ABFM EXAM WITH CORRECT
ANSWERS 2025
child with head
lice
rx'd with shampoo
still has nits in
permethrin
her
can she go to school? ( Correct
answers
as long as
) continue
yes home remedy, nit combing and repeat permethrin
shampoo in 6
day
s
is diverticular bleeding painful? ( Correct
-answers
abdominal
) no
pains
BP recommendation for >65 ( Correct answers )
150/90
young
boy
left hip
afebril
pain
e
ESR
WBC
normal l
norma
Radiograph 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,
diltiaze
m
16
fatigu
yo
e
on OCPs
low bleed on
periods
normal
TSH
normal
Hct
normal RBC
MCV
count
<80
what lab test next? ( Correct answers ) Hgb
electrophoresis
,- check beta
thalassemia
Signs of
- mainly motor sx ( Correct answers ) asymmetrical weakness in legs,
ALS
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
( Correct pt answers )
metformin
"alpha-glucosidase inhibitors
(acarbose)
orlist
at
thiazolidinedion
es
most specific sign of peritonsillar abscess ( Correct answers ) difficulty
opening mouth
rx management for concussion ( Correct answers ) physical and
-cognitive
avoid physical
rest activity that
-exacerbate sx
avoid activities that
concentration or attention, such as schoolwork and
require
electronics use.
lung cancer screening recommendation ( Correct answers )
ANNUAL
low-dose noncontrast
Asymptomatic adults 55-80 yo who have a 30-pack-year smoking history
CT
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 at what GA? ( Correct answers )
scheduled
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
answers )
naltrexon
e
,do not use acamprosate if renal
disease
which SSRI should be prevented in elderly ( Correct answers )
- anticholinergic
paroxetine
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
received Tdap 3 years
gestation
ago
what vaccine should she receive? ( Correct answers )
Tdap
27 -36again
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
intercours
e
other
s:
- spermicide
- previous
use
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
year q3
s
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
what meds do you start on ( Correct answers ) calcium and vit d
<20%
supplements
, test for meniscus tears ( Correct answers )
thessaly test
This patient has low energy, menstrual irregularities, and a history of
stress
BMI fractures,
<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
pt can prevent this by? ( Correct answers ) albuterol 10-15min
asthma
before exercise
does ankylosing spondylitis improve with exercise and activity? ( Correct
answers ) yes
also
note:
- pain worse in
- stiffness worse in
evening
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 andin 1
PPSV23
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
yo
u
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 ) of genital warts should be based on patient preference and cost.
Treatment
treatment
There is nothat is more effective than others, and the recurrence rate for any
relatively
treatment is
high.
ANSWERS 2025
child with head
lice
rx'd with shampoo
still has nits in
permethrin
her
can she go to school? ( Correct
answers
as long as
) continue
yes home remedy, nit combing and repeat permethrin
shampoo in 6
day
s
is diverticular bleeding painful? ( Correct
-answers
abdominal
) no
pains
BP recommendation for >65 ( Correct answers )
150/90
young
boy
left hip
afebril
pain
e
ESR
WBC
normal l
norma
Radiograph 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,
diltiaze
m
16
fatigu
yo
e
on OCPs
low bleed on
periods
normal
TSH
normal
Hct
normal RBC
MCV
count
<80
what lab test next? ( Correct answers ) Hgb
electrophoresis
,- check beta
thalassemia
Signs of
- mainly motor sx ( Correct answers ) asymmetrical weakness in legs,
ALS
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
( Correct pt answers )
metformin
"alpha-glucosidase inhibitors
(acarbose)
orlist
at
thiazolidinedion
es
most specific sign of peritonsillar abscess ( Correct answers ) difficulty
opening mouth
rx management for concussion ( Correct answers ) physical and
-cognitive
avoid physical
rest activity that
-exacerbate sx
avoid activities that
concentration or attention, such as schoolwork and
require
electronics use.
lung cancer screening recommendation ( Correct answers )
ANNUAL
low-dose noncontrast
Asymptomatic adults 55-80 yo who have a 30-pack-year smoking history
CT
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 at what GA? ( Correct answers )
scheduled
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
answers )
naltrexon
e
,do not use acamprosate if renal
disease
which SSRI should be prevented in elderly ( Correct answers )
- anticholinergic
paroxetine
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
received Tdap 3 years
gestation
ago
what vaccine should she receive? ( Correct answers )
Tdap
27 -36again
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
intercours
e
other
s:
- spermicide
- previous
use
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
year q3
s
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
what meds do you start on ( Correct answers ) calcium and vit d
<20%
supplements
, test for meniscus tears ( Correct answers )
thessaly test
This patient has low energy, menstrual irregularities, and a history of
stress
BMI fractures,
<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
pt can prevent this by? ( Correct answers ) albuterol 10-15min
asthma
before exercise
does ankylosing spondylitis improve with exercise and activity? ( Correct
answers ) yes
also
note:
- pain worse in
- stiffness worse in
evening
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 andin 1
PPSV23
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
yo
u
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 ) of genital warts should be based on patient preference and cost.
Treatment
treatment
There is nothat is more effective than others, and the recurrence rate for any
relatively
treatment is
high.
