2024 ABFM ITE EXAM WITH 100% CORRECT
ANSWERS ALREADY PASSED
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.
Anti-DM medications for weight loss - correct answer✔✔ GLP1 receptor agonists e.g.
Exenatide SGLT-2 inhibitor e.g. Canagliflozin
Screening test with greatest potential for over diagnosis - correct answer✔✔ PSA
Clinical manifestation of amyotrophic lateral sclerosis - correct answer✔✔ Asymmetric leg weakness
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.
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
NOAC with reversal agent - correct answer✔✔ Dabigatran
Reduces alcoholism but creating an acute ethanol sensitivity - correct answer✔✔ Disulfiram
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
Age group between which American Academy of Pediatrics recommends administration of an autism-
specific screening tool - correct answer✔✔ 18-24 months old
Most common neurological complication of Paget's disease of the bone - correct answer✔✔
Most common cardiac complication of Lyme disease - correct answer✔✔ Heart blocks
Examination finding of those with bacterial vaginosis - correct answer✔✔ 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 - correct answer✔✔ Antibiotics
Screening for asymptomatic carotid artery stenosis - correct answer✔✔ Not recommended
In anaphylaxis, which drug is most likely helpful in preventing the need for intubation? - correct
answer✔✔
Barrett's oesophagus with no dysplasia - correct answer✔✔
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.
Most common cause of hearing loss in newborns - correct answer✔✔ Genetic inheritance
Lab findings in Von Willebrand disease - correct answer✔✔
,U.S. federal labor law requires companies with >50 employees to provide which benefits for employees
who are nursing mothers - correct answer✔✔
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.
How is the Timed Up and Go test useful in GRM patients? - correct answer✔✔ Helps to assess the risk of
falling
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.
Antibiotic for traveller's diarrhoea - correct answer✔✔ Azithromycin
Prevented by washing hands frequently
, Most effective medication for treating fibromyalgia - correct answer✔✔ 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? - 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.
In primary nephrotic syndrome, other than proteinuria and low albumin, what else is commonly
observed? - correct answer✔✔ Coagulopathy
Chronic medication that can cause B12 deficiency - correct answer✔✔ Metformin
Strongest risk factor for primary hypertension in children and adolescents - correct answer✔✔ 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? - correct answer✔✔ Pseudomonas
Treatment of erythrasma (Wood's lamp coral pink/red fluorescence, fine-scaled with a cigarette-paper
appearance) caused by Corynebacterium minutissimum infection - correct answer✔✔ Erythromycin
Which radiologic funding of a lung nodule is most predictive of malignancy? - correct answer✔✔
Which investigation is routine in all newborns with Down syndrome? - correct answer✔✔
Echocardiography
Treatment duration for provoked vs unprovoked PE - correct answer✔✔ 3 months and indefinitely
respectively
ANSWERS ALREADY PASSED
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.
Anti-DM medications for weight loss - correct answer✔✔ GLP1 receptor agonists e.g.
Exenatide SGLT-2 inhibitor e.g. Canagliflozin
Screening test with greatest potential for over diagnosis - correct answer✔✔ PSA
Clinical manifestation of amyotrophic lateral sclerosis - correct answer✔✔ Asymmetric leg weakness
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.
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
NOAC with reversal agent - correct answer✔✔ Dabigatran
Reduces alcoholism but creating an acute ethanol sensitivity - correct answer✔✔ Disulfiram
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
Age group between which American Academy of Pediatrics recommends administration of an autism-
specific screening tool - correct answer✔✔ 18-24 months old
Most common neurological complication of Paget's disease of the bone - correct answer✔✔
Most common cardiac complication of Lyme disease - correct answer✔✔ Heart blocks
Examination finding of those with bacterial vaginosis - correct answer✔✔ 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 - correct answer✔✔ Antibiotics
Screening for asymptomatic carotid artery stenosis - correct answer✔✔ Not recommended
In anaphylaxis, which drug is most likely helpful in preventing the need for intubation? - correct
answer✔✔
Barrett's oesophagus with no dysplasia - correct answer✔✔
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.
Most common cause of hearing loss in newborns - correct answer✔✔ Genetic inheritance
Lab findings in Von Willebrand disease - correct answer✔✔
,U.S. federal labor law requires companies with >50 employees to provide which benefits for employees
who are nursing mothers - correct answer✔✔
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.
How is the Timed Up and Go test useful in GRM patients? - correct answer✔✔ Helps to assess the risk of
falling
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.
Antibiotic for traveller's diarrhoea - correct answer✔✔ Azithromycin
Prevented by washing hands frequently
, Most effective medication for treating fibromyalgia - correct answer✔✔ 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? - 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.
In primary nephrotic syndrome, other than proteinuria and low albumin, what else is commonly
observed? - correct answer✔✔ Coagulopathy
Chronic medication that can cause B12 deficiency - correct answer✔✔ Metformin
Strongest risk factor for primary hypertension in children and adolescents - correct answer✔✔ 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? - correct answer✔✔ Pseudomonas
Treatment of erythrasma (Wood's lamp coral pink/red fluorescence, fine-scaled with a cigarette-paper
appearance) caused by Corynebacterium minutissimum infection - correct answer✔✔ Erythromycin
Which radiologic funding of a lung nodule is most predictive of malignancy? - correct answer✔✔
Which investigation is routine in all newborns with Down syndrome? - correct answer✔✔
Echocardiography
Treatment duration for provoked vs unprovoked PE - correct answer✔✔ 3 months and indefinitely
respectively
