ABFM ITE QUESTIONS WITH ACCURATE
ANSWERS
ABFM
STUDYGLOBAL 4/25/25 ABFM
,CAP antibiotic that causes VF - Accurate answers Azithromycin
- The arrhythmia results from prolongation of the QT interval and is also more common in patients with
a prior cardiac history.
Anti-DM medications for weight loss - Accurate answers GLP1 receptor agonists e.g. Exenatide
SGLT-2 inhibitor e.g. Canagliflozin
Screening test with greatest potential for over diagnosis - Accurate answers PSA
Clinical manifestation of amyotrophic lateral sclerosis - Accurate answers Asymmetric leg
weakness
Opioid to avoid in palliative patient with severe hepatic dysfunction - Accurate answers
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.
Lung cancer screening with low dose CT Chest annually - Accurate answers Adults 55-80yo with 30
pack year history and currently smoking or quit within last 15 years
NOAC with reversal agent - Accurate answers Dabigatran
Reduces alcoholism but creating an acute ethanol sensitivity - Accurate answers Disulfiram
Antidepressant to be avoided in the elderly - Accurate answers Paroxetine (associated with more
anticholinergic effects)
SSRIs > SNRIs, atypical antipsychotics may be added for resistant depression
,Age group between which American Academy of Pediatrics recommends administration of an autism-
specific screening tool - Accurate answers 18-24 months old
Most common neurological complication of Paget's disease of the bone - Accurate answers
Most common cardiac complication of Lyme disease - Accurate answers Heart blocks
Examination finding of those with bacterial vaginosis - Accurate answers Vaginal pH >4.5 (normal
vaginal pH should be acidic)
Most common cause of medication-related adverse events across health care settings in the United
States - Accurate answers Antibiotics
Screening for asymptomatic carotid artery stenosis - Accurate answers Not recommended
In anaphylaxis, which drug is most likely helpful in preventing the need for intubation? - Accurate
answers
Barrett's oesophagus with no dysplasia - Accurate answers
Positive family history of colorectal cancer - Accurate 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.
Most common cause of hearing loss in newborns - Accurate answers Genetic inheritance
Lab findings in Von Willebrand disease - Accurate answers
U.S. federal labor law requires companies with >50 employees to provide which benefits for employees
who are nursing mothers - Accurate answers
Influenza vaccination in those with potential egg allergy - Accurate 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? - Accurate answers Helps to assess the
risk of falling
Antidepressant that can prolong QT interval to be avoided in those on concomitant atypical
antipsychotics - Accurate answers 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.
Antibiotic for traveller's diarrhoea - Accurate answers Azithromycin
Prevented by washing hands frequently
Most effective medication for treating fibromyalgia - Accurate 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? - Accurate 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? - Accurate answers Coagulopathy
Chronic medication that can cause B12 deficiency - Accurate answers Metformin
Strongest risk factor for primary hypertension in children and adolescents - Accurate answers
Elevated BMI
While Staphylococcus aureus and Streptococcus species are the most common causes of skin and soft-
tissue infection, which organism should also be considered? - Accurate answers Pseudomonas
Treatment of erythrasma (Wood's lamp coral pink/red fluorescence, fine-scaled with a cigarette-paper
appearance) caused by Corynebacterium minutissimum infection - Accurate answers Erythromycin
Which radiologic funding of a lung nodule is most predictive of malignancy? - Accurate answers
Which investigation is routine in all newborns with Down syndrome? - Accurate answers
Echocardiography
Treatment duration for provoked vs unprovoked PE - Accurate 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? - Accurate answers BNP and procalcitonin levels
ANSWERS
ABFM
STUDYGLOBAL 4/25/25 ABFM
,CAP antibiotic that causes VF - Accurate answers Azithromycin
- The arrhythmia results from prolongation of the QT interval and is also more common in patients with
a prior cardiac history.
Anti-DM medications for weight loss - Accurate answers GLP1 receptor agonists e.g. Exenatide
SGLT-2 inhibitor e.g. Canagliflozin
Screening test with greatest potential for over diagnosis - Accurate answers PSA
Clinical manifestation of amyotrophic lateral sclerosis - Accurate answers Asymmetric leg
weakness
Opioid to avoid in palliative patient with severe hepatic dysfunction - Accurate answers
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.
Lung cancer screening with low dose CT Chest annually - Accurate answers Adults 55-80yo with 30
pack year history and currently smoking or quit within last 15 years
NOAC with reversal agent - Accurate answers Dabigatran
Reduces alcoholism but creating an acute ethanol sensitivity - Accurate answers Disulfiram
Antidepressant to be avoided in the elderly - Accurate answers Paroxetine (associated with more
anticholinergic effects)
SSRIs > SNRIs, atypical antipsychotics may be added for resistant depression
,Age group between which American Academy of Pediatrics recommends administration of an autism-
specific screening tool - Accurate answers 18-24 months old
Most common neurological complication of Paget's disease of the bone - Accurate answers
Most common cardiac complication of Lyme disease - Accurate answers Heart blocks
Examination finding of those with bacterial vaginosis - Accurate answers Vaginal pH >4.5 (normal
vaginal pH should be acidic)
Most common cause of medication-related adverse events across health care settings in the United
States - Accurate answers Antibiotics
Screening for asymptomatic carotid artery stenosis - Accurate answers Not recommended
In anaphylaxis, which drug is most likely helpful in preventing the need for intubation? - Accurate
answers
Barrett's oesophagus with no dysplasia - Accurate answers
Positive family history of colorectal cancer - Accurate 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.
Most common cause of hearing loss in newborns - Accurate answers Genetic inheritance
Lab findings in Von Willebrand disease - Accurate answers
U.S. federal labor law requires companies with >50 employees to provide which benefits for employees
who are nursing mothers - Accurate answers
Influenza vaccination in those with potential egg allergy - Accurate 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? - Accurate answers Helps to assess the
risk of falling
Antidepressant that can prolong QT interval to be avoided in those on concomitant atypical
antipsychotics - Accurate answers 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.
Antibiotic for traveller's diarrhoea - Accurate answers Azithromycin
Prevented by washing hands frequently
Most effective medication for treating fibromyalgia - Accurate 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? - Accurate 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? - Accurate answers Coagulopathy
Chronic medication that can cause B12 deficiency - Accurate answers Metformin
Strongest risk factor for primary hypertension in children and adolescents - Accurate answers
Elevated BMI
While Staphylococcus aureus and Streptococcus species are the most common causes of skin and soft-
tissue infection, which organism should also be considered? - Accurate answers Pseudomonas
Treatment of erythrasma (Wood's lamp coral pink/red fluorescence, fine-scaled with a cigarette-paper
appearance) caused by Corynebacterium minutissimum infection - Accurate answers Erythromycin
Which radiologic funding of a lung nodule is most predictive of malignancy? - Accurate answers
Which investigation is routine in all newborns with Down syndrome? - Accurate answers
Echocardiography
Treatment duration for provoked vs unprovoked PE - Accurate 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? - Accurate answers BNP and procalcitonin levels
