ABFM In training exam pearls Exam |2025 UPDATE
|ACTUAL EXAM QUESTIONS AND VERIFIED
ANSWERS/ACCURATE SOLUTIONS |GET IT 100%
CORRECT!! ALREADY GRADED A+
Pre-exposure prophylaxis (PrEP), what meds, and what do you have check first? -
✔✔ANSWER✔✔>>Emtricitabine/tenofovir
gotta check Hep B first
-apparently they kill hep B too, so if you suddenly stop the med, then reactivated hep B
can lead to liver disease
entry to balloon time for PCI! - ✔✔ANSWER✔✔>>120 minutes
time limit from onset of MI to balloon time - ✔✔ANSWER✔✔>>should get it done w/in
12 hours
Absolute contraindications to Fibrinolysis - ✔✔ANSWER✔✔>>Previous hemorrhage
stroke
Previous ischemic stroke (4.5hrs-3months prior)
Suspected aortic dissection
Active bleeding (except menstruation)
BP >180/110 (severe hypertension)
Streptokinase 6 months prior
acute cholecystitis - ✔✔ANSWER✔✔>>Acute inflammation of the gallbladder wall
Patient with pulmonary HTN due to left heart failure, can they have vasodilators
(PDE5?) - ✔✔ANSWER✔✔>>NO! can make things worse
-maximize heart failure treatment!
Sever's Diseaese - ✔✔ANSWER✔✔>>Calcaneal apophysitis, also called Sever's
disease, is a common cause of heel pain in young athletes, especially those who
participate in basketball, soccer, track, and other sports that involve running. Typically
the heel apophysis closes by age 15. Treatment options include activity modification,
the use of ice packs and/or moist heat, stretching, analgesics, and orthotic devices. The
use of therapeutic ultrasound on the active bone growth plates in children is
contraindicated.
sickle cell kids ages 2-16 should be screened for and with what? -
✔✔ANSWER✔✔>>Individuals with sickle cell disease are at increased risk for vascular
, disease, especially stroke. All sickle cell patients 2-16 years of age should be screened
with transcranial Doppler ultrasonography (SOR A).
fetal alcohol syndrome - ✔✔ANSWER✔✔>>a medical condition in which body
deformation or facial development or mental ability of a fetus is impaired because the
mother drank alcohol while pregnant
associated with clinodactyly, camptodactyly (flexion deformity of the fingers), other
flexion contractures, radioulnar synostosis, scoliosis, and spinal malformations. It is also
associated with many neurologic, behavioral, and cardiovascular abnormalities, as well
as other types of abnormalities.
Dix-Hallpike maneuver - ✔✔ANSWER✔✔>>Rapidly moving the pt from a sitting
position to the supine position with the head turned 45 degrees to the Right. After
waiting apx. 20-30 sec, the pt is returned to the sitting position. If no *Nystagmus* is
observed, the procedure is then repeated on the Left side.
preferred antidepressant in older patients - ✔✔ANSWER✔✔>>Escitalopram (lexapro)
herbal supplement with highest risk of drug interactions? - ✔✔ANSWER✔✔>>St. John's
Wort
inducer of CYP3A4 and P-glycoprotein synthesis. Concurrent use of St. John's wort with
drugs that are metabolized with these systems should be avoided. These include
cyclosporine, warfarin, theophylline, and oral contraceptives.
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
|ACTUAL EXAM QUESTIONS AND VERIFIED
ANSWERS/ACCURATE SOLUTIONS |GET IT 100%
CORRECT!! ALREADY GRADED A+
Pre-exposure prophylaxis (PrEP), what meds, and what do you have check first? -
✔✔ANSWER✔✔>>Emtricitabine/tenofovir
gotta check Hep B first
-apparently they kill hep B too, so if you suddenly stop the med, then reactivated hep B
can lead to liver disease
entry to balloon time for PCI! - ✔✔ANSWER✔✔>>120 minutes
time limit from onset of MI to balloon time - ✔✔ANSWER✔✔>>should get it done w/in
12 hours
Absolute contraindications to Fibrinolysis - ✔✔ANSWER✔✔>>Previous hemorrhage
stroke
Previous ischemic stroke (4.5hrs-3months prior)
Suspected aortic dissection
Active bleeding (except menstruation)
BP >180/110 (severe hypertension)
Streptokinase 6 months prior
acute cholecystitis - ✔✔ANSWER✔✔>>Acute inflammation of the gallbladder wall
Patient with pulmonary HTN due to left heart failure, can they have vasodilators
(PDE5?) - ✔✔ANSWER✔✔>>NO! can make things worse
-maximize heart failure treatment!
Sever's Diseaese - ✔✔ANSWER✔✔>>Calcaneal apophysitis, also called Sever's
disease, is a common cause of heel pain in young athletes, especially those who
participate in basketball, soccer, track, and other sports that involve running. Typically
the heel apophysis closes by age 15. Treatment options include activity modification,
the use of ice packs and/or moist heat, stretching, analgesics, and orthotic devices. The
use of therapeutic ultrasound on the active bone growth plates in children is
contraindicated.
sickle cell kids ages 2-16 should be screened for and with what? -
✔✔ANSWER✔✔>>Individuals with sickle cell disease are at increased risk for vascular
, disease, especially stroke. All sickle cell patients 2-16 years of age should be screened
with transcranial Doppler ultrasonography (SOR A).
fetal alcohol syndrome - ✔✔ANSWER✔✔>>a medical condition in which body
deformation or facial development or mental ability of a fetus is impaired because the
mother drank alcohol while pregnant
associated with clinodactyly, camptodactyly (flexion deformity of the fingers), other
flexion contractures, radioulnar synostosis, scoliosis, and spinal malformations. It is also
associated with many neurologic, behavioral, and cardiovascular abnormalities, as well
as other types of abnormalities.
Dix-Hallpike maneuver - ✔✔ANSWER✔✔>>Rapidly moving the pt from a sitting
position to the supine position with the head turned 45 degrees to the Right. After
waiting apx. 20-30 sec, the pt is returned to the sitting position. If no *Nystagmus* is
observed, the procedure is then repeated on the Left side.
preferred antidepressant in older patients - ✔✔ANSWER✔✔>>Escitalopram (lexapro)
herbal supplement with highest risk of drug interactions? - ✔✔ANSWER✔✔>>St. John's
Wort
inducer of CYP3A4 and P-glycoprotein synthesis. Concurrent use of St. John's wort with
drugs that are metabolized with these systems should be avoided. These include
cyclosporine, warfarin, theophylline, and oral contraceptives.
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
