ABFM Exam Questions and answers 2025
child .with .head .lice
rx'd .with .shampoo .permethrin
still .has .nits .in .her
can .she .go .to .school? .- .CORRECT .ANSWER-yes
as .long .as .continue .home .remedy, .nit .combing .and .repeat .permethrin .shampoo
.in .6 .days
is .diverticular .bleeding .painful? .- .CORRECT .ANSWER-no .
- .abdominal .pains
BP .recommendation .for .>65 .- .CORRECT .ANSWER-150/90
young .boy .
left .hip .pain .
afebrile
ESR .normal .
WBC .normal .
Radiograph .knee .and .hip .normal .
dx?
rx? .- .CORRECT .ANSWER-transient .synovitis
rx: .nsaids
ABFM Exam Questions and answers 2025
. . . . .
rx .for .SVTs .but .short-term .and .llong .term .- .CORRECT .ANSWER-CCB .eg
.verapamil, .diltiazem
16 .yo .
fatigue
on .OCPs
low .bleed .on .periods
normal .TSH
,normal .Hct .
normal .RBC .count
MCV .<80 .
what .lab .test .next? .- .CORRECT .ANSWER-Hgb .electrophoresis
- .check .beta .thalassemia
Signs .of .ALS
- .mainly .motor .sx .- .CORRECT .ANSWER-asymmetrical .weakness .in .legs, .feet,
.ankles
slurred .speech
trouble .swallowing .
SOB .
wt .loss
mcc .urge .incontinence .in .elderly .- .CORRECT .ANSWER-detrusor .instability
what .diabetes .medications .are .good .for .prevention .of .developing .DM .in .pre-
diabetes .pt .- .CORRECT .ANSWER-metformin
"alpha-glucosidase .inhibitors .(acarbose)
orlistat
thiazolidinediones
most .specific .sign .of .peritonsillar .abscess .- .CORRECT .ANSWER-difficulty
.opening .mouth
rx .management .for .concussion .- .CORRECT .ANSWER-physical .and .cognitive
.rest .
- .avoid .physical .activity .that .exacerbate .sx
- .avoid .activities .that .require
concentration .or .attention, .such .as .schoolwork .and .electronics .use.
lung .cancer .screening .recommendation .- .CORRECT .ANSWER-ANNUAL
low-dose .noncontrast .CT .
Asymptomatic .adults .55-80 .yo .who .have .a .30-pack-year .smoking .history .and
.currently .smoke .or .have .quit .smoking .within .the .past .15 .years.
non-medical .indicated .(elective) .induction .of .labor .or .C-section .deliveries
.should .be .scheduled .at .what .GA? .- .CORRECT .ANSWER-39wks .0 .d
drug .to .prevent .seizure .in .alcohol .withdrawal .- .CORRECT .ANSWER-benzos
,initial .rx .allergic .rhinitis .- .CORRECT .ANSWER-intranasal .steroids
most .effective .medication .to .prevent .relapse .in .alcohol .abuse .- .CORRECT
.ANSWER-naltrexone
do .not .use .acamprosate .if .renal .disease
which .SSRI .should .be .prevented .in .elderly .- .CORRECT .ANSWER-paroxetine
- .anticholinergic .effects
screen .for .autism .at .what .age .in .kids? .- .CORRECT .ANSWER-18 .- .24months
bacterial .vaginosis .has .vagina .pH .? .- .CORRECT .ANSWER->4.5
29 .yo .woman .
30weeks .gestation .
received .Tdap .3 .years .ago
what .vaccine .should .she .receive? .- .CORRECT .ANSWER-Tdap .again .
27 .-36 .weeks .gestation, .regardless .of .when .they .last .received .it
rx .for .acute .gout
pt .has .HTN .and .CKD .- .CORRECT .ANSWER-prednisone
note: .nsaids, .colchicine .and .steroids .can .be .used .for .acute .gout...but
.prednisone .is .best .in .CKD
mcc .med-induced .adverse .drug .events .in .US .- .CORRECT .ANSWER-anti-coags
most .common .risk .factor .for .uncomplicated .cystitis .- .CORRECT .ANSWER-
Frequent .sexual .intercourse
others: .
