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NEW VERSION: ABFM ITE 2024/25 Family Medicine; Questions & Answers

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NEW VERSION: ABFM ITE 2024/25 Family Medicine; Questions & Answers Persistent HTN is defined as ______. Correct Answer-HTN despite 3 or more antiHTN rx, including a diuretics HTN + Hyperkalemia + low renin + elevated aldosterone. Dx? Correct Answer-Primary hyperaldosteronism A ______ would...

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  • September 3, 2024
  • 26
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • ABFM
  • ABFM
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NEW VERSION: ABFM ITE 2024/25
Family Medicine; Questions & Answers
Persistent HTN is defined as ______. Correct Answer-HTN despite 3 or more antiHTN rx,

including a diuretics




HTN + Hyperkalemia + low renin + elevated aldosterone. Dx? Correct Answer-Primary

hyperaldosteronism




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)




______ 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




Suspect Primary hyperaldosteronism. What Lab? Correct Answer-elevated

aldosterone/renin ratio

, NEW VERSION: ABFM ITE 2024/25
Family Medicine; Questions & Answers
painful, subcutaneous, nonulcerated, erythematous nodules, is associated with

coccidioidomycosis. Name of rash? Correct Answer-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? Correct

Answer-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? Correct

Answer-Erythema infectiosum




expanding, erythematous, annular rash with or without central clearing and is often

associated with tick exposure (Lyme disease). Name of rash? Correct Answer-Erythema

migrans




raised, annular, target-like lesions with central erythema and is usually

, NEW VERSION: ABFM ITE 2024/25
Family Medicine; Questions & Answers
associated with herpes simplex virus type 1. Name of rash? Correct Answer-Erythema

multiforme




Screening frequency for esophageal varices in patients with cirrhosis and clinically significant

portal hypertension? Correct Answer-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 ? Correct Answer-Repeat EGD in 1-2 years




High risk features of esophageal varices? Tx? Correct Answer-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

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