ABIM IM BOARDS ITE Questions and Answers
1. Women aged 65 and older AND younger women with fracture risk of 9.3%
or higher- ANSWER -screen for osteoporosis with DEXA
2. Ibuprofen / naproxen for primary dysmenorrhea, if side effect or not con-
trolled,- ANSWER -OCP
3. Reduce risk of pressure ulcers in at risk-patients- ANSWER -use
advanced static mat- tresses of overlays
4. life expectancy of at least --- years is expected to benefit from screening
mammography- ANSWER -10 years
5. Frequent episodes of binge eating >1/week followed by innapropriate com-
pensatory behaviors (vomiting, laxatives,enema etc) due to fear of gaining
weight- ANSWER -Bulimia nervosa
6. anorexia BMI- ANSWER -generally underweight, or less than 18.5
7. otitis media with effusion management- ANSWER -observe, usually resolves in
12 weeks
8. otitis externa treatment- ANSWER -combined antibiotic and glucocorticoid
ototopical med- ication, ee.g neomycin +polymyxin b +hydrocortisone
9. topical lidocaine is effective in treatment of herpetic neuralgia- ANSWER -
topical lido- caine
10. describe uveitis- ANSWER -unilateral eye pain, photophobia, ciliary flush
(Circumferential redness along the border of the sclera and cornea), there may be
miosis
11. Indications for bariatric surgery- ANSWER -BMI 40 or higher without
comorbidities, BMI 35 with comorbities
12. Orlistat- ANSWER -Weight loss medication, loose stool common side effect.
Lose about
3.5kg over 1 year
13. Lorcaserin- ANSWER -Weight loss medication, avoid in pts taking SSRIs sue
to elevation in serotonin
14. Phentermine-topiramate- ANSWER -Weight loss medication, avoid in
glaucoma
15. acromioclavicular join degeneration presentation- ANSWER -pain on
superior aspect of shoulder, tenderness on palpation of A-C joint, pain with
shoulder adduction and abduction >120 degrees
16. Supraspinatus tear test- ANSWER -Positive drop arm test
17. supraspinatus tendinitis- ANSWER -pain on shoulder abduction or painful arc
18. Lung cancer screening- ANSWER -ANNUAL LOW-DOSE CT for age 55-
80 years with 30-pack year smoking history, including those who quit within 15
years
19. AAA Screening- ANSWER -One time abdominal US for men 65-75 who
have smoked at least 100 cigarrettes
, ABIM IM BOARDS ITE Questions and Answers
20. standard outcome measure for cohort study- ANSWER -relative risk
21. Treatment options for bipolar depression- ANSWER -Seroquel
monotherapy, combina- tion olanzapine-fluoxetine
, ABIM IM BOARDS ITE Questions and Answers
22. hormonal estrogen is contraindicated in women with migraines+aura due
to risk of- ANSWER -stroke
23. PAP smear screening- ANSWER -women 21-65 , every 3 years. In women
30 - 65, every 5 years if combined with HPV testing
24. Indications for high intensity statin- ANSWER -Age 40 - 75 with diabetes
and an LDL of 70 - 189,and 10 years >7.5% ASCVD risk
25. men with low or low-normal testosterone level should have a repeat con-
firmatory morning testosterone prior to begining testosterone treatment:
26. severe vasomotor symptoms in postmenopausal women are best treated
with- ANSWER -systemic hormonal therapy;- oral estradiol-progrestin combo
27. test to be performed in all patients with syncope- ANSWER -EKG
28. Panic disorder treatment- ANSWER -SSRI (sertraline), SNRI, TCAs, MAOi
29. Trichomoniasis treatment- ANSWER -single dose of metronidazole 2g, and
treat partner
30. Treatment of vasomotor symptoms in postmenopausal women without a
uterus- ANSWER -Transdermal or oral Estradiol only (no need for progestin as
they have no uterus)
31. Statins, ACE-i/ARB are teratogenic- ANSWER -discontinue in pregnant
women
32. Indications for pharmacologic weight loss treatment- ANSWER -BMI
greater than 30, or BMI greater than 27 with obesity associated complications
33. Indications for BRCA gene testin- ANSWER -1. Bilateral breast cancer 2.
presence of both breast and ovarian cancer 3. breast cancer before the age of 50
4. Ashkenazi Jews 5. multiple family members with breast cancer 6. 1 or more
family males with breast cancer
If high risk found, FIRST offer genetic counselling BEFORE testing for BRCA
34. Individualized exercise program helps prevent falls in- ANSWER -
COGNITIVELY IN- TACT, community dwelling adults. Does not work for
cognitively impaired adults.
