ABFM ITE NEWEST EXAM STUDY GUIDE
WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS RATED A+
An otherwise healthy 55-year-old male who is visiting from
Arizona presents to your office with a 4-week history of
intermittent fevers, night sweats, dry cough, weight loss, and
myalgia. The patient has no other recent history of travel. Correct
Answer Valley Fever (medical name coccidioidomycosis or "cocci"
for short) is an infection in the lungs caused by the fungus
coccidioides spp., which grows in soils in areas of low rainfall,
high summer temperatures and moderate winter temperatures,
such as: throughout Arizona, the San Joaquin and Central Valleys
of California, southern parts of Nevada, New Mexico and western
Texas, east-central Utah, south-eastern Washington, and the
semiarid and arid soils of Central and South America.
First-line pharmacotherapy for diabetic gastroparesis Correct
Answer Metoclopramide, Erythromycin
Antibiotic time-out Correct Answer Occurs 48-72h after first
administration, part of antibiotic stewardship programme to
ensure judicious use.
,Prehn's sign Correct Answer Physical lifting of the testicles
relieves the pain of epididymitis but not pain caused by testicular
torsion.
Treatment of epididymitis Correct Answer Bed rest, antibiotics,
scrotal support, and ice compresses.
In sexually active adults <35 years of age, gonorrhea and
Chlamydia are the most common causative organisms.
Ceftriaxone, 250 mg intramuscularly or intravenously once, with
oral doxycycline, 100 mg twice daily for 10 days, would be
appropriate.
In men over the age of 35 or those with a history of recent urinary
tract surgery or instrumentation, enteric organisms are the most
likely cause and monotherapy with oral levofloxacin or ofloxacin
for 10 days would be recommended.
fA healthy 2-month-old female is brought to your office for a
routine well baby examination by both of her parents, who have
no concerns. The parents refuse routine recommended vaccines
for their daughter because of their personal beliefs. You want to
incorporate patient-centeredness and are also concerned about
improving the health of the population. You decide to follow the
CDC recommendations by? Correct Answer Having the parents
sign a refusal to vaccinate form.
,Prepatellar bursitis is a common superficial bursitis caused by
microtrauma from repeated kneeling and crawling. Other terms for
this include housemaid's knee, coal miner's knee, and carpet
layer's knee. It is usually associated with minimal to no pain.
Correct Answer The proper management of prepatellar bursitis is
conservative and includes ice, compression wraps, padding,
elevation, analgesics, and modification of activity. There is little
evidence that a corticosteroid injection is beneficial, even though
it is often done. If inflammatory bursitis is suspected, a
corticosteroid injection may be helpful. Fluid aspiration is
indicated if septic bursitis is suspected. Surgery can be
considered for significant enlargement of a bursa if it interferes
with function.
Absolute contraindication to fibrinolytic therapy Correct Answer A
history of an ischemic stroke within the past 3 months unless the
stroke is diagnosed within 4½ hours.
Treatment of sudden SNHL likely idiopathic Correct Answer Oral
Prednisolone (recommended dosage is 1 mg/kg/day with a
maximum dosage of 60 mg daily for 10-14 days)
Ottawa Ankle rules: negative i.e. ankle sprain Correct Answer
Compression combined with lace-up ankle support or an air cast,
along with cryotherapy, is recommended and can increase
mobility. Early mobilization, including weight bearing as tolerated
for daily activities, is associated with better long-term outcomes
than prolonged rest.
, Risk factor for atrial fibrillation Correct Answer Alcohol use
Assessing response to oral iron therapy in iron deficiency
anaemia Correct Answer Reticulocyte count
Use of IV contrast in those with shellfish allergies Correct Answer
No correlation
Shoulder pain with weak internal rotation Correct Answer
Subscapularis
Shoulder pain with weak external rotation Correct Answer
Infraspinatus, teres minor
Shoulder pain with weak abduction Correct Answer
Supraspinatus, deltoid
First line imaging modality for acute abdominal pain in children
Correct Answer Ultrasonography
First line anti-hypertensives in African-Caribbean patients Correct
Answer Calcium-channel blockers, Thiazides (e.g. Chlorthalidone)
Hospice care eligibility is based on Correct Answer Life
expectancy (6 months or less)