- .spermicide .use
- .previous .UTI
- .new .sex .partner
.- .fam .hx .UTI .in .first .degree .female .relative
first .line .rx .primary .dysmenorrhea .- .CORRECT .ANSWER-nsaids
surveillance .for .barett's .esophagus .without .dyspasia .- .CORRECT .ANSWER-
endoscopy .q .3 .years
best .initial .rx .for .keloid .- .CORRECT .ANSWER-intralesional .corticosteroid
.injections.
rx .osteoporosis .if .10yr .risk .of .major .osteoporotic .fracture .> .___ .% .- .CORRECT
.ANSWER-20%
, pt .with .osteopenia .(T .<2.5)
risk .of .fracture .<20%
what .meds .do .you .start .on .- .CORRECT .ANSWER-calcium .and .vit .d
.supplements
test .for .meniscus .tears .- .CORRECT .ANSWER-thessaly .test
This .patient .has .low .energy, .menstrual .irregularities, .and .a .history .of .stress
.fractures, .BMI .<18...is .consistent .with .______ .dx?
what .test .does .she .need? .- .CORRECT .ANSWER-the .female .athlete .triad. .
She .is .at .risk .for .altered .bone .density .and .needs .a .bone .mineral .density .test.
pt .with .exercise .induced .asthma
pt .can .prevent .this .by? .- .CORRECT .ANSWER-albuterol .10-15min .before
.exercise
does .ankylosing .spondylitis .improve .with .exercise .and .activity? .- .CORRECT
.ANSWER-yes
also .note:
- .pain .worse .in .evening
- .stiffness .worse .in .morning
pt .wwith .ASCVD .risk .>7.5% .should .be .started .on? .- .CORRECT .ANSWER-
moderate-or-high .intensity .statin
note:
- .fibrates .don't .have .effect .on .CVD .and .are .not .part .of .recommendation
.guidelines
what .pneumococcal .vaccine .should .65yo .receive .- .CORRECT .ANSWER-PCV13
.now .and .PPSV23 .in .1 .year
mcc .hearing .loss .in .newborn .- .CORRECT .ANSWER-genetics
A .32-year-old .female .at .12 .weeks .gestation .presents .with .an .itchy .vulvar .lesion,
.which .you
diagnose .as .external .genital .warts. .Which .one .of .the .following .would .be
.accurate .advice
regarding .treatment?
.- .The .recurrence .rate .is .low .with .treatment .
.- .Cryotherapy .is .the .most .effective .treatment .
.- .Treatment .should .be .based .on .patient .preference .
child .with .head .lice
rx'd .with .shampoo .permethrin
still .has .nits .in .her
can .she .go .to .school? .- .CORRECT .ANSWER-yes
as .long .as .continue .home .remedy, .nit .combing .and .repeat .permethrin .shampoo
.in .6 .days
is .diverticular .bleeding .painful? .- .CORRECT .ANSWER-no .
- .abdominal .pains
BP .recommendation .for .>65 .- .CORRECT .ANSWER-150/90
young .boy .
left .hip .pain .
afebrile
ESR .normal .
WBC .normal .
Radiograph .knee .and .hip .normal .
dx?
rx? .- .CORRECT .ANSWER-transient .synovitis
rx: .nsaids
ABFM Exam Questions and answers 2025
. . . . .
rx .for .SVTs .but .short-term .and .llong .term .- .CORRECT .ANSWER-CCB .eg
.verapamil, .diltiazem
16 .yo .
fatigue
on .OCPs
low .bleed .on .periods
normal .TSH
,normal .Hct .
normal .RBC .count
MCV .<80 .
what .lab .test .next? .- .CORRECT .ANSWER-Hgb .electrophoresis
- .check .beta .thalassemia
Signs .of .ALS
- .mainly .motor .sx .- .CORRECT .ANSWER-asymmetrical .weakness .in .legs, .feet,
.ankles
slurred .speech
trouble .swallowing .
SOB .
wt .loss
mcc .urge .incontinence .in .elderly .- .CORRECT .ANSWER-detrusor .instability
what .diabetes .medications .are .good .for .prevention .of .developing .DM .in .pre-
diabetes .pt .- .CORRECT .ANSWER-metformin
"alpha-glucosidase .inhibitors .(acarbose)
orlistat
thiazolidinediones
most .specific .sign .of .peritonsillar .abscess .- .CORRECT .ANSWER-difficulty
.opening .mouth
rx .management .for .concussion .- .CORRECT .ANSWER-physical .and .cognitive
.rest .
- .avoid .physical .activity .that .exacerbate .sx
- .avoid .activities .that .require
concentration .or .attention, .such .as .schoolwork .and .electronics .use.
lung .cancer .screening .recommendation .- .CORRECT .ANSWER-ANNUAL
low-dose .noncontrast .CT .
