ABFM ITE LATEST RETAKE EXAM WITH 100%
CORRECT ANSWERS UPDATED 2024
Persistent HTN is defined as . - HTN despite 3 or more antiHTN rx,
including a diuretics
HTN + Hyperkalemia + low renin + elevated aldosterone. Dx? - Primary
hyperaldosteronism
A would be used to evaluate for a neuroendocrine ...
A would be used to evaluate for a neuroendocrine tumor, which can
present as chronic flushing and diarrhea. - 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. - Cortisol
level
Suspect Primary hyperaldosteronism. What Lab? - elevated aldosterone/renin
ratio
painful, subcutaneous, nonulcerated, erythematous nodules, is associated with
coccidioidomycosis. Name of rash? - 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? - 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? - Erythema infectiosum
expanding, erythematous, annular rash with or without central clearing and is
often associated with tick exposure (Lyme disease). Name of rash? - Erythema
migrans
, raised, annular, target-like lesions with central erythema and is usually
associated with herpes simplex virus type 1. Name of rash? - Erythema
multiforme
Screening frequency for esophageal varices in patients with cirrhosis and clinically
significant portal hypertension? - 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 ? - Repeat EGD in 1-2 years
High risk features of esophageal varices? Tx? - 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) - 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? - American Dental Association and the American Academy of
Orthopaedic Surgeons recommend against routine use of prophylactic antibiotics.
Cardiovascular Medication that is associated with hyperthyroidism. - Amiodarone.
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