ABFM ITE Final Exam 2025 – Complete Practice Questions, Answers, and Study Guide for Family Medicine Residents.

1. Most common neurological complication of Paget's disease of the bone - ANSWER 2. Most common cardiac complication of Lyme disease - ANSWER Heart blocks 3. Examination finding of those with bacterial vaginosis - ANSWER Vaginal pH 4.5 (normal vaginal pH should be acidic) 4. Most common cause of medication-related adverse events across health care settings in the United States - ANSWER Antibiotics 5. Screening for asymptomatic carotid artery stenosis - ANSWER Not recommended 6. In anaphylaxis, which drug is most likely helpful in preventing the need for intubation? - ANSWER 7. Barrett's oesophagus with no dysplasia - ANSWER 8. Positive family history of colorectal cancer - 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 2 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. 9. Most common cause of hearing loss in newborns - ANSWER Genetic inheritance 10. Lab findings in Von Willebrand disease - ANSWER 11. U.S. federal labor law requires companies with 50 employees to provide which benefits for employees who are nursing mothers - ANSWER 12. Influenza vaccination in those with potential egg allergy - 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. 13. 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. 14. 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. 3 15. How is the Timed Up and Go test useful in GRM patients? - ANSWER Helps to assess the risk of falling 16. Antidepressant that can prolong QT interval to be avoided in those on concomitant atypical antipsychotics - ANSWER Citalopram, Escitalopram 17. 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. 18. Antibiotic for traveller's diarrhoea - ANSWER Azithromycin 19. Prevented by washing hands frequently 20. Most effective medication for treating fibromyalgia - ANSWER TCAs SSRIs (helps with some pain reduction) 21. In a healthy full-term infant who is exclusively breastfed, iron supplementation should begin at what age in order to prevent iron deficiency anaemia? - 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. 4 22. In primary nephrotic syndrome, other than proteinuria and low albumin, what else is commonly observed? - ANSWER Coagulopathy 23. Chronic medication that can cause B12 deficiency - ANSWER Metformin 24. Strongest risk factor for primary hypertension in children and adolescents - ANSWER Elevated BMI 25. While Staphylococcus aureus and Streptococcus species are the most common causes of skin and soft-tissue infection, which organism should also be considered? - ANSWER Pseudomonas 26. Treatment of erythrasma (Wood's lamp coral pink/red fluorescence, fine scaled with a cigarette-paper appearance) caused by Corynebacterium minutissimum infection - ANSWER Erythromycin 27. Which radiologic funding of a lung nodule is most predictive of malignancy? - ANSWER 28. Which investigation is routine in all newborns with Down syndrome? - ANSWER Echocardiography 29. Treatment duration for provoked vs unprovoked PE - ANSWER 3 months and indefinitely respectively 5 30. In patients with symptoms indicative of pneumonia or heart failure, what investigations can be done to determine treatment of either condition or both? - ANSWER BNP and procalcitonin levels 31. How to increase HDL (good cholesterol)? - ANSWER Add niacin 32. Dietary recommendation in diverticulosis - ANSWER High fibre or take fibre supplements 33. Side effects of prolonged PPI use - ANSWER C diff infection, hypoMg, hip fracture 34. Which antiemetic blocks dopamine stimulation in the chemoreceptor trigger zone? - ANSWER Metoclopramide 35. Little League shoulder is a repetitive use injury causing disruption at the proximal growth plate of the humerus - ANSWER Proximal humeral epiphysitis. 36. Can be seen on plain radiographs as widening, demineralization, or sclerosis at the growth plate. 37. Taking beta carotene and Vit E to prevent cancer and heart disease - ANSWER 38. Fluoride supplementation should be started at what age when primary water supply is deficient in fluoride - ANSWER 6 months 6 39. Medications that can reduce serum Vitamin D levels - ANSWER Rifampicin, Phenytoin 40. Isolated posterior cruciate ligament tear - ANSWER Direct blow to the anterior tibia whilst knee is in flexion 41. What should patients be periodically monitored for whilst on Amiodarone? - ANSWER TSH 42. Drug of choice in depressed persons with cardiovascular disease - ANSWER SSRIs 43. Antibiotics causing prolonged QT - ANSWER Macrolides 44. Benign nocturnal limb pains of childhood (previously known as "growing pains") - ANSWER 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. 45. No further work-up necessary. 46. Treatment of OSA in children - ANSWER Adenotonsillectomy 47. What is most likely seen with diastolic dysfunction? - ANSWER A preserved ejection fraction 7 48. Positive hip FADIR and FABER testing - ANSWER Hip labral tear 49. Childhood vaccination carrying risk of febrile seizure in up to 2 weeks post administration - ANSWER MMR 50. Elbow Moving Valgus Stress Test - ANSWER Ulnar collateral ligament injury