ABFM ITE 2025/2026 || Crack the Test: Questions with
Verified A+ Responses!!
Persistent HTN is defined as ______. correct answers HTN despite 3 or more antiHTN rx,
including a diuretics
HTN + Hyperkalemia + low renin + elevated aldosterone. Dx? correct answers Primary
hyperaldosteronism
A ______ would be used to evaluate for a neuroendocrine tumor, which can present as
chronic flushing and diarrhea. correct answers 24-hour urine collection for 5-
hydroxyindoleacetic acid (5-HIAA)
______ level can be checked if Cushing syndrome is suspected. Hypertension, obesity and an
elevated blood glucose level due to insulin resistance. correct answers Cortisol level
Suspect Primary hyperaldosteronism. What Lab? correct answers elevated aldosterone/renin
ratio
painful, subcutaneous, nonulcerated, erythematous nodules, is associated with
coccidioidomycosis. Name of rash? correct answers Erythema nodosum. can also be
associated with streptococcal infections and tuberculosis.
cutaneous rash caused by prolonged heat exposure (such as a heating pad) presenting as an
otherwise asymptomatic, red, reticulated pattern on the skin. Name of rash? correct answers
Erythema ab igne
Erythematous rash of the face (slapped cheek appearance), arms, and legs associated with
parvovirus B19 infection and is usually seen in young children. Name of rash? correct
answers Erythema infectiosum
expanding, erythematous, annular rash with or without central clearing and is often associated
with tick exposure (Lyme disease). Name of rash? correct answers Erythema migrans
raised, annular, target-like lesions with central erythema and is usually
associated with herpes simplex virus type 1. Name of rash? correct answers Erythema
multiforme
Screening frequency for esophageal varices in patients with cirrhosis and clinically
significant portal hypertension? correct answers EGD every 2-3 years
- High risk of bleeding features: small varices in patients with decompensated cirrhosis, small
varices with red wale signs (thinning of the variceal wall), and medium to large varices.
Patient's EGD has small esophageal varices without red wale signs. Next step in the mgmt of
esophageal varices ? correct answers Repeat EGD in 1-2 years
High risk features of esophageal varices? Tx? correct answers Small varices in patients with
decompensated cirrhosis, small
, varices with red wale signs (thinning of the variceal wall), and medium to large varices.
- primary prophylaxis of hemorrhage include nonselective B-blockers such as propranolol or
endoscopic variceal ligation. If nonselective B-blockers are used, they should be continued
indefinitely. Octreotide is only given intravenously for acute hemorrhage. No evidence that
omeprazole slows the progression of esophageal varices.
Best nonpharmacologic management of sundowning (aka behavioral and psychological
symptoms of dementia) correct answers Sensory stimulation (massage, touch, and music
therapy).
- Cognitive training is NOT useful in treatment of sundowning
use of prophylactic antibiotics for dental procedures in patients with a history of joint
replacement? correct answers American Dental Association and the American Academy of
Orthopaedic Surgeons recommend against routine use of prophylactic antibiotics.
Cardiovascular Medication that is associated with hyperthyroidism. correct answers
Amiodarone.
Amiodarone-induced thyrotoxicosis (AIT): a less common cause of hyperthyroidism.
- Type 1: iodine-induced thyrotoxicosis caused by the high iodine content in amiodarone
- Type 2: amiodarone-induced thyroiditis.
Tetanus prophylaxis for laceration in a pregnant pt who is up to date on her vaccines? correct
answers Tdap between 27 and 36 weeks gestation to protect against pertussis
Tetanus prophylaxis in nonpregnant patients who have previously received Tdap. correct
answers Td
Tetanus prophylaxis if patient had not previously completed the primary series or were
showing signs of clinical tetanus. correct answers Tetanus immune globulin
Frequency of EGD in Cirrhosis patient with no varices? correct answers EGD every 2-3 years
- All Cirrhosis patients get EGD every 2-3 yrs
- But if Small varices w/o weal sign present them EGD every 1-2 yrs
- if Varices are medium-large or has weal signs —> Propranolol or Variceal ligation
Based on the current CDC guidelines, which one of the following is recommended as first-
line treatment of urethritis in a 24-year-old male who weighs 152 kg (335 lb), NAAT for
gonorrhea is positive and Chlamydia testing is negative? correct answers One dose of
ceftriaxone, 1 g IM if wt > 150kg.
- One dose of ceftriaxone, 500 mg IM if wt < 150kg.
- Patients presenting with an UNKNOWN cause of urethritis, such as BEFORE urine or
urethral nucleic acid amplification test results are known, should be prescribed a combination
Verified A+ Responses!!
