ABFM ITE taken questions fully
solved (already passed)
CAP antibiotic that causes VF - answer Azithromycin
- The arrhythmia results from prolongation of the QT interval and is
also more common in patients with a prior cardiac history.
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 Hearing loss
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
May start statins.
,Repeating ultrasonography annually to monitor for progression of
the disease and to guide intervention is also considered reasonable.
In anaphylaxis, which drug is most likely helpful in preventing the
need for intubation? - answer Epinephrine
Barrett's oesophagus with no dysplasia - answer Surveillance with
endoscopy every 3 years
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
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.
How is the Timed Up and Go test useful in GRM patients? - answer
Helps to assess the risk of falling
Antidepressant that can prolong QT interval to be avoided in those
on concomitant atypical antipsychotics - answer Citalopram,
Escitalopram
Other SSRIs, as well as bupropion, venlafaxine, and mirtazapine, do
not have this effect. Both tricyclic antidepressants and
antipsychotics, commonly used in patients also taking SSRIs, can
cause QT prolongation, making their combined use problematic.
Antibiotic for traveller's diarrhoea - answer Azithromycin
Prevented by washing hands frequently
Most effective medication for treating fibromyalgia - answer TCAs >
SSRIs (helps with some pain reduction)
In a healthy full-term infant who is exclusively breastfed, iron
supplementation should begin at what age in order to prevent iron
deficiency anaemia? - answer 4 months
- In preterm babies (before 37w), elemental iron supplementation
(2mg/kg per day) should begin at 1 month of age and should
continue until 12 months of age, unless the infant had multiple
blood transfusions.
Strongest risk factor for primary hypertension in children and
adolescents - answer Elevated BMI
solved (already passed)
CAP antibiotic that causes VF - answer Azithromycin
- The arrhythmia results from prolongation of the QT interval and is
also more common in patients with a prior cardiac history.
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 Hearing loss
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
May start statins.
,Repeating ultrasonography annually to monitor for progression of
the disease and to guide intervention is also considered reasonable.
In anaphylaxis, which drug is most likely helpful in preventing the
need for intubation? - answer Epinephrine
Barrett's oesophagus with no dysplasia - answer Surveillance with
endoscopy every 3 years
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
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.
How is the Timed Up and Go test useful in GRM patients? - answer
Helps to assess the risk of falling
Antidepressant that can prolong QT interval to be avoided in those
on concomitant atypical antipsychotics - answer Citalopram,
Escitalopram
Other SSRIs, as well as bupropion, venlafaxine, and mirtazapine, do
not have this effect. Both tricyclic antidepressants and
antipsychotics, commonly used in patients also taking SSRIs, can
cause QT prolongation, making their combined use problematic.
Antibiotic for traveller's diarrhoea - answer Azithromycin
Prevented by washing hands frequently
Most effective medication for treating fibromyalgia - answer TCAs >
SSRIs (helps with some pain reduction)
In a healthy full-term infant who is exclusively breastfed, iron
supplementation should begin at what age in order to prevent iron
deficiency anaemia? - answer 4 months
- In preterm babies (before 37w), elemental iron supplementation
(2mg/kg per day) should begin at 1 month of age and should
continue until 12 months of age, unless the infant had multiple
blood transfusions.
Strongest risk factor for primary hypertension in children and
adolescents - answer Elevated BMI
