ABFM EXAM QUESTIONS AND
ANSWERS (ALREADY GRADED A+)
child with head lice
rx'd with shampoo permethrin
still has nits in her
can she go to school? - ANSWER-yes
as long as continue home remedy, nit combing and repeat permethrin shampoo in 6
days
is diverticular bleeding painful? - ANSWER-no
- abdominal pains
BP recommendation for >65 - ANSWER-150/90
young boy
left hip pain
afebrile
ESR normal
WBC normal
Radiograph knee and hip normal
dx?
rx? - ANSWER-transient synovitis
rx: nsaids
rx for SVTs but short-term and llong term - ANSWER-CCB eg verapamil, diltiazem
16 yo
fatigue
on OCPs
low bleed on periods
normal TSH
normal Hct
normal RBC count
MCV <80
what lab test next? - ANSWER-Hgb electrophoresis
- check beta thalassemia
Signs of ALS
- mainly motor sx - ANSWER-asymmetrical weakness in legs, feet, ankles
,slurred speech
trouble swallowing
SOB
wt loss
mcc urge incontinence in elderly - ANSWER-detrusor instability
what diabetes medications are good for prevention of developing DM in pre-diabetes pt
- ANSWER-metformin
"alpha-glucosidase inhibitors (acarbose)
orlistat
thiazolidinediones
most specific sign of peritonsillar abscess - ANSWER-difficulty opening mouth
rx management for concussion - ANSWER-physical and cognitive rest
- avoid physical activity that exacerbate sx
- avoid activities that require
concentration or attention, such as schoolwork and electronics use.
lung cancer screening recommendation - ANSWER-ANNUAL
low-dose noncontrast CT
Asymptomatic adults 55-80 yo who have a 30-pack-year smoking history and currently
smoke or have quit smoking within the past 15 years.
non-medical indicated (elective) induction of labor or C-section deliveries should be
scheduled at what GA? - ANSWER-39wks 0 d
drug to prevent seizure in alcohol withdrawal - ANSWER-benzos
initial rx allergic rhinitis - ANSWER-intranasal steroids
most effective medication to prevent relapse in alcohol abuse - ANSWER-naltrexone
do not use acamprosate if renal disease
which SSRI should be prevented in elderly - ANSWER-paroxetine
- anticholinergic effects
,screen for autism at what age in kids? - ANSWER-18 - 24months
bacterial vaginosis has vagina pH ? - ANSWER->4.5
29 yo woman
30weeks gestation
received Tdap 3 years ago
what vaccine should she receive? - ANSWER-Tdap again
27 -36 weeks gestation, regardless of when they last received it
rx for acute gout
pt has HTN and CKD - ANSWER-prednisone
employees with >50 employees need to have what for nursing mothers? - ANSWER-
reasonable unpaid break time to express milk
pt with episodic pains in rectum
happening for years
occur 3-6weeks
sharp, cramp-like pain
last 1-15min
no GI sx
PE normal
dx? - ANSWER-proctalgia fugax
lesion in forearm
looks like actinic keratosis
horn-like projection - ANSWER-cutaenous horn
note:
keratoacanthoma- most commonly on the face, grows very rapidly, and often is more
nodular with a central pit.
pt with allergy (hives) with eggs
can they get inactivated flu vaccine - ANSWER-yes
give it
note: nsaids, colchicine and steroids can be used for acute gout...but prednisone is best
in CKD
mcc med-induced adverse drug events in US - ANSWER-anti-coags
, most common risk factor for uncomplicated cystitis - ANSWER-Frequent sexual
intercourse
others:
- spermicide use
- previous UTI
- new sex partner
- fam hx UTI in first degree female relative
first line rx primary dysmenorrhea - ANSWER-nsaids
surveillance for barett's esophagus without dyspasia - ANSWER-endoscopy q 3 years
best initial rx for keloid - ANSWER-intralesional corticosteroid injections.
rx osteoporosis if 10yr risk of major osteoporotic fracture > ___ % - ANSWER-20%
pt with osteopenia (T <2.5)
risk of fracture <20%
what meds do you start on - ANSWER-calcium and vit d supplements
test for meniscus tears - ANSWER-thessaly test
This patient has low energy, menstrual irregularities, and a history of stress fractures,
BMI <18...is consistent with ______ dx?
what test does she need? - ANSWER-the female athlete triad.