Persistent HTN is defined as ______. correct answers HTN despite 3 or more antiHTN rx,
including a diuretics
HTN + Hyperkalemia + low renin + elevated aldosterone. Dx? correct answers Primary
hyperaldosteronism
A ______ would be used to evaluate for a neuroendocrine tumor, which can present as
chronic flushing and diarrhea. correct answers 24-hour urine collection for 5-
hydroxyindoleacetic acid (5-HIAA)
______ level can be checked if Cushing syndrome is suspected. Hypertension, obesity and an
elevated blood glucose level due to insulin resistance. correct answers Cortisol level
Suspect Primary hyperaldosteronism. What Lab? correct answers elevated aldosterone/renin
ratio
painful, subcutaneous, nonulcerated, erythematous nodules, is associated with
coccidioidomycosis. Name of rash? correct answers Erythema nodosum. can also be
associated with streptococcal infections and tuberculosis.
cutaneous rash caused by prolonged heat exposure (such as a heating pad) presenting as an
otherwise asymptomatic, red, reticulated pattern on the skin. Name of rash? correct answers
Erythema ab igne
Erythematous rash of the face (slapped cheek appearance), arms, and legs associated with
parvovirus B19 infection and is usually seen in young children. Name of rash? correct
answers Erythema infectiosum
expanding, erythematous, annular rash with or without central clearing and is often associated
with tick exposure (Lyme disease). Name of rash? correct answers Erythema migrans
raised, annular, target-like lesions with central erythema and is usually
associated with herpes simplex virus type 1. Name of rash? correct answers Erythema
multiforme
Screening frequency for esophageal varices in patients with cirrhosis and clinically
significant portal hypertension? correct answers EGD every 2-3 years
- High risk of bleeding features: small varices in patients with decompensated cirrhosis, small
varices with red wale signs (thinning of the variceal wall), and medium to large varices.
Patient's EGD has small esophageal varices without red wale signs. Next step in the mgmt of
esophageal varices ? correct answers Repeat EGD in 1-2 years
High risk features of esophageal varices? Tx? correct answers Small varices in patients with
decompensated cirrhosis, small
, varices with red wale signs (thinning of the variceal wall), and medium to large varices.
- primary prophylaxis of hemorrhage include nonselective B-blockers such as propranolol or
endoscopic variceal ligation. If nonselective B-blockers are used, they should be continued
indefinitely. Octreotide is only given intravenously for acute hemorrhage. No evidence that
omeprazole slows the progression of esophageal varices.
Best nonpharmacologic management of sundowning (aka behavioral and psychological
symptoms of dementia) correct answers Sensory stimulation (massage, touch, and music
therapy).
- Cognitive training is NOT useful in treatment of sundowning
use of prophylactic antibiotics for dental procedures in patients with a history of joint
replacement? correct answers American Dental Association and the American Academy of
Orthopaedic Surgeons recommend against routine use of prophylactic antibiotics.
Cardiovascular Medication that is associated with hyperthyroidism. correct answers
Amiodarone.
Amiodarone-induced thyrotoxicosis (AIT): a less common cause of hyperthyroidism.
- Type 1: iodine-induced thyrotoxicosis caused by the high iodine content in amiodarone
- Type 2: amiodarone-induced thyroiditis.
Tetanus prophylaxis for laceration in a pregnant pt who is up to date on her vaccines? correct
answers Tdap between 27 and 36 weeks gestation to protect against pertussis
Tetanus prophylaxis in nonpregnant patients who have previously received Tdap. correct
answers Td
Tetanus prophylaxis if patient had not previously completed the primary series or were
showing signs of clinical tetanus. correct answers Tetanus immune globulin
Frequency of EGD in Cirrhosis patient with no varices? correct answers EGD every 2-3 years
- All Cirrhosis patients get EGD every 2-3 yrs
- But if Small varices w/o weal sign present them EGD every 1-2 yrs
- if Varices are medium-large or has weal signs —> Propranolol or Variceal ligation
Based on the current CDC guidelines, which one of the following is recommended as first-
line treatment of urethritis in a 24-year-old male who weighs 152 kg (335 lb), NAAT for
gonorrhea is positive and Chlamydia testing is negative? correct answers One dose of
ceftriaxone, 1 g IM if wt > 150kg.
- One dose of ceftriaxone, 500 mg IM if wt < 150kg.
- Patients presenting with an UNKNOWN cause of urethritis, such as BEFORE urine or
urethral nucleic acid amplification test results are known, should be prescribed a combination
