ABFM ITE FINAL EXAM, VERSION A AND B,
PRACTICE EXAM QUESTIONS AND STUDY
GUIDE 2025 ACTUAL EXAM COMPLETE EXAM
QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT ANSWERS)
ALREADY GRADED A+
In treatment of Bipolar Disorder, treatment with SSRI as monotherapy
should be avoided
-Correct Answer-A combination of antidepressants such as an SSRI, plus a
mood stabilizer, which includes anticonvulsants (Lamotrigine, Divalproex),
atypical antipsychotics (Quetiapine) - as typical antipsychotics increases
risk of QT prolongation, or Lithium, but this is considered second-line
therapy.
Long-term maintenance therapy with a mood stabilizer is recommended in
patients with bipolar I disorder due to the high risk of recurrent mania. NOT
Haloperidol.
Leading cause of cancer death in men in the United States
-Correct Answer-Lung cancer
,A useful adjunct to Buprenorphine in the treatment of opioid use disorder to
help increase the rates of abstinence and decrease stress-related opioid
cravings
-Correct Answer-Clonidine (0.1-0.3 mg every 6-8 hours)
The presence of RBC casts on microscopic examination of a spun urine
sediment is pathognomonic for
-Correct Answer-Acute glomerulonephritis
Mallet finger
-Correct Answer-The inability to actively extend the DIP joint is a hallmark.
The inability to passively extend the DIP joint completely may be an
indication of trapped soft tissue or bone that may require surgery.
Up to one-third of distal extensor tendon injuries are associated with an
avulsion fracture, and if the avulsion is greater than 30% of the joint space,
referral to an orthopaedic is recommended. Otherwise, immobilization of
the DIP joint in extension for 6-8 weeks.
Pneumococcal vaccination
-Correct Answer-Both PCV13 and PPSV23 are recommended for patients
with chronic renal failure. Indications for PPSV23 alone in
,immunocompetent persons younger than 65 include chronic lung disease,
diabetes mellitus, chronic heart disease, smoking, and alcoholism.
Treatment of acute Bell's palsy
-Correct Answer-Antiviral medication along with corticosteroids is
significantly more effective than corticosteroids alone. The medications are
most effective if started within 72 hours of symptom onset.
Test to confirm diagnosis of Cushing's
-Correct Answer-24h urinary free cortisol
Obesity hypoventilation syndrome (carbon dioxide retention - PaCO2 >45
mm Hg, in an individual with a BMI > 30 kg/m2)
-Correct Answer-Restrictive pattern on spirometry
Sever's disease
-Correct Answer-Most common cause of heel pain in children and
adolescents 8-12 years of age.
Voice hoarseness
, -Correct Answer-Complete vocal rest, including no whispering or throat
clearing, is the most effective and quickest initial remedy for short-duration
laryngitis, whether viral or due to vocal overuse or abuse.
Second Degree Heart Block (Mobitz I) - progressively prolonged PR then
dropped QRS
-Correct Answer-A pacemaker is not recommended in patients who are
asymptomatic. It is recommended in symptomatic patients, however, and is
guided by electrophysiologic studies.
Primary prevention of cardiovascular disease
-Correct Answer-Low-dose aspirin therapy is recommended in patients 50-
59 years of age who have a risk of CVD of at least 10% (not <50yo
regardless of dose due to increased risk of GI bleeds)
A U.S. hospital or birthing center seeking to be certified as "Baby Friendly"
by the Baby-Friendly Hospital Initiative
-Correct Answer-Providing no other food or fluids to breastfeeding infants
without a medical indication
Pituitary microadenoma
-Correct Answer-Microadenomas <10 mm in size that are secreting
prolactin may be treated with a dopaminergic agent such as Bromocriptine.
PRACTICE EXAM QUESTIONS AND STUDY
GUIDE 2025 ACTUAL EXAM COMPLETE EXAM
QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT ANSWERS)
ALREADY GRADED A+
In treatment of Bipolar Disorder, treatment with SSRI as monotherapy
should be avoided
-Correct Answer-A combination of antidepressants such as an SSRI, plus a
mood stabilizer, which includes anticonvulsants (Lamotrigine, Divalproex),
atypical antipsychotics (Quetiapine) - as typical antipsychotics increases
risk of QT prolongation, or Lithium, but this is considered second-line
therapy.
Long-term maintenance therapy with a mood stabilizer is recommended in
patients with bipolar I disorder due to the high risk of recurrent mania. NOT
Haloperidol.
Leading cause of cancer death in men in the United States
-Correct Answer-Lung cancer
,A useful adjunct to Buprenorphine in the treatment of opioid use disorder to
help increase the rates of abstinence and decrease stress-related opioid
cravings
-Correct Answer-Clonidine (0.1-0.3 mg every 6-8 hours)
The presence of RBC casts on microscopic examination of a spun urine
sediment is pathognomonic for
-Correct Answer-Acute glomerulonephritis
Mallet finger
-Correct Answer-The inability to actively extend the DIP joint is a hallmark.
The inability to passively extend the DIP joint completely may be an
indication of trapped soft tissue or bone that may require surgery.
Up to one-third of distal extensor tendon injuries are associated with an
avulsion fracture, and if the avulsion is greater than 30% of the joint space,
referral to an orthopaedic is recommended. Otherwise, immobilization of
the DIP joint in extension for 6-8 weeks.
Pneumococcal vaccination
-Correct Answer-Both PCV13 and PPSV23 are recommended for patients
with chronic renal failure. Indications for PPSV23 alone in
,immunocompetent persons younger than 65 include chronic lung disease,
diabetes mellitus, chronic heart disease, smoking, and alcoholism.
Treatment of acute Bell's palsy
-Correct Answer-Antiviral medication along with corticosteroids is
significantly more effective than corticosteroids alone. The medications are
most effective if started within 72 hours of symptom onset.
Test to confirm diagnosis of Cushing's
-Correct Answer-24h urinary free cortisol
Obesity hypoventilation syndrome (carbon dioxide retention - PaCO2 >45
mm Hg, in an individual with a BMI > 30 kg/m2)
-Correct Answer-Restrictive pattern on spirometry
Sever's disease
-Correct Answer-Most common cause of heel pain in children and
adolescents 8-12 years of age.
Voice hoarseness
, -Correct Answer-Complete vocal rest, including no whispering or throat
clearing, is the most effective and quickest initial remedy for short-duration
laryngitis, whether viral or due to vocal overuse or abuse.
Second Degree Heart Block (Mobitz I) - progressively prolonged PR then
dropped QRS
-Correct Answer-A pacemaker is not recommended in patients who are
asymptomatic. It is recommended in symptomatic patients, however, and is
guided by electrophysiologic studies.
Primary prevention of cardiovascular disease
-Correct Answer-Low-dose aspirin therapy is recommended in patients 50-
59 years of age who have a risk of CVD of at least 10% (not <50yo
regardless of dose due to increased risk of GI bleeds)
A U.S. hospital or birthing center seeking to be certified as "Baby Friendly"
by the Baby-Friendly Hospital Initiative
-Correct Answer-Providing no other food or fluids to breastfeeding infants
without a medical indication
Pituitary microadenoma
-Correct Answer-Microadenomas <10 mm in size that are secreting
prolactin may be treated with a dopaminergic agent such as Bromocriptine.
