RAUH - ABFM ITE Practice for PGY-2
Exam Questions with correct Answers
2025/2026 A+ Graded 100% Verified
CAP Antibiotic that causes V. Fib - ANS- Azithromycin
Prolongation of QTi --> V. Fib
MC if prior cardiac history
Best DM Rx for Weight Loss - ANS- GLP-1 Receptor Agonists e.g. Exenatide (Byetta)
SGLT-2 Inhibitor e.g. Canagliflozin (Invokana)
Screening test with greatest potential for OVER diagnosis - ANS- PSA
Clinical manifestation of amyotrophic lateral sclerosis - ANS- Asymmetric leg weakness
Opioid to AVOID in palliative patient with severe hepatic dysfunction - ANS- Methadone
because metabolized/cleared by the liver
You CAN use Methadone in renal disease
Lung cancer screening with low dose CT Chest annually - ANS- Adults 50-80yo with
20pyhx + currently smoke or quit <15 years ago
NOAC with reversal agent - ANS- Dabigatran (idarucizumab is reversal agent)
Reduces alcoholism but creating an acute ethanol sensitivity - ANS- Disulfiram (aka
Antabuse)
Which antidepressant should you avoid in elderly? - ANS- Paxil/Paroxetine (associated
with more anticholinergic effects)
SSRIs > SNRIs, atypical antipsychotics may be added for resistant depression
Age group between which AAP recommends screening for ASD? - ANS- 18-24 months
old
,Paget's Disease of Bone - MC Neuro Complication? - ANS- Hearing loss due to CN VII
involvement
Lyme Diseaes - MC Cardiac Complication? - ANS- Heart blocks
Bacterial Vaginosis pH - ANS- Vaginal pH >4.5 (normal vaginal pH should be acidic) --> tx
with Flagyl
MCC of Rx-Related Adverse Events in USA? - ANS- Antibiotics
Should you screen for asymptomatic carotid artery stenosis? - ANS- Not Recommended
In anaphylaxis, which drug is most likely going to prevent need for intubation? - ANS- IM
Epinephrine
Mgmt for Barrett's Esophagus with No Dysplasia - ANS- Monitor with Endo q2-3 years
Fam Hx of Colorectal Cancer - Colonoscopy Guidelines? - ANS- 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.
MCC of Newborn Hearing Loss - ANS- Genetic Inheritance
Lab findings in Von Willebrand disease - ANS- Get Riscocetin Assay
~Platelet Count
~Bleeding Time
+Elevated PTT
FMLA requires companies with >50 employees to provide what for nursing mothers.? -
ANS- time + space for breastfeeding at work
Flu Vaccines with Egg Allergy - ANS- 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? - ANS- Fall Risk Assessment
Antidepressant that can prolong QT interval to be avoided in those on concomitant
atypical antipsychotics - ANS- Citalopram, Escitalopram
Other SSRIs, as well as bupropion, venlafaxine, and mirtazapine, do not have this effect.
Both TCAs and antipsychotics, commonly used in patients also taking SSRIs, can cause
QT prolongation, making their combined use problematic.
Traveler's Diarrhea Abx? - ANS- Hand Washing --> Azithromycin
Fibromyalgia Rx - ANS- 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? - ANS- 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? - ANS- Coagulopathy
Chronic medication that can cause B12 deficiency - ANS- Metformin
Strongest risk factor for primary hypertension in children and adolescents - ANS-
Elevated BMI
While S. Aureus & Strep are MCC of soft-tissue infection, you should also look for...? -
ANS- Pseudomonas
Treatment of erythrasma (Wood's lamp coral pink/red fluorescence, fine-scaled with a
cigarette-paper appearance) caused by Corynebacterium minutissimum infection - ANS-
Erythromycin
Which radiologic funding of a lung nodule is most predictive of malignancy? - ANS-
Spiculation
, Which investigation is routine in all newborns with Down syndrome? - ANS-
Echocardiography
Treatment duration for provoked vs unprovoked PE - ANS- 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? - ANS- BNP and
procalcitonin levels
How to increase HDL (good cholesterol)? - ANS- +Niacin
Diverticulosis Tx? - ANS- +Fiber
Side effects of prolonged PPI use - ANS- C. Diff, low mag, hip fracture
Which antiemetic blocks dopamine stimulation in the chemoreceptor trigger zone? -
ANS- Metoclopramide
Little League shoulder is a repetitive use injury causing disruption at the proximal growth
plate of the humerus - ANS- 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 - ANS- Not
recommended per USPSTF
Fluoride supplementation should be started at what age when primary water supply is
deficient in fluoride - ANS- 6 months
Medications that can reduce serum Vitamin D levels - ANS- Rifampicin, Phenytoin
Isolated PCL tear mechanism of injury - ANS- Direct blow to the anterior tibia whilst knee
is in flexion
What should patients be periodically monitored for whilst on Amiodarone? - ANS- TSH
Drug of choice in depressed persons with heart disease? - ANS- SSRIs
Antibiotics causing prolonged QT - ANS- Macrolides
Benign nocturnal limb pains of childhood (previously known as "growing pains") - ANS-
Usually occur in the evening or night time, may sometimes wake patient from sleep,
