ABFM ITE Prep Test Questions With Verified Solutions

ABFM ITE Prep Test Questions With
Verified Solutions
Persistent HTN is defined as ______. - ANSWER HTN
despite 3 or more antiHTN rx, including a diuretics
HTN + Hyperkalemia + low renin + elevated aldosterone.
Dx? - ANSWER Primary hyperaldosteronism
A ______ would be used to evaluate for a neuroendocrine
tumor, which can present as chronic flushing and diarrhea.
- ANSWER 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. - ANSWER
Cortisol level
Suspect Primary hyperaldosteronism. What Lab? -
ANSWER elevated aldosterone/renin ratio
painful, subcutaneous, nonulcerated, erythematous
nodules, is associated with coccidioidomycosis. Name of
rash? - ANSWER 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? - ANSWER 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? - ANSWER Erythema infectiosum
expanding, erythematous, annular rash with or without
central clearing and is often associated with tick exposure
(Lyme disease). Name of rash? - ANSWER Erythema
migrans
raised, annular, target-like lesions with central erythema
and is usually
associated with herpes simplex virus type 1. Name of
rash? - ANSWER Erythema multiforme
Screening frequency for esophageal varices in patients
with cirrhosis and clinically significant portal hypertension?
- ANSWER 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 ?
- ANSWER Repeat EGD in 1-2 years
High risk features of esophageal varices? Tx? - ANSWER
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 t