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ABFM ITE ACTUAL EXAM || 2 DIFFERENT EXAMS | COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES || ALREADY GRADED A+ < NEWEST VERSIONS> $12.99
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ABFM ITE ACTUAL EXAM || 2 DIFFERENT EXAMS | COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES || ALREADY GRADED A+ < NEWEST VERSIONS>

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  • ABFM ITE 2025
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  • ABFM ITE 2025

ABFM ITE ACTUAL EXAM || 2 DIFFERENT EXAMS | COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES || ALREADY GRADED A+ &lt; NEWEST VERSIONS&gt; 1.A 60-year-old male presents with a several-month history of a dry cough and progressive shortness of breath with exert...

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  • January 24, 2025
  • 114
  • 2024/2025
  • Exam (elaborations)
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  • ABFM ITE 2025
  • ABFM ITE 2025
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ProfBenjamin
ABFM ITE ACTUAL EXAM 2025-2026 || 2
DIFFERENT EXAMS | COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES ||
ALREADY GRADED A+
< NEWEST VERSIONS>



1.A 60-year-old male presents with a several-month history of a dry cough and
progressive shortness of breath with exertion. On examination he has tachypnea
and bibasilar end-inspiratory dry crackles, and a chest radiograph reveals
interstitial opacities.
Which one of the following patient occupations would most likely support a
diagnosis of silicosis?

A) Baker
B) Firefighter
C) Stone cutter
D) Goat dairy farmer
E) High-tech electronics fabricator - ANSWER ✔ ANSWER: C
Family physicians should be aware of the environmental exposures associated with
pulmonary disease.
Stone cutting, sand blasting, mining, and quarrying expose patients to silica, which
is an inorganic dust
that causes pulmonary fibrosis (silicosis). Occupational exposure to beryllium,
which is also an inorganic
dust, occurs in the high-tech electronics manufacturing industry and results in
chronic beryllium lung
disease. Exposure to organic agricultural dusts (fungal spores, vegetable products,
insect fragments, animal

,dander, animal feces, microorganisms, and pollens) can result in "farmer's lung," a
hypersensitivity
pneumonitis. Other organic dust exposures, such as exposures to grain dust in
bakers, can lead to asthma,
chronic bronchitis, and COPD. Firefighters are at risk of smoke inhalation and are
exposed to toxic
chemicals that can cause many acute and chronic respiratory symptoms.

2. A 28-year-old female presents with a 3-month history of fatigue and postural
lightheadedness. On examination she is diffusely hyperpigmented, especially her
skin creases and areolae. A CBC and basic metabolic panel are normal except for
an elevated potassium level. You order a corticotropin stimulation test.
Prior to the corticotropin injection, you should order which one of the following
tests to confirm that this patient has a primary insufficiency and not a secondary
(pituitary) disorder?

A) ACTH
B) Aldosterone
C) Melanocyte-stimulating hormone
D) Renin
E) TSH - ANSWER ✔ ANSWER: A
A plasma ACTH level is recommended to establish primary adrenal insufficiency.
The sample can be
obtained at the same time as the baseline sample in the corticotropin test. A plasma
ACTH greater than
twice the upper limit of the reference range is consistent with primary adrenal
insufficiency. Aldosterone
and renin levels should be obtained to establish the presence of adrenocortical
insufficiency, but these do
not differentiate primary from secondary adrenal insufficiency. The
hyperpigmentation of Addison's
disease is caused by the melanocyte-stimulating hormone (MSH)-like effect of the
elevated plasma levels
of ACTH. ACTH shares some amino acids with MSH and also produces an
increase in MSH in the blood.
TSH is not part of the feedback loop of adrenal insufficiency.

3. You see a 3-year-old female with a 2-day history of intermittent abdominal
cramps, two episodes of emesis yesterday, and about five watery, nonbloody stools
each day. She does not have a fever, her other vital signs are normal, and she has

,not traveled recently. Today she has tolerated sips of fluid but still has mild fatigue
and thirst. An examination is normal except for mildly dry lips. A friend at
preschool had a similar illness recently.
Which one of the following would be the most appropriate initial management of
this patient?

A) A sports drink and food on demand
B) Half-strength apple juice and food on demand
C) Ginger ale and no food yet
D) Water and no food yet
E) A bolus of intravenous normal saline and no food yet - ANSWER ✔ ANSWER:
B
Family physicians often see patients with diarrheal illnesses and most of these are
viral. Patients sometimes
have misconceptions about preferred fluid and feeding recommendations during
these illnesses. The World
Health Organization recommends oral rehydration with low osmolarity drinks (oral
rehydration solution)
and early refeeding. Half-strength apple juice has been shown to be effective, and
it approximates an oral
rehydration solution. Its use prevents patient measurement errors and the purchase
of beverages with an
inappropriate osmolarity. Low osmolarity solutions contain glucose and water,
which decrease stool
frequency, emesis, and the need for intravenous fluids compared to higher
osmolarity solutions like soda
and most sports drinks. Water increases the risk of hyponatremia in children. This
patient is not ill enough
to need intravenous fluids. Early refeeding has been shown to decrease the duration
of illness.

4. A 32-year-old female requests a physical examination prior to participating in an
adult soccer league. Her blood pressure is 118/70 mm Hg and her pulse rate is 68
beats/min. The examination is otherwise normal except for a systolic murmur that
intensifies with Valsalva maneuvers. She says that she has recently been
experiencing mild exertional dyspnea and moderate chest pain. The chest pain has
been atypical and is not necessarily related to exertion. Echocardiography reveals
hypertrophic cardiomyopathy.
In addition to referring the patient to a cardiologist, you recommended initiating
therapy with

, A) amiodarone (Cordarone)
B) amlodipine (Norvasc)
C) furosemide (Lasix)
D) lisinopril (Prinivil, Zestril)
E) metoprolol - ANSWER ✔ ANSWER: E
Hypertrophic cardiomyopathy is the most common primary cardiomyopathy, with
a prevalence of 1:500
persons. Many patients with hypertrophic cardiomyopathy are asymptomatic and
are diagnosed during
family screening, by auscultation of a heart murmur, or incidentally after an
abnormal result on
electrocardiography. On examination physicians may hear a systolic murmur that
increases in intensity
during Valsalva maneuvers. The main goals of therapy are to decrease exertional
dyspnea and chest pain
and prevent sudden cardiac death. -Blockers are the initial therapy for patients with
symptomatic
hypertrophic cardiomyopathy. Nondihydropyridine calcium channel blockers such
as verapamil can be
used if -blockers are not well tolerated.

5. An 85-year-old female with advanced Alzheimer's disease is brought to your
office for treatment of agitation, aggressive behavior, and delusions. Behavioral
and psychological interventions have had little success and the family is willing to
try medications because they prefer to keep the patient at home.
Which one of the following would most likely help control this patient's
symptoms?

A) Alprazolam (Xanax)
B) Aripiprazole (Abilify)
C) Clozapine (Clozaril)
D) Donepezil (Aricept)
E) Haloperidol - ANSWER ✔ ANSWER: B
Nonpharmacologic interventions are the first-line treatment for patients with
behavioral and psychological
symptoms of dementia. Antipsychotic medications can be prescribed for refractory
cases but this is an

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