She is at risk for altered bone density and needs a bone mineral density test.
pt with exercise induced asthma
pt can prevent this by? - ANSWER-albuterol 10-15min before exercise
does ankylosing spondylitis improve with exercise and activity? - ANSWER-yes
also note:
- pain worse in evening
- stiffness worse in morning
pt wwith ASCVD risk >7.5% should be started on? - ANSWER-moderate-or-high
intensity statin
note:
- fibrates don't have effect on CVD and are not part of recommendation guidelines
ANSWERS (ALREADY GRADED A+)
child with head lice
rx'd with shampoo permethrin
still has nits in her
can she go to school? - ANSWER-yes
as long as continue home remedy, nit combing and repeat permethrin shampoo in 6
days
is diverticular bleeding painful? - ANSWER-no
- abdominal pains
BP recommendation for >65 - ANSWER-150/90
young boy
left hip pain
afebrile
ESR normal
WBC normal
Radiograph knee and hip normal
dx?
rx? - ANSWER-transient synovitis
rx: nsaids
rx for SVTs but short-term and llong term - ANSWER-CCB eg verapamil, diltiazem
16 yo
fatigue
on OCPs
low bleed on periods
normal TSH
normal Hct
normal RBC count
MCV <80
what lab test next? - ANSWER-Hgb electrophoresis
- check beta thalassemia
Signs of ALS
- mainly motor sx - ANSWER-asymmetrical weakness in legs, feet, ankles
,slurred speech
trouble swallowing
SOB
wt loss
mcc urge incontinence in elderly - ANSWER-detrusor instability
what diabetes medications are good for prevention of developing DM in pre-diabetes pt
- ANSWER-metformin
"alpha-glucosidase inhibitors (acarbose)
orlistat
thiazolidinediones
most specific sign of peritonsillar abscess - ANSWER-difficulty opening mouth
rx management for concussion - ANSWER-physical and cognitive rest
- avoid physical activity that exacerbate sx
- avoid activities that require
concentration or attention, such as schoolwork and electronics use.
lung cancer screening recommendation - ANSWER-ANNUAL
low-dose noncontrast CT
Asymptomatic adults 55-80 yo who have a 30-pack-year smoking history and currently
smoke or have quit smoking within the past 15 years.
non-medical indicated (elective) induction of labor or C-section deliveries should be
scheduled at what GA? - ANSWER-39wks 0 d
drug to prevent seizure in alcohol withdrawal - ANSWER-benzos
initial rx allergic rhinitis - ANSWER-intranasal steroids
most effective medication to prevent relapse in alcohol abuse - ANSWER-naltrexone
do not use acamprosate if renal disease
which SSRI should be prevented in elderly - ANSWER-paroxetine
- anticholinergic effects
,screen for autism at what age in kids? - ANSWER-18 - 24months
bacterial vaginosis has vagina pH ? - ANSWER->4.5
29 yo woman
30weeks gestation
received Tdap 3 years ago
what vaccine should she receive? - ANSWER-Tdap again
27 -36 weeks gestation, regardless of when they last received it
rx for acute gout
pt has HTN and CKD - ANSWER-prednisone
employees with >50 employees need to have what for nursing mothers? - ANSWER-
reasonable unpaid break time to express milk
pt with episodic pains in rectum
happening for years
occur 3-6weeks
sharp, cramp-like pain
last 1-15min
no GI sx
PE normal
dx? - ANSWER-proctalgia fugax
lesion in forearm
looks like actinic keratosis
horn-like projection - ANSWER-cutaenous horn
note:
keratoacanthoma- most commonly on the face, grows very rapidly, and often is more
nodular with a central pit.
pt with allergy (hives) with eggs
can they get inactivated flu vaccine - ANSWER-yes
give it
note: nsaids, colchicine and steroids can be used for acute gout...but prednisone is best
in CKD
mcc med-induced adverse drug events in US - ANSWER-anti-coags
, most common risk factor for uncomplicated cystitis - ANSWER-Frequent sexual
intercourse
others:
- spermicide use
- previous UTI
- new sex partner
- fam hx UTI in first degree female relative
first line rx primary dysmenorrhea - ANSWER-nsaids
surveillance for barett's esophagus without dyspasia - ANSWER-endoscopy q 3 years
best initial rx for keloid - ANSWER-intralesional corticosteroid injections.
rx osteoporosis if 10yr risk of major osteoporotic fracture > ___ % - ANSWER-20%
pt with osteopenia (T <2.5)
risk of fracture <20%
what meds do you start on - ANSWER-calcium and vit d supplements
test for meniscus tears - ANSWER-thessaly test
This patient has low energy, menstrual irregularities, and a history of stress fractures,
BMI <18...is consistent with ______ dx?
what test does she need? - ANSWER-the female athlete triad.
She is at risk for altered bone density and needs a bone mineral density test.
pt with exercise induced asthma
pt can prevent this by? - ANSWER-albuterol 10-15min before exercise
does ankylosing spondylitis improve with exercise and activity? - ANSWER-yes
also note:
- pain worse in evening
- stiffness worse in morning
pt wwith ASCVD risk >7.5% should be started on? - ANSWER-moderate-or-high
intensity statin
note:
- fibrates don't have effect on CVD and are not part of recommendation guidelines
