Rauh - ABFM ITE Practice for PGY-2 || Questions and
100% Verified Answers.
CAP Antibiotic that causes V. Fib correct answers Azithromycin
Prolongation of QTi --> V. Fib
MC if prior cardiac history
Best DM Rx for Weight Loss correct answers GLP-1 Receptor Agonists e.g. Exenatide (Byetta)
SGLT-2 Inhibitor e.g. Canagliflozin (Invokana)
Screening test with greatest potential for OVER diagnosis correct answers PSA
Clinical manifestation of amyotrophic lateral sclerosis correct answers Asymmetric leg weakness
Opioid to AVOID in palliative patient with severe hepatic dysfunction correct answers
Methadone because metabolized/cleared by the liver
You CAN use Methadone in renal disease
Lung cancer screening with low dose CT Chest annually correct answers Adults 50-80yo with
20pyhx + currently smoke or quit <15 years ago
NOAC with reversal agent correct answers Dabigatran (idarucizumab is reversal agent)
Reduces alcoholism but creating an acute ethanol sensitivity correct answers Disulfiram (aka
Antabuse)
Which antidepressant should you avoid in elderly? correct answers 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? correct answers 18-24 months
old
Paget's Disease of Bone - MC Neuro Complication? correct answers Hearing loss due to CN VII
involvement
Lyme Diseaes - MC Cardiac Complication? correct answers Heart blocks
Bacterial Vaginosis pH correct answers Vaginal pH >4.5 (normal vaginal pH should be acidic) --
> tx with Flagyl
MCC of Rx-Related Adverse Events in USA? correct answers Antibiotics
,Should you screen for asymptomatic carotid artery stenosis? correct answers Not Recommended
In anaphylaxis, which drug is most likely going to prevent need for intubation? correct answers
IM Epinephrine
Mgmt for Barrett's Esophagus with No Dysplasia correct answers Monitor with Endo q2-3 years
Fam Hx of Colorectal Cancer - Colonoscopy Guidelines? correct answers 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 correct answers Genetic Inheritance
Lab findings in Von Willebrand disease correct answers Get Riscocetin Assay
~Platelet Count
~Bleeding Time
+Elevated PTT
FMLA requires companies with >50 employees to provide what for nursing mothers.? correct
answers time + space for breastfeeding at work
Flu Vaccines with Egg Allergy correct answers 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 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? correct answers Fall Risk Assessment
Antidepressant that can prolong QT interval to be avoided in those on concomitant atypical
antipsychotics correct answers 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? correct answers Hand Washing --> Azithromycin
Fibromyalgia Rx correct answers 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? correct answers 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? correct answers Coagulopathy
Chronic medication that can cause B12 deficiency correct answers Metformin
Strongest risk factor for primary hypertension in children and adolescents correct answers
Elevated BMI
While S. Aureus & Strep are MCC of soft-tissue infection, you should also look for...? correct
answers Pseudomonas
Treatment of erythrasma (Wood's lamp coral pink/red fluorescence, fine-scaled with a cigarette-
paper appearance) caused by Corynebacterium minutissimum infection correct answers
Erythromycin
Which radiologic funding of a lung nodule is most predictive of malignancy? correct answers
Spiculation
Which investigation is routine in all newborns with Down syndrome? correct answers
Echocardiography
Treatment duration for provoked vs unprovoked PE correct answers 3 months and indefinitely
respectively
In patients with symptoms indicative of pneumonia or heart failure, what investigations can be
done to determine treatment of either condition or both? correct answers BNP and procalcitonin
levels
How to increase HDL (good cholesterol)? correct answers +Niacin
Diverticulosis Tx? correct answers +Fiber
, Side effects of prolonged PPI use correct answers C. Diff, low mag, hip fracture
Which antiemetic blocks dopamine stimulation in the chemoreceptor trigger zone? correct
answers Metoclopramide
Little League shoulder is a repetitive use injury causing disruption at the proximal growth plate
of the humerus correct answers Proximal humeral epiphysitis.
Can be seen on plain radiographs as widening, demineralization, or sclerosis at the growth plate.
Taking beta carotene and Vit E to prevent cancer and heart disease correct answers Not
recommended per USPSTF
Fluoride supplementation should be started at what age when primary water supply is deficient in
fluoride correct answers 6 months
Medications that can reduce serum Vitamin D levels correct answers Rifampicin, Phenytoin
Isolated PCL tear mechanism of injury correct answers Direct blow to the anterior tibia whilst
knee is in flexion
What should patients be periodically monitored for whilst on Amiodarone? correct answers TSH
Drug of choice in depressed persons with heart disease? correct answers SSRIs
Antibiotics causing prolonged QT correct answers Macrolides
Benign nocturnal limb pains of childhood (previously known as "growing pains") correct
answers Usually occur in the evening or night time, may sometimes wake patient from sleep,
short-lived (about 30min), not associated with redness/swelling/tenderness/limping;
BILATERAL
No further work-up necessary.
Treatment of OSA in children correct answers T&A
What is most likely seen with diastolic dysfunction? correct answers Preserved Ejection Fraction
Positive hip FADIR and FABER testing correct answers Hip labral tear
Childhood vaccination carrying risk of febrile seizure in up to 2 weeks post-administration
correct answers MMR
Elbow Moving Valgus Stress Test correct answers Ulnar collateral ligament injury
100% Verified Answers.
