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Exam (elaborations)

ABFM In Training Exam Pearls Questions with 100% Correct Answers

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ABFM In Training Exam Pearls Questions with 100% Correct Answers Pre-exposure prophylaxis (PrEP), what meds, and what do you have check first? - 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...

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  • October 24, 2024
  • 28
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • ABFM
  • ABFM
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JOSHCLAY
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
ABFM In Training Exam Pearls

Questions with 100% Correct Answers


Pre-exposure prophylaxis (PrEP), what meds, and what do you have check

first? - ✔✔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! - ✔✔120 minutes

time limit from onset of MI to balloon time - ✔✔should get it done w/in 12

hours

Absolute contraindications to Fibrinolysis - ✔✔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 - ✔✔Acute inflammation of the gallbladder wall

,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Patient with pulmonary HTN due to left heart failure, can they have

vasodilators (PDE5?) - ✔✔NO! can make things worse

-maximize heart failure treatment!

Sever's Diseaese - ✔✔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.

in pressure ulcers what solutions to avoid, and what to use! -

✔✔recommended that pressure ulcers not be cleaned with

povidone/iodine, Dakin's solution, hydrogen peroxide, wet-to-dry dressings,

or any solutions that may impede granulation tissue formation. These sites

should be cleaned with either saline or tap water and covered with

hydrocolloid, foam, or another nonadherent dressing that promotes a moist

environment.

Chronic paraoxysmal hemicrania - ✔✔resembles cluster headache but has

some important differences. Like cluster headaches, these headaches are

, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
unilateral and accompanied by conjunctival hyperemia and rhinorrhea.

However, these headaches are more frequent in women, and the

paroxysms occur many times each day. This type of headache falls into a

group of headaches that have been labeled indomethacin-responsive

headaches because they respond dramatically to *indomethacin.*

normal spirometry but low DLCO - ✔✔chronic pulmonary embolus

Antibiotic ppx for dental procedures - ✔✔give amoxicillin only if prior

endocarditis, prosthetic valve, heart txp, or severe or repaired congenital

heart



-if allergic to penicillin, then give clinda!!

when to refer patient with CKD to nephrology - ✔✔Current guidelines

recommend referral to a nephrologist if a patient's renal disease is either of

unknown etiology, is deteriorating quickly (eGFR decreasing by >5

mL/min/1.73 m2 per year), or is severe. Thresholds used to define severe

chronic kidney disease include an eGFR <30 mL/min/1.73 m2, a urine

albumin to creatinine ratio >300 g/mg, persistent acidosis or potassium

imbalance, non-iron deficiency anemia with a hemoglobin level <10 g/dL,

and evidence of secondary hyperparathyroidism.

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