ABFM ITE EXAMINATION TEST PAPER FULLY
SOLVED QUESTIONS AND VERIFIED ANSWERS
UPDATED 2026
● Malignant vs. benign lung lesions. Answer: Malignant: nonsolid
"ground glass" appearance, size > 6 mm, noncalcified lesions, lesion
size or volume doubling time between 1 month & 1 year, irregular or
spiculated borders
Benign: concentric or "popcorn-like" calcifications, < 6 mm, doubling
times of <1 month or >2-4 years, dense solid-appearing, smooth regular
borders
● Immunotherapy can prevent recurrence of severe allergic reactions
triggered by what?. Answer: wasp/bee stings
● Patients who inject drugs should be screened for?. Answer: HIV,
hepatitis A, hepatitis B, hepatitis C, latent TB
● Signs of a poor latch (breastfeeding). Answer: infant's dimpled cheeks
(not getting enough of the breast in the mouth); inverted or very large
nipples
,good latch - most or all of mother's areola completely in infant's mouth
and not visible during breastfeeding; infant's chin (not nose) should be
against breast
● Which disorder of sexual development is associated with increased
risk of endometrial cancer, celiac disease, and structural heart defects?.
Answer: Turner syndrome
● What reduces risk for recurrent gout attacks?. Answer: colchicine or
NSAID (should be > 8 weeks)
● HCTZ effects... Answer: hypercalcemia
hyperglycemia
hyperuricemia
hypokalemia
hyponatremia
● Androgenetic alopecia vs alopecia areata. Answer: Androgenetic
alopecia - bitemporal thinning of the frontal and vertex scalp in men;
frontal hairline spared and hair thinning most apparent at vertex in
women
- family history of hair loss
,Alopecia areata- acute, patchy hair loss
Anagen effluvium - diffuse hair loss days-weeks after exposure to
chemotherapeutic agents
● Acne treatment. Answer: 1st line - topical retinoids
- adapalene available OTC
- benzoyl peroxide - reduces concentration of cystic acne
best = topical retinoid + benzoyl peroxide
● Pyogenic flexor tenosynovitis. Answer: -develops 2-5 days after
penetrating hand injury
-4 "Kanavel" signs - pain with passive extension, tenderness with
palpation of the tendon sheath, flexed position of the involved finger,
fusiform swelling of the finger
-Tx: IV Abx, urgent surgical consultation (debridement & irrigation)
within 72 hrs of symptom onset
● Praxis. Answer: ability to carry out intentional motor acts; assessed
by giving patient common object (hairbrush, pencil, etc) & asking
patient to show how it is used
apraxia- unable to carry out such motor acts
, ● Executive functioning. Answer: ordering & implementation of
cognitive functions necessary to engage in appropriate behavior
(assessed by asking patient to draw clock with the hands set at a certain
time)
● Gnosia. Answer: ability to name objects & their function (assessed by
showing a patient a common object such as a pen, watch, stethoscope &
asking whether he/she can identify it and describe how it is used)
● Visuospatial proficiency. Answer: ability to perceive & manipulate
objects & shapes in space
● Celiac disease in children monitoring. Answer: Annual monitoring
with IgA antibody to tissue transglutaminase (IgA anti-tTG); should
decrease if patient adhering to gluten-free diet
screening: IgA tTG antibody testing paired with serum total IgA levels
bc IgA deficiency 10-15x more common in pt with celiac disease
confirmation: small bowel biopsy
● Male, > 65yo, smoked in past
USPSTF screening?. Answer: AAA (abdominal aortic aneurysm)
screening
SOLVED QUESTIONS AND VERIFIED ANSWERS
UPDATED 2026
● Malignant vs. benign lung lesions. Answer: Malignant: nonsolid
"ground glass" appearance, size > 6 mm, noncalcified lesions, lesion
size or volume doubling time between 1 month & 1 year, irregular or
spiculated borders
Benign: concentric or "popcorn-like" calcifications, < 6 mm, doubling
times of <1 month or >2-4 years, dense solid-appearing, smooth regular
borders
● Immunotherapy can prevent recurrence of severe allergic reactions
triggered by what?. Answer: wasp/bee stings
● Patients who inject drugs should be screened for?. Answer: HIV,
hepatitis A, hepatitis B, hepatitis C, latent TB
● Signs of a poor latch (breastfeeding). Answer: infant's dimpled cheeks
(not getting enough of the breast in the mouth); inverted or very large
nipples
,good latch - most or all of mother's areola completely in infant's mouth
and not visible during breastfeeding; infant's chin (not nose) should be
against breast
● Which disorder of sexual development is associated with increased
risk of endometrial cancer, celiac disease, and structural heart defects?.
Answer: Turner syndrome
● What reduces risk for recurrent gout attacks?. Answer: colchicine or
NSAID (should be > 8 weeks)
● HCTZ effects... Answer: hypercalcemia
hyperglycemia
hyperuricemia
hypokalemia
hyponatremia
● Androgenetic alopecia vs alopecia areata. Answer: Androgenetic
alopecia - bitemporal thinning of the frontal and vertex scalp in men;
frontal hairline spared and hair thinning most apparent at vertex in
women
- family history of hair loss
,Alopecia areata- acute, patchy hair loss
Anagen effluvium - diffuse hair loss days-weeks after exposure to
chemotherapeutic agents
● Acne treatment. Answer: 1st line - topical retinoids
- adapalene available OTC
- benzoyl peroxide - reduces concentration of cystic acne
best = topical retinoid + benzoyl peroxide
● Pyogenic flexor tenosynovitis. Answer: -develops 2-5 days after
penetrating hand injury
-4 "Kanavel" signs - pain with passive extension, tenderness with
palpation of the tendon sheath, flexed position of the involved finger,
fusiform swelling of the finger
-Tx: IV Abx, urgent surgical consultation (debridement & irrigation)
within 72 hrs of symptom onset
● Praxis. Answer: ability to carry out intentional motor acts; assessed
by giving patient common object (hairbrush, pencil, etc) & asking
patient to show how it is used
apraxia- unable to carry out such motor acts
, ● Executive functioning. Answer: ordering & implementation of
cognitive functions necessary to engage in appropriate behavior
(assessed by asking patient to draw clock with the hands set at a certain
time)
● Gnosia. Answer: ability to name objects & their function (assessed by
showing a patient a common object such as a pen, watch, stethoscope &
asking whether he/she can identify it and describe how it is used)
● Visuospatial proficiency. Answer: ability to perceive & manipulate
objects & shapes in space
● Celiac disease in children monitoring. Answer: Annual monitoring
with IgA antibody to tissue transglutaminase (IgA anti-tTG); should
decrease if patient adhering to gluten-free diet
screening: IgA tTG antibody testing paired with serum total IgA levels
bc IgA deficiency 10-15x more common in pt with celiac disease
confirmation: small bowel biopsy
● Male, > 65yo, smoked in past
USPSTF screening?. Answer: AAA (abdominal aortic aneurysm)
screening
