ABFM ITE EXAM FINAL TEST PAPER 2026 FULL
QUESTIONS AND SOLUTIONS VERIFIED A+
◉ what do asplenic patients do if they have fever and get in to see
doctor for eval in 2 hours? Answer: Amoxicillin, levofloxacin, and
moxifloxacin should be taken by asplenic patients with a new onset
of fever if they cannot get to a medical facility within 2 hours for
evaluation. Fever should be reported immediately due to the lifelong
significant risk of sepsis. Unless otherwise contraindicated, asplenic
patients should receive annual influenza immunization.
Pneumococcal polysaccharide vaccine (PPSV23) should be given
twice, with the second dose given 5 years after the first.
◉ chronic urticaria, what do you do if antihistamines don't work?
Answer: add H2 blockers (doxepin can be used off label, blocks
antihistamine receptors) steroids UV therapy 2nd line therapies
◉ what can you use for sensoneural hearing loss short term to
reduce long term sequelae Answer: Prednisone!
greatest improvement in hearing tends to occur in the first 2 weeks,
corticosteroid treatment should be started immediately. The
recommended dosage is 1 mg/kg/day with a maximum dosage of 60
mg daily for 10-14 days.
,◉ if patient has shellfish allergy, do you wait or give steroids and epi
for IV contrast? Answer: NO! There is no correlation! Just do the
damn CT!
◉ Rotator Cuff Muscles (SITS) Answer: S = supraspinatus -
abduction (along with deltoid)
I = infraspinatus - external rotation
t = teres minor - external rotation
S = subscapularis - internal rotation
◉ sickle cell kids ages 2-16 should be screened for and with what?
Answer: Individuals with sickle cell disease are at increased risk for
vascular disease, especially stroke. All sickle cell patients 2-16 years
of age should be screened with transcranial Doppler
ultrasonography (SOR A).
◉ fetal alcohol syndrome Answer: a medical condition in which
body deformation or facial development or mental ability of a fetus
is impaired because the mother drank alcohol while pregnant
associated with clinodactyly, camptodactyly (flexion deformity of the
fingers), other flexion contractures, radioulnar synostosis, scoliosis,
and spinal malformations. It is also associated with many
neurologic, behavioral, and cardiovascular abnormalities, as well as
other types of abnormalities.
, ◉ Dix-Hallpike maneuver Answer: Rapidly moving the pt from a
sitting position to the supine position with the head turned 45
degrees to the Right. After waiting apx. 20-30 sec, the pt is returned
to the sitting position. If no *Nystagmus* is observed, the procedure
is then repeated on the Left side.
◉ preferred antidepressant in older patients Answer: Escitalopram
(lexapro)
◉ herbal supplement with highest risk of drug interactions?
Answer: St. John's Wort
inducer of CYP3A4 and P-glycoprotein synthesis. Concurrent use of
St. John's wort with drugs that are metabolized with these systems
should be avoided. These include cyclosporine, warfarin,
theophylline, and oral contraceptives.
◉ why recombinant zoster vaccine (shingrix) over live zoster
vaccine (zostavax) Answer: better efficacy
◉ Peak effect of opioids Answer: oral 1 hr
IM - 10 min
Subq- 20-30 min
QUESTIONS AND SOLUTIONS VERIFIED A+
◉ what do asplenic patients do if they have fever and get in to see
doctor for eval in 2 hours? Answer: Amoxicillin, levofloxacin, and
moxifloxacin should be taken by asplenic patients with a new onset
of fever if they cannot get to a medical facility within 2 hours for
evaluation. Fever should be reported immediately due to the lifelong
significant risk of sepsis. Unless otherwise contraindicated, asplenic
patients should receive annual influenza immunization.
Pneumococcal polysaccharide vaccine (PPSV23) should be given
twice, with the second dose given 5 years after the first.
◉ chronic urticaria, what do you do if antihistamines don't work?
Answer: add H2 blockers (doxepin can be used off label, blocks
antihistamine receptors) steroids UV therapy 2nd line therapies
◉ what can you use for sensoneural hearing loss short term to
reduce long term sequelae Answer: Prednisone!
greatest improvement in hearing tends to occur in the first 2 weeks,
corticosteroid treatment should be started immediately. The
recommended dosage is 1 mg/kg/day with a maximum dosage of 60
mg daily for 10-14 days.
,◉ if patient has shellfish allergy, do you wait or give steroids and epi
for IV contrast? Answer: NO! There is no correlation! Just do the
damn CT!
◉ Rotator Cuff Muscles (SITS) Answer: S = supraspinatus -
abduction (along with deltoid)
I = infraspinatus - external rotation
t = teres minor - external rotation
S = subscapularis - internal rotation
◉ sickle cell kids ages 2-16 should be screened for and with what?
Answer: Individuals with sickle cell disease are at increased risk for
vascular disease, especially stroke. All sickle cell patients 2-16 years
of age should be screened with transcranial Doppler
ultrasonography (SOR A).
◉ fetal alcohol syndrome Answer: a medical condition in which
body deformation or facial development or mental ability of a fetus
is impaired because the mother drank alcohol while pregnant
associated with clinodactyly, camptodactyly (flexion deformity of the
fingers), other flexion contractures, radioulnar synostosis, scoliosis,
and spinal malformations. It is also associated with many
neurologic, behavioral, and cardiovascular abnormalities, as well as
other types of abnormalities.
, ◉ Dix-Hallpike maneuver Answer: Rapidly moving the pt from a
sitting position to the supine position with the head turned 45
degrees to the Right. After waiting apx. 20-30 sec, the pt is returned
to the sitting position. If no *Nystagmus* is observed, the procedure
is then repeated on the Left side.
◉ preferred antidepressant in older patients Answer: Escitalopram
(lexapro)
◉ herbal supplement with highest risk of drug interactions?
Answer: St. John's Wort
inducer of CYP3A4 and P-glycoprotein synthesis. Concurrent use of
St. John's wort with drugs that are metabolized with these systems
should be avoided. These include cyclosporine, warfarin,
theophylline, and oral contraceptives.
◉ why recombinant zoster vaccine (shingrix) over live zoster
vaccine (zostavax) Answer: better efficacy
◉ Peak effect of opioids Answer: oral 1 hr
IM - 10 min
Subq- 20-30 min
