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1. Movement disorders result from dysfunction of which motor system? A. Sensory motor system B. Extrapyramidal motor system C. Cerebellar motor system D. Pyramidal motor system Rationale: Module states movement disorders result from dysfunction of the extrapyramidal motor system, not weakness or sensory deficits.2. Hypokinesia is defined as: A. Sustained muscle contractions B. Paucity of movement C. Random migratory movements D. Too much movement Rationale: Hypokinesia = paucity of mo...

1. A 67-year-old male sees you for a Medicare annual wellness visit. He tells you that his best friend had a stroke and he asks about his risk for stroke. He has no history of stroke, TIA, or neurologic symptoms. He has a family history of cardiovascular disease in his father, who had a myocardial infarction at age 65 and died from a thrombotic stroke at age 71. The patient exercises regularly and has a BMI of 27 kg/m2. His only current medical condition is hyperlipidemia, and his cholester...

ABFM ITE Exam V1 ,V2 ,V3 ,V4 and V5 – 2026/2027 Edition – Actual Questions & Verified Correct Answers

1. A 52-year-old female with morbid obesity is incidentally noted to have mildly elevated AST (SGOT) levels. She does not consume alcohol and denies using recreational drugs. A workup for chronic viral hepatitis and hemochromatosis is negative.Which one of the following is most likely to improve her hepatic condition? A) Pentoxifylline B) Simvastatin (Zocor) C) L-carnitine D) Vitamin E E) Weight loss Rationale: Morbid obesity with mildly elevated AST suggests NAFLD/NASH. Weight loss ...

1. 45-year-old female presents to the emergency department with a 1-week history of facial swelling and progressive dyspnea with exertion. She was diagnosed week ago with non-Hodgkin lymphoma but her medical history is otherwise unremarkable. A chest radiograph is shown below. After hospital admission, which one of the following would be the most appropriate urgent next step in the management of this condition?A) Intravenous antibiotics B) Echocardiography C) Plasmapheresis D) Bronchoscop...

1. A 36-year-old female presents for evaluation of elevated blood pressure. She is asymptomatic and does not take any medications. On examination her blood pressure is 160/96 mm Hg and her BMI is 26 kg/m2. Fasting laboratory studies include the following: Sodium ……………………………….142 mEq/L (N 136–145) Potassium …………………………….3.0 mEq/L (N 3.5–5.1) Creatinine …………………………….0.76 mg/dL (N 0.6–1.1)Glucose ……………………...

1. A 4-week-old white male is brought to your office with a 2-week history of increasing dyspnea, cough, and poor feeding. The child appears nontoxic and is afebrile. On examination you note conjunctivitis, and a chest examination reveals tachypnea and crackles. A chest film showshyperinflation and diffuse interstitial infiltrates and a WBC count reveals eosinophilia. What is the most likely etiologic agent? A) Staphylococcus species B) Chlamydia trachomatis C) Respiratory syncytial vi...

1. When a motorcycle rider wants to turn while moving faster than 25 km/h, s/he must use the A. Gear changing method B. Push steering method C. Brakes blocking method D. Clutch pushing methodRationale: When travelling at speeds greater than 25 km/h, the rider must push on the handgrip in the direction of the turn. 2. To keep a motorcycle in good working condition, what formula must be followed by the driver every day? A. 10-point check formula B. 15-point check formula C. 12-point che...

1. A client requires chemotherapy and radiation. The client agrees to the treatment on the condition that he receives constant nursing support due to his anxiety. What should the nurse do? a. Work within the normal staffing parameters. b. Suggest the client consider hiring a private nurse. c. Provide the extra care requested by the client. d. Advocate for effective care for the client. Rationale: Client consent cannot be conditional on staffing beyond resources. Advocacy balances anxiety...

Question 1: Which headache sign does not warrant an immediate investigation? A. aggravated or relieved by change of position B. precipitated by Valsalva maneuver C. new onset after age 50 D. relieved with use of common analgesics Rationale: Pain relieved by common analgesics is typical of benign primary headache. Red flags requiring workup are positional change,Valsalva precipitation, and new onset >50 y/o suggesting secondary cause. Question 2: During a migraine, what happens to th...

1. The only point in the cycle of a coordinated traffic signal controller were the major street phase is allowed to end is called? • Yield Point Rationale: In coordination, major street can only be terminated at the yield point to maintain cycle/offset. This is the force-off point for coordinated phases. 2. Which of the following is not a common mode of operation for timing plans in a signal system: • A. Period time of day • B. Traffic related • C. Traffic responsive • D. T...

