American Board of Family Medicine - 2024 In-Training Examination Critique Book

A collection of practice flashcards prepared from the lecture notes for the American Board of Family Medicine 2024 In-Training Examination.

What is psychogenic polydipsia associated with?

Intellectual disability

What is nephrogenic diabetes insipidus related to?

Lithium therapy

What does diabetes insipidus cause in terms of urine?

Loss of free water

What is an appropriate management strategy for patients taking warfarin prior to procedures?

Cessation without bridging with low-molecular-weight heparin

What is the first-line treatment for mild hidradenitis suppurativa?

Topical clindamycin

What is emphasized for patients with hidradenitis suppurativa who smoke?

Weight loss and smoking cessation

What should not be part of the routine management of hidradenitis suppurativa?

Topical triamcinolone

What is an indication for intravenous tranexamic acid?

Acute severe uterine bleeding in hemodynamically stable patients

What does a prolonged QTc interval identify?

Risk for torsades de pointes

What first-line treatment improves resolution of nonalcoholic steatohepatitis?

Pioglitazone

What is the screening recommendation for colon cancer in adults ages 45–49?

Screening is recommended (B recommendation)

What procedure is preferred for correcting refractive errors like myopia?

Laser-assisted in-situ keratomileusis (LASIK) surgery

What is the diagnosis criterion for osteoporosis?

T-score ≤–2.5 or presence of prior osteoporotic fracture

What is the treatment management for superficial and partial-thickness burns in adults?

Manage with anti-inflammatories or topical agents

What initial testing is required for primary aldosteronism?

Measurement of plasma aldosterone and renin levels

Which medications are indicated for overactive bladder?

Antimuscarinic medications such as tolterodine and oxybutynin

What infections define Pneumocystis jioveceii pneumonia (PJP) in immunosuppressed patients?

AIDS-defining illness

What differentiates bipolar I disorder from bipolar II disorder?

Bipolar I does not require a major depressive episode.

What is the first-line treatment for cyclic mastalgia?

Topical NSAIDs such as diclofenac

What side effects are associated with systemic corticosteroids?

Mood disturbance, hyperglycemia, elevated blood pressure

What is the recommended treatment for tibial tendinopathy?

Eccentric exercise

What characterizes acute cough in patients?

Cough duration <3 weeks without red-flag symptoms

What should be monitored in patients with symptomatic severe asymptomatic hypertension?

Resuming routine blood pressure medications

What is the hypersensitivity reaction associated with tinea capitis?

Fungal infection of the scalp

What are the health benefits of exclusively breastfeeding?

Decreased risk for several health issues in mothers and infants.

What treatment is indicated for varicoceles?

Usually benign; does not require treatment

What is the treatment for patients with pulmonary embolism at high risk?

CT angiography as the initial test

What is the sign of orthostatic hypotension?

20 mm Hg decrease in blood pressure upon standing

What does the recommended treatment of uterine bleeding encompass?

Intravenous estrogen in unstable patients

What is the primary evaluation for acute cough symptoms?

Most cases self-resolve within 7–10 days

In the context of thrombophilia, which patient should undergo evaluation?

Patients with recurrent venous thromboembolism.

What is the role of an endometrial biopsy?

Evaluate for hyperplasia/malignancy.

What is the first-line treatment for acute urticaria?

Second-generation antihistamines

What condition presents with pruritic lesions and lymphadenopathy?

Tinea capitis.

What initial management should be pursued for urinary tract infections under 24 months?

Renal and bladder ultrasound.

What is the best testing method for Squamous cell carcinoma?

Skin biopsy.

What factors are risk factors for hyperprolactinemia?

History of pituitary adenoma

What is the treatment for nausea associated with acute HIV infection?

Supportive care

What characteristic sign indicates active palpitation?

Worsening of symptoms with QT prolongation medications.

What is associated with chronic hepatitis C infection?

HCV RNA testing.