ABFM ITE Real Exam Questions & Verified Solutions With Rationales | ALREADY PASSED

ABFM ITE Real Exam Questions & Verified Solutions With Rationales | ALREADY PASSED 3 Year old child speaks 100 words no hearing concerns does this kid need intervention? what kind? - ANSWER YES 3 YR SHOULD SPEAK ABOUT 300 WORDS REFER TO SPEECH LANGUAGE EARLY DEVELOPMENT INTERVENTION PROGRAM 28 YR PT HAS ATHRALGIA IN SEVERAL JOINTS + RASH ON ARMS TOW BUG - ANSWER PARVOVIRUS B19==>fifth disease - IN ADULTS CAUSE RASH + ARTHRITIS === Rem- gonorhea also causes: rash, joint pain, can also cause pharyngitis (oral sex) kid has CERVICAL LYMPHADENOPATHY + FEVER TX? - ANSWER ANTIBIOTICS TO COVER STREP PYOGEN MSSA === WRONG ANS = FNA = DO THIS IF LN = PRESENT FOR >1 MONTH PT COMES IN WITH KNEE PAIN STATES HAS BEEN TX FOR GOUT FLARES IN PAST KNEE EXAM = SWELLING NO ERYTHEMA KNEE XRAY- SWELLING URIC ACID LEVEL= NORMAL TX? - ANSWER DO NOT JUMP TO TX FIRST MAKE SURE THIS IS DUE TO GOUT = EVALUATION OF FLUID FROM KNEE JOINT AND LOOK FOR GOUT SPECIFIC CRYSTALS === REM- TX OF ACUTE GOUT WHEN THERE IS RENAL IMPAIRMENT = PREDNISONE B/C BOTH COLCHICINE AND NSAID ARE CONTRAINDICATED IF RENAL DAMAGE PRESENT 2 PATIENTS WITH H.PYLORI GASTRITIS SX NEITHER HAVE WARNING SX WHAT FACTOR DETERMINES IF REASONABLE TO TX FOR H.PYLORI WITHOUT DOING EGD - ANSWER AGE IF PT <55 YEARS AND HAS GERD LIKE SX WITHOUT WARNING SX = OK TO NOT DO EGD AND JUST TX FOR H.PYLORI WHAT TIME RELATED CONSIDERATION SHOULD DOC KEEP IN MIND BEFORE TX STEMI PT WITH FIBRINOLYSIS=tPA if PCI HOSPITAL IS MORE THAN 120 MIN-2 HOURS AWAY - ANSWER OK TO TX STEMI WITH FIBRINOLYSIS=tPA AS LONG AS SX STARTED <12 HOURS AG