ABFM ITE EXAM WITH CORRECT
ANSWERS 2025
CAP antibiotic that causes VF ( Correct answers ) Azithromycin
-The arrhythmia results from prolongation of the QT interval and is also
more common in patients with a prior cardiac history.
Anti-DM medications for weight loss ( Correct answers ) GLP1 receptor
agonists e.g. Exenatide
SGLT-2 inhibitor e.g. Canagliflozin
Screening test with greatest potential for over diagnosis ( Correct
answers ) PSA
Clinical manifestation of amyotrophic lateral sclerosis ( Correct answers )
Asymmetric leg weakness
Opioid to avoid in palliative patient with severe hepatic dysfunction
( Correct answers ) Methadone
-It is metabolized and cleared by the liver, and should therefore not be
used in patients with severe hepatic impairment. It is, however, a
reasonable option for patients with severe renal impairment.
Lung cancer screening with low dose CT Chest annually ( Correct answers )
Adults 55- 80yo with 30 pack year history and currently smoking or quit
within last 15 years
NOAC with reversal agent ( Correct answers ) Dabigatran
Reduces alcoholism but creating an acute ethanol sensitivity ( Correct
answers ) Disulfiram
Antidepressant to be avoided in the elderly ( Correct answers ) Paroxetine
(associated with more anticholinergic effects)
SSRIs > SNRIs, atypical antipsychotics may be added for resistant
depression
Age group between which American Academy of Pediatrics recommends
administration of an autism-specific screening tool ( Correct answers ) 18-24
months old
,Most common neurological complication of Paget's disease of the bone
( Correct answers )
Most common cardiac complication of Lyme disease ( Correct answers )
Heart blocks Examination finding of those with bacterial vaginosis ( Correct
answers ) Vaginal pH
>4.5 (normal vaginal pH should be acidic)
Most common cause of medication-related adverse events across health
care settings in the United States ( Correct answers ) Antibiotics
Screening for asymptomatic carotid artery stenosis ( Correct
answers ) Not recommended
In anaphylaxis, which drug is most likely helpful in preventing the need for
intubation? ( Correct answers )
Barrett's oesophagus with no dysplasia ( Correct answers )
Positive family history of colorectal cancer ( Correct answers ) Individuals
who have a first-degree relative with colorectal cancer or advanced
adenoma diagnosed before 60 years of age or two first-degree relatives
diagnosed at any age should be advised to start screening colonoscopy at
40 years of age or 10 years younger than the earliest diagnosis in their
family, whichever comes first.
Most common cause of hearing loss in newborns ( Correct answers )
Genetic inheritance
Lab findings in Von Willebrand disease ( Correct answers )
U.S. federal labor law requires companies with >50 employees to provide
which benefits for employees who are nursing mothers ( Correct answers )
Influenza vaccination in those with potential egg allergy ( Correct answers )
All currently available influenza vaccines, with the exceptions of recombinant
and cell-culture-based inactivated influenza vaccines, are prepared using
embryonated egg culture and can potentially provoke allergic and
anaphylactic reactions.
For those who report that they can eat lightly cooked scrambled eggs,
vaccination can proceed without precaution or observation. Those who have
experienced only hives can also receive any influenza vaccine appropriate
for their age and health status.
People who have experienced symptoms such as hypotension, wheezing,
nausea, or vomiting, or reactions requiring emergency attention or
epinephrine after eating eggs or egg-containing foods can also receive any
influenza vaccine appropriate for their age
,and health status and also do not need to be observed. However, the
vaccine should be administered by a provider who can recognize and
manage severe allergic reactions.
How is the Timed Up and Go test useful in GRM patients? ( Correct answers )
Helps to assess the risk of falling
Antidepressant that can prolong QT interval to be avoided in those on
concomitant atypical antipsychotics ( Correct answers ) Citalopram,
Escitalopram
Other SSRIs, as well as bupropion, venlafaxine, and mirtazapine, do not have
this effect. Both tricyclic antidepressants and antipsychotics, commonly
used in patients also taking SSRIs, can cause QT prolongation, making their
combined use problematic.
Antibiotic for traveller's diarrhoea ( Correct answers )
Azithromycin Prevented by washing hands frequently
Most effective medication for treating fibromyalgia ( Correct answers )
TCAs > SSRIs (helps with some pain reduction)
In a healthy full-term infant who is exclusively breastfed, iron
supplementation should begin at what age in order to prevent iron
deficiency anaemia? ( Correct answers ) 4 months
- In preterm babies (before 37w), elemental iron supplementation (2mg/kg
per day) should begin at 1 month of age and should continue until 12
months of age, unless the infant had multiple blood transfusions.
