ABFM ITE Prep Test Questions With Verified Solutions

ABFM ITE Prep Test Questions With Verified Solutions Persistent HTN is defined as ______. - ANSWER HTN despite 3 or more antiHTN rx, including a diuretics HTN + Hyperkalemia + low renin + elevated aldosterone. Dx? - ANSWER Primary hyperaldosteronism A ______ would be used to evaluate for a neuroendocrine tumor, which can present as chronic flushing and diarrhea. - ANSWER 24-hour urine collection for 5- hydroxyindoleacetic acid (5-HIAA) ______ level can be checked if Cushing syndrome is suspected. Hypertension, obesity and an elevated blood glucose level due to insulin resistance. - ANSWER Cortisol level Suspect Primary hyperaldosteronism. What Lab? - ANSWER elevated aldosterone/renin ratio painful, subcutaneous, nonulcerated, erythematous nodules, is associated with coccidioidomycosis. Name of rash? - ANSWER Erythema nodosum. can also be associated with streptococcal infections and tuberculosis. cutaneous rash caused by prolonged heat exposure (such as a heating pad) presenting as an otherwise asymptomatic, red, reticulated pattern on the skin. Name of rash? - ANSWER Erythema ab igne Erythematous rash of the face (slapped cheek appearance), arms, and legs associated with parvovirus B19 infection and is usually seen in young children. Name of rash? - ANSWER Erythema infectiosum expanding, erythematous, annular rash with or without central clearing and is often associated with tick exposure (Lyme disease). Name of rash? - ANSWER Erythema migrans raised, annular, target-like lesions with central erythema and is usually associated with herpes simplex virus type 1. Name of rash? - ANSWER Erythema multiforme Screening frequency for esophageal varices in patients with cirrhosis and clinically significant portal hypertension? - ANSWER EGD every 2-3 years - High risk of bleeding features: small varices in patients with decompensated cirrhosis, small varices with red wale signs (thinning of the variceal wall), and medium to large varices. Patient's EGD has small esophageal varices without red wale signs. Next step in the mgmt of esophageal varices ? - ANSWER Repeat EGD in 1-2 years High risk features of esophageal varices? Tx? - ANSWER Small varices in patients with decompensated cirrhosis, small varices with red wale signs (thinning of the variceal wall), and medium to large varices. - primary prophylaxis of hemorrhage include nonselective B-blockers such as propranolol or endoscopic variceal ligation. If nonselective B-blockers are used, they should be continued indefinitely. Octreotide is only given intravenously for acute hemorrhage. No evidence that omeprazole slows the progression of esophageal varices. Best nonpharmacologic management of sundowning (aka behavioral and psychological symptoms of dementia) - ANSWER Sensory stimulation (massage, touch, and music therapy). - Cognitive training is NOT useful in treatment of sundowning use of prophylactic antibiotics for dental procedur