ABFM ITE 2022 questions fully
solved (already passed)
Persistent HTN is defined as ______. - answer HTN despite 3 or more
antiHTN rx, including a diuretics
HTN + Hyperkalemia + low renin + elevated aldosterone. Dx? -
answer Primary hyperaldosteronism
A ______ would be used to evaluate for a neuroendocrine tumor,
which can present as chronic flushing and diarrhea. - answer 24-
hour urine collection for 5-hydroxyindoleacetic acid (5-HIAA)
______ level can be checked if Cushing syndrome is suspected.
Hypertension, obesity and an elevated blood glucose level due to
insulin resistance. - answer Cortisol level
Suspect Primary hyperaldosteronism. What Lab? - answer elevated
aldosterone/renin ratio
painful, subcutaneous, nonulcerated, erythematous nodules, is
associated with coccidioidomycosis. Name of rash? - answer
Erythema nodosum. can also be associated with streptococcal
infections and tuberculosis.
cutaneous rash caused by prolonged heat exposure (such as a
heating pad) presenting as an otherwise asymptomatic, red,
reticulated pattern on the skin. Name of rash? - answer Erythema ab
igne
Erythematous rash of the face (slapped cheek appearance), arms,
and legs associated with parvovirus B19 infection and is usually
,seen in young children. Name of rash? - answer Erythema
infectiosum
expanding, erythematous, annular rash with or without central
clearing and is often associated with tick exposure (Lyme disease).
Name of rash? - answer Erythema migrans
raised, annular, target-like lesions with central erythema and is
usually
associated with herpes simplex virus type 1. Name of rash? - answer
Erythema multiforme
Screening frequency for esophageal varices in patients with
cirrhosis and clinically significant portal hypertension? - answer EGD
every 2-3 years
- High risk of bleeding features: small varices in patients with
decompensated cirrhosis, small varices with red wale signs
(thinning of the variceal wall), and medium to large varices.
Patient's EGD has small esophageal varices without red wale signs.
Next step in the mgmt of esophageal varices ? - answer Repeat EGD
in 1-2 years
High risk features of esophageal varices? Tx? - answer Small varices
in patients with decompensated cirrhosis, small
varices with red wale signs (thinning of the variceal wall), and
medium to large varices.
- primary prophylaxis of hemorrhage include nonselective B-
blockers such as propranolol or endoscopic variceal ligation. If
nonselective B-blockers are used, they should be continued
indefinitely. Octreotide is only given intravenously for acute
, hemorrhage. No evidence that omeprazole slows the progression of
esophageal varices.
Best nonpharmacologic management of sundowning (aka behavioral
and psychological symptoms of dementia) - answer Sensory
stimulation (massage, touch, and music therapy).
- Cognitive training is NOT useful in treatment of sundowning
use of prophylactic antibiotics for dental procedures in patients with
a history of joint replacement? - answer American Dental
Association and the American Academy of Orthopaedic Surgeons
recommend against routine use of prophylactic antibiotics.
Cardiovascular Medication that is associated with hyperthyroidism. -
answer Amiodarone.
Amiodarone-induced thyrotoxicosis (AIT): a less common cause of
hyperthyroidism.
- Type 1: iodine-induced thyrotoxicosis caused by the high iodine
content in amiodarone
- Type 2: amiodarone-induced thyroiditis.
Tetanus prophylaxis for laceration in a pregnant pt who is up to date
on her vaccines? - answer Tdap between 27 and 36 weeks gestation
to protect against pertussis
Tetanus prophylaxis in nonpregnant patients who have previously
received Tdap. - answer Td
Tetanus prophylaxis if patient had not previously completed the
primary series or were showing signs of clinical tetanus. - answer
Tetanus immune globulin
solved (already passed)
Persistent HTN is defined as ______. - answer HTN despite 3 or more
antiHTN rx, including a diuretics
HTN + Hyperkalemia + low renin + elevated aldosterone. Dx? -
answer Primary hyperaldosteronism
A ______ would be used to evaluate for a neuroendocrine tumor,
which can present as chronic flushing and diarrhea. - answer 24-
hour urine collection for 5-hydroxyindoleacetic acid (5-HIAA)
______ level can be checked if Cushing syndrome is suspected.
Hypertension, obesity and an elevated blood glucose level due to
insulin resistance. - answer Cortisol level
Suspect Primary hyperaldosteronism. What Lab? - answer elevated
aldosterone/renin ratio
painful, subcutaneous, nonulcerated, erythematous nodules, is
associated with coccidioidomycosis. Name of rash? - answer
Erythema nodosum. can also be associated with streptococcal
infections and tuberculosis.
cutaneous rash caused by prolonged heat exposure (such as a
heating pad) presenting as an otherwise asymptomatic, red,
reticulated pattern on the skin. Name of rash? - answer Erythema ab
igne
Erythematous rash of the face (slapped cheek appearance), arms,
and legs associated with parvovirus B19 infection and is usually
,seen in young children. Name of rash? - answer Erythema
infectiosum
expanding, erythematous, annular rash with or without central
clearing and is often associated with tick exposure (Lyme disease).
Name of rash? - answer Erythema migrans
raised, annular, target-like lesions with central erythema and is
usually
associated with herpes simplex virus type 1. Name of rash? - answer
Erythema multiforme
Screening frequency for esophageal varices in patients with
cirrhosis and clinically significant portal hypertension? - answer EGD
every 2-3 years
- High risk of bleeding features: small varices in patients with
decompensated cirrhosis, small varices with red wale signs
(thinning of the variceal wall), and medium to large varices.
Patient's EGD has small esophageal varices without red wale signs.
Next step in the mgmt of esophageal varices ? - answer Repeat EGD
in 1-2 years
High risk features of esophageal varices? Tx? - answer Small varices
in patients with decompensated cirrhosis, small
varices with red wale signs (thinning of the variceal wall), and
medium to large varices.
- primary prophylaxis of hemorrhage include nonselective B-
blockers such as propranolol or endoscopic variceal ligation. If
nonselective B-blockers are used, they should be continued
indefinitely. Octreotide is only given intravenously for acute
, hemorrhage. No evidence that omeprazole slows the progression of
esophageal varices.
Best nonpharmacologic management of sundowning (aka behavioral
and psychological symptoms of dementia) - answer Sensory
stimulation (massage, touch, and music therapy).
- Cognitive training is NOT useful in treatment of sundowning
use of prophylactic antibiotics for dental procedures in patients with
a history of joint replacement? - answer American Dental
Association and the American Academy of Orthopaedic Surgeons
recommend against routine use of prophylactic antibiotics.
Cardiovascular Medication that is associated with hyperthyroidism. -
answer Amiodarone.
Amiodarone-induced thyrotoxicosis (AIT): a less common cause of
hyperthyroidism.
- Type 1: iodine-induced thyrotoxicosis caused by the high iodine
content in amiodarone
- Type 2: amiodarone-induced thyroiditis.
Tetanus prophylaxis for laceration in a pregnant pt who is up to date
on her vaccines? - answer Tdap between 27 and 36 weeks gestation
to protect against pertussis
Tetanus prophylaxis in nonpregnant patients who have previously
received Tdap. - answer Td
Tetanus prophylaxis if patient had not previously completed the
primary series or were showing signs of clinical tetanus. - answer
Tetanus immune globulin