Patient 1 Total NIHSS Score: 8 1a. Level of Consciousness • 0 = Alert, keenly responsive CORRECT • 1 = Not alert, but arousable by minor stimulation • 2 = Not alert, requires repeated stimulation to attend • 3 = Unresponsive, reflex movements only 1b. LOC Questions (Month, Age) • 0 = Answers both questions correctly CORRECT • 1 = Answers one question correctly • 2 = Answers neither question correctly1c. LOC Commands (Open/Close Eyes, Make Fist) • 0 = Performs both ta...

SECTION A: THEORY QUESTIONS (Q1-Q75) Q1. TOE probe manipulation: Anteflexion moves the imaging plane towards? • A. Posterior • B. Anterior • C. Left • D. Right Rationale: Anteflexion tips probe anteriorly toward aortic valve/LVOT; retroflexion posteriorly. Q2. Frame rate vs depth relationship in TOE? • A. Independent • B. Higher depth increases frame rate• C. Lower depth increases frame rate • D. Depth only affects gain Rationale: Frame rate inversely related to dep...

Q1. 58yo male with BP 156/94 mmHg on 2 occasions, PMH obesity, no diabetes. Labs: K+ 4.1, Cr 0.9, A1c 5.6. What is first-line pharmacologic therapy per 2024 AHA guidelines? A. Lisinopril 10mg daily B. Metoprolol 50mg daily C. Amlodipine 5mg daily or Thiazide diuretic CORRECT D. Clonidine 0.1mg BID Rationale: In non-Black adults without compelling indications, first-line includes thiazide, ACE/ARB, or DHP CCB. Beta-blockers and central agents are not first-line. Q2. 45yo female with Typ...

1. 62yo HTN on lisinopril 10mg BP 148/92 K 5.6 best next? A. Increase lisinopril 20mg B. Stop ACE + kayexalate C. Add losartan D. Add amlodipine 5 mg + recheck BMP Correct Answer Rationale: Add CCB without worsening K; dual ACE/ARB contraindicated. 2. HFrEF EF 30% which reduces mortality? A. Digoxin B. Furosemide Correct Answer C. Sacubitril/valsartan (Entresto) D. AmlodipineRationale: ARNI, beta-blockers, MRA, SGLT2i reduce mortality; diuretics/digoxin symptom only.

1. A 58-year-old man with T2DM for 6 years on metformin 1000 mg BID has A1c 8.4% (was 7.1% last year), BMI 36.2 kg/m², BP 138/86, eGFR 68 mL/min, UACR 42 mg/g. History of MI 2 years ago. He reports increased hunger and weight gain. Which add-on therapy best aligns with ADA 2025 Standards for glycemic, weight, and CV risk reduction? A. Glipizide 5 mg daily B. Insulin glargine 10 units HS C. Sitagliptin 100 mg daily D. Semaglutide 0.25 mg weekly titrated to 1 mg weekly Rationale: Rationa...

1. Knee OA X-ray? A. Weight loss exercise PT topical NSAID B. TKA immediate C. Opioid D. Bed rest Rationale: First-line OA conservative: weight loss, exercise, PT, topical NSAID, then oral NSAID. 2. Chlamydia partner management? A. Azithromycin B. Doxy + treat partners 60d, abstain 7d, retest 3mo C. No partner D. PenicillinRationale: Treat with doxy 7d, partners from last 60d need treatment, abstain 7d after treatment, retest 3 months, screen for gonorrhea/HIV/syphilis. 3. Hyperthyr...

1. A 58yo with T2DM on metformin 1000mg BID has A1c 8.2%, eGFR 62. What is best next step per ADA? A. Add glipizide B. Add GLP-1 RA like semaglutide C. Stop metformin D. Add basal insulin Rationale: A1c above target on metformin, eGFR >30. ADA 2025 recommends adding GLP-1 RA or SGLT2i for patients with ASCVD risk/weight benefit. GLP-1 preferred for weight loss and low hypoglycemia risk.2. 45yo female with hypothyroidism, fatigue, weight gain. TSH 12.5, Free T4 low. Current levothyro...

1. The nurse is monitoring fluid volume status of a client with heart failure at risk for dehydration. Most effective intervention? A. Weigh the client every morning before breakfast, same clothes, same scale B. Check skin turgor C. Monitor intake and output D. Assess peripheral edema