35. influenza vaccine for patient's with egg allergy (Rash/hives)- ANSWER
-Inactivated influenza vaccine
36. indications for influenza vaccine- ANSWER -age 6 months and older
37. Indication for recombinant influenza vaccine- ANSWER -Ppl with severe
allergy/ana- phylaxis to eggs
38. Top pharmacologic treatment for smoking cessation- ANSWER -
Varenicycline (bet- ter than Buproprion and nicotine patch). Varenicycline NOT
more effective than combination nicotine replacement (e.g short acting
nicotine+long acting nicotine replacement, like nicotine spray+nicotine patch)
39. breast cancer screening modality for women with high breast density-
1. Women aged 65 and older AND younger women with fracture risk of 9.3%
or higher- ANSWER -screen for osteoporosis with DEXA
2. Ibuprofen / naproxen for primary dysmenorrhea, if side effect or not con-
trolled,- ANSWER -OCP
3. Reduce risk of pressure ulcers in at risk-patients- ANSWER -use
advanced static mat- tresses of overlays
4. life expectancy of at least --- years is expected to benefit from screening
mammography- ANSWER -10 years
5. Frequent episodes of binge eating >1/week followed by innapropriate com-
pensatory behaviors (vomiting, laxatives,enema etc) due to fear of gaining
weight- ANSWER -Bulimia nervosa
6. anorexia BMI- ANSWER -generally underweight, or less than 18.5
7. otitis media with effusion management- ANSWER -observe, usually resolves in
12 weeks
8. otitis externa treatment- ANSWER -combined antibiotic and glucocorticoid
ototopical med- ication, ee.g neomycin +polymyxin b +hydrocortisone
9. topical lidocaine is effective in treatment of herpetic neuralgia- ANSWER -
topical lido- caine
10. describe uveitis- ANSWER -unilateral eye pain, photophobia, ciliary flush
(Circumferential redness along the border of the sclera and cornea), there may be
miosis
11. Indications for bariatric surgery- ANSWER -BMI 40 or higher without
comorbidities, BMI 35 with comorbities
12. Orlistat- ANSWER -Weight loss medication, loose stool common side effect.
Lose about
3.5kg over 1 year
13. Lorcaserin- ANSWER -Weight loss medication, avoid in pts taking SSRIs sue
to elevation in serotonin
14. Phentermine-topiramate- ANSWER -Weight loss medication, avoid in
glaucoma
15. acromioclavicular join degeneration presentation- ANSWER -pain on
superior aspect of shoulder, tenderness on palpation of A-C joint, pain with
shoulder adduction and abduction >120 degrees
16. Supraspinatus tear test- ANSWER -Positive drop arm test
17. supraspinatus tendinitis- ANSWER -pain on shoulder abduction or painful arc
18. Lung cancer screening- ANSWER -ANNUAL LOW-DOSE CT for age 55-
80 years with 30-pack year smoking history, including those who quit within 15
years
19. AAA Screening- ANSWER -One time abdominal US for men 65-75 who
have smoked at least 100 cigarrettes
, ABIM IM BOARDS ITE Questions and Answers
20. standard outcome measure for cohort study- ANSWER -relative risk
21. Treatment options for bipolar depression- ANSWER -Seroquel
monotherapy, combina- tion olanzapine-fluoxetine
, ABIM IM BOARDS ITE Questions and Answers
22. hormonal estrogen is contraindicated in women with migraines+aura due
to risk of- ANSWER -stroke
23. PAP smear screening- ANSWER -women 21-65 , every 3 years. In women
30 - 65, every 5 years if combined with HPV testing
24. Indications for high intensity statin- ANSWER -Age 40 - 75 with diabetes
and an LDL of 70 - 189,and 10 years >7.5% ASCVD risk
25. men with low or low-normal testosterone level should have a repeat con-
firmatory morning testosterone prior to begining testosterone treatment:
26. severe vasomotor symptoms in postmenopausal women are best treated
with- ANSWER -systemic hormonal therapy;- oral estradiol-progrestin combo
27. test to be performed in all patients with syncope- ANSWER -EKG
28. Panic disorder treatment- ANSWER -SSRI (sertraline), SNRI, TCAs, MAOi
29. Trichomoniasis treatment- ANSWER -single dose of metronidazole 2g, and
treat partner
30. Treatment of vasomotor symptoms in postmenopausal women without a
uterus- ANSWER -Transdermal or oral Estradiol only (no need for progestin as
they have no uterus)
31. Statins, ACE-i/ARB are teratogenic- ANSWER -discontinue in pregnant
women
32. Indications for pharmacologic weight loss treatment- ANSWER -BMI
greater than 30, or BMI greater than 27 with obesity associated complications
33. Indications for BRCA gene testin- ANSWER -1. Bilateral breast cancer 2.
presence of both breast and ovarian cancer 3. breast cancer before the age of 50
4. Ashkenazi Jews 5. multiple family members with breast cancer 6. 1 or more
family males with breast cancer
If high risk found, FIRST offer genetic counselling BEFORE testing for BRCA
34. Individualized exercise program helps prevent falls in- ANSWER -
COGNITIVELY IN- TACT, community dwelling adults. Does not work for
cognitively impaired adults.
35. influenza vaccine for patient's with egg allergy (Rash/hives)- ANSWER
-Inactivated influenza vaccine
36. indications for influenza vaccine- ANSWER -age 6 months and older
37. Indication for recombinant influenza vaccine- ANSWER -Ppl with severe
allergy/ana- phylaxis to eggs
38. Top pharmacologic treatment for smoking cessation- ANSWER -
Varenicycline (bet- ter than Buproprion and nicotine patch). Varenicycline NOT
more effective than combination nicotine replacement (e.g short acting
nicotine+long acting nicotine replacement, like nicotine spray+nicotine patch)
39. breast cancer screening modality for women with high breast density-