In primary nephrotic syndrome, other than proteinuria and low albumin,
what else is commonly observed? ( Correct answers ) Coagulopathy
Chronic medication that can cause B12 deficiency ( Correct answers )
Metformin
Strongest risk factor for primary hypertension in children and
adolescents ( Correct answers ) Elevated BMI
While Staphylococcus aureus and Streptococcus species are the most
common causes of skin and soft-tissue infection, which organism should also
be considered? ( Correct answers ) Pseudomonas
Treatment of erythrasma (Wood's lamp coral pink/red fluorescence, fine-
scaled with a cigarette-paper appearance) caused by Corynebacterium
minutissimum infection ( Correct answers ) Erythromycin
Which radiologic funding of a lung nodule is most predictive of
malignancy? ( Correct answers )
, Which investigation is routine in all newborns with Down syndrome? ( Correct
answers ) Echocardiography
Treatment duration for provoked vs unprovoked PE ( Correct answers ) 3
months and indefinitely respectively
In patients with symptoms indicative of pneumonia or heart failure, what
investigations can be done to determine treatment of either condition or
both? ( Correct answers ) BNP and procalcitonin levels
How to increase HDL (good cholesterol)? ( Correct answers ) Add niacin
Dietary recommendation in diverticulosis ( Correct answers ) High fibre
or take fibre supplements
Side effects of prolonged PPI use ( Correct answers ) C diff infection,
hypoMg, hip fracture
Which antiemetic blocks dopamine stimulation in the chemoreceptor
trigger zone? ( Correct answers ) Metoclopramide
Little League shoulder is a repetitive use injury causing disruption at
the proximal growth plate of the humerus ( Correct answers ) Proximal
humeral epiphysitis.
Can be seen on plain radiographs as widening, demineralization, or
sclerosis at the growth plate.
Taking beta carotene and Vit E to prevent cancer and heart disease
( Correct answers )
Fluoride supplementation should be started at what age when primary
water supply is deficient in fluoride ( Correct answers ) 6 months
Medications that can reduce serum Vitamin D levels ( Correct answers )
Rifampicin, Phenytoin
Isolated posterior cruciate ligament tear ( Correct answers ) Direct blow to
the anterior tibia whilst knee is in flexion
What should patients be periodically monitored for whilst on
Amiodarone? ( Correct answers ) TSH
Drug of choice in depressed persons with cardiovascular disease ( Correct
answers ) SSRIs
Antibiotics causing prolonged QT ( Correct answers ) Macrolides
ANSWERS 2025
CAP antibiotic that causes VF ( Correct answers ) Azithromycin
-The arrhythmia results from prolongation of the QT interval and is also
more common in patients with a prior cardiac history.
Anti-DM medications for weight loss ( Correct answers ) GLP1 receptor
agonists e.g. Exenatide
SGLT-2 inhibitor e.g. Canagliflozin
Screening test with greatest potential for over diagnosis ( Correct
answers ) PSA
Clinical manifestation of amyotrophic lateral sclerosis ( Correct answers )
Asymmetric leg weakness
Opioid to avoid in palliative patient with severe hepatic dysfunction
( Correct answers ) Methadone
-It is metabolized and cleared by the liver, and should therefore not be
used in patients with severe hepatic impairment. It is, however, a
reasonable option for patients with severe renal impairment.
Lung cancer screening with low dose CT Chest annually ( Correct answers )
Adults 55- 80yo with 30 pack year history and currently smoking or quit
within last 15 years
NOAC with reversal agent ( Correct answers ) Dabigatran
Reduces alcoholism but creating an acute ethanol sensitivity ( Correct
answers ) Disulfiram
Antidepressant to be avoided in the elderly ( Correct answers ) Paroxetine
(associated with more anticholinergic effects)
SSRIs > SNRIs, atypical antipsychotics may be added for resistant
depression
Age group between which American Academy of Pediatrics recommends
administration of an autism-specific screening tool ( Correct answers ) 18-24
months old
,Most common neurological complication of Paget's disease of the bone
( Correct answers )
Most common cardiac complication of Lyme disease ( Correct answers )
Heart blocks Examination finding of those with bacterial vaginosis ( Correct
answers ) Vaginal pH
>4.5 (normal vaginal pH should be acidic)
Most common cause of medication-related adverse events across health
care settings in the United States ( Correct answers ) Antibiotics
Screening for asymptomatic carotid artery stenosis ( Correct
answers ) Not recommended
In anaphylaxis, which drug is most likely helpful in preventing the need for
intubation? ( Correct answers )
Barrett's oesophagus with no dysplasia ( Correct answers )
Positive family history of colorectal cancer ( Correct answers ) Individuals
who have a first-degree relative with colorectal cancer or advanced
adenoma diagnosed before 60 years of age or two first-degree relatives
diagnosed at any age should be advised to start screening colonoscopy at
40 years of age or 10 years younger than the earliest diagnosis in their
family, whichever comes first.
