ABFM ITE EXAM ACTUAL TEST SCRIPT 2026
COMPLETE QUESTIONS AND ANSWERS
GRADED A+
◉ entry to balloon time for PCI! Answer: 120 minutes
◉ time limit from onset of MI to balloon time Answer: should get it
done w/in 12 hours
◉ Absolute contraindications to Fibrinolysis Answer: Previous
hemorrhage stroke
Previous ischemic stroke (4.5hrs-3months prior)
Suspected aortic dissection
Active bleeding (except menstruation)
BP >180/110 (severe hypertension)
Streptokinase 6 months prior
◉ acute cholecystitis Answer: Acute inflammation of the gallbladder
wall
◉ Patient with pulmonary HTN due to left heart failure, can they
have vasodilators (PDE5?) Answer: NO! can make things worse
,-maximize heart failure treatment!
◉ Sever's Diseaese Answer: Calcaneal apophysitis, also called
Sever's disease, is a common cause of heel pain in young athletes,
especially those who participate in basketball, soccer, track, and
other sports that involve running. Typically the heel apophysis
closes by age 15. Treatment options include activity modification,
the use of ice packs and/or moist heat, stretching, analgesics, and
orthotic devices. The use of therapeutic ultrasound on the active
bone growth plates in children is contraindicated.
◉ in pressure ulcers what solutions to avoid, and what to use!
Answer: recommended that pressure ulcers not be cleaned with
povidone/iodine, Dakin's solution, hydrogen peroxide, wet-to-dry
dressings, or any solutions that may impede granulation tissue
formation. These sites should be cleaned with either saline or tap
water and covered with hydrocolloid, foam, or another nonadherent
dressing that promotes a moist environment.
◉ Chronic paraoxysmal hemicrania Answer: resembles cluster
headache but has some important differences. Like cluster
headaches, these headaches are unilateral and accompanied by
conjunctival hyperemia and rhinorrhea. However, these headaches
are more frequent in women, and the paroxysms occur many times
each day. This type of headache falls into a group of headaches that
have been labeled indomethacin-responsive headaches because they
respond dramatically to *indomethacin.*
, ◉ normal spirometry but low DLCO Answer: chronic pulmonary
embolus
◉ Antibiotic ppx for dental procedures Answer: give amoxicillin only
if prior endocarditis, prosthetic valve, heart txp, or severe or
repaired congenital heart
-if allergic to penicillin, then give clinda!!
◉ when to refer patient with CKD to nephrology Answer: Current
guidelines recommend referral to a nephrologist if a patient's renal
disease is either of unknown etiology, is deteriorating quickly (eGFR
decreasing by >5 mL/min/1.73 m2 per year), or is severe.
Thresholds used to define severe chronic kidney disease include an
eGFR <30 mL/min/1.73 m2, a urine albumin to creatinine ratio
>300 g/mg, persistent acidosis or potassium imbalance, non-iron
deficiency anemia with a hemoglobin level <10 g/dL, and evidence
of secondary hyperparathyroidism.
◉ Causes of peripheral neuropathy Answer: common treatable
causes of peripheral neuropathy, which include *diabetes mellitus,
hypothyroidism, and nutritional deficiencies*. Additional causes of
peripheral neuropathy include *chronic liver disease and renal
disease*. It is important to consider medications as a possible cause,
including *amiodarone, digoxin, nitrofurantoin, and statins.
COMPLETE QUESTIONS AND ANSWERS
GRADED A+
◉ entry to balloon time for PCI! Answer: 120 minutes
◉ time limit from onset of MI to balloon time Answer: should get it
done w/in 12 hours
◉ Absolute contraindications to Fibrinolysis Answer: Previous
hemorrhage stroke
Previous ischemic stroke (4.5hrs-3months prior)
Suspected aortic dissection
Active bleeding (except menstruation)
BP >180/110 (severe hypertension)
Streptokinase 6 months prior
◉ acute cholecystitis Answer: Acute inflammation of the gallbladder
wall
◉ Patient with pulmonary HTN due to left heart failure, can they
have vasodilators (PDE5?) Answer: NO! can make things worse
,-maximize heart failure treatment!
◉ Sever's Diseaese Answer: Calcaneal apophysitis, also called
Sever's disease, is a common cause of heel pain in young athletes,
especially those who participate in basketball, soccer, track, and
other sports that involve running. Typically the heel apophysis
closes by age 15. Treatment options include activity modification,
the use of ice packs and/or moist heat, stretching, analgesics, and
orthotic devices. The use of therapeutic ultrasound on the active
bone growth plates in children is contraindicated.
◉ in pressure ulcers what solutions to avoid, and what to use!
Answer: recommended that pressure ulcers not be cleaned with
povidone/iodine, Dakin's solution, hydrogen peroxide, wet-to-dry
dressings, or any solutions that may impede granulation tissue
formation. These sites should be cleaned with either saline or tap
water and covered with hydrocolloid, foam, or another nonadherent
dressing that promotes a moist environment.
◉ Chronic paraoxysmal hemicrania Answer: resembles cluster
headache but has some important differences. Like cluster
headaches, these headaches are unilateral and accompanied by
conjunctival hyperemia and rhinorrhea. However, these headaches
are more frequent in women, and the paroxysms occur many times
each day. This type of headache falls into a group of headaches that
have been labeled indomethacin-responsive headaches because they
respond dramatically to *indomethacin.*
, ◉ normal spirometry but low DLCO Answer: chronic pulmonary
embolus
◉ Antibiotic ppx for dental procedures Answer: give amoxicillin only
if prior endocarditis, prosthetic valve, heart txp, or severe or
repaired congenital heart
-if allergic to penicillin, then give clinda!!
◉ when to refer patient with CKD to nephrology Answer: Current
guidelines recommend referral to a nephrologist if a patient's renal
disease is either of unknown etiology, is deteriorating quickly (eGFR
decreasing by >5 mL/min/1.73 m2 per year), or is severe.
Thresholds used to define severe chronic kidney disease include an
eGFR <30 mL/min/1.73 m2, a urine albumin to creatinine ratio
>300 g/mg, persistent acidosis or potassium imbalance, non-iron
deficiency anemia with a hemoglobin level <10 g/dL, and evidence
of secondary hyperparathyroidism.
◉ Causes of peripheral neuropathy Answer: common treatable
causes of peripheral neuropathy, which include *diabetes mellitus,
hypothyroidism, and nutritional deficiencies*. Additional causes of
peripheral neuropathy include *chronic liver disease and renal
disease*. It is important to consider medications as a possible cause,
including *amiodarone, digoxin, nitrofurantoin, and statins.
