American Board of Internal Medicine (ABIM)Tests Bundle Set

What is a positive stress test Correct Answer-Flat or Down sloping St-segment depression >1 mm occurring 80 msec after j point When to stop a stress test Correct Answer-St segment depression > 2 mm, ventricular tachycardia, drop in SBP > 15, CP, dyspnea, lightheadedness S...

Internal Medicine Board ABIM questions with correct answers

Women aged 65 and older AND younger women with fracture risk of 9.3% or higher Correct Answer-screen for osteoporosis with DEXA Ibuprofen / naproxen for primary dysmenorrhea, if side effect or not controlled, Correct Answer-OCP Reduce risk of pressure ulcers in at risk-patients Correct Answer-...

ABIM questions with correct answers

ASCVD Correct Answer-<5% = Low Risk 5-7.5% = Intermediate >7.5% = Severe If indetermediate, consider: - Coronary Artery Calcium score greater than 300 or greater than 75% for age - C-reactive protein level (hsCRP) above 2 mg/L - Ankle-brachial index below 0.90 - LDL cholesterol level...

ovulatory dysfunction positive anti-TPO goiters pregnancy over sx CV risks Correct Answer- steroids >7.5 mg >3 months, increased risk of steroid induced OP Correct Answer-Tx: postmenopausal woman all men age >70 10 yr FRAX >20% 1st risedronate Alendronate opportuni...

Bacterial meningitis - treatment in beta-lactam allergic patients Correct Answer-Moxifloxacin + Bactrim Brain abscess - treatment Correct Answer-Cephalosporin + Flagyl Encephalitis, choreoathetosis, psychiatric symptoms, seizures, autonomic instability Correct Answer-Autoimmune encephalitis ...

What is a positive stress test Correct Answer-Flat or Down sloping St-segment depression >1 mm occurring 80 msec after j point When to stop a stress test Correct Answer-St segment depression > 2 mm, ventricular tachycardia, drop in SBP > 15, chest pain, dyspnea, lightheadedness Stress...

Medications that improve survival in CHF Correct Answer-- ACEI/ARB - Carvedilol - Metoprolol Succinate - Hydralazine + Nitrates - Spironolactone - Neprilysin inhibitors When to add beta blocker in CHF patients Correct Answer-When they are euvolemic Indications for AICD Correct Answer--...

Diagnosing Mixed Connective Tissue Disease Correct Answer-Anti-U1-RNP + at least 3 of the following: - Swollen hands or fingers - Myositis or myalgia - Synovitis - Raynaud's phenomenon Drug-induced lupus antibody Correct Answer-DNA-histone complex (95%) SLE antibody Correct Answer-ds DNA...

A headache, in a female which is worse in the morning and with performing the Valsalva maneuver along with a history of tobacco and oral contraceptive use and with a finding a papilledema is most consistent with what diagnosis? Correct Answer-dural sinus venous thrombosis. What is the diagnostic ...

order these tests 3 months after prep treatment Correct Answer-hiv and cr indications to stop tb treatment Correct Answer-resolve of symptoms >2 weeks of adequate tx 3 consecutive negative tests test for influenza Correct Answer-rapid influenza naat indications for permanent pacemaker ...

Creatinine limitations include? Correct Answer-- age, gender, race, diet, and metabolism - Low muscle mass → disproportionately low serum creatinine and overestimation of GFR −GFR may be <50% normal before serum creatinine ↑ Newer marker of GFR Correct Answer-Cystatin C CKD-EPI equ...

Holosystolic murmurs Correct Answer-Chronic MR TR VSD HCM treatment Correct Answer-Avoid high intensity activities BB/nondihydropyridine CCB for HF symptoms ICD for LV wall thickness >30mm (3 cm) or FH of SCD Septal ablation or myectomy for valve gradient > 50mmHg and HF symptoms refra...