Most common cause of hearing loss in newborns ( Correct answers )
Genetic inheritance
Lab findings in Von Willebrand disease ( Correct answers )
U.S. federal labor law requires companies with >50 employees to provide
which benefits for employees who are nursing mothers ( Correct answers )
Influenza vaccination in those with potential egg allergy ( Correct answers )
All currently available influenza vaccines, with the exceptions of recombinant
and cell-culture-based inactivated influenza vaccines, are prepared using
embryonated egg culture and can potentially provoke allergic and
anaphylactic reactions.
For those who report that they can eat lightly cooked scrambled eggs,
vaccination can proceed without precaution or observation. Those who have
experienced only hives can also receive any influenza vaccine appropriate
for their age and health status.
People who have experienced symptoms such as hypotension, wheezing,
nausea, or vomiting, or reactions requiring emergency attention or
epinephrine after eating eggs or egg-containing foods can also receive any
influenza vaccine appropriate for their age
,and health status and also do not need to be observed. However, the
vaccine should be administered by a provider who can recognize and
manage severe allergic reactions.
How is the Timed Up and Go test useful in GRM patients? ( Correct answers )
Helps to assess the risk of falling
Antidepressant that can prolong QT interval to be avoided in those on
concomitant atypical antipsychotics ( Correct answers ) Citalopram,
Escitalopram
Other SSRIs, as well as bupropion, venlafaxine, and mirtazapine, do not have
this effect. Both tricyclic antidepressants and antipsychotics, commonly
used in patients also taking SSRIs, can cause QT prolongation, making their
combined use problematic.
Antibiotic for traveller's diarrhoea ( Correct answers )
Azithromycin Prevented by washing hands frequently
Most effective medication for treating fibromyalgia ( Correct answers )
TCAs > SSRIs (helps with some pain reduction)
In a healthy full-term infant who is exclusively breastfed, iron
supplementation should begin at what age in order to prevent iron
deficiency anaemia? ( Correct answers ) 4 months
- In preterm babies (before 37w), elemental iron supplementation (2mg/kg
per day) should begin at 1 month of age and should continue until 12
months of age, unless the infant had multiple blood transfusions.
In primary nephrotic syndrome, other than proteinuria and low albumin,
what else is commonly observed? ( Correct answers ) Coagulopathy
Chronic medication that can cause B12 deficiency ( Correct answers )
Metformin
Strongest risk factor for primary hypertension in children and
adolescents ( Correct answers ) Elevated BMI
While Staphylococcus aureus and Streptococcus species are the most
common causes of skin and soft-tissue infection, which organism should also
be considered? ( Correct answers ) Pseudomonas
Treatment of erythrasma (Wood's lamp coral pink/red fluorescence, fine-
scaled with a cigarette-paper appearance) caused by Corynebacterium
minutissimum infection ( Correct answers ) Erythromycin
Which radiologic funding of a lung nodule is most predictive of
malignancy? ( Correct answers )
, Which investigation is routine in all newborns with Down syndrome? ( Correct
answers ) Echocardiography
Treatment duration for provoked vs unprovoked PE ( Correct answers ) 3
months and indefinitely respectively
In patients with symptoms indicative of pneumonia or heart failure, what
investigations can be done to determine treatment of either condition or
both? ( Correct answers ) BNP and procalcitonin levels
How to increase HDL (good cholesterol)? ( Correct answers ) Add niacin
Dietary recommendation in diverticulosis ( Correct answers ) High fibre
or take fibre supplements
Side effects of prolonged PPI use ( Correct answers ) C diff infection,
hypoMg, hip fracture
Which antiemetic blocks dopamine stimulation in the chemoreceptor
trigger zone? ( Correct answers ) Metoclopramide
Little League shoulder is a repetitive use injury causing disruption at
the proximal growth plate of the humerus ( Correct answers ) Proximal
humeral epiphysitis.
Can be seen on plain radiographs as widening, demineralization, or
sclerosis at the growth plate.
Taking beta carotene and Vit E to prevent cancer and heart disease
( Correct answers )
Fluoride supplementation should be started at what age when primary
water supply is deficient in fluoride ( Correct answers ) 6 months
Medications that can reduce serum Vitamin D levels ( Correct answers )
Rifampicin, Phenytoin
Isolated posterior cruciate ligament tear ( Correct answers ) Direct blow to
the anterior tibia whilst knee is in flexion
What should patients be periodically monitored for whilst on
Amiodarone? ( Correct answers ) TSH
Drug of choice in depressed persons with cardiovascular disease ( Correct
answers ) SSRIs
Antibiotics causing prolonged QT ( Correct answers ) Macrolides
