MKSAP 18: General Internal Medicine Exam Questions And Answers
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Course
MKSAP Board Basics General Internal Medicine
Institution
MKSAP Board Basics General Internal Medicine
The American College of Cardiology and American Heart Association recommend that patients aged 21 years or older with an LDL cholesterol level of 190 mg/dL (4.92 mmol/L) or higher should receive ___ for primary prevention of atherosclerotic cardiovascular disease. - ANS high-intensity stat...
MKSAP 18: General Internal Medicine
Exam Questions And Answers
The American College of Cardiology and American Heart Association recommend that patients
aged 21 years or older with an LDL cholesterol level of 190 mg/dL (4.92 mmol/L) or higher
should receive ___ for primary prevention of atherosclerotic cardiovascular disease. - ANS
high-intensity statin therapy
- atorvastatin
- rosuvastatin
When should screening mammography be started? - ANS 50 up to age 74
- biennial screening
For patients undergoing orthopedic surgery without increased bleeding risk, postoperative dual
venous thromboembolism prophylaxis with intermittent pneumatic compression and
low-molecular-weight heparin is recommended during hospitalization; low-molecular-weight
heparin should be continued for up to ___. - ANS 35 days.
The ACCP guideline identifies hip arthroplasty, knee arthroplasty, and hip fracture surgery as
major orthopedic surgeries.
First line treatment for neuropathic pain syndrome? - ANS Gabapentinoids and
serotonin-norepinephrine reuptake inhibitors
Only pregabalin, duloxetine, and tapentadol (extended release) have FDA approval for painful
diabetic neuropathy.
__ is a rapid-acting psychostimulant that is well tolerated and effective in the treatment of
depression at the end of life; results can be seen as quickly as 24 to 48 hours after initiation. -
ANS Methylphenidate
Bacterial conjunctivitis is characterized by redness of the conjunctival membrane obscuring the
tarsal vessels, matting of both eyes in the morning, and thin mucopurulent discharge; treatment
- ANS Topical antibiotics otic, such as trimethoprim-polymyxin B or erythromycin - staph
aureus
Contact lens wearers use Levofloxacin drops since risk Pseudomonas
, The most common infectious cause of acute bacterial prostatitis is Escherichia coli or other
gram-negative bacilli; the treatment of choice is a prolonged course of ___ or ____ - ANS
trimethoprim-sulfamethoxazole or ciprofloxacin.
For women younger than 30 years with a low-risk breast mass, ____ is usually the only imaging
required. - ANS ultrasonography
TRUE/FALSE: The U.S. Preventive Services Task Force recommends that clinicians discuss
potential benefits and harms of PSA-based screening for prostate cancer in men aged 55 to 69
years. The decision to proceed with PSA level measurement should be individualized based on
the patient's beliefs and values. - ANS TRUE
Tinnitus associated with unilateral sensorineural hearing loss suggests ___ - ANS
Acoustic neuroma and requires advanced imaging with MRI.
____ is recommended for all symptomatic patients with an FEV1 less than 50% of predicted and
specifically for those hospitalized with an acute exacerbation of COPD. - ANS Pulmonary
rehabilitation
- These programs include education, functional assessment, nutrition counseling, and follow-up
to reinforce behavioral techniques for change.
Patients with decompensated liver disease should avoid elective surgery and be referred for
___. - ANS *Liver transplant evaluation*
Referral to a transplant center is indicated for patients with decompensation or a Model for
End-stage Liver Disease (MELD) score of greater than 1
Patients with complications of cirrhosis (hepatic encephalopathy, variceal hemorrhage, ascites,
spontaneous bacterial peritonitis, hepatorenal syndrome, jaundice, or hepatocellular carcinoma)
are referred to as having decompensated cirrhosis
___ is characterized by loss of shoulder movement accompanied by pain; examination
discloses significant loss of both active and passive range of motion. - ANS *Adhesive
capsulitis*
Adhesive capsulitis may be idiopathic (primary adhesive capsulitis) or secondary to several
conditions (secondary adhesive capsulitis). Secondary conditions include diabetes mellitus,
hypothyroidism, prior surgery or trauma, prolonged immobilization, autoimmune disorders, and
stroke.
Pharmacologic options for the treatment of premature ejaculation include ? - ANS
Selective serotonin reuptake inhibitors - fluoxetine, paroxetine, sertraline
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