1|Page
ABFM ITE Latest Exam!!! – Complete Practice Questions,
Answers, and Study Guide for Family Medicine
Residents||Brand New Exam!!!
CAP antibiotic that causes VF - ANSWER: Azithromycin
- The arrhythmia results from prolongation of the QT interval and is also more common in
patients with a prior cardiac history.
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
,2|Page
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
,3|Page
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
Antidepressant that can prolong QT interval to be avoided in those on concomitant atypical
antipsychotics - ANSWER: Citalopram, Escitalopram
Other SSRIs, as well as bupropion, venlafaxine, and mirtazapine, do not have this effect.
Both tricyclic antidepressants and antipsychotics, commonly used in patients also taking
SSRIs, can cause QT prolongation, making their combined use problematic.
Antibiotic for traveller's diarrhoea - ANSWER: Azithromycin
Prevented by washing hands frequently
, 4|Page
Most effective medication for treating fibromyalgia - ANSWER: 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? - ANSWER: 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.
Strongest risk factor for primary hypertension in children and adolescents - ANSWER:
Elevated BMI
Treatment of erythrasma (Wood's lamp coral pink/red fluorescence, fine-scaled with a
cigarette-paper appearance) caused by Corynebacterium minutissimum infection -
ANSWER: Erythromycin
Which investigation is routine in all newborns with Down syndrome? - ANSWER:
Echocardiography
Treatment duration for provoked vs unprovoked PE - ANSWER: 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? - ANSWER: BNP and
procalcitonin levels
How to increase HDL (good cholesterol)? - ANSWER: Add niacin
Dietary recommendation in diverticulosis - ANSWER: High fibre or take fibre
supplements
Side effects of prolonged PPI use - ANSWER: C diff infection, hypoMg, hip fracture
ABFM ITE Latest Exam!!! – Complete Practice Questions,
Answers, and Study Guide for Family Medicine
Residents||Brand New Exam!!!
CAP antibiotic that causes VF - ANSWER: Azithromycin
- The arrhythmia results from prolongation of the QT interval and is also more common in
patients with a prior cardiac history.
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
,2|Page
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
,3|Page
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
Antidepressant that can prolong QT interval to be avoided in those on concomitant atypical
antipsychotics - ANSWER: Citalopram, Escitalopram
Other SSRIs, as well as bupropion, venlafaxine, and mirtazapine, do not have this effect.
Both tricyclic antidepressants and antipsychotics, commonly used in patients also taking
SSRIs, can cause QT prolongation, making their combined use problematic.
Antibiotic for traveller's diarrhoea - ANSWER: Azithromycin
Prevented by washing hands frequently
, 4|Page
Most effective medication for treating fibromyalgia - ANSWER: 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? - ANSWER: 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.
Strongest risk factor for primary hypertension in children and adolescents - ANSWER:
Elevated BMI
Treatment of erythrasma (Wood's lamp coral pink/red fluorescence, fine-scaled with a
cigarette-paper appearance) caused by Corynebacterium minutissimum infection -
ANSWER: Erythromycin
Which investigation is routine in all newborns with Down syndrome? - ANSWER:
Echocardiography
Treatment duration for provoked vs unprovoked PE - ANSWER: 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? - ANSWER: BNP and
procalcitonin levels
How to increase HDL (good cholesterol)? - ANSWER: Add niacin
Dietary recommendation in diverticulosis - ANSWER: High fibre or take fibre
supplements
Side effects of prolonged PPI use - ANSWER: C diff infection, hypoMg, hip fracture
