ABIM TEST QUESTIONS WITH
CORRECT ANSWERS
In addition to being hot new classes of DM drugs, the GLP-1 and SGLT-2 inhibitors
have which desirable effect for patients? - Answer - Weight loss
The two drugs to give in patient with Essential Thrombocytosis - Answer - ASA +
hydroxyurea
rheumatoid arthritis have a 1.5 to 2 fold increased risk of what common medical
problem? - Answer - CAD
Pre-eclampsia - list the triad of findings and what wk of pregnancy it starts - Answer -
pre-eclampsia is defined by hypertension, edema, and proteinuria after 20 weeks
gestation
A1c target in DM - Answer - <7
A1c target in DM WIth COMPLEX ISSUES - Answer - <8
A1c target age >75 - Answer - <7.5
A1c target age >75 in patient with mod complex diseases to boot - Answer - <8.0
A1c target age >75 with serious medical problems or limited life expectancy - Answer -
<8.5
Synovial Fluid WBC < 200 - Answer - Normal
Synovial Fluid WBC 200 - 2000 - Answer - Non-Inflammatory Conditions
Synovial Fluid WBC > 2000 - Answer - Inflammatory conditions
What Synovial WBC count do we use to distinguish infections from inflammatory
condition - Answer - TRICK - We dont! There is no absolute cutoff value that
distinguishes infection from crystal-related disease, because some infections may have
lower counts than expected and crystal-related disease may have counts greater than
100,000.
If WBC > 50,000 - Definitely give antibiotics empirically
Even if WBC not too high (say 10,000) Still send cultures
Psoriasis Tx (<10% of BSA) - Answer - Topical steroids or topical Vitamin D analogues
Psoriasis Tx (>10% BSA, or associated with Psoriatic Arthritis) - Answer -
Phototherapy, MTX, cyclosporine, apremilast (PDE-4i), TNFi (infliximab)
,ABIM TEST QUESTIONS WITH
CORRECT ANSWERS
Do we test for eradication of H Pylori after tx? - Answer - Yes! Either by urea breath
test, fecal antigen testing, or repeat EGD with biopsy
If you obtain ABIs and value is > 1.40 what does this mean? - Answer - ABI greater
than 1.40 indicates the presence of calcified, noncompressible arteries in the lower
extremities and is considered uninterpretable. Need to get TOE-BRACHIAL INDEX
instead.
Triad of disseminated gonococcal infection - Answer - tenosynovitis, dermatitis (usually
painless pustular or vesiculopustular lesions), and polyarthralgia without frank arthritis.
Fever, chills, and malaise are common.
Triad in Lofgrens syndrome - Answer - Fever, hilar lymphadenopathy, erythema
nodosum.
No need for biopsy to confirm Sarcoidosis. Triad of Lofgren's is very specific for Sarcoid
New heart failure or third degree AVB in heart transplant recipient in the first year is
indication for what? - Answer - Endomyocardial biopsy to confirm early rejection.
Biopsy done rountinely within 1 year because rejection risk is so high
tx of Barrett's esophagus, indefinite for dysplasia - Answer - Continue medical therapy
with ppi
tx of Barrett's esophagus with low or high grade dysplasia - Answer - Endoscopic
ablation or surgery depending on local expertise
non casseating granuloma - Answer - Sarcoidosis
Casseating granulomas - Answer - TB
The two first line medications for alcohol use disorder in patient who wishes to quit? -
Answer - Acamprosate and Naltrexone.
Acamprosate contraindicated in GFR < 50.
Disulfuram is considered second line.
Post-Exposure treatment for patient exposed to Smallpox - Answer - Vaccination
within 7 days. CDC has smallpox vaccine stockpile in case of exposure.
, ABIM TEST QUESTIONS WITH
CORRECT ANSWERS
Smallpox immunoglobulins available from CDC if pt cannot receive vaccine for whatever
reason
Equation for Osm Gap - Answer - (2 x Glc) + (BUN / 2.8) + (Glc / 18)
Hallmark of DRESS (Drug Reaction Eosinophilia Systemic Symptoms) - Answer -
Timing - DRESS occurs 2-6 weeks after drug exposure
Think SJS/TEN if rash occurring soon after starting a med
What test confirms risk of falling backwards in parkinson's disease - Answer - Pull test
Head Impulse Test - Answer - Differentiates peripheral and central vertigo
Diagnosis? -- Patient with Nisseria infection with multiple family members who have a
history of Nisseria infections - Answer - Terminal complement deficiency
Severe TBI and Skull Fracture - Do you need abx and steroids? - Answer - CTX is not
indicated (unless signs of meningitis). Steroids have been shown to worsen outcomes in
patients with severe TBI and skull fractures - do not give.
