ABFM ITE 2025/2026 EXAM QUESTIONS
WITH CORRECT ANSWERS A+ GRADED
100% VERIFIED
pt who had recently been on CRUISE SHIP
NOW HAS
productive COUGH- sometime bloody
HA
MUSCLE ACHE
LEGIONELLA PNEUMONIA
DIAG= URINE LEGIONELLA ANTIGEN
WHAT increases the risk of developmental dysplasia of the hip in infants
BREECH PRESENTATION
-
REGARDLESS OF DELIVERY BEING C/S OR NSVD
CARPET LAYER PT HAS LEFT KNEE SWELLING,
MINIMAL TTP
NO ERYTHEMA, WARMTH
NO TRAUMA
DIAGNOSE
TXQ
PRE-PATELLAR BURSITIS
=
TX= REST ICE COMPRESSION
equiv of olecrenon aseptic bursitis
what is ABSOLUTE CONTRAINDICATION TO
,USE OF TPA/FIBRINOLYTIC THERAPY
RECENT ISCHEMIC STROKE IN 3 MONTHS
OTHERS:
ANY HISTORY OF INTRACRANIAL HEMMORHAGE
IF SUSPECT ACUTE Acute intracranial hemorrhage
Persistent elevated blood pressure (systolic >185 mm Hg or diastolic >110 mm Hg
Symptoms of subarachnoid hemorrhage
ANY SORTS OF CONCERNS FOR BLEEDS
Use of anticoagulant drug
Aortic dissection
PT HAS SUDDEN LEFT HEARING LOSS
NO TRAUMA
NO PAIN, NO BLEEDING, DRAINAIGE, , FEVER
EAR EXAM COMPLETELY NORMAL
DIAGNOSE
TX
IDIOPATHIC
sudden sensorineural hearing loss
=
(SSNHL)
TX= PREDNISONE= ORAL
PT TWISTED ANKLE
Able to bear weight but with significant pain.
She reports pain across her right midfoot
.An examination reveals edema over the lateral malleolus and diffuse tenderness,
but she does not have any pain OVER posterior distal lateral and medial malleoli
,SHOULD U DO XRAY OR NOT?
NO XRAY
ALTHOUGH LATERAL MALLEOLUS TTP,
DISTAL PART OF LATERAL/MEDIAL MELLEOLUS IS NOT TTP OR PAINFUL
AND ALTHOUGH PT HAS PAIN,
SHE IS ABLE TO BEAR WEIGHT (4 STEPS)
=
CONSERVATIVE MANAGEMENT
D) Lace-up ankle support, ice, compression, and clinical follow-up
ACCORDING TO OTTAWA ANKLE RULES
WHEN SHOULD U DO
ANKLE XRAY
VS FOOT XRAY
DO BOTH ANKLE AND FOOT XRAY IF
=
COMPLETE INABILITY (not just pain) TO BEAR WEIGHT (4 STEPS
====
ANKLE XRAY
=
COMPLETE INABILITY (not just pain) TO BEAR WEIGHT (4 STEPS
+
PAIN OVER "DISTAL MOST" PART OF LATERAL/MEDIAL MELLEOLUS --back of
medial/lateral melloli
=====
FOOT XRAY
=
PAIN/TTP OVER MIDFOOT REGION
=
OVER 2 REGIONS:
NAVICULAR BONE
AND/OR
BASE OF 5TH MTP JOINT
+
COMPLETE INABILITY (not just pain) TO BEAR WEIGHT (4 STEPS
Which one of the following factors would increase the risk of atrial fibrillation in
thispatient?
, A) Alcohol use
B) Treatment with lisinopril (Prinivil, Zestril)
C) Treatment with pioglitazone (Actos)
D) Use of a continuous positive airway pressure (CPAP) device
E) Physical stress3
ALCHOL USE
best way to assess the patient's response to oral iron?
RETICULOCYTE COUNT IN
JUST
1-2 WEEKS
PT WITH CHRONIC URTICARIA
ON LORATADINE= CLARITIN
STILL HAS HIVES
TX?
