ABFM ITE EXAM COMPREHENSIVE STUDY
GUIDE 2026 PRACTICE QUESTIONS AND
ACCURATE ANSWERS GRADED A+
◉ Anti-DM medications for weight loss. Answer: GLP1 receptor
agonists e.g. Exenatide
SGLT-2 inhibitor e.g. Canagliflozin
◉ Screening test with greatest potential for over diagnosis. Answer:
PSA
◉ Clinical manifestation of amyotrophic lateral sclerosis. Answer:
Asymmetric leg weakness
◉ Opioid to avoid in palliative patient with severe hepatic
dysfunction. Answer: Methadone
- It is metabolized and cleared by the liver, and should therefore not
be used in patients with severe hepatic impairment. It is, however, a
reasonable option for patients with severe renal impairment.
,◉ Lung cancer screening with low dose CT Chest annually. Answer:
Adults 55-80yo with 30 pack year history and currently smoking or
quit within last 15 years
◉ NOAC with reversal agent. Answer: Dabigatran
◉ Reduces alcoholism but creating an acute ethanol sensitivity.
Answer: Disulfiram
◉ Antidepressant to be avoided in the elderly. Answer: Paroxetine
(associated with more anticholinergic effects)
SSRIs > SNRIs, atypical antipsychotics may be added for resistant
depression
◉ Age group between which American Academy of Pediatrics
recommends administration of an autism-specific screening tool.
Answer: 18-24 months old
◉ Most common neurological complication of Paget's disease of the
bone. Answer:
◉ Most common cardiac complication of Lyme disease. Answer:
Heart blocks
,◉ Examination finding of those with bacterial vaginosis. Answer:
Vaginal pH >4.5 (normal vaginal pH should be acidic)
◉ Most common cause of medication-related adverse events across
health care settings in the United States. Answer: Antibiotics
◉ Screening for asymptomatic carotid artery stenosis. Answer: Not
recommended
◉ In anaphylaxis, which drug is most likely helpful in preventing the
need for intubation?. Answer:
◉ Barrett's oesophagus with no dysplasia. Answer:
◉ Positive family history of colorectal cancer. Answer: Individuals
who have a first-degree relative with colorectal cancer or advanced
adenoma diagnosed before 60 years of age or two first-degree
relatives diagnosed at any age should be advised to start screening
colonoscopy at 40 years of age or 10 years younger than the earliest
diagnosis in their family, whichever comes first.
◉ Most common cause of hearing loss in newborns. Answer: Genetic
inheritance
, ◉ Lab findings in Von Willebrand disease. Answer:
◉ U.S. federal labor law requires companies with >50 employees to
provide which benefits for employees who are nursing mothers.
Answer:
◉ Influenza vaccination in those with potential egg allergy. Answer:
All currently available influenza vaccines, with the exceptions of
recombinant and cell-culture-based inactivated influenza vaccines,
are prepared using embryonated egg culture and can potentially
provoke allergic and anaphylactic reactions.
For those who report that they can eat lightly cooked scrambled
eggs, vaccination can proceed without precaution or observation.
Those who have experienced only hives can also receive any
influenza vaccine appropriate for their age and health status.
People who have experienced symptoms such as hypotension,
wheezing, nausea, or vomiting, or reactions requiring emergency
attention or epinephrine after eating eggs or egg-containing foods
can also receive any influenza vaccine appropriate for their age and
health status and also do not need to be observed. However, the
vaccine should be administered by a provider who can recognize
and manage severe allergic reactions.
GUIDE 2026 PRACTICE QUESTIONS AND
ACCURATE ANSWERS GRADED A+
◉ Anti-DM medications for weight loss. Answer: GLP1 receptor
agonists e.g. Exenatide
SGLT-2 inhibitor e.g. Canagliflozin
◉ Screening test with greatest potential for over diagnosis. Answer:
PSA
◉ Clinical manifestation of amyotrophic lateral sclerosis. Answer:
Asymmetric leg weakness
◉ Opioid to avoid in palliative patient with severe hepatic
dysfunction. Answer: Methadone
- It is metabolized and cleared by the liver, and should therefore not
be used in patients with severe hepatic impairment. It is, however, a
reasonable option for patients with severe renal impairment.
,◉ Lung cancer screening with low dose CT Chest annually. Answer:
Adults 55-80yo with 30 pack year history and currently smoking or
quit within last 15 years
◉ NOAC with reversal agent. Answer: Dabigatran
◉ Reduces alcoholism but creating an acute ethanol sensitivity.
Answer: Disulfiram
◉ Antidepressant to be avoided in the elderly. Answer: Paroxetine
(associated with more anticholinergic effects)
SSRIs > SNRIs, atypical antipsychotics may be added for resistant
depression
◉ Age group between which American Academy of Pediatrics
recommends administration of an autism-specific screening tool.
Answer: 18-24 months old
◉ Most common neurological complication of Paget's disease of the
bone. Answer:
◉ Most common cardiac complication of Lyme disease. Answer:
Heart blocks
,◉ Examination finding of those with bacterial vaginosis. Answer:
Vaginal pH >4.5 (normal vaginal pH should be acidic)
◉ Most common cause of medication-related adverse events across
health care settings in the United States. Answer: Antibiotics
◉ Screening for asymptomatic carotid artery stenosis. Answer: Not
recommended
◉ In anaphylaxis, which drug is most likely helpful in preventing the
need for intubation?. Answer:
◉ Barrett's oesophagus with no dysplasia. Answer:
◉ Positive family history of colorectal cancer. Answer: Individuals
who have a first-degree relative with colorectal cancer or advanced
adenoma diagnosed before 60 years of age or two first-degree
relatives diagnosed at any age should be advised to start screening
colonoscopy at 40 years of age or 10 years younger than the earliest
diagnosis in their family, whichever comes first.
◉ Most common cause of hearing loss in newborns. Answer: Genetic
inheritance
, ◉ Lab findings in Von Willebrand disease. Answer:
◉ U.S. federal labor law requires companies with >50 employees to
provide which benefits for employees who are nursing mothers.
Answer:
◉ Influenza vaccination in those with potential egg allergy. Answer:
All currently available influenza vaccines, with the exceptions of
recombinant and cell-culture-based inactivated influenza vaccines,
are prepared using embryonated egg culture and can potentially
provoke allergic and anaphylactic reactions.
For those who report that they can eat lightly cooked scrambled
eggs, vaccination can proceed without precaution or observation.
Those who have experienced only hives can also receive any
influenza vaccine appropriate for their age and health status.
People who have experienced symptoms such as hypotension,
wheezing, nausea, or vomiting, or reactions requiring emergency
attention or epinephrine after eating eggs or egg-containing foods
can also receive any influenza vaccine appropriate for their age and
health status and also do not need to be observed. However, the
vaccine should be administered by a provider who can recognize
and manage severe allergic reactions.
