ABFM ITE NEW EXAM WITH QUESTIONS AND
ANSWERS NEWLY MODIFIED TESTED AND
APPROVED!!!
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.
Page 1 of 132
,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
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
Page 2 of 132
,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
Page 3 of 132
, Age group between which American Academy of Pediatrics recommends
administration of an autism-specific screening tool --ANSWER--18-24 months
old
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
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
Page 4 of 132
ANSWERS NEWLY MODIFIED TESTED AND
APPROVED!!!
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.
Page 1 of 132
,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
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
Page 2 of 132
,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
Page 3 of 132
, Age group between which American Academy of Pediatrics recommends
administration of an autism-specific screening tool --ANSWER--18-24 months
old
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
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
Page 4 of 132