CAP Antibiotic that causes V. Fib correct answers Azithromycin
Prolongation of QTi --> V. Fib
MC if prior cardiac history
Best DM Rx for Weight Loss correct answers GLP-1 Receptor Agonists e.g. Exenatide (Byetta)
SGLT-2 Inhibitor e.g. Canagliflozin (Invokana)
Screening test with greatest potential for OVER diagnosis correct answers PSA
Clinical manifestation of amyotrophic lateral sclerosis correct answers Asymmetric leg weakness
Opioid to AVOID in palliative patient with severe hepatic dysfunction correct answers
Methadone because metabolized/cleared by the liver
You CAN use Methadone in renal disease
Lung cancer screening with low dose CT Chest annually correct answers Adults 50-80yo with
20pyhx + currently smoke or quit <15 years ago
NOAC with reversal agent correct answers Dabigatran (idarucizumab is reversal agent)
Reduces alcoholism but creating an acute ethanol sensitivity correct answers Disulfiram (aka
Antabuse)
Which antidepressant should you avoid in elderly? correct answers 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? correct answers 18-24 months
old
Paget's Disease of Bone - MC Neuro Complication? correct answers Hearing loss due to CN VII
involvement
Lyme Diseaes - MC Cardiac Complication? correct answers Heart blocks
Bacterial Vaginosis pH correct answers Vaginal pH >4.5 (normal vaginal pH should be acidic) --
> tx with Flagyl
MCC of Rx-Related Adverse Events in USA? correct answers Antibiotics
,Should you screen for asymptomatic carotid artery stenosis? correct answers Not Recommended
In anaphylaxis, which drug is most likely going to prevent need for intubation? correct answers
IM Epinephrine
Mgmt for Barrett's Esophagus with No Dysplasia correct answers Monitor with Endo q2-3 years
Fam Hx of Colorectal Cancer - Colonoscopy Guidelines? correct answers 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 correct answers Genetic Inheritance
Lab findings in Von Willebrand disease correct answers Get Riscocetin Assay
~Platelet Count
~Bleeding Time
+Elevated PTT
FMLA requires companies with >50 employees to provide what for nursing mothers.? correct
answers time + space for breastfeeding at work
Flu Vaccines with Egg Allergy correct answers 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 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? correct answers Fall Risk Assessment
Antidepressant that can prolong QT interval to be avoided in those on concomitant atypical
antipsychotics correct answers 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? correct answers Hand Washing --> Azithromycin
Fibromyalgia Rx correct answers 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? correct answers 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? correct answers Coagulopathy
Chronic medication that can cause B12 deficiency correct answers Metformin
Strongest risk factor for primary hypertension in children and adolescents correct answers
Elevated BMI
While S. Aureus & Strep are MCC of soft-tissue infection, you should also look for...? correct
answers Pseudomonas
Treatment of erythrasma (Wood's lamp coral pink/red fluorescence, fine-scaled with a cigarette-
paper appearance) caused by Corynebacterium minutissimum infection correct answers
Erythromycin
Which radiologic funding of a lung nodule is most predictive of malignancy? correct answers
Spiculation
Which investigation is routine in all newborns with Down syndrome? correct answers
Echocardiography
Treatment duration for provoked vs unprovoked PE correct answers 3 months and indefinitely
respectively
In patients with symptoms indicative of pneumonia or heart failure, what investigations can be
done to determine treatment of either condition or both? correct answers BNP and procalcitonin
levels
How to increase HDL (good cholesterol)? correct answers +Niacin
Diverticulosis Tx? correct answers +Fiber
, Side effects of prolonged PPI use correct answers C. Diff, low mag, hip fracture
Which antiemetic blocks dopamine stimulation in the chemoreceptor trigger zone? correct
answers Metoclopramide
Little League shoulder is a repetitive use injury causing disruption at the proximal growth plate
of the humerus correct answers Proximal humeral epiphysitis.
Can be seen on plain radiographs as widening, demineralization, or sclerosis at the growth plate.
Taking beta carotene and Vit E to prevent cancer and heart disease correct answers Not
recommended per USPSTF
Fluoride supplementation should be started at what age when primary water supply is deficient in
fluoride correct answers 6 months
Medications that can reduce serum Vitamin D levels correct answers Rifampicin, Phenytoin
Isolated PCL tear mechanism of injury correct answers Direct blow to the anterior tibia whilst
knee is in flexion
What should patients be periodically monitored for whilst on Amiodarone? correct answers TSH
Drug of choice in depressed persons with heart disease? correct answers SSRIs
Antibiotics causing prolonged QT correct answers Macrolides
Benign nocturnal limb pains of childhood (previously known as "growing pains") correct
answers Usually occur in the evening or night time, may sometimes wake patient from sleep,
short-lived (about 30min), not associated with redness/swelling/tenderness/limping;
BILATERAL
No further work-up necessary.
Treatment of OSA in children correct answers T&A
What is most likely seen with diastolic dysfunction? correct answers Preserved Ejection Fraction
Positive hip FADIR and FABER testing correct answers Hip labral tear
Childhood vaccination carrying risk of febrile seizure in up to 2 weeks post-administration
correct answers MMR
Elbow Moving Valgus Stress Test correct answers Ulnar collateral ligament injury
