ABIM INTERNAL MEDICINE ITE COMPLETE
EXAM REVIEW WITH FULL SOLUTIONS
●● indications to stop tb treatment
Answer: resolve of symptoms
>2 weeks of adequate tx
3 consecutive negative tests
●● test for influenza
Answer: rapid influenza naat
●● indications for permanent pacemaker
Answer: -acquired AV block (2nd degree AV black, 3rd degree AV
block)
-bundle branch block
-cardiomyopathy (dilated, hypertrophic)
-heart failure
-hypersensitive caortid sinus syndrome
-SA node dysfunction
-tachydysrhythmias
●● when to screen for hiv
, Answer: once 15-65
●● what to test for before starting someone on therapy for dermatitis
herpetiformis
Answer: g6pd def (because tx is dapsone)
●● osmotic stool formula
Answer:
●● etiologies of hypophosphatemia
Answer: refeeding syndrome
vitamin d def
acute alcohol intoxication
insulin administration
●● MESNA is used for the management of which adverse effect
Answer: hemorrhagic cystitis in cyclophosphamide and ifosfamide use
by decreasing toxic metabolite acrolein
●● fractional excretion of P > 5% + proximal renal tubular dysfunction
in patients on ifosfamide
Answer: ifosfamide induced fanconi syndrome
EXAM REVIEW WITH FULL SOLUTIONS
●● indications to stop tb treatment
Answer: resolve of symptoms
>2 weeks of adequate tx
3 consecutive negative tests
●● test for influenza
Answer: rapid influenza naat
●● indications for permanent pacemaker
Answer: -acquired AV block (2nd degree AV black, 3rd degree AV
block)
-bundle branch block
-cardiomyopathy (dilated, hypertrophic)
-heart failure
-hypersensitive caortid sinus syndrome
-SA node dysfunction
-tachydysrhythmias
●● when to screen for hiv
, Answer: once 15-65
●● what to test for before starting someone on therapy for dermatitis
herpetiformis
Answer: g6pd def (because tx is dapsone)
●● osmotic stool formula
Answer:
●● etiologies of hypophosphatemia
Answer: refeeding syndrome
vitamin d def
acute alcohol intoxication
insulin administration
●● MESNA is used for the management of which adverse effect
Answer: hemorrhagic cystitis in cyclophosphamide and ifosfamide use
by decreasing toxic metabolite acrolein
●● fractional excretion of P > 5% + proximal renal tubular dysfunction
in patients on ifosfamide
Answer: ifosfamide induced fanconi syndrome