ABFM EXAM WITH CORRECT ANSWERS
2025
child with head lice
rx'd with shampoo
permethrin still has nits in
her
can she go to school?
( Correct answers ) yes
as long as continue home remedy, nit combing and repeat permethrin
shampoo in 6 days
is diverticular bleeding painful? ( Correct answers ) no
- abdominal pains
BP recommendation for >65 ( Correct answers )
150/90 young boy
left hip
pain
afebrile
ESR
normal
WBC
normal
Radiograp
h knee
and hip
normal
dx?
rx?
( Correct
answers )
transient
synovitis
rx: nsaids
rx for SVTs but short-term and llong term ( Correct answers ) CCB eg
verapamil, diltiazem
16 yo
fatigue
on OCPs
low bleed on
periods normal
TSH
normal Hct
,- check beta thalassemia
Signs of ALS
- mainly motor sx ( Correct answers ) asymmetrical weakness in legs, feet,
ankles
slurred speech
trouble
swallowing SOB
wt loss
mcc urge
incontinence in
elderly ( Correct
answers )
detrusor
instability
what diabetes medications are good for prevention of developing DM in pre-
diabetes pt ( Correct answers ) metformin
"alpha-glucosidase inhibitors
(acarbose) orlistat
thiazolidinediones
most specific sign of peritonsillar abscess ( Correct answers ) difficulty
opening mouth rx management for concussion ( Correct answers ) 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 ( Correct answers )
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? ( Correct answers ) 39wks 0 d
drug to prevent seizure in alcohol withdrawal ( Correct
answers ) benzos initial rx allergic rhinitis ( Correct answers )
intranasal steroids
most effective medication to prevent relapse in alcohol abuse ( Correct
,do not use acamprosate if renal disease
which SSRI should be prevented in elderly ( Correct answers ) paroxetine
- anticholinergic effects
screen for autism at what age in kids? ( Correct answers ) 18 -
24months bacterial vaginosis has vagina pH ? ( Correct
answers ) >4.5
29 yo woman
30weeks
gestation
received Tdap 3
years ago
what vaccine should she receive? ( Correct answers )
Tdap again 27 -36 weeks gestation, regardless of when
they last received it
rx for acute gout
pt has HTN and CKD ( Correct answers ) prednisone
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 ( Correct answers ) anti-coags
most common risk factor for uncomplicated cystitis ( Correct answers )
Frequent sexual intercourse
others:
- spermicide use
- previous UTI
- new sex partner
- fam hx UTI in first degree female relative
first line rx primary dysmenorrhea ( Correct answers ) nsaids
surveillance for barett's esophagus without dyspasia ( Correct answers )
endoscopy q 3 years
best initial rx for keloid ( Correct answers ) intralesional corticosteroid
injections.
rx osteoporosis if 10yr risk of major osteoporotic fracture > %
( Correct answers ) 20%
pt with osteopenia (T
<2.5) risk of fracture
<20%
what meds do you start
on ( Correct answers )
calcium and vit d
, test for meniscus tears ( Correct answers ) 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? ( Correct answers ) 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? ( Correct answers ) albuterol 10-15min
before exercise
does ankylosing spondylitis improve with exercise and activity? ( Correct
answers ) yes also note:
- pain worse in evening
- stiffness worse in morning
pt wwith ASCVD risk >7.5% should be started on? ( Correct answers )
moderate-or- high intensity statin
note:
- fibrates don't have effect on CVD and are not part of recommendation
guidelines
what pneumococcal vaccine should 65yo receive ( Correct answers ) PCV13
now and PPSV23 in 1 year
mcc hearing loss in newborn ( Correct answers ) genetics
A 32-year-old female at 12 weeks gestation presents with an itchy vulvar
lesion, which you
diagnose as external genital warts. Which one of the following would be
accurate advice regarding treatment?
- The recurrence rate is low with treatment
- Cryotherapy is the most effective treatment
- Treatment should be based on patient preference
-Treatment is effective in preventing congenital transmission ( Correct
answers ) Treatment of genital warts should be based on patient preference
and cost. There is no treatment that is more effective than others, and the
recurrence rate for any treatment is relatively high.
