ABFM STUDY GUIDE 2026 FULL CONTENT
QUESTIONS AND ANSWERS COMPLETE
SET
◉ 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
◉ when to start O2 on pts with COPD?
Answer: when PaO2 < 60
◉ antihypertensives that help with HTN associated with OSA
Answer: diuretics - but spironolactone does the best job
◉ highest cure rate for basal cell carcinoma?
Answer: Moh's surgery
,◉ patients who no depression but have alcohol use disorder, what
med is the best?
Answer: Acamprosate, zofran also may help
only use SSRI / SNRI if co-existing depression
◉ Pseudofolliculitis barbae
Answer: a chronic inflammatory form of folliculitis known as "razor
bumps" resembling folliculitis papules and pustules; generally
accepted to be caused by ingrown hair
use electric clippers, less drama
◉ Olecronon Bursitis
Answer: Chronic bursitis is due to repetitive microtrauma, and the
olecranon is the most common location. Patients typically have
minimal pain, no history of injury, no systemic symptoms, and no
signs of acute infection or inflammation. Treatment initially consists
of avoiding recurrent trauma by protecting the area with an elbow
pad and not leaning on it, as well as cryotherapy, compression of the
affected area, and over-the-counter analgesics.
No XR or joint aspiration needed unless suspecting fracture or
concern about infection
, ◉ which anticoagulant most effective in cancer patients
Answer: Lovonox / heparin
◉ Lithium toxicity
Answer: -Tremor, hypothyroidism, polyuria (causes nephrogenic
diabetes insipidus), teratogenesis.
-Causes Ebstein anomaly in newborn if taken by pregnant mother.
-Narrow therapeutic window requires close monitoring of serum
levels.
-Almost exclusively excreted by kidneys; most is reabsorbed at PCT
with Na+. Thiazide use is implicated in lithium toxicity in bipolar
patients.
chronic toxicity
Chronic toxicity often presents with signs and symptoms related to
the gastrointestinal tract (nausea, vomiting, and diarrhea, which can
further worsen toxicity), heart (arrhythmias and conduction delays),
and central nervous system (coarse tremors, ataxia, agitation, and
confusion).
◉ what med has proven benefit for chronic tension headaches?
Answer: TCAs! Try Amitryptyline!
QUESTIONS AND ANSWERS COMPLETE
SET
◉ 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
◉ when to start O2 on pts with COPD?
Answer: when PaO2 < 60
◉ antihypertensives that help with HTN associated with OSA
Answer: diuretics - but spironolactone does the best job
◉ highest cure rate for basal cell carcinoma?
Answer: Moh's surgery
,◉ patients who no depression but have alcohol use disorder, what
med is the best?
Answer: Acamprosate, zofran also may help
only use SSRI / SNRI if co-existing depression
◉ Pseudofolliculitis barbae
Answer: a chronic inflammatory form of folliculitis known as "razor
bumps" resembling folliculitis papules and pustules; generally
accepted to be caused by ingrown hair
use electric clippers, less drama
◉ Olecronon Bursitis
Answer: Chronic bursitis is due to repetitive microtrauma, and the
olecranon is the most common location. Patients typically have
minimal pain, no history of injury, no systemic symptoms, and no
signs of acute infection or inflammation. Treatment initially consists
of avoiding recurrent trauma by protecting the area with an elbow
pad and not leaning on it, as well as cryotherapy, compression of the
affected area, and over-the-counter analgesics.
No XR or joint aspiration needed unless suspecting fracture or
concern about infection
, ◉ which anticoagulant most effective in cancer patients
Answer: Lovonox / heparin
◉ Lithium toxicity
Answer: -Tremor, hypothyroidism, polyuria (causes nephrogenic
diabetes insipidus), teratogenesis.
-Causes Ebstein anomaly in newborn if taken by pregnant mother.
-Narrow therapeutic window requires close monitoring of serum
levels.
-Almost exclusively excreted by kidneys; most is reabsorbed at PCT
with Na+. Thiazide use is implicated in lithium toxicity in bipolar
patients.
chronic toxicity
Chronic toxicity often presents with signs and symptoms related to
the gastrointestinal tract (nausea, vomiting, and diarrhea, which can
further worsen toxicity), heart (arrhythmias and conduction delays),
and central nervous system (coarse tremors, ataxia, agitation, and
confusion).
◉ what med has proven benefit for chronic tension headaches?
Answer: TCAs! Try Amitryptyline!
