ABFM ITE 2022 Latest Update Questions and

ABFM ITE 2022 Latest Update Questions and Correct Answers Already Passed ______ level can be checked if Cushing syndrome is suspected. Hypertension, obesity and an elevated blood glucose level due to insulin resistance. - Correct Answer:Cortisol level

12yo F positive rapid ag test for Streptococcal pharyngitis, was treated with Antibiotics 12 days ago with improvement, but reports similar symptoms again. Nonexudative pharyngitis on exam, repeat strep test still positive. Should patient be retreated? -

Correct Answer:No further antibiotic therapy.

• Most treatment failures for group A Streptococcus (GAS) represent a GAS carrier

state. This patient had clinical improvement followed by a second illness with typical features of a viral infection.

• Oral azithromycin, oral ciprofloxacin, intramuscular benzathine penicillin, and

intramuscular ceftriaxone are not appropriate for the treatment of viral infections in a patient who is a pharyngeal GAS carrier.

12yo female present for a routine well child exam. USPSTF recommends screening this patient for which one of the following?

• Anemia
• Depression
• Diabetes mellitus
• Dyslipidemia

E) HIV - Correct Answer:B) Depression.

• USPSTF recommends screening for depression in adolescents and adults starting at

age 12.

• American Academy of Pediatrics now recommends screening for dyslipidemia in

children once between 9 and 11 years of age, but the USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for lipid disorders in children and adolescents 20 years of age and under (I recommendation).

• HIV screening is recommended in adolescents and adults 15-65 years of age (A

recommendation).

27yo M, with thalassemia and osteoporosis. In addition to bisphosphonates, calcium, and vitamin D, which medications may improve bone density? - Correct Answer:Zinc supplementation is recommended to improve bone density in patients with thalassemia and osteoporosis (SOR C).

• Hydroxyurea helps minimize the frequency of blood transfusions, it does not improve

bone density. Vitamin C does not improve bone health in Thalassemia and osteoporosis. 1 / 2

42-yo female presents with a 2-day history of a rash on her neck along her hairline

(photo). Dx? - Correct Answer:Contact dermatitis due to Nickel allergy.

45yo M, with HTN, c/o muscle pain and weakness and self-discontinued simvastatin.Which of the following med likely contributed to developing statin-induced myopathy?

• Amlodipine
• Empagliflozin

C) HCTZ

• Losartan

E) Metformin - Correct Answer:A) Amlodipine.

• Most statin are metabolized in liver by CYP 3A4.
• Concurrent use of amiodarone, CCB (amlodipine), certain anti-HIV rx, certain

antifungal can increase risk of statin-induced myopathy.

• Losartan metabolized by CYP 2C9.

A ______ would be used to evaluate for a neuroendocrine tumor, which can present as

chronic flushing and diarrhea. - Correct Answer:24-hour urine collection for 5-

hydroxyindoleacetic acid (5-HIAA)

American Academy of Pediatrics recommends obtaining a blood pressure reading at

well child checks beginning at what age? - Correct Answer:3 years.

• This recommendation does not differ for children who have a strong family history of

hypertension.

Based on the current CDC guidelines, which one of the following is recommended as first-line treatment of urethritis in a 24-year-old male who weighs 152 kg (335 lb), NAAT for gonorrhea is positive and Chlamydia testing is negative? - Correct Answer:One dose of ceftriaxone, 1 g IM if wt > 150kg.

• One dose of ceftriaxone, 500 mg IM if wt < 150kg.

• Patients presenting with an UNKNOWN cause of urethritis, such as BEFORE urine or

urethral nucleic acid amplification test results are known, should be prescribed a combination of one dose of ceftriaxone, 500 mg intramuscularly (1 g if >150 kg), and doxycycline, 100 mg orally for 7 days.

• Azithromycin, 1 g orally as a single dose, may be used as an alternative to doxycycline

for treatment of chlamydial infection, but it is no longer the preferred agent in nonpregnant adults and adolescents.

Best Evidence based treatment for Frailty syndrome?

• Protein supplements
• / 2