ABFM ITE - Questions & Answers –
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CAP antibiotic that causes VF - -Azithromycin
- The arrhythmia results from prolongation of the QT interval and is also
more common in patients with a prior cardiac history.
-Anti-DM medications for weight loss - -GLP1 receptor agonists e.g.
Exenatide
SGLT-2 inhibitor e.g. Canagliflozin
-Screening test with greatest potential for over diagnosis - -PSA
-Clinical manifestation of amyotrophic lateral sclerosis - -Asymmetric leg
weakness
-Opioid to avoid in palliative patient with severe hepatic dysfunction - -
Methadone
- It is metabolized and cleared by the liver, and should therefore not be used
in patients with severe hepatic impairment. It is, however, a reasonable
option for patients with severe renal impairment.
-Lung cancer screening with low dose CT Chest annually - -Adults 55-80yo
with 30 pack year history and currently smoking or quit within last 15 years
-NOAC with reversal agent - -Dabigatran
-Reduces alcoholism but creating an acute ethanol sensitivity - -Disulfiram
-Antidepressant to be avoided in the elderly - -Paroxetine (associated with
more anticholinergic effects)
SSRIs > SNRIs, atypical antipsychotics may be added for resistant depression
-Age group between which American Academy of Pediatrics recommends
administration of an autism-specific screening tool - -18-24 months old
-Most common neurological complication of Paget's disease of the bone - -
-Most common cardiac complication of Lyme disease - -Heart blocks
, -Examination finding of those with bacterial vaginosis - -Vaginal 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 - -Antibiotics
-Screening for asymptomatic carotid artery stenosis - -Not recommended
-In anaphylaxis, which drug is most likely helpful in preventing the need for
intubation? - -
-Barrett's oesophagus with no dysplasia - -
-Positive family history of colorectal cancer - -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 - -Genetic inheritance
-Lab findings in Von Willebrand disease - -
-U.S. federal labor law requires companies with >50 employees to provide
which benefits for employees who are nursing mothers - -
-Influenza vaccination in those with potential egg allergy - -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? - -Helps to assess
the risk of falling
-Antidepressant that can prolong QT interval to be avoided in those on
concomitant atypical antipsychotics - -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 traveller's diarrhoea - -Azithromycin
Prevented by washing hands frequently
-Most effective medication for treating fibromyalgia - -TCAs > SSRIs (helps
with some pain reduction)
-In a healthy full-term infant who is exclusively breastfed, iron
supplementation should begin at what age in order to prevent iron deficiency
anaemia? - -4 months
- In preterm babies (before 37w), elemental iron supplementation (2mg/kg
per day) should begin at 1 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? - -Coagulopathy
-Chronic medication that can cause B12 deficiency - -Metformin
-Strongest risk factor for primary hypertension in children and adolescents -
-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? - -Pseudomonas
-Treatment of erythrasma (Wood's lamp coral pink/red fluorescence, fine-
scaled with a cigarette-paper appearance) caused by Corynebacterium
minutissimum infection - -Erythromycin
-Which radiologic funding of a lung nodule is most predictive of malignancy?
- -
, -Which investigation is routine in all newborns with Down syndrome? - -
Echocardiography
-Treatment duration for provoked vs unprovoked PE - -3 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? - -BNP and procalcitonin levels
-How to increase HDL (good cholesterol)? - -Add niacin
-Dietary recommendation in diverticulosis - -High fibre or take fibre
supplements
-Side effects of prolonged PPI use - -C diff infection, hypoMg, hip fracture
-Which antiemetic blocks dopamine stimulation in the chemoreceptor trigger
zone? - -Metoclopramide
-Little League shoulder is a repetitive use injury causing disruption at the
proximal growth plate of the humerus - -Proximal humeral epiphysitis.
Can be seen on plain radiographs as widening, demineralization, or sclerosis
at the growth plate.
-Taking beta carotene and Vit E to prevent cancer and heart disease - -
-Fluoride supplementation should be started at what age when primary
water supply is deficient in fluoride - -6 months
-Medications that can reduce serum Vitamin D levels - -Rifampicin,
Phenytoin
-Isolated posterior cruciate ligament tear - -Direct blow to the anterior tibia
whilst knee is in flexion
-What should patients be periodically monitored for whilst on Amiodarone? -
-TSH
-Drug of choice in depressed persons with cardiovascular disease - -SSRIs
-Antibiotics causing prolonged QT - -Macrolides
-Benign nocturnal limb pains of childhood (previously known as "growing
pains") - -Usually occur in the evening or night time, may sometimes wake
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