ADD ON H1 BLOCKER
=
RANITIDINE/CIMETIDINE
First- and second-generation H1 antihistamine receptor antagonists are generally
considered first-linetreatment for chronic urticaria
PT WHOSE BRO HAS ACTIVE TB
HIS PPD TEST= 8MM
NO SX, PE NORMAL
CXR NORMAL
SHOULD U TREAT THIS KID
IF SO WITH WHAT
YES TX DUE TO CLOSE CONTACT TO ACTIVE TB PT
AND
>5MM INDURATION
TX FOR LATENT TX
=
INH FOR 9 MONTHS
WITH CORRECT ANSWERS A+ GRADED
100% VERIFIED
pt who had recently been on CRUISE SHIP
NOW HAS
productive COUGH- sometime bloody
HA
MUSCLE ACHE
LEGIONELLA PNEUMONIA
DIAG= URINE LEGIONELLA ANTIGEN
WHAT increases the risk of developmental dysplasia of the hip in infants
BREECH PRESENTATION
-
REGARDLESS OF DELIVERY BEING C/S OR NSVD
CARPET LAYER PT HAS LEFT KNEE SWELLING,
MINIMAL TTP
NO ERYTHEMA, WARMTH
NO TRAUMA
DIAGNOSE
TXQ
PRE-PATELLAR BURSITIS
=
TX= REST ICE COMPRESSION
equiv of olecrenon aseptic bursitis
what is ABSOLUTE CONTRAINDICATION TO
,USE OF TPA/FIBRINOLYTIC THERAPY
RECENT ISCHEMIC STROKE IN 3 MONTHS
OTHERS:
ANY HISTORY OF INTRACRANIAL HEMMORHAGE
IF SUSPECT ACUTE Acute intracranial hemorrhage
Persistent elevated blood pressure (systolic >185 mm Hg or diastolic >110 mm Hg
Symptoms of subarachnoid hemorrhage
ANY SORTS OF CONCERNS FOR BLEEDS
Use of anticoagulant drug
Aortic dissection
PT HAS SUDDEN LEFT HEARING LOSS
NO TRAUMA
NO PAIN, NO BLEEDING, DRAINAIGE, , FEVER
EAR EXAM COMPLETELY NORMAL
DIAGNOSE
TX
IDIOPATHIC
sudden sensorineural hearing loss
=
(SSNHL)
TX= PREDNISONE= ORAL
PT TWISTED ANKLE
Able to bear weight but with significant pain.
She reports pain across her right midfoot
.An examination reveals edema over the lateral malleolus and diffuse tenderness,
but she does not have any pain OVER posterior distal lateral and medial malleoli
,SHOULD U DO XRAY OR NOT?
NO XRAY
ALTHOUGH LATERAL MALLEOLUS TTP,
DISTAL PART OF LATERAL/MEDIAL MELLEOLUS IS NOT TTP OR PAINFUL
AND ALTHOUGH PT HAS PAIN,
SHE IS ABLE TO BEAR WEIGHT (4 STEPS)
=
CONSERVATIVE MANAGEMENT
D) Lace-up ankle support, ice, compression, and clinical follow-up
ACCORDING TO OTTAWA ANKLE RULES
WHEN SHOULD U DO
ANKLE XRAY
VS FOOT XRAY
DO BOTH ANKLE AND FOOT XRAY IF
=
COMPLETE INABILITY (not just pain) TO BEAR WEIGHT (4 STEPS
====
ANKLE XRAY
=
COMPLETE INABILITY (not just pain) TO BEAR WEIGHT (4 STEPS
+
PAIN OVER "DISTAL MOST" PART OF LATERAL/MEDIAL MELLEOLUS --back of
medial/lateral melloli
=====
FOOT XRAY
=
PAIN/TTP OVER MIDFOOT REGION
=
OVER 2 REGIONS:
NAVICULAR BONE
AND/OR
BASE OF 5TH MTP JOINT
+
COMPLETE INABILITY (not just pain) TO BEAR WEIGHT (4 STEPS
Which one of the following factors would increase the risk of atrial fibrillation in
thispatient?
, A) Alcohol use
B) Treatment with lisinopril (Prinivil, Zestril)
C) Treatment with pioglitazone (Actos)
D) Use of a continuous positive airway pressure (CPAP) device
E) Physical stress3
ALCHOL USE
best way to assess the patient's response to oral iron?
RETICULOCYTE COUNT IN
JUST
1-2 WEEKS
PT WITH CHRONIC URTICARIA
ON LORATADINE= CLARITIN
STILL HAS HIVES
TX?
ADD ON H1 BLOCKER
=
RANITIDINE/CIMETIDINE
First- and second-generation H1 antihistamine receptor antagonists are generally
considered first-linetreatment for chronic urticaria
PT WHOSE BRO HAS ACTIVE TB
HIS PPD TEST= 8MM
NO SX, PE NORMAL
CXR NORMAL
SHOULD U TREAT THIS KID
IF SO WITH WHAT
YES TX DUE TO CLOSE CONTACT TO ACTIVE TB PT
AND
>5MM INDURATION
TX FOR LATENT TX
=
INH FOR 9 MONTHS