Respiratory Bronchiolitis-associated interstitial lung disease (RB-ILD) CT finding -
Answer - Centrolobular micronodules
pulmonary Langerhans cell histiocytosis CT finding - Answer - Diffuse upper and mid
lung zone thin walled cysts with nodules
desquamative interstitial pneumonia finding on CT - Answer - Alveolar filling - thus lots
of GGO
Indications for valve replacement in AR? - Answer - Severe AR with symptoms
Or
Severe Asx AR with LV diameter > 50 mm or decreased EF
Three diffuse parenchymal lung diseases occurring almost exclusively in smokers -
Answer - Respiratory Bronchiolitis-associated interstitial lung disease (RB-ILD) -
Centrolobular nodules
Pulmonary Langerhans Histocytosis - thin walled cysts
DIP - ground glass
CORRECT ANSWERS
In addition to being hot new classes of DM drugs, the GLP-1 and SGLT-2 inhibitors
have which desirable effect for patients? - Answer - Weight loss
The two drugs to give in patient with Essential Thrombocytosis - Answer - ASA +
hydroxyurea
rheumatoid arthritis have a 1.5 to 2 fold increased risk of what common medical
problem? - Answer - CAD
Pre-eclampsia - list the triad of findings and what wk of pregnancy it starts - Answer -
pre-eclampsia is defined by hypertension, edema, and proteinuria after 20 weeks
gestation
A1c target in DM - Answer - <7
A1c target in DM WIth COMPLEX ISSUES - Answer - <8
A1c target age >75 - Answer - <7.5
A1c target age >75 in patient with mod complex diseases to boot - Answer - <8.0
A1c target age >75 with serious medical problems or limited life expectancy - Answer -
<8.5
Synovial Fluid WBC < 200 - Answer - Normal
Synovial Fluid WBC 200 - 2000 - Answer - Non-Inflammatory Conditions
Synovial Fluid WBC > 2000 - Answer - Inflammatory conditions
What Synovial WBC count do we use to distinguish infections from inflammatory
condition - Answer - TRICK - We dont! There is no absolute cutoff value that
distinguishes infection from crystal-related disease, because some infections may have
lower counts than expected and crystal-related disease may have counts greater than
100,000.
If WBC > 50,000 - Definitely give antibiotics empirically
Even if WBC not too high (say 10,000) Still send cultures
Psoriasis Tx (<10% of BSA) - Answer - Topical steroids or topical Vitamin D analogues
Psoriasis Tx (>10% BSA, or associated with Psoriatic Arthritis) - Answer -
Phototherapy, MTX, cyclosporine, apremilast (PDE-4i), TNFi (infliximab)
,ABIM TEST QUESTIONS WITH
CORRECT ANSWERS
Do we test for eradication of H Pylori after tx? - Answer - Yes! Either by urea breath
test, fecal antigen testing, or repeat EGD with biopsy
If you obtain ABIs and value is > 1.40 what does this mean? - Answer - ABI greater
than 1.40 indicates the presence of calcified, noncompressible arteries in the lower
extremities and is considered uninterpretable. Need to get TOE-BRACHIAL INDEX
instead.
Triad of disseminated gonococcal infection - Answer - tenosynovitis, dermatitis (usually
painless pustular or vesiculopustular lesions), and polyarthralgia without frank arthritis.
Fever, chills, and malaise are common.
Triad in Lofgrens syndrome - Answer - Fever, hilar lymphadenopathy, erythema
nodosum.
No need for biopsy to confirm Sarcoidosis. Triad of Lofgren's is very specific for Sarcoid
New heart failure or third degree AVB in heart transplant recipient in the first year is
indication for what? - Answer - Endomyocardial biopsy to confirm early rejection.
Biopsy done rountinely within 1 year because rejection risk is so high
tx of Barrett's esophagus, indefinite for dysplasia - Answer - Continue medical therapy
with ppi
tx of Barrett's esophagus with low or high grade dysplasia - Answer - Endoscopic
ablation or surgery depending on local expertise
non casseating granuloma - Answer - Sarcoidosis
Casseating granulomas - Answer - TB
The two first line medications for alcohol use disorder in patient who wishes to quit? -
Answer - Acamprosate and Naltrexone.
Acamprosate contraindicated in GFR < 50.
Disulfuram is considered second line.
Post-Exposure treatment for patient exposed to Smallpox - Answer - Vaccination
within 7 days. CDC has smallpox vaccine stockpile in case of exposure.
, ABIM TEST QUESTIONS WITH
CORRECT ANSWERS
Smallpox immunoglobulins available from CDC if pt cannot receive vaccine for whatever
reason
Equation for Osm Gap - Answer - (2 x Glc) + (BUN / 2.8) + (Glc / 18)
Hallmark of DRESS (Drug Reaction Eosinophilia Systemic Symptoms) - Answer -
Timing - DRESS occurs 2-6 weeks after drug exposure
Think SJS/TEN if rash occurring soon after starting a med
What test confirms risk of falling backwards in parkinson's disease - Answer - Pull test
Head Impulse Test - Answer - Differentiates peripheral and central vertigo
Diagnosis? -- Patient with Nisseria infection with multiple family members who have a
history of Nisseria infections - Answer - Terminal complement deficiency
Severe TBI and Skull Fracture - Do you need abx and steroids? - Answer - CTX is not
indicated (unless signs of meningitis). Steroids have been shown to worsen outcomes in
patients with severe TBI and skull fractures - do not give.
Respiratory Bronchiolitis-associated interstitial lung disease (RB-ILD) CT finding -
Answer - Centrolobular micronodules
pulmonary Langerhans cell histiocytosis CT finding - Answer - Diffuse upper and mid
lung zone thin walled cysts with nodules
desquamative interstitial pneumonia finding on CT - Answer - Alveolar filling - thus lots
of GGO
Indications for valve replacement in AR? - Answer - Severe AR with symptoms
Or
Severe Asx AR with LV diameter > 50 mm or decreased EF
Three diffuse parenchymal lung diseases occurring almost exclusively in smokers -
Answer - Respiratory Bronchiolitis-associated interstitial lung disease (RB-ILD) -
Centrolobular nodules
Pulmonary Langerhans Histocytosis - thin walled cysts
DIP - ground glass
