ABFM ITE 2022 Exam completely 100% solved correctly Grade A+ CAP antibiotic that causes VF - correct answer Azithromycin
- The arrhythmia results from prolongation of the QT interval and is also more common in patients with
- It is metabolized and cleared by the liver, and should therefore not be used in patients with severe
a prior cardiac history.Anti-DM medications for weight loss - correct answerGLP1 receptor agonists e.g. Exenatide SGLT-2 inhibitor e.g. Canagliflozin Screening test with greatest potential for over diagnosis - correct answer PSA Clinical manifestation of amyotrophic lateral sclerosis - correct answer Asymmetric leg weakness Opioid to avoid in palliative patient with severe hepatic dysfunction - correct answer Methadone
hepatic impairment. It is, however, a reasonable option for patients with severe renal impairment.Lung cancer screening with low dose CT Chest annually - correct answer Adults 55-80yo with 30 pack year history and currently smoking or quit within last 15 years NOAC with reversal agent - correct answer Dabigatran Reduces alcoholism but creating an acute ethanol sensitivity - correct answer Disulfiram Antidepressant to be avoided in the elderly - correct answer Paroxetine (associated with more anticholinergic effects) SSRIs > SNRIs, atypical antipsychotics may be added for resistant depression 1 / 4
Age group between which American Academy of Pediatrics recommends administration of an autism- specific screening tool - correct answer18-24 months old Most common neurological complication of Paget's disease of the bone - correct answer Most common cardiac complication of Lyme disease - correct answer Heart blocks Examination finding of those with bacterial vaginosis - correct neovaginal pH >4.5 (normal vaginal pH should be acidic) Most common cause of medication-related adverse events across health care settings in the United States - correct answer Antibiotics Screening for asymptomatic carotid artery stenosis - correct answer Not recommended In anaphylaxis, which drug is most likely helpful in preventing the need for intubation? - correct answer Barrett's esophagus with no dysplasia - correct answer Positive family history of colorectal cancer - correct answer Individuals who have a first-degree relative with colorectal cancer or advanced adenoma diagnosed before 60 years of age or two first-degree relatives diagnosed at any age should be advised to start screening colonoscopy at 40 years of age or 10 years younger than the earliest diagnosis in their family, whichever comes first.Most common cause of hearing loss in newborns - correct answer Genetic inheritance Lab findings in Von Willebrand disease - correct answer U.S. federal labor law requires companies with >50 employees to provide which benefits for employees who are nursing mothers - correct answer 2 / 4
Influenza vaccination in those with potential egg allergy - correct answer All currently available influenza vaccines, with the exceptions of recombinant and cell-culture-based inactivated influenza vaccines, are prepared using embryonated egg culture and can potentially provoke allergic and anaphylactic reactions.For those who report that they can eat lightly cooked scrambled eggs, vaccination can proceed without precaution or observation. Those who have experienced only hives can also receive any influenza vaccine appropriate for their age and health status.People who have experienced symptoms such as hypotension, wheezing, nausea, or vomiting, or reactions requiring emergency attention or epinephrine after eating eggs or egg-containing foods can also receive any influenza vaccine appropriate for their age and health status and also do not need to be observed. However, the vaccine should be administered by a provider who can recognize and manage severe allergic reactions.How is the Timed Up and Go test useful in GRM patients? - correct answer Helps to assess the risk of falling Antidepressant that can prolong QT interval to be avoided in those on concomitant atypical antipsychotics - correct answer Citalopram, Escitalopram Other SSRIs, as well as bupropion, venlafaxine, and mirtazapine, do not have this effect. Both tricyclic antidepressants and antipsychotics, commonly used in patients also taking SSRIs, can cause QT prolongation, making their combined use problematic.Antibiotic for traveler’s diarrhea - correct answer Azithromycin Prevented by washing hands frequently Most effective medication for treating fibromyalgia - correct answer TCAs > SSRIs (helps with some pain reduction) 3 / 4
In a healthy full-term infant who is exclusively breastfed, iron supplementation should begin at what age in order to prevent iron deficiency anemia? - correct answer4 months
- In preterm babies (before 37w), elemental iron supplementation (2mg/kg per day) should begin at 1
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month of age and should continue until 12 months of age, unless the infant had multiple blood transfusions.In primary nephrotic syndrome, other than proteinuria and low albumin, what else is commonly observed? - correct answer Coagulopathy Chronic medication that can cause B12 deficiency - correct answer Metformin Strongest risk factor for primary hypertension in children and adolescents - correct answer Elevated BMI While Staphylococcus aureus and Streptococcus species are the most common causes of skin and soft- tissue infection, which organism should also be considered? - correct answer Pseudomonas Treatment of erythrasma (Wood's lamp coral pink/red fluorescence, fine-scaled with a cigarette-paper appearance) caused by Corynebacterium minutissimum infection - correct answer Erythromycin Which radiologic funding of a lung nodule is most predictive of malignancy? - correct answer Which investigation is routine in all newborns with Down syndrome? - correct answer Echocardiography Treatment duration for provoked vs unprovoked PE - correct answer3 months and indefinitely respectively In patients with symptoms indicative of pneumonia or heart failure, what investigations can be done to determine treatment of either condition or both? - correct answer BNP and procalcitonin levels How to increase HDL (good cholesterol)? - correct answer Add niacin