Asymptomatic .adults .55-80 .yo .who .have .a .30-pack-year .smoking .history .and
.currently .smoke .or .have .quit .smoking .within .the .past .15 .years.
non-medical .indicated .(elective) .induction .of .labor .or .C-section .deliveries
.should .be .scheduled .at .what .GA? .- .CORRECT .ANSWER-39wks .0 .d
drug .to .prevent .seizure .in .alcohol .withdrawal .- .CORRECT .ANSWER-benzos
,initial .rx .allergic .rhinitis .- .CORRECT .ANSWER-intranasal .steroids
most .effective .medication .to .prevent .relapse .in .alcohol .abuse .- .CORRECT
.ANSWER-naltrexone
do .not .use .acamprosate .if .renal .disease
which .SSRI .should .be .prevented .in .elderly .- .CORRECT .ANSWER-paroxetine
- .anticholinergic .effects
screen .for .autism .at .what .age .in .kids? .- .CORRECT .ANSWER-18 .- .24months
bacterial .vaginosis .has .vagina .pH .? .- .CORRECT .ANSWER->4.5
29 .yo .woman .
30weeks .gestation .
received .Tdap .3 .years .ago
what .vaccine .should .she .receive? .- .CORRECT .ANSWER-Tdap .again .
27 .-36 .weeks .gestation, .regardless .of .when .they .last .received .it
rx .for .acute .gout
pt .has .HTN .and .CKD .- .CORRECT .ANSWER-prednisone
note: .nsaids, .colchicine .and .steroids .can .be .used .for .acute .gout...but
.prednisone .is .best .in .CKD
mcc .med-induced .adverse .drug .events .in .US .- .CORRECT .ANSWER-anti-coags
most .common .risk .factor .for .uncomplicated .cystitis .- .CORRECT .ANSWER-
Frequent .sexual .intercourse
others: .
- .spermicide .use
- .previous .UTI
- .new .sex .partner
.- .fam .hx .UTI .in .first .degree .female .relative
first .line .rx .primary .dysmenorrhea .- .CORRECT .ANSWER-nsaids
surveillance .for .barett's .esophagus .without .dyspasia .- .CORRECT .ANSWER-
endoscopy .q .3 .years
best .initial .rx .for .keloid .- .CORRECT .ANSWER-intralesional .corticosteroid
.injections.
rx .osteoporosis .if .10yr .risk .of .major .osteoporotic .fracture .> .___ .% .- .CORRECT
.ANSWER-20%
, pt .with .osteopenia .(T .<2.5)
risk .of .fracture .<20%
what .meds .do .you .start .on .- .CORRECT .ANSWER-calcium .and .vit .d
.supplements
test .for .meniscus .tears .- .CORRECT .ANSWER-thessaly .test
This .patient .has .low .energy, .menstrual .irregularities, .and .a .history .of .stress
.fractures, .BMI .<18...is .consistent .with .______ .dx?
what .test .does .she .need? .- .CORRECT .ANSWER-the .female .athlete .triad. .
She .is .at .risk .for .altered .bone .density .and .needs .a .bone .mineral .density .test.
pt .with .exercise .induced .asthma
pt .can .prevent .this .by? .- .CORRECT .ANSWER-albuterol .10-15min .before
.exercise
does .ankylosing .spondylitis .improve .with .exercise .and .activity? .- .CORRECT
.ANSWER-yes
also .note:
- .pain .worse .in .evening
- .stiffness .worse .in .morning
pt .wwith .ASCVD .risk .>7.5% .should .be .started .on? .- .CORRECT .ANSWER-
moderate-or-high .intensity .statin
note:
- .fibrates .don't .have .effect .on .CVD .and .are .not .part .of .recommendation
.guidelines
what .pneumococcal .vaccine .should .65yo .receive .- .CORRECT .ANSWER-PCV13
.now .and .PPSV23 .in .1 .year
mcc .hearing .loss .in .newborn .- .CORRECT .ANSWER-genetics
A .32-year-old .female .at .12 .weeks .gestation .presents .with .an .itchy .vulvar .lesion,
.which .you
diagnose .as .external .genital .warts. .Which .one .of .the .following .would .be
.accurate .advice
regarding .treatment?
.- .The .recurrence .rate .is .low .with .treatment .
.- .Cryotherapy .is .the .most .effective .treatment .
.- .Treatment .should .be .based .on .patient .preference .
