ABFM ITE EXAM TEST BANK ALL 200 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) LATEST UPDATE |
ALREADY GRADED A+ (REVISED EXAM)
Chlamydia trach s/s and lab - ANSWER: insidious onset, NO fever or wheezing,
conjunctivitis
lab: eosinophilia
initial management of PCOS - ANSWER: lifestyle modification
metformin - may improve abnormal menstruation
small bone fragment at the dorsal surface of the proximal distal phalanx - ANSWER:
mallet fracture
tx of mallet fracture - ANSWER: splinting the distal interphalangeal (DIP) joint in
extension, 8 weeks
>30% of the intra-articular surface, referral to a hand or orthopedic surgeon can be
considered
Severe pain and skin changes outside the realm of cellulitis, including bullae and
deeper
discoloration - ANSWER: necrotizing skin
labs to monitor when on amiodarone - ANSWER: TSH
have baseline thyroid function tests (free T4, TSH) with follow-up testing every 6
months
term for painful period - ANSWER: dysmenorrhea
antipsychotic with risk of steven johnson syndrome - ANSWER: carbamazepine
Lamotrigine - slowly inc dose to prevent SJS. started at a dosage of 25 mg daily and
titrated every 2 weeks until the goal dosage
is reached
strongest evidence for treatment, screening, or prevention strategies - ANSWER:
systematic reviews, meta-analyses, randomized controlled trials (RCTs) with
consistent findings, or a single high-quality RCT
asymptomatic microscopic hematuria (AMH) defined as - ANSWER: ≥3 RBCs/hpf
, which abx exacerbate prolonged QT syndrome - ANSWER: macrolides (azithromycin,
erythromycin, etc) - interferes with the delayed rectifier potassium current, which
results in the accumulation of potassium ions in cardiac myocytes and thereby delays
cardiac repolarization. This leads to prolongation of the QT interval.
Inhaled corticosteroids increase the risk of - ANSWER: bruising, candidal infection of
the oropharynx, and pneumonia
JNC 8 panel - first line treatment for hypertension in non-blacks - ANSWER:
ACE/ARBs, thiazide, CCB
polymyalgia rheumatica (PMR) s/s - ANSWER: age > 50, proximal muscle pain, inc
ESR
other s/s = fever, weight loss, malaise
PMR labs - ANSWER: inc ESR and CRP = inflam
CK wnl
PMR tx and confirmation of dx - ANSWER: response to prednisone within 24-48
hours (since lab with inc ESR = inflam process -> steroid should help)
PMR associated with what dz - ANSWER: temporal arteritis
glucose above normal drops sodium by how much? - ANSWER: 1.6 points for 100mg
above normal glucose
DLCO - ANSWER: extent to which oxygen passes from the air sacs of the lungs into
the blood.
acute, sharp chest pain relieved only by leaning forward, EKG shows diffuse ST
elevations - ANSWER: acute pericarditis
common causes of pericarditis - ANSWER: connective tissue disease, autoreactivity,
or uremia
empiric tx for pericarditis - ANSWER: colchicine or NSAID
weight classification 2-18 years - ANSWER: BMI
weight classification 0-2 years - ANSWER: weight-for-length ratio
overweight 0-2 years - ANSWER: weight-for-length ratio exceeds the 95th percentile
for their sex
obese 0-2 years - ANSWER: none - term not used in under 2 years
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) LATEST UPDATE |
ALREADY GRADED A+ (REVISED EXAM)
Chlamydia trach s/s and lab - ANSWER: insidious onset, NO fever or wheezing,
conjunctivitis
lab: eosinophilia
initial management of PCOS - ANSWER: lifestyle modification
metformin - may improve abnormal menstruation
small bone fragment at the dorsal surface of the proximal distal phalanx - ANSWER:
mallet fracture
tx of mallet fracture - ANSWER: splinting the distal interphalangeal (DIP) joint in
extension, 8 weeks
>30% of the intra-articular surface, referral to a hand or orthopedic surgeon can be
considered
Severe pain and skin changes outside the realm of cellulitis, including bullae and
deeper
discoloration - ANSWER: necrotizing skin
labs to monitor when on amiodarone - ANSWER: TSH
have baseline thyroid function tests (free T4, TSH) with follow-up testing every 6
months
term for painful period - ANSWER: dysmenorrhea
antipsychotic with risk of steven johnson syndrome - ANSWER: carbamazepine
Lamotrigine - slowly inc dose to prevent SJS. started at a dosage of 25 mg daily and
titrated every 2 weeks until the goal dosage
is reached
strongest evidence for treatment, screening, or prevention strategies - ANSWER:
systematic reviews, meta-analyses, randomized controlled trials (RCTs) with
consistent findings, or a single high-quality RCT
asymptomatic microscopic hematuria (AMH) defined as - ANSWER: ≥3 RBCs/hpf
, which abx exacerbate prolonged QT syndrome - ANSWER: macrolides (azithromycin,
erythromycin, etc) - interferes with the delayed rectifier potassium current, which
results in the accumulation of potassium ions in cardiac myocytes and thereby delays
cardiac repolarization. This leads to prolongation of the QT interval.
Inhaled corticosteroids increase the risk of - ANSWER: bruising, candidal infection of
the oropharynx, and pneumonia
JNC 8 panel - first line treatment for hypertension in non-blacks - ANSWER:
ACE/ARBs, thiazide, CCB
polymyalgia rheumatica (PMR) s/s - ANSWER: age > 50, proximal muscle pain, inc
ESR
other s/s = fever, weight loss, malaise
PMR labs - ANSWER: inc ESR and CRP = inflam
CK wnl
PMR tx and confirmation of dx - ANSWER: response to prednisone within 24-48
hours (since lab with inc ESR = inflam process -> steroid should help)
PMR associated with what dz - ANSWER: temporal arteritis
glucose above normal drops sodium by how much? - ANSWER: 1.6 points for 100mg
above normal glucose
DLCO - ANSWER: extent to which oxygen passes from the air sacs of the lungs into
the blood.
acute, sharp chest pain relieved only by leaning forward, EKG shows diffuse ST
elevations - ANSWER: acute pericarditis
common causes of pericarditis - ANSWER: connective tissue disease, autoreactivity,
or uremia
empiric tx for pericarditis - ANSWER: colchicine or NSAID
weight classification 2-18 years - ANSWER: BMI
weight classification 0-2 years - ANSWER: weight-for-length ratio
overweight 0-2 years - ANSWER: weight-for-length ratio exceeds the 95th percentile
for their sex
obese 0-2 years - ANSWER: none - term not used in under 2 years
