ABFM ITE Exam 2026/2027 Practice Questions and Answers | Family Medicine Study Guide |Exam study Material 2026 / 2027 Academic Year

Exam

ABFM ITE Exam 2026/2027 Practice Questions & Answers | Family Medicine Study Guide |Exam study Material 2026 / 2027 Academic Year Q: ABX ... ppx for ortho surgery Answer: Cephazolin Q: FEV1/FVC ratio for obstructive lung disease Answer: walking boot or short cast --> rigid-soled shoe in 4-6 weeks Q: Next steps for proteinuria in children on dipstick? Answer: Confirm presence of proteinuria with a spot protein/creatinine ratio to r/o proteinuria Q: How to manage a pt who is traveling to a high-risk TB area? Answer: TB test or interferon-gamma release assay prior to leaving the US. If negative, repeat testing 8-10 weeks after returning. Q: Pt developed myopathy on statins and.... Answer: another CYP3A4 med... - Amiodarone - CCBs - some HIV meds - some anti-fungal meds Q: When is surgical release of a dupuytren's contracture indicated? Answer: When the metacarpophalangeal joint is 30* or smaller or with any contracture of the PIP Q: How to treat traveler's diarrhea? Answer: Azithromycin Q: What risk factors increase risk of mortality for PNA? Answer: - RR >30 - hypotension - confusion/disorientation - BUN >20 - >65 y/o - male sex - CHF or COPD Q: Pityriasis rosea in pregnancy is a/w... Answer: increased rate of spontaneous abortion in the first 15 wks gestation Q: What are indications for long-term PPI therapy? Answer: - Barrett esophagus - severe erosive esophagitis - eosinophilic esophagitis - pts at high risk for GI bleeding Q: Why do pt's with Crohn's disease develop diarrhea after ileal resection? Answer: D/t increased amounts of bile acid remaining in the stool. This affects colonic secretion and motility and various protein factors in the gut --> bile acid diarrhea Q: Pt with mild hemoptysis, next step... Answer: CXR - exertional dyspnea - chest pain - dizziness Q: T/F: Obesity is a significant risk factor for esophageal adenocarcinoma? Answer: True Q: What are symptoms of worsening aortic stenosis? Answer: Q: A1C diagnosis for T1DM? Answer: Need 2 A1C>6.5 in the abscence of hyperglycemia Q: What organ system should be checked yearly for sarcoidosis? Answer: Occular - inflammation of eye can --> permanent impairment and is often asymptomatic Q: Ages for HIV screening? Answer: 15-65 y/o Q: Blood pressure management for pt with CKD + proteinuria? Answer: ACE/ARB + thiazide/CCB Q: Next step for pt with passive SI? Answer: Crisis planning (not a suicide prevention contract - that's not effective) Infants consuming less than ________ mL formula/day should be supplemented with vit D. Answer: foot deformities (classic rocker-bottom fot) and resultant ulcerations and infections - easily mistaken for cellulitis What is the treatment for charcot neuroarthropathy? Answer: immobilization w/ total contact casting --> increases total surface area of contact to the entire lower extremity and distributes pressure away from foot What is the preferred treatment for preventing mountain sickness? Acetazolamide What is the preferred treatment for acute mountain sickness? Dexamethasone How long should dual antiplatelet therapy be for patients with acute coronary syndrome who are not high risk for bleeding? who are high risk for bleeding? Not: more than 1 year Are: 1 year (at least) What labs can be useful predictors of severity of pancreatitis? Those that reflect intravascular volume depletion - hct - BUN - Cr How to screen for DM in pts with hemoglobinopathies? Fructosamine What is the first step in managing delirium in end-of-life care after conservative measures have been tried? Antipsychotics - haloperidol - risperidone Which diabetic meds are associated with diabetic ketoacidosis? SGLT2 inhibitors (ex. dapagliflozin, empagliflozin) What are risk factors for intamate partner violence? - young age - belief in strict gender roles - having new friends - low incme - unplanned pregnancy What is a FABER test for? Sacroiliac joint disfunction How long do you treat provolked VTE with AC? 3 months What has been shown to decrease hospitalizations in pts with COPD? Written self-management plans Normal TSH range in pregnancy is higher/lower than normal non-pregnancy range lower How often should a breast cancer survivor have a history and physical? Every 3-6 months for the first 3 years. THEN every 6-12 months for the next 2 years THEN annually How often should breast cancer survivors get mammograms? MRI? mammogram: Yearly MRI: not recommended What are the Ottowa Knee rules? - Age >/= 55 - isolated tenderness of the patella (no other bony tenderness) - tenderness of the fibular head - unable to flex knee to 90* - unable to bear weight both immediately and in ED (4 steps, limping OK) Tamsulosin promotes passage of ureteral stones that are ____ mm in diameter 5-10 Next step for migraine that won't respond to ibuprofen + triptan? Anti-emetics (metaclopramide, prochloperazine, promethazine) When to PO after pancreatitis? As soon as pt is able to tolerate! When is carotid stenting considered for asymptomatic patient? >70% occlusion what is the treatment of choice for eosinophilic eosophagitis? steroids applied to esophagus (oral suspension or oral spray) Which medications are a/w increased risk of osteoporosis? - antiepileptic drugs - long-term heparin - cyclosporin - tacrolimus - aromatase inhibitors - glucocorticoids - gonadotropin-releasing hormone agonists - thiazolidinediones - excessive levothyroxine - PPIs - SSRIs - medroxyprogesterone contraceptives - methotrexate - aluminum antacids Conditioner and head lice treatment? Do not combine - conditioner will decrease effectiveness of permethrin Besides permethrin, what other recommendations are made to treat lice? wash closing and bedding with hot water or expose them to a temperature >130*F for 5 minutes What characteristics of lung nodules are a/w malignancy? - nonsolid "ground glass" appearance - >6mm - non-calcified - size doubling between 1mo-1year - irregular/spiculated borders How much fluid to give in shock? at least 30cc/kg Which vaccine is rec'd to give early for pts with HIV and CD4 >200? Shingles vaccine Management of a nondisplaced radial head fracture? breif immobilization (ex. 3 days), and early range-of-motion exercises to avoid decreased ROM. What are causes of low DLCO (difusing capacity of the lungs for carbon monoxide) with normal

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