ABFM ITE Exam Questions with correct Answers
Persistent HTN is defined as ______. - -HTN despite 3 or more antiHTN rx, including a diuretics
HTN + Hyperkalemia + low renin + elevated aldosterone. Dx? - -Primary hyperaldosteronism
A ______ would be used to evaluate for a neuroendocrine tumor, which can present as chronic flushing
and diarrhea. - -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. - -Cortisol level
Suspect Primary hyperaldosteronism. What Lab? - -elevated aldosterone/renin ratio
painful, subcutaneous, nonulcerated, erythematous nodules, is associated with coccidioidomycosis.
Name of rash? - -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? - -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? - -Erythema infectiosum
expanding, erythematous, annular rash with or without central clearing and is often associated with tick
exposure (Lyme disease). Name of rash? - -Erythema migrans
raised, annular, target-like lesions with central erythema and is usually
associated with herpes simplex virus type 1. Name of rash? - -Erythema multiforme
,Screening frequency for esophageal varices in patients with cirrhosis and clinically significant portal
hypertension? - -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 ? - -Repeat EGD in 1-2 years
High risk features of esophageal varices? Tx? - -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 the progression of
esophageal varices.
Best nonpharmacologic management of sundowning (aka behavioral and psychological symptoms of
dementia) - -Sensory stimulation (massage, touch, and music therapy).
- Cognitive training is NOT useful in treatment of sundowning
, use of prophylactic antibiotics for dental procedures in patients with a history of joint replacement? -
-American Dental Association and the American Academy of Orthopaedic Surgeons recommend
against routine use of prophylactic antibiotics.
Cardiovascular Medication that is associated with hyperthyroidism. - -Amiodarone.
Amiodarone-induced thyrotoxicosis (AIT): a less common cause of hyperthyroidism.
- Type 1: iodine-induced thyrotoxicosis caused by the high iodine content in amiodarone
- Type 2: amiodarone-induced thyroiditis.
Tetanus prophylaxis for laceration in a pregnant pt who is up to date on her vaccines? - -Tdap
between 27 and 36 weeks gestation to protect against pertussis
Tetanus prophylaxis in nonpregnant patients who have previously received Tdap. - -Td
Tetanus prophylaxis if patient had not previously completed the primary series or were showing signs of
clinical tetanus. - -Tetanus immune globulin
Frequency of EGD in Cirrhosis patient with no varices? - -EGD every 2-3 years
- All Cirrhosis patients get EGD every 2-3 yrs
- But if Small varices w/o weal sign present them EGD every 1-2 yrs
Persistent HTN is defined as ______. - -HTN despite 3 or more antiHTN rx, including a diuretics
HTN + Hyperkalemia + low renin + elevated aldosterone. Dx? - -Primary hyperaldosteronism
A ______ would be used to evaluate for a neuroendocrine tumor, which can present as chronic flushing
and diarrhea. - -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. - -Cortisol level
Suspect Primary hyperaldosteronism. What Lab? - -elevated aldosterone/renin ratio
painful, subcutaneous, nonulcerated, erythematous nodules, is associated with coccidioidomycosis.
Name of rash? - -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? - -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? - -Erythema infectiosum
expanding, erythematous, annular rash with or without central clearing and is often associated with tick
exposure (Lyme disease). Name of rash? - -Erythema migrans
raised, annular, target-like lesions with central erythema and is usually
associated with herpes simplex virus type 1. Name of rash? - -Erythema multiforme
,Screening frequency for esophageal varices in patients with cirrhosis and clinically significant portal
hypertension? - -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 ? - -Repeat EGD in 1-2 years
High risk features of esophageal varices? Tx? - -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 the progression of
esophageal varices.
Best nonpharmacologic management of sundowning (aka behavioral and psychological symptoms of
dementia) - -Sensory stimulation (massage, touch, and music therapy).
- Cognitive training is NOT useful in treatment of sundowning
, use of prophylactic antibiotics for dental procedures in patients with a history of joint replacement? -
-American Dental Association and the American Academy of Orthopaedic Surgeons recommend
against routine use of prophylactic antibiotics.
Cardiovascular Medication that is associated with hyperthyroidism. - -Amiodarone.
Amiodarone-induced thyrotoxicosis (AIT): a less common cause of hyperthyroidism.
- Type 1: iodine-induced thyrotoxicosis caused by the high iodine content in amiodarone
- Type 2: amiodarone-induced thyroiditis.
Tetanus prophylaxis for laceration in a pregnant pt who is up to date on her vaccines? - -Tdap
between 27 and 36 weeks gestation to protect against pertussis
Tetanus prophylaxis in nonpregnant patients who have previously received Tdap. - -Td
Tetanus prophylaxis if patient had not previously completed the primary series or were showing signs of
clinical tetanus. - -Tetanus immune globulin
Frequency of EGD in Cirrhosis patient with no varices? - -EGD every 2-3 years
- All Cirrhosis patients get EGD every 2-3 yrs
- But if Small varices w/o weal sign present them EGD every 1-2 yrs
