ABFM ITE EXAM WITH CORRECT
ANSWERS 2025
Persistent HTN is defined as . ( Correct answers ) HTN despite 3 or
more antiHTN rx, including a diuretics
HTN + Hyperkalemia + low renin + elevated aldosterone. Dx? ( Correct
answers ) Primary hyperaldosteronism
A would be used to evaluate for a neuroendocrine tumor, which can
present as chronic flushing and diarrhea. ( Correct answers ) 24-hour urine
collection for 5- hydroxyindoleacetic acid (5-HIAA)
level can be checked if Cushing syndrome is suspected.
Hypertension, obesity and an elevated blood glucose level due to insulin
resistance. ( Correct answers ) Cortisol level
Suspect Primary hyperaldosteronism. What Lab? ( Correct answers )
elevated aldosterone/renin ratio
painful, subcutaneous, nonulcerated, erythematous nodules, is associated
with coccidioidomycosis. Name of rash? ( Correct answers ) Erythema
nodosum. can also be associated with streptococcal infections and
tuberculosis.
cutaneous rash caused by prolonged heat exposure (such as a heating pad)
presenting as an otherwise asymptomatic, red, reticulated pattern on the
skin. Name of rash? ( Correct answers ) Erythema ab igne
Erythematous rash of the face (slapped cheek appearance), arms, and legs
associated with parvovirus B19 infection and is usually seen in young
children. Name of rash? (
Correct answers ) Erythema infectiosum
expanding, erythematous, annular rash with or without central clearing
and is often associated with tick exposure (Lyme disease). Name of
rash? ( Correct answers )
Erythema migrans
raised, annular, target-like lesions with central erythema and is
usually associated with herpes simplex virus type 1. Name of rash?
( Correct answers ) Erythema multiforme
Screening frequency for esophageal varices in patients with cirrhosis
and clinically significant portal hypertension? ( Correct answers ) EGD
every 2-3 years
, -High risk of bleeding features: small varices in patients with
decompensated cirrhosis, small varices with red wale signs (thinning of the
variceal wall), and medium to large varices.
Patient's EGD has small esophageal varices without red wale signs. Next
step in the mgmt of esophageal varices ? ( Correct answers ) Repeat EGD
in 1-2 years
High risk features of esophageal varices? Tx? ( Correct answers ) Small
varices in patients with decompensated cirrhosis, small
varices with red wale signs (thinning of the variceal wall), and medium
to large varices.
-primary prophylaxis of hemorrhage include nonselective B-blockers
such as propranolol or endoscopic variceal ligation. If nonselective B-
blockers are used, they should be continued indefinitely. Octreotide is only
given intravenously for acute hemorrhage. No evidence that omeprazole
slows the progression of esophageal varices.
Best nonpharmacologic management of sundowning (aka behavioral and
psychological symptoms of dementia) ( Correct answers ) Sensory
stimulation (massage, touch, and music therapy).
- Cognitive training is NOT useful in treatment of sundowning
use of prophylactic antibiotics for dental procedures in patients with a
history of joint replacement? ( Correct answers ) American Dental
Association and the American Academy of Orthopaedic Surgeons
recommend against routine use of prophylactic antibiotics.
Cardiovascular Medication that is associated with hyperthyroidism. ( Correct
answers ) Amiodarone.
Amiodarone-induced thyrotoxicosis (AIT): a less common cause of
hyperthyroidism.
- Type 1: iodine-induced thyrotoxicosis caused by the high iodine content in
amiodarone
- Type 2: amiodarone-induced thyroiditis.
