ABFM ITE 2026 Exam Questions
with 100% Correct Answers |
Latest Update
1. A 68-year-old male presents to your office with a 2-day history of
headache, muscle aches, and chills. His wife adds that his temperature has
been up to 104.1°F and he seems confused sometimes. His symptoms
have not improved with usual care, including ibuprofen and increased fluid
intake. He and his wife returned from a cruise 10 days ago but don't recall
anyone having a similar illness on the ship. This morning he started to
cough and his wife was concerned because she saw some blood in his
,sputum. He also states that he experiences intermittent shortness of breath
and feels nauseated. His blood pressure is 100/70 mm Hg, heart rate
98/min, temperature 39.4°C (102.9°F), and oxygen saturation 95% on room
air.
Which one of the following would be the preferred method to confirm your
suspected diagnosis of Legionnaires' disease?
A) Initiating azithromycin (Zithromax) to see if symptoms improve
B) A chest radiograph
C - 🧠ANSWER ✔✔ANSWER: E
A urine test for Legionella pneumophila antigen is the preferred method to
confirm Legionnaires' disease. This test is rapid and will only detect
Legionella pneumophila antigen. A sputum culture is the gold standard for
the diagnosis of Legionnaires' disease but it requires 48-72 hours. A chest
radiograph does not confirm the diagnosis but may show the extent of
disease. Responding to antibiotic treatment does not confirm a specific
diagnosis.
,2. Which one of the following factors related to pregnancy and delivery
increases the risk of developmental dysplasia of the hip in infants?
A) A large-for-gestational age infant
B) Twin birth
C) Breech presentation
D) Cesarean delivery
E) Premature birth - 🧠ANSWER ✔✔ANSWER: C
Risk factors for developmental dysplasia of the hip in infants include a
breech presentation in the third trimester, regardless of whether the
delivery was cesarean or vaginal. Other indications to evaluate an infant for
this condition include a positive family history, a history of previous clinical
instability, parental concern, a history of improper swaddling, and a
suspicious or inconclusive physical examination. Twin birth, a large-for-
gestational age infant, and prematurity are not considered risk factors.
3. A healthy 2-month-old female is brought to your office for a routine well
baby examination by both of her parents, who have no concerns. The
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STATEMENT. ALL RIGHTS RESERVED
, parents refuse routine recommended vaccines for their daughter because
of their personal beliefs.
You want to incorporate patient-centeredness and are also concerned
about improving the health of the population. You decide to follow the CDC
recommendations by
A) accepting their decision without further action
B) not offering vaccines at future visits to preserve a positive doctor-patient
relationship
C) having the parents sign a refusal to vaccinate form
D) dismissing the family from the practice
E) pursuing a court order for vaccine administration since the child has no
medical
exemptions - 🧠ANSWER ✔✔ANSWER: C
Experts recommend that a refusal to vaccinate form be signed by patients
or parents who refuse a recommended vaccine. This form should
document that the patient/parents were provided the vaccine information
statement (SOR C). The CDC recommends against dismissing a patient or
with 100% Correct Answers |
Latest Update
1. A 68-year-old male presents to your office with a 2-day history of
headache, muscle aches, and chills. His wife adds that his temperature has
been up to 104.1°F and he seems confused sometimes. His symptoms
have not improved with usual care, including ibuprofen and increased fluid
intake. He and his wife returned from a cruise 10 days ago but don't recall
anyone having a similar illness on the ship. This morning he started to
cough and his wife was concerned because she saw some blood in his
,sputum. He also states that he experiences intermittent shortness of breath
and feels nauseated. His blood pressure is 100/70 mm Hg, heart rate
98/min, temperature 39.4°C (102.9°F), and oxygen saturation 95% on room
air.
Which one of the following would be the preferred method to confirm your
suspected diagnosis of Legionnaires' disease?
A) Initiating azithromycin (Zithromax) to see if symptoms improve
B) A chest radiograph
C - 🧠ANSWER ✔✔ANSWER: E
A urine test for Legionella pneumophila antigen is the preferred method to
confirm Legionnaires' disease. This test is rapid and will only detect
Legionella pneumophila antigen. A sputum culture is the gold standard for
the diagnosis of Legionnaires' disease but it requires 48-72 hours. A chest
radiograph does not confirm the diagnosis but may show the extent of
disease. Responding to antibiotic treatment does not confirm a specific
diagnosis.
,2. Which one of the following factors related to pregnancy and delivery
increases the risk of developmental dysplasia of the hip in infants?
A) A large-for-gestational age infant
B) Twin birth
C) Breech presentation
D) Cesarean delivery
E) Premature birth - 🧠ANSWER ✔✔ANSWER: C
Risk factors for developmental dysplasia of the hip in infants include a
breech presentation in the third trimester, regardless of whether the
delivery was cesarean or vaginal. Other indications to evaluate an infant for
this condition include a positive family history, a history of previous clinical
instability, parental concern, a history of improper swaddling, and a
suspicious or inconclusive physical examination. Twin birth, a large-for-
gestational age infant, and prematurity are not considered risk factors.
3. A healthy 2-month-old female is brought to your office for a routine well
baby examination by both of her parents, who have no concerns. The
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
3
STATEMENT. ALL RIGHTS RESERVED
, parents refuse routine recommended vaccines for their daughter because
of their personal beliefs.
You want to incorporate patient-centeredness and are also concerned
about improving the health of the population. You decide to follow the CDC
recommendations by
A) accepting their decision without further action
B) not offering vaccines at future visits to preserve a positive doctor-patient
relationship
C) having the parents sign a refusal to vaccinate form
D) dismissing the family from the practice
E) pursuing a court order for vaccine administration since the child has no
medical
exemptions - 🧠ANSWER ✔✔ANSWER: C
Experts recommend that a refusal to vaccinate form be signed by patients
or parents who refuse a recommended vaccine. This form should
document that the patient/parents were provided the vaccine information
statement (SOR C). The CDC recommends against dismissing a patient or
