In-Training Examination Item Formats

The ITE includes A-type items only. A-type questions are single-best-answer, multiple-choice questions that require the application of knowledge rather than simple recall of factual information. Samples of A-type items are shown below. 

1. Which of the following nerves should be blocked for an operation at the medial aspect of the lower leg?
A. Femoral
B. Sciatic
C. Common peroneal
D. Tibial
2. A patient is scheduled to undergo laparoscopic cholecystectomy. Thirty minutes after receiving premedication with morphine and midazolam, she suddenly develops right upper quadrant abdominal pain and nausea. Which of the following is the MOST appropriate therapy for this patient’s pain?
A. Flumazenil
B. Ketorolac
C. Naloxone
D. Ranitidine
3. A 60-year-old man with chronic obstructive pulmonary disease who has been mechanically ventilated for the past two weeks develops persistent, profound weakness during discontinuation of mechanical ventilation. During this time, he has received morphine, cis-atracurium, midazolam, and prednisone. Which of the following is the MOST likely cause of the weakness?
A. Abnormal level of plasma cholinesterase
B. Accumulation of laudanosine
C. Corticosteroid myopathy
D. Muscle atrophy
4. During an aortic aneurysm repair, PETCO2 decreases from 35 to 20 mmHg in three breaths. The most likely cause is:
A. Acute arteriovenous fistula.
B. Bronchospasm.
C. Decreased cardiac output.
D. Increased tidal volume.