ABFM ITE COMPREHENSIVE EXAM 2026
QUESTIONS AND ANSWERS 100% CORRECT
◉ Anti-DM medications for weight loss. Answer: GLP1 receptor
agonists e.g. Exenatide
SGLT-2 inhibitor e.g. Canagliflozin
◉ Screening test with greatest potential for over diagnosis. Answer: PSA
◉ Clinical manifestation of amyotrophic lateral sclerosis. Answer:
Asymmetric leg weakness
◉ Opioid to avoid in palliative patient with severe hepatic dysfunction.
Answer: 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. Answer:
Adults 55-80yo with 30 pack year history and currently smoking or quit
within last 15 years
,◉ NOAC with reversal agent. Answer: Dabigatran
◉ Reduces alcoholism but creating an acute ethanol sensitivity. Answer:
Disulfiram
◉ Antidepressant to be avoided in the elderly. Answer: 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.
Answer: 18-24 months old
◉ Most common neurological complication of Paget's disease of the
bone. Answer: Hearing loss
◉ Most common cardiac complication of Lyme disease. Answer: Heart
blocks
◉ Examination finding of those with bacterial vaginosis. Answer:
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. Answer: Antibiotics
◉ Screening for asymptomatic carotid artery stenosis. Answer: Not
recommended
May start statins.
Repeating ultrasonography annually to monitor for progression of the
disease and to guide intervention is also considered reasonable.
◉ In anaphylaxis, which drug is most likely helpful in preventing the
need for intubation?. Answer: Epinephrine
◉ Barrett's oesophagus with no dysplasia. Answer: Surveillance with
endoscopy every 3 years
◉ Positive family history of colorectal cancer. Answer: 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. Answer: Genetic
inheritance
◉ Influenza vaccination in those with potential egg allergy. Answer: 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?. Answer:
Helps to assess the risk of falling
QUESTIONS AND ANSWERS 100% CORRECT
◉ Anti-DM medications for weight loss. Answer: GLP1 receptor
agonists e.g. Exenatide
SGLT-2 inhibitor e.g. Canagliflozin
◉ Screening test with greatest potential for over diagnosis. Answer: PSA
◉ Clinical manifestation of amyotrophic lateral sclerosis. Answer:
Asymmetric leg weakness
◉ Opioid to avoid in palliative patient with severe hepatic dysfunction.
Answer: 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. Answer:
Adults 55-80yo with 30 pack year history and currently smoking or quit
within last 15 years
,◉ NOAC with reversal agent. Answer: Dabigatran
◉ Reduces alcoholism but creating an acute ethanol sensitivity. Answer:
Disulfiram
◉ Antidepressant to be avoided in the elderly. Answer: 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.
Answer: 18-24 months old
◉ Most common neurological complication of Paget's disease of the
bone. Answer: Hearing loss
◉ Most common cardiac complication of Lyme disease. Answer: Heart
blocks
◉ Examination finding of those with bacterial vaginosis. Answer:
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. Answer: Antibiotics
◉ Screening for asymptomatic carotid artery stenosis. Answer: Not
recommended
May start statins.
Repeating ultrasonography annually to monitor for progression of the
disease and to guide intervention is also considered reasonable.
◉ In anaphylaxis, which drug is most likely helpful in preventing the
need for intubation?. Answer: Epinephrine
◉ Barrett's oesophagus with no dysplasia. Answer: Surveillance with
endoscopy every 3 years
◉ Positive family history of colorectal cancer. Answer: 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. Answer: Genetic
inheritance
◉ Influenza vaccination in those with potential egg allergy. Answer: 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?. Answer:
Helps to assess the risk of falling
