ABFM ITE Exam With 100% Correct Answers 2023

ABFM ITE Exam With 100% Correct Answers 2023 3 Year old child speaks 100 words no hearing concerns does this kid need intervention? what kind? - Correct Answer-YES 3 YR SHOULD SPEAK ABOUT 300 WORDS REFER TO SPEECH LANGUAGE EARLY DEVELOPMENT INTERVENTION PROGRAM 28 YR PT HAS ATHRALGIA IN SEVERAL JOINTS + RASH ON ARMS TOW BUG - Correct Answer-PARVOVIRUS B19==fifth disease - IN ADULTS CAUSE RASH + ARTHRITIS === Rem- gonorhea also causes: rash, joint pain, can also cause pharyngitis (oral sex) kid has CERVICAL LYMPHADENOPATHY + FEVER TX? - Correct Answer-ANTIBIOTICS TO COVER STREP PYOGEN MSSA === WRONG ANS = FNA = DO THIS IF LN = PRESENT FOR 1 MONTH PT COMES IN WITH KNEE PAIN STATES HAS BEEN TX FOR GOUT FLARES IN PAST KNEE EXAM = SWELLING NO ERYTHEMA KNEE XRAY- SWELLING URIC ACID LEVEL= NORMAL TX? - Correct Answer-DO NOT JUMP TO TX FIRST MAKE SURE THIS IS DUE TO GOUT = EVALUATION OF FLUID FROM KNEE JOINT AND LOOK FOR GOUT SPECIFIC CRYSTALS === REM- TX OF ACUTE GOUT WHEN THERE IS RENAL IMPAIRMENT = PREDNISONE B/C BOTH COLCHICINE AND NSAID ARE CONTRAINDICATED IF RENAL DAMAGE PRESENT 2 PATIENTS WITH H.PYLORI GASTRITIS SX NEITHER HAVE WARNING SX WHAT FACTOR DETERMINES IF REASONABLE TO TX FOR H.PYLORI WITHOUT DOING EGD - Correct Answer-AGE IF PT 55 YEARS AND HAS GERD LIKE SX WITHOUT WARNING SX = OK TO NOT DO EGD AND JUST TX FOR H.PYLORI WHAT TIME RELATED CONSIDERATION SHOULD DOC KEEP IN MIND BEFORE TX STEMI PT WITH FIBRINOLYSIS=tPA if PCI HOSPITAL IS MORE THAN 120 MIN-2 HOURS AWAY - Correct Answer-OK TO TX STEMI WITH FIBRINOLYSIS=tPA AS LONG AS SX STARTED 12 HOURS AGO AND PCI HOSPITAL IS 120 MINS AWAY === PCI= ALWAYS PREFERRED REPERFUSION THERAPY HOWEVER IF 120 MINS TO PCI HOSPITAL = CONSIDER REPERFUSION VIA tPA AS LONG AS SX STARTED 12 HOURS AGO === REMEMBER= FIBRINOLYSIS ONLY TO TX STEMI (never for NSTEMI) What are absolute contraindicationS TO FIBRINOLYSIS THERAPAY FOR STEMI - Correct Answer-H/O OF INTRACRANIAL HEMORRHAGE = ANY-CAN BE ISCHEMIC OR HEMORRHAGIC ACTIVE BLEEDING H/O ISCHEMIC STROKE IN LAST 3 MONTHS PROCALCITONIN IS A BIOMARKER FOR WHAT - Correct Answer-BACTERIAL INFN 3 THINGS TO TEST BEFORE PT IS GIVEN TUVADA=emtricitabine+tenofovir = HIV PROPHYLAXIS - Correct Answer-1. HEP B ANTIGEN 2. RENAL FUNCTION 3. HIV ANTIGEN---truveda is PPX so pt must be negative for HIV Emtricitabine and tenofovir are both active against hepatitis B virus (HBV) infection, so the use of PrEP in patients with active HBV must be carefully considered. Tenofovir can be toxic to the kidneys child has ASTHMA= TAKES QVAR+ALBUTEROL WHAT SHOULD PT DO BEFORE PARTICIPATING IN A SPORT - Correct Answer-30 MIN BEFORE SPORT USE 2 PUFFS OF ALBUTEROL TO USE FINASTERIDE FOR BPH PT MUST HAVE WHAT EXAM VS LAB FINDING - Correct Answer-MUST HAVE EITHER OF TWO TO USE FINASTERIDE TO TX BPH: 1. ON EXAM= ENLARGEMENT OF PROSTATE OR 2. ELEVATED PSA === IF NEITHER OF ABOVE IS TRUE, CAN NOT USE FINASTERIDE INSTEAD USE FLOMAX=TAMSULOSIN WHAT ARE 2 GALLBLADDER CONDITIONS THAT CAN FEVER/INFECTION - Correct Answer-1. ACUTE CHOLECYSITIS-stone in cystic duct = +MURPHY 2. ACUTE CHOLANGITIS=stone in CBD = DILATED CBD, ELEVATED AST/ALT, ALK PHOSPHATASE === REM GALLSTONE== PANCREATITIS MANAGEMENT OF UNILATERAL VS B/L TINNITIS - Correct Answer-UNILATERAL TINNITIS= DANGEROUS = DO MRI