2025
child with head lice
rx'd with shampoo
permethrin still has nits in
her
can she go to school?
( Correct answers ) yes
as long as continue home remedy, nit combing and repeat permethrin
shampoo in 6 days
is diverticular bleeding painful? ( Correct answers ) no
- abdominal pains
BP recommendation for >65 ( Correct answers )
150/90 young boy
left hip
pain
afebrile
ESR
normal
WBC
normal
Radiograp
h knee
and hip
normal
dx?
rx?
( Correct
answers )
transient
synovitis
rx: nsaids
rx for SVTs but short-term and llong term ( Correct answers ) CCB eg
verapamil, diltiazem
16 yo
fatigue
on OCPs
low bleed on
periods normal
TSH
normal Hct
,- check beta thalassemia
Signs of ALS
- mainly motor sx ( Correct answers ) asymmetrical weakness in legs, feet,
ankles
slurred speech
trouble
swallowing SOB
wt loss
mcc urge
incontinence in
elderly ( Correct
answers )
detrusor
instability
what diabetes medications are good for prevention of developing DM in pre-
diabetes pt ( Correct answers ) metformin
"alpha-glucosidase inhibitors
(acarbose) orlistat
thiazolidinediones
most specific sign of peritonsillar abscess ( Correct answers ) difficulty
opening mouth rx management for concussion ( Correct answers ) 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 ( Correct answers )
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? ( Correct answers ) 39wks 0 d
drug to prevent seizure in alcohol withdrawal ( Correct
answers ) benzos initial rx allergic rhinitis ( Correct answers )
intranasal steroids
most effective medication to prevent relapse in alcohol abuse ( Correct
,do not use acamprosate if renal disease
which SSRI should be prevented in elderly ( Correct answers ) paroxetine
- anticholinergic effects
screen for autism at what age in kids? ( Correct answers ) 18 -
24months bacterial vaginosis has vagina pH ? ( Correct
answers ) >4.5
29 yo woman
30weeks
gestation
received Tdap 3
years ago
what vaccine should she receive? ( Correct answers )
Tdap again 27 -36 weeks gestation, regardless of when
they last received it
rx for acute gout
pt has HTN and CKD ( Correct answers ) prednisone
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 ( Correct answers ) anti-coags
most common risk factor for uncomplicated cystitis ( Correct answers )
Frequent sexual intercourse
others:
- spermicide use
- previous UTI
- new sex partner
- fam hx UTI in first degree female relative
first line rx primary dysmenorrhea ( Correct answers ) nsaids
surveillance for barett's esophagus without dyspasia ( Correct answers )
endoscopy q 3 years
best initial rx for keloid ( Correct answers ) intralesional corticosteroid
injections.
rx osteoporosis if 10yr risk of major osteoporotic fracture > %
( Correct answers ) 20%
pt with osteopenia (T
<2.5) risk of fracture
<20%
what meds do you start
on ( Correct answers )
calcium and vit d
, test for meniscus tears ( Correct answers ) 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? ( Correct answers ) 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? ( Correct answers ) albuterol 10-15min
before exercise
does ankylosing spondylitis improve with exercise and activity? ( Correct
answers ) yes also note:
- pain worse in evening
- stiffness worse in morning
pt wwith ASCVD risk >7.5% should be started on? ( Correct answers )
moderate-or- high intensity statin
note:
- fibrates don't have effect on CVD and are not part of recommendation
guidelines
what pneumococcal vaccine should 65yo receive ( Correct answers ) PCV13
now and PPSV23 in 1 year
mcc hearing loss in newborn ( Correct answers ) genetics
A 32-year-old female at 12 weeks gestation presents with an itchy vulvar
lesion, which you
diagnose as external genital warts. Which one of the following would be
accurate advice regarding treatment?
- The recurrence rate is low with treatment
- Cryotherapy is the most effective treatment
- Treatment should be based on patient preference
-Treatment is effective in preventing congenital transmission ( Correct
answers ) Treatment of genital warts should be based on patient preference
and cost. There is no treatment that is more effective than others, and the
recurrence rate for any treatment is relatively high.
