ABFM Exam 2025 With Well Elaborated
Questions And Detailed Answers Graded A+
which one of the following
is essential before initiating oral combined hormonal contraception?
A) Bimanual pelvic examination
B) Clinical breast examination
C) Cervical cytology and HPV screening
D) Blood pressure measurement
E) Weight measurement - ANSWERS-BP measurement
COPD pt on steroids
develops pneumonia
which of the following pathogens would abx meds cover that would be unlikely in a
healthy pt?
A) Streptococcus pneumoniae
B) Mycoplasma pneumoniae
C) Haemophilus influenzae
D) Staphylococcus aureus
E) Pseudomonas aeruginosa - ANSWERS-pseudomonas
terminal ill pt
on very high dose of morphine
pt report diffuse pain all over body
pain occurs when someone touches pt
whct is dx? - ANSWERS-Opioid-induced hyperalgesia
management
- reducing the current opioid dosage
- eliminating the current opioid and starting another opioid.
pt unable to conceive
regular periods
denies heat/cold tolerance
sperm test normal
child with head lice
rx'd with shampoo permethrin
still has nits in her
can she go to school? - ANSWERS-yes
,as long as continue home remedy, nit combing and repeat permethrin shampoo in 6
days
is diverticular bleeding painful? - ANSWERS-no
- abdominal pains
BP recommendation for >65 - ANSWERS-150/90
young boy
left hip pain
afebrile
ESR normal
WBC normal
Radiograph knee and hip normal
dx?
rx? - ANSWERS-transient synovitis
rx: nsaids
rx for SVTs but short-term and llong term - ANSWERS-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? - ANSWERS-Hgb electrophoresis
- check beta thalassemia
Signs of ALS
- mainly motor sx - ANSWERS-asymmetrical weakness in legs, feet, ankles
slurred speech
trouble swallowing
SOB
wt loss
mcc urge incontinence in elderly - ANSWERS-detrusor instability
,what diabetes medications are good for prevention of developing DM in pre-diabetes pt
- ANSWERS-metformin
"alpha-glucosidase inhibitors (acarbose)
orlistat
thiazolidinediones
most specific sign of peritonsillar abscess - ANSWERS-difficulty opening mouth
rx management for concussion - ANSWERS-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 - ANSWERS-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? - ANSWERS-39wks 0 d
drug to prevent seizure in alcohol withdrawal - ANSWERS-benzos
initial rx allergic rhinitis - ANSWERS-intranasal steroids
most effective medication to prevent relapse in alcohol abuse - ANSWERS-naltrexone
do not use acamprosate if renal disease
which SSRI should be prevented in elderly - ANSWERS-paroxetine
- anticholinergic effects
screen for autism at what age in kids? - ANSWERS-18 - 24months
bacterial vaginosis has vagina pH ? - ANSWERS->4.5
29 yo woman
30weeks gestation
received Tdap 3 years ago
what vaccine should she receive? - ANSWERS-Tdap again
27 -36 weeks gestation, regardless of when they last received it
, rx for acute gout
pt has HTN and CKD - ANSWERS-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 - ANSWERS-anti-coags
most common risk factor for uncomplicated cystitis - ANSWERS-Frequent sexual
intercourse
others:
- spermicide use
- previous UTI
- new sex partner
- fam hx UTI in first degree female relative
first line rx primary dysmenorrhea - ANSWERS-nsaids
surveillance for barett's esophagus without dyspasia - ANSWERS-endoscopy q 3 years
best initial rx for keloid - ANSWERS-intralesional corticosteroid injections.
rx osteoporosis if 10yr risk of major osteoporotic fracture > ___ % - ANSWERS-20%
pt with osteopenia (T <2.5)
risk of fracture <20%
what meds do you start on - ANSWERS-calcium and vit d supplements
test for meniscus tears - ANSWERS-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? - ANSWERS-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? - ANSWERS-albuterol 10-15min before exercise
does ankylosing spondylitis improve with exercise and activity? - ANSWERS-yes
also note:
- pain worse in evening
Questions And Detailed Answers Graded A+
which one of the following
is essential before initiating oral combined hormonal contraception?
