ABFM ITE Real Exam Test Questions & Verified Solutions | Latest update

ABFM ITE Real Exam Test Questions &
Verified Solutions | Latest update
Which class of DM drugs are most likely to cause weight loss? -
ANSWER GLP-1 inhibitors such as Byetta or Trulicity as they
increase insulin secretion, decrease glucagon and increase
satiety
How is head lice treated? - ANSWER 1% permethrin shampoo
applied twice, 7-10 days apart
Nit combing
Oral ivermectin can be used if no improvement with permethrin
1% or 5%
When can a child with head lice return to school? - ANSWER No
school restrictions even if nits are visualized due to very low
likelihood of transmission!!!!!
Are diverticular bleeding and angiodysplasia (small GI vascular
malformation) painful or painless? - ANSWER PAINLESS
Crampy abdominal pain + bloody diarrhea + low abdominal pain
in a patient with HTN, vascular dementia, peripheral artery
disease, HT and HLD. What diagnosis should you suspect? -
ANSWER Ischemic colitis.
PAINFUL, cramps and bloody
The risk factors this patient has for vascular disease make this
diagnosis even more likely
How do you treat a patient with patellofemoral syndrome? -
ANSWER Physical therapy and activity modification (reducing
running distance, keeping leg straight by dragging it, etc.)
Patellar taping can be used as an adjunct but the evidence is
inconsistent so it should not be the primary approach
When does JNC8 recommend <140/90 vs <150/90 for blood
pressure goals? - ANSWER Less than 65yo, DM or HTN:
<140/90
Greater than 65 yo: <150/90
Old and multiple problems you can be even more lenient
What signs and symptoms would a child with transient synovitis
present with? - ANSWER Hip pain, limping, prefers lying supine
with knee bent or out to the side.
Well appearing & afebrile
No leukocytosis or elevation is ESR/CRP
Normal x-ray
How is transient synovitis treated? - ANSWER This is a self
limited inflammatory disorder with no active infection or bony
disruption.
Treat with NSAIDs and rest
How do you treat a patient found to be in SVT? - ANSWER If not
stable --> synchronized cardioversion
If stable -->
Vagal maneuvers followed by med
-Adenosine (SA node only, first line tx for SVT)
-Beta blockers (Esmolol is SA only and IV, procainamide is SA
and AV working by binding Na++ channels and widening QRS)
-Calcium channel blockers (SA and AV node)
Which class of medication can be used acutely to stop SVT and
chronically for prevention of SVT? - ANSWER Calcium channel
blockers such as verapamil
Adenosine or beta blockers (amio, esmolol, procanimide) can be
used acutely but are not first choice for long term treatment
What is the pathophysiology of beta thalassemia? - ANSWER
Beta globulin proteins are not form