ABFM ITE PRACTICE TEST || COMPLETE QUESTIONS AND VERIFIED CORRECT SOLUTIONS WITH RATIONALES || 100% GUARANTEED PASS!! < RECENT VERSION>
0 purchase
Course
ABFM ITE 2025
Institution
ABFM ITE 2025
ABFM ITE PRACTICE TEST 2025
2026 || COMPLETE QUESTIONS
AND VERIFIED CORRECT
SOLUTIONS WITH RATIONALES ||
100% GUARANTEED PASS!!
< RECENT VERSION>
1.A 28-year-old female presents with a depressed mood and sleep disturbance. She
tells you that
this has occurred for the pa...
ABFM ITE PRACTICE TEST 2025-
2026 || COMPLETE QUESTIONS
AND VERIFIED CORRECT
SOLUTIONS WITH RATIONALES ||
100% GUARANTEED PASS!!
< RECENT VERSION>
1.A 28-year-old female presents with a depressed mood and sleep disturbance. She
tells you that
this has occurred for the past 4 years but only during the winter months. Her past
medical history and a physical examination are unremarkable.
Which one of the following interventions has the strongest evidence for preventing
recurrence of her condition?
A) Exercise
B) Light therapy
C) Cognitive-behavioral therapy
D) Bupropion (Wellbutrin XL)
E) Fluoxetine (Prozac)
ANSWER: D
Bupropion (Wellbutrin XL)
This patient has seasonal affective disorder (SAD) that has recurred and is likely to
continue to recur.
Bupropion is the only medication beneficial for prevention of SAD. Light therapy
and SSRIs are helpful for treating this disorder but do not prevent it. Exercise and
,cognitive-behavioral therapy are beneficial
adjuncts to treatment but would not prevent recurrence.
A 69-year-old male sees you for a routine examination and asks about lung cancer
screening. He smoked one pack of cigarettes per day for about 35 years but quit 11
years ago.
2. According to the U.S. Preventive Services Task Force and the American College
of Chest Physicians, which one of the following should you recommend?
A) No screening
B) An annual history and examination focusing on lung symptoms
C) Annual chest radiography
D) Annual low-dose chest CT
ANSWER: D
Annual low-dose chest CT
The U.S. Preventive Services Task Force and the American College of Chest
Physicians support screening for lung cancer with annual low-dose CT in patients
50-80 years of age who have a 20-pack-year smoking history and who currently
smoke or have smoked within the past 15 years. There is no evidence to support
an annual history and physical examination or annual chest radiography as
screening tools for lung cancer.
3.Which one of the following electrolyte disturbances would be consistent with
tumor lysis
syndrome?
A) Hypocalcemia
B) Hypokalemia
C) Hyponatremia
D) Hypophosphatemia
E) Hypouricemia
ANSWER: A Hypocalcemia
Tumor lysis syndrome is a common complication of chemotherapy in hematologic
malignancies, such as acute leukemia. Homeostasis is overwhelmed with
phosphorus, potassium, calcium, and uric acid released into the bloodstream due to
acute cell lysis. Hyperphosphatemia, hyperkalemia, and hyperuricemia are
indicative of tumor lysis syndrome. Calcium levels are decreased due to binding
with free phosphorus and a depletion of calcium in the bloodstream. Sodium
electrolyte levels are not as likely to be affected
,4. Which one of the following is needed to calculate the number needed to treat
(NNT)?
A) Number needed to harm
B) Pretest probability
C) Absolute risk reduction
D) Relative risk reduction
E) Likelihood ratio
ANSWER: C Absolute risk reduction
The number needed to treat (NNT) is calculated as: 1/absolute risk reduction
(ARR), where the ARR is expressed as a decimal. If the ARR is 5%, the NNT =
1/0.05 = 20. This is a very important aspect of biostatistics that most family
physicians use on a daily basis. It describes the number of patients who need to
receive an intervention instead of the alternative in order for one additional patient
to benefit. The number needed to harm is the number of patients necessary to
receive an intervention instead of the
alternative in order for one additional patient to experience an adverse event.
Pretest probability is the probability of disease in a patient before a test is
performed. The relative risk reduction indicates how much the risk or outcome was
reduced in the treatment group compared to the control group. The likelihood ratio
corresponds to the clinical impression of how well a test rules in or rules out a
given disease.
5. A 30-year-old male comes to your office for evaluation of hand weakness. On
examination you detect weakness when he tries to bring his thumb and index finger
together. For confirmation
you ask him to try to hold on to a piece of paper between his thumb and index
finger while you try to pull it away. He is unable to resist when you pull on the
paper.
The most likely explanation for these findings is an injury to the
A) brachial plexus
B) median nerve
C) musculocutaneous nerve
D) radial nerve
E) ulnar nerve
ANSWER: E ulnar nerve
Initial general neurovascular assessment of an upper extremity injury includes
evaluating for radial pulse and digit movement and sensation. Weakness of the
, thumb and index finger pincer mechanism is indicative
of an ulnar nerve injury. Weakness in the shoulder or upper arm would indicate a
potential brachial plexus injury. Symptoms related to the median nerve generally
include paresthesia of the thumb, index finger, and long finger. Weakness of
supination of the forearm would indicate a potential musculocutaneous nerve
injury. Weakness of active wrist extension would indicate a potential radial nerve
injury.
6. A 30-year-old male is diagnosed with hereditary hemochromatosis. Periodic
therapeutic phlebotomy may be appropriate to prevent
A) chronic liver disease
B) chronic renal disease
C) encephalopathy
D) myelofibrosis
E) Wilson disease
ANSWER: A chronic liver disease
Hereditary hemochromatosis is a common inherited disorder of iron metabolism.
Iron deposits in the liver may lead to chronic liver disease and hepatocellular
cancer. Screening for hereditary hemochromatosis
includes serum ferritin levels, a family history, and genetic testing. Chronic renal
disease, encephalopathy,
myelofibrosis, and Wilson disease (disorder of copper transport) do not result from
iron overload.
7. A 14-year-old male is brought to your office by his parents, who are concerned
about his behavior. Recently he was caught shoplifting video games. He started
smoking cigarettes at age
10, and he has a history of truancy from school for the past 2 years. His parents
report that they have caught him starting fires outside of their home, and he often
teases the family dog, whom
he has injured on several occasions.
The most likely diagnosis is
A) antisocial personality disorder
B) attention-deficit/hyperactivity disorder (ADHD)
C) avoidant personality disorder
D) conduct disorder
E) substance abuse
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ProfBenjamin. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