Exam Questions with correct Answers
2025/2026 A+ Graded 100% Verified
CAP Antibiotic that causes V. Fib - ANS- Azithromycin
Prolongation of QTi --> V. Fib
MC if prior cardiac history
Best DM Rx for Weight Loss - ANS- GLP-1 Receptor Agonists e.g. Exenatide (Byetta)
SGLT-2 Inhibitor e.g. Canagliflozin (Invokana)
Screening test with greatest potential for OVER diagnosis - ANS- PSA
Clinical manifestation of amyotrophic lateral sclerosis - ANS- Asymmetric leg weakness
Opioid to AVOID in palliative patient with severe hepatic dysfunction - ANS- Methadone
because metabolized/cleared by the liver
You CAN use Methadone in renal disease
Lung cancer screening with low dose CT Chest annually - ANS- Adults 50-80yo with
20pyhx + currently smoke or quit <15 years ago
NOAC with reversal agent - ANS- Dabigatran (idarucizumab is reversal agent)
Reduces alcoholism but creating an acute ethanol sensitivity - ANS- Disulfiram (aka
Antabuse)
Which antidepressant should you avoid in elderly? - ANS- Paxil/Paroxetine (associated
with more anticholinergic effects)
SSRIs > SNRIs, atypical antipsychotics may be added for resistant depression
Age group between which AAP recommends screening for ASD? - ANS- 18-24 months
old
,Paget's Disease of Bone - MC Neuro Complication? - ANS- Hearing loss due to CN VII
involvement
Lyme Diseaes - MC Cardiac Complication? - ANS- Heart blocks
Bacterial Vaginosis pH - ANS- Vaginal pH >4.5 (normal vaginal pH should be acidic) --> tx
with Flagyl
MCC of Rx-Related Adverse Events in USA? - ANS- Antibiotics
Should you screen for asymptomatic carotid artery stenosis? - ANS- Not Recommended
In anaphylaxis, which drug is most likely going to prevent need for intubation? - ANS- IM
Epinephrine
Mgmt for Barrett's Esophagus with No Dysplasia - ANS- Monitor with Endo q2-3 years
Fam Hx of Colorectal Cancer - Colonoscopy Guidelines? - ANS- 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.
MCC of Newborn Hearing Loss - ANS- Genetic Inheritance
Lab findings in Von Willebrand disease - ANS- Get Riscocetin Assay
~Platelet Count
~Bleeding Time
+Elevated PTT
FMLA requires companies with >50 employees to provide what for nursing mothers.? -
ANS- time + space for breastfeeding at work
Flu Vaccines with Egg Allergy - ANS- 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? - ANS- Fall Risk Assessment
Antidepressant that can prolong QT interval to be avoided in those on concomitant
atypical antipsychotics - ANS- Citalopram, Escitalopram
Other SSRIs, as well as bupropion, venlafaxine, and mirtazapine, do not have this effect.
Both TCAs and antipsychotics, commonly used in patients also taking SSRIs, can cause
QT prolongation, making their combined use problematic.
Traveler's Diarrhea Abx? - ANS- Hand Washing --> Azithromycin
Fibromyalgia Rx - ANS- 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? - ANS- 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? - ANS- Coagulopathy
Chronic medication that can cause B12 deficiency - ANS- Metformin
Strongest risk factor for primary hypertension in children and adolescents - ANS-
Elevated BMI
While S. Aureus & Strep are MCC of soft-tissue infection, you should also look for...? -
ANS- Pseudomonas
Treatment of erythrasma (Wood's lamp coral pink/red fluorescence, fine-scaled with a
cigarette-paper appearance) caused by Corynebacterium minutissimum infection - ANS-
Erythromycin
Which radiologic funding of a lung nodule is most predictive of malignancy? - ANS-
Spiculation
, Which investigation is routine in all newborns with Down syndrome? - ANS-
Echocardiography
Treatment duration for provoked vs unprovoked PE - ANS- 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? - ANS- BNP and
procalcitonin levels
How to increase HDL (good cholesterol)? - ANS- +Niacin
Diverticulosis Tx? - ANS- +Fiber
Side effects of prolonged PPI use - ANS- C. Diff, low mag, hip fracture
Which antiemetic blocks dopamine stimulation in the chemoreceptor trigger zone? -
ANS- Metoclopramide
Little League shoulder is a repetitive use injury causing disruption at the proximal growth
plate of the humerus - ANS- 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 - ANS- Not
recommended per USPSTF
Fluoride supplementation should be started at what age when primary water supply is
deficient in fluoride - ANS- 6 months
Medications that can reduce serum Vitamin D levels - ANS- Rifampicin, Phenytoin
Isolated PCL tear mechanism of injury - ANS- Direct blow to the anterior tibia whilst knee
is in flexion
What should patients be periodically monitored for whilst on Amiodarone? - ANS- TSH
Drug of choice in depressed persons with heart disease? - ANS- SSRIs
Antibiotics causing prolonged QT - ANS- Macrolides
Benign nocturnal limb pains of childhood (previously known as "growing pains") - ANS-
Usually occur in the evening or night time, may sometimes wake patient from sleep,
