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ABIM IM BOARDS ITE questions with complete solutions
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ABIM IM BOARDS ITE questions with complete solutions
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ABIM IM BOARDS ITEWomen aged 65 and older AND younger women with fracture risk of 9.3% or higher - correct answer
✔✔screen for osteoporosis with DEXA
Ibuprofen / naproxen for primary dysmenorrhea, if side effect or not controlled, - correct answer
✔✔OCP
Reduce risk of pressure ulcers in at risk-patients - correct answer ✔✔use advanced static mattresses of
overlays
life expectancy of at least --- years is expected to benefit from screening mammography - correct answer
✔✔10 years
Frequent episodes of binge eating >1/week followed by innapropriate compensatory behaviors
(vomiting, laxatives,enema etc) due to fear of gaining weight - correct answer ✔✔Bulimia nervosa
anorexia BMI - correct answer ✔✔generally underweight, or less than 18.5
otitis media with effusion management - correct answer ✔✔observe, usually resolves in 12 weeks
otitis externa treatment - correct answer ✔✔combined antibiotic and glucocorticoid ototopical
medication, ee.g neomycin +polymyxin b +hydrocortisone
topical lidocaine is effective in treatment of herpetic neuralgia - correct answer ✔✔topical lidocaine
describe uveitis - correct answer ✔✔unilateral eye pain, photophobia, ciliary flush (Circumferential
redness along the border of the sclera and cornea), there may be miosis
,Indications for bariatric surgery - correct answer ✔✔BMI 40 or higher without comorbidities, BMI 35
with comorbities
Orlistat - correct answer ✔✔Weight loss medication, loose stool common side effect. Lose about 3.5kg
over 1 year
Lorcaserin - correct answer ✔✔Weight loss medication, avoid in pts taking SSRIs sue to elevation in
serotonin
Phentermine-topiramate - correct answer ✔✔Weight loss medication, avoid in glaucoma
acromioclavicular join degeneration presentation - correct answer ✔✔pain on superior aspect of
shoulder, tenderness on palpation of A-C joint, pain with shoulder adduction and abduction >120
degrees
Supraspinatus tear test - correct answer ✔✔Positive drop arm test
supraspinatus tendinitis - correct answer ✔✔pain on shoulder abduction or painful arc
Lung cancer screening - correct answer ✔✔ANNUAL LOW-DOSE CT for age 55-80 years with 30-pack year
smoking history, including those who quit within 15 years
AAA Screening - correct answer ✔✔One time abdominal US for men 65-75 who have smoked at least
100 cigarrettes
standard outcome measure for cohort study - correct answer ✔✔relative risk
Treatment options for bipolar depression - correct answer ✔✔Seroquel monotherapy, combination
olanzapine-fluoxetine
hormonal estrogen is contraindicated in women with migraines+aura due to risk of - correct answer
✔✔stroke
, PAP smear screening - correct answer ✔✔women 21-65 , every 3 years. In women 30 - 65, every 5 years
if combined with HPV testing
Indications for high intensity statin - correct answer ✔✔Age 40 - 75 with diabetes and an LDL of 70 -
189,and 10 years >7.5% ASCVD risk
men with low or low-normal testosterone level should have a repeat confirmatory morning testosterone
prior to begining testosterone treatment - correct answer ✔✔
severe vasomotor symptoms in postmenopausal women are best treated with - correct answer
✔✔systemic hormonal therapy;- oral estradiol-progrestin combo
test to be performed in all patients with syncope - correct answer ✔✔EKG
Panic disorder treatment - correct answer ✔✔SSRI (sertraline), SNRI, TCAs, MAOi
Trichomoniasis treatment - correct answer ✔✔single dose of metronidazole 2g, and treat partner
Treatment of vasomotor symptoms in postmenopausal women without a uterus - correct answer
✔✔Transdermal or oral Estradiol only (no need for progestin as they have no uterus)
Statins, ACE-i/ARB are teratogenic - correct answer ✔✔discontinue in pregnant women
Indications for pharmacologic weight loss treatment - correct answer ✔✔BMI greater than 30, or BMI
greater than 27 with obesity associated complications
Indications for BRCA gene testin - correct answer ✔✔1. Bilateral breast cancer 2. presence of both breast
and ovarian cancer 3. breast cancer before the age of 50 4. Ashkenazi Jews 5. multiple family members
with breast cancer 6. 1 or more family males with breast cancer
If high risk found, FIRST offer genetic counselling BEFORE testing for BRCA
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