusively breastfed, iron supplementation
should begin at what age in order to prevent iron deficiency anaemia? - ✔✔✔-4
months
- In preterm babies (before 37w), elemental iron supplementation (2mg/kg per day)
should begin at 1 month of age and should continue until 12 months of age, unless
the infant had multiple blood transfusions.
In primary nephrotic syndrome, other than proteinuria and low albumin, what else
is commonly observed? - ✔✔✔-Coagulopathy
Chronic medication that can cause B12 deficiency - ✔✔✔-Metformin
©®™ Page 4
