ITE 2026 EXAM QUESTIONS &
VERIFIED ANSWERS RATED 100%
CORRECT
Ottawa ankle/foot rules (5 total) - CORRECT ANSWER 1. Inability to
ambulate/emulation w limp for 4 steps
2. Tenderness to the distal fibula
3. Tenderness to distal tibia
4. Tenderness at the base of the 5th metatarsal
5. Tenderness at the navicular bone
Iritis/Uveitis causes - CORRECT ANSWER Trauma, infection, idiopathic (UC)
Iritis/Uveitis symptoms - CORRECT ANSWER Painful red eye, photophobia, blurry
vision
iritis/uveitis treatment - CORRECT ANSWER homatropine 1-2% (cyclophelgics), 1%
prednisolone acetate
PERC rule out criteria for PE - CORRECT ANSWER 1. Age <50
2. HR < 100
3. O2 > 95
4. No Unilateral leg swelling
5. No hemoptysis
6. No recent surgery or trauma
7. No prior PE or DVT
8. No hormone usage
*if all criteria are met then less than 2% risk of PE. If any criteria are positive cannot
perc out.
Wells Criteria - CORRECT ANSWER 1. Clinical signs and symptoms of DVT
2. PE most likely diagnosis
3. Hr > 100
4. Immobilized for 3 days or surgery on last 4 weeks
5. Previous PE or DVT
6. Hemoptysis
7. Cancer w tx in past six months or palliative
*risk stratifies into low, moderate, and high risk
, Revised Geneva Score - CORRECT ANSWER 1. Age > 65
2. Pervious PE or DVT
3. Sx or fx in past month
4. Cancer
5. Unilateral lower limb pain
6. Hemoptysis
7. HR
8. Pain on lower limb palpation or unilateral edema
*risk stratified on above criteria
PE fibrinolytics - CORRECT ANSWER TPA 100 mg over 2 hrs
Streptokinase 250k U bolus then at 100kU/hr for 24 hrs
MOA of tPA (Alteplase), (tenectaplase and reteplase are not FDA cleared but
tenectaplase has highest specificity for fibrin) - CORRECT ANSWER conversion of the
zymogen (plasminogen) to plasmin the catalytic form which breaks down fibrin to a
soluble polypeptide
MOA of streptokinase - CORRECT ANSWER binds to plasminogen causing
conformational change that opens up fibrin bindings site and increases the rate of
catabolism
TAPSE - CORRECT ANSWER Tricuspid Annular Plane Systolic Excursion
*find apical 4 chamber view Direct measurement of right ventricular function
• Measurement of vertical distance of tricuspid
lateral annulus
• TAPSE value < 16mm is indicative of dysfunction
5 most common peds mal claims - CORRECT ANSWER 1. arrest
2. appendicitis
3. male genital problems
4. encephalopathy
5. meningitis
Workup rules for fever in infants - CORRECT ANSWER -infants < 28 days- blood
cultures, abx, cbc, cmp, procal, ua, cxr, lp, fluids, admit
-infants > 28 days < 60 days- +/- LP
simple febrile seizure - CORRECT ANSWER age 6 m to 5 y
no focalization
< 15 min
1 in 24 hrs
no signs of CNS infection
VERIFIED ANSWERS RATED 100%
CORRECT
Ottawa ankle/foot rules (5 total) - CORRECT ANSWER 1. Inability to
ambulate/emulation w limp for 4 steps
2. Tenderness to the distal fibula
3. Tenderness to distal tibia
4. Tenderness at the base of the 5th metatarsal
5. Tenderness at the navicular bone
Iritis/Uveitis causes - CORRECT ANSWER Trauma, infection, idiopathic (UC)
Iritis/Uveitis symptoms - CORRECT ANSWER Painful red eye, photophobia, blurry
vision
iritis/uveitis treatment - CORRECT ANSWER homatropine 1-2% (cyclophelgics), 1%
prednisolone acetate
PERC rule out criteria for PE - CORRECT ANSWER 1. Age <50
2. HR < 100
3. O2 > 95
4. No Unilateral leg swelling
5. No hemoptysis
6. No recent surgery or trauma
7. No prior PE or DVT
8. No hormone usage
*if all criteria are met then less than 2% risk of PE. If any criteria are positive cannot
perc out.
Wells Criteria - CORRECT ANSWER 1. Clinical signs and symptoms of DVT
2. PE most likely diagnosis
3. Hr > 100
4. Immobilized for 3 days or surgery on last 4 weeks
5. Previous PE or DVT
6. Hemoptysis
7. Cancer w tx in past six months or palliative
*risk stratifies into low, moderate, and high risk
, Revised Geneva Score - CORRECT ANSWER 1. Age > 65
2. Pervious PE or DVT
3. Sx or fx in past month
4. Cancer
5. Unilateral lower limb pain
6. Hemoptysis
7. HR
8. Pain on lower limb palpation or unilateral edema
*risk stratified on above criteria
PE fibrinolytics - CORRECT ANSWER TPA 100 mg over 2 hrs
Streptokinase 250k U bolus then at 100kU/hr for 24 hrs
MOA of tPA (Alteplase), (tenectaplase and reteplase are not FDA cleared but
tenectaplase has highest specificity for fibrin) - CORRECT ANSWER conversion of the
zymogen (plasminogen) to plasmin the catalytic form which breaks down fibrin to a
soluble polypeptide
MOA of streptokinase - CORRECT ANSWER binds to plasminogen causing
conformational change that opens up fibrin bindings site and increases the rate of
catabolism
TAPSE - CORRECT ANSWER Tricuspid Annular Plane Systolic Excursion
*find apical 4 chamber view Direct measurement of right ventricular function
• Measurement of vertical distance of tricuspid
lateral annulus
• TAPSE value < 16mm is indicative of dysfunction
5 most common peds mal claims - CORRECT ANSWER 1. arrest
2. appendicitis
3. male genital problems
4. encephalopathy
5. meningitis
Workup rules for fever in infants - CORRECT ANSWER -infants < 28 days- blood
cultures, abx, cbc, cmp, procal, ua, cxr, lp, fluids, admit
-infants > 28 days < 60 days- +/- LP
simple febrile seizure - CORRECT ANSWER age 6 m to 5 y
no focalization
< 15 min
1 in 24 hrs
no signs of CNS infection