Tetanus prophylaxis for laceration in a pregnant pt who is up to date on her
vaccines? ( Correct answers ) Tdap between 27 and 36 weeks gestation to
protect against pertussis
Tetanus prophylaxis in nonpregnant patients who have previously
received Tdap. ( Correct answers ) Td
Tetanus prophylaxis if patient had not previously completed the primary
series or were showing signs of clinical tetanus. ( Correct answers ) Tetanus
immune globulin
ANSWERS 2025
Persistent HTN is defined as . ( Correct answers ) HTN despite 3 or
more antiHTN rx, including a diuretics
HTN + Hyperkalemia + low renin + elevated aldosterone. Dx? ( Correct
answers ) Primary hyperaldosteronism
A would be used to evaluate for a neuroendocrine tumor, which can
present as chronic flushing and diarrhea. ( Correct answers ) 24-hour urine
collection for 5- hydroxyindoleacetic acid (5-HIAA)
level can be checked if Cushing syndrome is suspected.
Hypertension, obesity and an elevated blood glucose level due to insulin
resistance. ( Correct answers ) Cortisol level
Suspect Primary hyperaldosteronism. What Lab? ( Correct answers )
elevated aldosterone/renin ratio
painful, subcutaneous, nonulcerated, erythematous nodules, is associated
with coccidioidomycosis. Name of rash? ( Correct answers ) Erythema
nodosum. can also be associated with streptococcal infections and
tuberculosis.
cutaneous rash caused by prolonged heat exposure (such as a heating pad)
presenting as an otherwise asymptomatic, red, reticulated pattern on the
skin. Name of rash? ( Correct answers ) Erythema ab igne
Erythematous rash of the face (slapped cheek appearance), arms, and legs
associated with parvovirus B19 infection and is usually seen in young
children. Name of rash? (
Correct answers ) Erythema infectiosum
expanding, erythematous, annular rash with or without central clearing
and is often associated with tick exposure (Lyme disease). Name of
rash? ( Correct answers )
Erythema migrans
raised, annular, target-like lesions with central erythema and is
usually associated with herpes simplex virus type 1. Name of rash?
( Correct answers ) Erythema multiforme
Screening frequency for esophageal varices in patients with cirrhosis
and clinically significant portal hypertension? ( Correct answers ) EGD
every 2-3 years
, -High risk of bleeding features: small varices in patients with
decompensated cirrhosis, small varices with red wale signs (thinning of the
variceal wall), and medium to large varices.
Patient's EGD has small esophageal varices without red wale signs. Next
step in the mgmt of esophageal varices ? ( Correct answers ) Repeat EGD
in 1-2 years
High risk features of esophageal varices? Tx? ( Correct answers ) Small
varices in patients with decompensated cirrhosis, small
varices with red wale signs (thinning of the variceal wall), and medium
to large varices.
-primary prophylaxis of hemorrhage include nonselective B-blockers
such as propranolol or endoscopic variceal ligation. If nonselective B-
blockers are used, they should be continued indefinitely. Octreotide is only
given intravenously for acute hemorrhage. No evidence that omeprazole
slows the progression of esophageal varices.
Best nonpharmacologic management of sundowning (aka behavioral and
psychological symptoms of dementia) ( Correct answers ) Sensory
stimulation (massage, touch, and music therapy).
- Cognitive training is NOT useful in treatment of sundowning
use of prophylactic antibiotics for dental procedures in patients with a
history of joint replacement? ( Correct answers ) American Dental
Association and the American Academy of Orthopaedic Surgeons
recommend against routine use of prophylactic antibiotics.
Cardiovascular Medication that is associated with hyperthyroidism. ( Correct
answers ) Amiodarone.
Amiodarone-induced thyrotoxicosis (AIT): a less common cause of
hyperthyroidism.
- Type 1: iodine-induced thyrotoxicosis caused by the high iodine content in
amiodarone
- Type 2: amiodarone-induced thyroiditis.
Tetanus prophylaxis for laceration in a pregnant pt who is up to date on her
vaccines? ( Correct answers ) Tdap between 27 and 36 weeks gestation to
protect against pertussis
Tetanus prophylaxis in nonpregnant patients who have previously
received Tdap. ( Correct answers ) Td
Tetanus prophylaxis if patient had not previously completed the primary
series or were showing signs of clinical tetanus. ( Correct answers ) Tetanus
immune globulin
