EXAM 180 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
PAP smear screening - ANSWER-women 21-65 , every 3 years.
In women 30 - 65, every 5 years if combined with HPV testing
Indications for high intensity statin - ANSWER-Age 40 - 75 with
diabetes and an LDL of 70 - 189,and 10 years >7.5% ASCVD risk
men with low or low-normal testosterone level should have a
repeat confirmatory morning testosterone prior to begining
testosterone treatment - ANSWER-
severe vasomotor symptoms in postmenopausal women are best
treated with - ANSWER-systemic hormonal therapy;- oral
estradiol-progrestin combo
test to be performed in all patients with syncope - ANSWER-EKG
Panic disorder treatment - ANSWER-SSRI (sertraline), SNRI,
TCAs, MAOi
Trichomoniasis treatment - ANSWER-single dose of
metronidazole 2g, and treat partner
Treatment of vasomotor symptoms in postmenopausal women
without a uterus - ANSWER-Transdermal or oral Estradiol only
(no need for progestin as they have no uterus)
Statins, ACE-i/ARB are teratogenic - ANSWER-discontinue in
pregnant women
, ABIM IM BOARDS ITE EXAM LATEST VERSION 20232024 ACTUAL
EXAM 180 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
Indications for pharmacologic weight loss treatment - ANSWER-
BMI greater than 30, or BMI greater than 27 with obesity
associated complications
Women aged 65 and older AND younger women with fracture risk
of 9.3% or higher - ANSWER-screen for osteoporosis with DEXA
Ibuprofen / naproxen for primary dysmenorrhea, if side effect or
not controlled, - ANSWER-OCP
Reduce risk of pressure ulcers in at risk-patients - ANSWER-use
advanced static mattresses of overlays
life expectancy of at least --- years is expected to benefit from
screening mammography - ANSWER-10 years
Frequent episodes of binge eating >1/week followed by
innapropriate compensatory behaviors (vomiting, laxatives,enema
etc) due to fear of gaining weight - ANSWER-Bulimia nervosa
anorexia BMI - ANSWER-generally underweight, or less than 18.5
otitis media with effusion management - ANSWER-observe,
usually resolves in 12 weeks
otitis externa treatment - ANSWER-combined antibiotic and
glucocorticoid ototopical medication, ee.g neomycin +polymyxin b
+hydrocortisone
topical lidocaine is effective in treatment of herpetic neuralgia -
ANSWER-topical lidocaine
, ABIM IM BOARDS ITE EXAM LATEST VERSION 20232024 ACTUAL
EXAM 180 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
describe uveitis - ANSWER-unilateral eye pain, photophobia,
ciliary flush (Circumferential redness along the border of the
sclera and cornea), there may be miosis
Indications for bariatric surgery - ANSWER-BMI 40 or higher
without comorbidities, BMI 35 with comorbities
Orlistat - ANSWER-Weight loss medication, loose stool common
side effect. Lose about 3.5kg over 1 year
Lorcaserin - ANSWER-Weight loss medication, avoid in pts taking
SSRIs sue to elevation in serotonin
Phentermine-topiramate - ANSWER-Weight loss medication,
avoid in glaucoma
acromioclavicular join degeneration presentation - ANSWER-pain
on superior aspect of shoulder, tenderness on palpation of A-C
joint, pain with shoulder adduction and abduction >120 degrees
Supraspinatus tear test - ANSWER-Positive drop arm test
supraspinatus tendinitis - ANSWER-pain on shoulder abduction or
painful arc
Lung cancer screening - ANSWER-ANNUAL LOW-DOSE CT for
age 55-80 years with 30-pack year smoking history, including
those who quit within 15 years
AAA Screening - ANSWER-One time abdominal US for men 65-
75 who have smoked at least 100 cigarrettes