ABFM ITE EXAM QUESTIONS WITH VERIFIED CORRECT ANSWERS

ABFM ITE EXAM QUESTIONS WITH VERIFIED
CORRECT ANSWERS

QUESTION>Erythema multiforme usually appear on the distal extremities, are often accompanied by
burning and pruritus, and may progress centrally. Usually the rash resolves spontaneously within 4-6
weeks but some patients experience frequent recurrences. - CORRECT ANSWER~Results from a
hypersensitivity reaction to any number of medications, vaccine preparations, or infections, the most
commonly identified being herpes simplex virus (HSV).



Hence the antiviral suppressive therapy



QUESTION>Only medication with consistent evidence showing that it improves depression symptoms in
children and adolescents - CORRECT ANSWER~Fluoxetine



QUESTION>Which one is found especially in homeless people, is a vector for Bartonella quintana, which
causes trench fever, an influenza-like syndrome with relapsing fever? - CORRECT ANSWER~Lice

QUESTION >CAP antibiotic that causes VF - CORRECT ANSWER~Azithromycin



- The arrhythmia results from prolongation of the QT interval and is also more common in patients with a
prior cardiac history.



QUESTION>Anti-DM medications for weight loss - CORRECT ANSWER~GLP1 receptor agonists e.g.
Exenatide

SGLT-2 inhibitor e.g. Canagliflozin



QUESTION>Screening test with greatest potential for over diagnosis - CORRECT ANSWER~PSA



QUESTION>Clinical manifestation of amyotrophic lateral sclerosis - CORRECT ANSWER~Asymmetric leg
weakness



QUESTION>Opioid to avoid in palliative patient with severe hepatic dysfunction - CORRECT
ANSWER~Methadone

,- It is metabolized and cleared by the liver, and should therefore not be used in patients with severe
hepatic impairment. It is, however, a reasonable option for patients with severe renal impairment.



QUESTION>Lung cancer screening with low dose CT Chest annually - CORRECT ANSWER~Adults 55-80yo
with 30 pack year history and currently smoking or quit within last 15 years



QUESTION>NOAC with reversal agent - CORRECT ANSWER~Dabigatran



QUESTION>Reduces alcoholism but creating an acute ethanol sensitivity - CORRECT ANSWER~Disulfiram



QUESTION>Antidepressant to be avoided in the elderly - CORRECT ANSWER~Paroxetine (associated with
more anticholinergic effects)



SSRIs > SNRIs, atypical antipsychotics may be added for resistant depression



QUESTION>Age group between which American Academy of Pediatrics recommends administration of
an autism-specific screening tool - CORRECT ANSWER~18-24 months old



QUESTION>Most common neurological complication of Paget's disease of the bone - CORRECT
ANSWER~



QUESTION>Most common cardiac complication of Lyme disease - CORRECT ANSWER~Heart blocks



QUESTION>Examination finding of those with bacterial vaginosis - CORRECT ANSWER~Vaginal pH >4.5
(normal vaginal pH should be acidic)



QUESTION>Most common cause of medication-related adverse events across health care settings in the
United States - CORRECT ANSWER~Antibiotics



QUESTION>Screening for asymptomatic carotid artery stenosis - CORRECT ANSWER~Not recommended

,QUESTION>In anaphylaxis, which drug is most likely helpful in preventing the need for intubation? -
CORRECT ANSWER~



QUESTION>Barrett's oesophagus with no dysplasia - CORRECT ANSWER~



QUESTION>Positive family history of colorectal cancer - CORRECT ANSWER~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.



QUESTION>Most common cause of hearing loss in newborns - CORRECT ANSWER~Genetic inheritance



QUESTION>Lab findings in Von Willebrand disease - CORRECT ANSWER~



QUESTION>U.S. federal labor law requires companies with >50 employees to provide which benefits for
employees who are nursing mothers - CORRECT ANSWER~



QUESTION>Influenza vaccination in those with potential egg allergy - CORRECT ANSWER~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.

, QUESTION>How is the Timed Up and Go test useful in GRM patients? - CORRECT ANSWER~Helps to
assess the risk of falling



QUESTION>Antidepressant that can prolong QT interval to be avoided in those on concomitant atypical
antipsychotics - CORRECT ANSWER~Citalopram, Escitalopram



Other SSRIs, as well as bupropion, venlafaxine, and mirtazapine, do not have this effect. Both tricyclic
antidepressants and antipsychotics, commonly used in patients also taking SSRIs, can cause QT
prolongation, making their combined use problematic.



QUESTION>Antibiotic for traveller's diarrhoea - CORRECT ANSWER~Azithromycin



Prevented by washing hands frequently



QUESTION>Most effective medication for treating fibromyalgia - CORRECT ANSWER~TCAs > SSRIs (helps
with some pain reduction)



QUESTION>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 ANSWER~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.



QUESTION>In primary nephrotic syndrome, other than proteinuria and low albumin, what else is
commonly observed? - CORRECT ANSWER~Coagulopathy



QUESTION>Chronic medication that can cause B12 deficiency - CORRECT ANSWER~Metformin



QUESTION>Strongest risk factor for primary hypertension in children and adolescents - CORRECT
ANSWER~Elevated BMI