A) Bimanual pelvic examination
B) Clinical breast examination
C) Cervical cytology and HPV screening
D) Blood pressure measurement
E) Weight measurement - ANSWERS-BP measurement
COPD pt on steroids
develops pneumonia
which of the following pathogens would abx meds cover that would be unlikely in a
healthy pt?
A) Streptococcus pneumoniae
B) Mycoplasma pneumoniae
C) Haemophilus influenzae
D) Staphylococcus aureus
E) Pseudomonas aeruginosa - ANSWERS-pseudomonas
terminal ill pt
on very high dose of morphine
pt report diffuse pain all over body
pain occurs when someone touches pt
whct is dx? - ANSWERS-Opioid-induced hyperalgesia
management
- reducing the current opioid dosage
- eliminating the current opioid and starting another opioid.
pt unable to conceive
regular periods
denies heat/cold tolerance
sperm test normal
child with head lice
rx'd with shampoo permethrin
still has nits in her
can she go to school? - ANSWERS-yes
,as long as continue home remedy, nit combing and repeat permethrin shampoo in 6
days
is diverticular bleeding painful? - ANSWERS-no
- abdominal pains
BP recommendation for >65 - ANSWERS-150/90
young boy
left hip pain
afebrile
ESR normal
WBC normal
Radiograph knee and hip normal
dx?
rx? - ANSWERS-transient synovitis
rx: nsaids
rx for SVTs but short-term and llong term - ANSWERS-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? - ANSWERS-Hgb electrophoresis
- check beta thalassemia
Signs of ALS
- mainly motor sx - ANSWERS-asymmetrical weakness in legs, feet, ankles
slurred speech
trouble swallowing
SOB
wt loss
mcc urge incontinence in elderly - ANSWERS-detrusor instability
,what diabetes medications are good for prevention of developing DM in pre-diabetes pt
- ANSWERS-metformin
"alpha-glucosidase inhibitors (acarbose)
orlistat
thiazolidinediones
most specific sign of peritonsillar abscess - ANSWERS-difficulty opening mouth
rx management for concussion - ANSWERS-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 - ANSWERS-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? - ANSWERS-39wks 0 d
drug to prevent seizure in alcohol withdrawal - ANSWERS-benzos
initial rx allergic rhinitis - ANSWERS-intranasal steroids
most effective medication to prevent relapse in alcohol abuse - ANSWERS-naltrexone
do not use acamprosate if renal disease
which SSRI should be prevented in elderly - ANSWERS-paroxetine
- anticholinergic effects
screen for autism at what age in kids? - ANSWERS-18 - 24months
bacterial vaginosis has vagina pH ? - ANSWERS->4.5
29 yo woman
30weeks gestation
received Tdap 3 years ago
what vaccine should she receive? - ANSWERS-Tdap again
27 -36 weeks gestation, regardless of when they last received it
, rx for acute gout
pt has HTN and CKD - ANSWERS-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 - ANSWERS-anti-coags
most common risk factor for uncomplicated cystitis - ANSWERS-Frequent sexual
intercourse
others:
- spermicide use
- previous UTI
- new sex partner
- fam hx UTI in first degree female relative
first line rx primary dysmenorrhea - ANSWERS-nsaids
surveillance for barett's esophagus without dyspasia - ANSWERS-endoscopy q 3 years
best initial rx for keloid - ANSWERS-intralesional corticosteroid injections.
rx osteoporosis if 10yr risk of major osteoporotic fracture > ___ % - ANSWERS-20%
pt with osteopenia (T <2.5)
risk of fracture <20%
what meds do you start on - ANSWERS-calcium and vit d supplements
test for meniscus tears - ANSWERS-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? - ANSWERS-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? - ANSWERS-albuterol 10-15min before exercise
does ankylosing spondylitis improve with exercise and activity? - ANSWERS-yes
also note:
- pain worse in evening
