ABFM ITE 2018 Exam with 240 Questions with Complete Solutions
Already Passed
1. A 68-year-old male presents to your office with a 2-day history of headache, muscle
aches, and chills. His wife adds that his temperature
...
ABFM ITE 2018 Exam with 240 Questions with Complete Solutions
Already Passed
1. A 68-year-old male presents to your office with a 2-day history of headache, muscle
aches, and chills. His wife adds that his temperature has been up to 104.1°F and he
seems confused sometimes. His symptoms have not improved with usual care,
including ibuprofen and increased fluid intake. He and his wife returned from a cruise 10
days ago but don't recall anyone having a similar illness on the ship. This morning he
started to cough and his wife was concerned because she saw some blood in his
sputum. He also states that he experiences intermittent shortness of breath and feels
nauseated. His blood pressure is 100/70 mm Hg, heart rate 98/min, temperature 39.4°C
(102.9°F), and oxygen saturation 95% on room air.
Which one of the following would be the preferred method to confirm your suspected
diagnosis of Legionnaires' disease?
A) Initiating azithromycin (Zithromax) to see if symptoms improve
B) A chest radiograp - ✔️✔️ANSWER: E
A urine test for Legionella pneumophila antigen is the preferred method to confirm
Legionnaires' disease. This test is rapid and will only detect Legionella pneumophila
antigen. A sputum culture is the gold standard for the diagnosis of Legionnaires' disease
but it requires 48-72 hours. A chest radiograph does not confirm the diagnosis but may
show the extent of disease. Responding to antibiotic treatment does not confirm a
specific diagnosis.
2. Which one of the following factors related to pregnancy and delivery increases the
risk of developmental dysplasia of the hip in infants?
A) A large-for-gestational age infant
B) Twin birth
C) Breech presentation
D) Cesarean delivery
E) Premature birth - ✔️✔️ANSWER: C
Risk factors for developmental dysplasia of the hip in infants include a breech
presentation in t
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