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THE AMERICAN BOARD OF FAMILY MEDICINE IN TRAINING EXAMINATION / ABFM ITE ACTUAL EXAM COMPLETE REAL EXAM QUESTIONS AND CORRECT VERIFIED SOLUTIONS WITH RATIONALES (LATEST UPDATED VERSIONS) |ALREADY GRADED A+ (ACTUAL EXAM) $20.49
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THE AMERICAN BOARD OF FAMILY MEDICINE IN TRAINING EXAMINATION / ABFM ITE ACTUAL EXAM COMPLETE REAL EXAM QUESTIONS AND CORRECT VERIFIED SOLUTIONS WITH RATIONALES (LATEST UPDATED VERSIONS) |ALREADY GRADED A+ (ACTUAL EXAM)
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THE AMERICAN BOARD OF FAMILY MEDICINE IN TRAINING EXAMINATION / ABFM ITE ACTUAL EXAM COMPLETE REAL EXAM QUESTIONS AND CORRECT VERIFIED SOLUTIONS WITH RATIONALES (LATEST UPDATED VERSIONS) |ALREADY GRADED A+ (ACTUAL EXAM)

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  • October 25, 2024
  • 262
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • THE AMERICAN BOARD OF FAMILY MEDICINE IN TRAINING
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THE AMERICAN BOARD OF FAMILY MEDICINE IN
TRAINING EXAMINATION / ABFM ITE ACTUAL
EXAM 2024-2025 COMPLETE REAL EXAM
QUESTIONS AND CORRECT VERIFIED SOLUTIONS
WITH RATIONALES (LATEST UPDATED VERSIONS)
|ALREADY GRADED A+ (ACTUAL EXAM)


A 57 year old female with diabetes mellitus comes to your office for a
routine follow up. Her current medications include metformin 1000 mg
twice daily. She tells you that she does not exercise regularly and finds
it difficult to follow a healthy diet. HbA1c today is 7.5%. She does not
want to add medications at this time, but she does want to het her
HbA1c below 7%, which is the goal that was previously discussed.


Which one of the following would be the most effective way to improve
glucose control for this patient.
A. Discuss the components of a healthy diabetic diet and encourage her
to follow it more closely.
B. Discuss the importance of regular exercise and encourage her to
exercise 30-45 minutes daily.
C. Recommend that she check her glucose level 1-3 times daily to help
determine what adjustments need to be made.
D. Start her on an additional medication
E. Refer her to a diabetes educator for medical nutrition therapy.

,ANSWER: E. Refer her to a diabetes educator for medical nutrition
therapy


Rationale: Counseling by a diabetic educator or a team of educators for
medical nutrition therapy lowers HbA1c by 0.2-0.8 percentage points in
patients with type 2 diabetes. While a healthy diabetic diet and regular
exercise is important, simply reminding the patient of that fact is not
likely to be as successful as comprehensive diabetic education.
According to the Society of General Internal Medicine in the Choosing
Wisely campaign, patients with type 2 diabetes who are not on insulin
therapy should not check their blood glucose level daily. An additional
medication will likely decrease HbA1c, but this patient has expressed a
desire to avoid additional medication, is near goal, and is not currently
managing her diabetes with adequate lifestyle changes, so it would be
appropriate to respect her wishes and pursue proven interventions that
do not require medication.




During a newborn examination the patient's mother asks what she can
do to decrease the risk of food allergies in her newborn son. She tells
you that there is no family history of atopic dermatitis or asthma but
she has a cousin with a peanut allergy. The remainder of the
examination is unremarkable.


You tell her that food allergy risk can be reduced by
A. breastfeeding for at least 1 year
B. Using soy based formula instead of cow's milk based formula

,C. introducing peanut-containing food when solids are started
D. Avoiding all house pets
E. Avoiding a day care setting
ANSWER: C. Introducing peanut containing food when solids are started


Rationale: Food allergy affects 4-6% of children in the US. IgE-mediated
food allergy is the best understood, and symptoms can range from
rhinorrhea to anaphylaxis. The two most common allergens are cow's
milk and peanuts. The onset of symptoms is usually within 2 hours of
exposure and they resolve within several hours. The National Institute
of Allergy and Infectious Diseases in 2017 recommended that healthy
infants without known food allergy or who have mild to moderate
eczema may be introduced to peanut-containing foods with other solid
foods. If the parents are concerned about a reaction, introduction of
peanut-containing foods may be done in the physician's office. Infants
with severe eczema, egg allergy, or both should undergo peanut-
specific IgE or skin prick testing. While breastfeeding may decrease
atopic disease, there is insufficient evidence that it reduces the
likelihood of food allergy, and using a soy based formula will not
prevent food allergy. If there is a dog in the home there is less risk of
allergy to eggs. Children who are exposed to farm animals or who
attend day care are less likely to develop atopic disease.




Which one of the following antihypertensive medications is LEAST likely
to exacerbate erectile dysfunction?
A. Clonidine (Catapres)

, B. Doxazosin (Cardura)
C. Hydrochlorothiazine
D. Losartan (Cozaar)
E. Metoprolol
ANSWER: D. Losartan


Rationale: Angiotensin receptor blockers (ARBs) such as losartan are
least likely to cause or exacerbate erectile dysfunction. ARBs may have
a favorable effect on erectile dysfunction by inhibiting vasoconstriction
activity of angiotensin. Clonidine, alpha blockers, hydrochlorothiazide,
and beta-blockers are more likely to negatively affect erectile function.




You are providing end of life care for a 53 year old female with end
stage colon cancer. Her family reports that she is having significant
abdominal pain, nausea, and vomiting, and she is not able to tolerate
oral intake. You suspect a malignant bowel obstruction.


Which one of the following interventions would be most likely to
significantly improve her symptoms?
A. Medical cannabis
B. Dexamethasone
C. Morphine
D. Octreotide (Sandostatin)

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