INTERNAL MEDICINE BOARD ABIM
EXAM QUESTIONS AND ANSWERS
AC safe for breast feeding
- answers-LMWH and Warfarin
Acquired cystic kidney disease is associated with
- answers-markedly increased risk for developing renal cell carcinoma
Acrodermatitis enteropathica deficiency and symptoms
- answers-Zinc deficiency: erythematous and vesiculobullous dermatitis and
alopecia
Adrenal vein sampling
- answers-Evaluate bilateral vs unilateral adrenal cause of primary
hyperaldosteronism
Adult onset Still's disease features
- answers-Major:
High spiking fever
Rash
Arthritis
Minor:
Spleomegaly
LAD
Elevated LFTs
Not criteria but very few dz's have:
Markedly high ferritin
Adults with stage 2 hypertension and an average BP of 20/10 mm Hg above their
BP target
- answers-treat with two first-line drugs of different classes.
,AED to avoid in PTSD
- answers-Levetiracetam
AEDs with limited interaction with chemo and hepatic enzyme induction
- answers-Valproate, Lacosamide, Lamotrigine, Levetiracetam
Antibody for subacute cutaneous SLE
- answers-Anti-Ro/SSA (sometimes La/SSB), and antihistone (1/3)
Antiepileptic associated with hyponatremia
- answers-Oxcarbazepine and less with carbamazepine
Antiepileptic associated with subclinical acidosis and low serum HCO3
- answers-Topiramate
Arterial or venous thromobosis (e.g. hepatic aka Budd-Chiari) warrants work up
for ___ in the form of ___
- answers-Polycythemia vera; JAK2V617F mutation
Asymptomatic gallstones who should get surgery
- answers-High risk for carcinoma: porcelain GB, Stones >3 cm
Besides infections (hepatitis), what other work up should membranous
glomerulopathy warrant
- answers-Malignancy (age appropriate screening), autoimmune, meds
Broad spectrum AEDs
- answers-lamotrigine, levetiracetam, topiramate, valproic acid, and zonisamide
Carotid dissection findings
- answers-Ipsi Horner's; Contra hemiparesis d/t L frontal lobe
characteristic of severe tricyclic antidepressant overdose
- answers-progressive somnolence, hypotension, widening of the QRS interval,
, seizure, and anticholinergic signs (fever, tachycardia, mydriasis, reduced bowel
sounds)
Characteristics of a bicuspid valve
- answers-Systolic or diastolic: stenotic radiates to cartoid; nonstenotic to the apex
chronic inflammatory demyelinating polyradiculoneuropathy treatment
- answers-Glucocorticoids $ immunomodulation
Colon cancer screening alternative
- answers-FIT annually or CT colonography Q5 years
Colonoscopy screening for IBD with long-standing colitis
- answers-8-10 years after diagnosis then Q1-2y
Complications of testicular cancer therapy
- answers-Insulin resistance, HTN, HLD, obesity, CVD
Conductive hearing loss of low-pitch sounds without tinnitus
- answers-otosclerosis
Constrictive pericarditis treatment
1.
if fails after ___ (time)
then 2.
- answers-1. Ibuprofen for 2-3 months
2. Pericardiectomy
Contraindicated in patients taking azathioprine; reason
- answers-febuxostat; azathioprine is metabolized via xanthine oxidase, which
febuxostat inhibits
Contraindications for cilostazol
- answers-HF or LVEF <40%
EXAM QUESTIONS AND ANSWERS
AC safe for breast feeding
- answers-LMWH and Warfarin
Acquired cystic kidney disease is associated with
- answers-markedly increased risk for developing renal cell carcinoma
Acrodermatitis enteropathica deficiency and symptoms
- answers-Zinc deficiency: erythematous and vesiculobullous dermatitis and
alopecia
Adrenal vein sampling
- answers-Evaluate bilateral vs unilateral adrenal cause of primary
hyperaldosteronism
Adult onset Still's disease features
- answers-Major:
High spiking fever
Rash
Arthritis
Minor:
Spleomegaly
LAD
Elevated LFTs
Not criteria but very few dz's have:
Markedly high ferritin
Adults with stage 2 hypertension and an average BP of 20/10 mm Hg above their
BP target
- answers-treat with two first-line drugs of different classes.
,AED to avoid in PTSD
- answers-Levetiracetam
AEDs with limited interaction with chemo and hepatic enzyme induction
- answers-Valproate, Lacosamide, Lamotrigine, Levetiracetam
Antibody for subacute cutaneous SLE
- answers-Anti-Ro/SSA (sometimes La/SSB), and antihistone (1/3)
Antiepileptic associated with hyponatremia
- answers-Oxcarbazepine and less with carbamazepine
Antiepileptic associated with subclinical acidosis and low serum HCO3
- answers-Topiramate
Arterial or venous thromobosis (e.g. hepatic aka Budd-Chiari) warrants work up
for ___ in the form of ___
- answers-Polycythemia vera; JAK2V617F mutation
Asymptomatic gallstones who should get surgery
- answers-High risk for carcinoma: porcelain GB, Stones >3 cm
Besides infections (hepatitis), what other work up should membranous
glomerulopathy warrant
- answers-Malignancy (age appropriate screening), autoimmune, meds
Broad spectrum AEDs
- answers-lamotrigine, levetiracetam, topiramate, valproic acid, and zonisamide
Carotid dissection findings
- answers-Ipsi Horner's; Contra hemiparesis d/t L frontal lobe
characteristic of severe tricyclic antidepressant overdose
- answers-progressive somnolence, hypotension, widening of the QRS interval,
, seizure, and anticholinergic signs (fever, tachycardia, mydriasis, reduced bowel
sounds)
Characteristics of a bicuspid valve
- answers-Systolic or diastolic: stenotic radiates to cartoid; nonstenotic to the apex
chronic inflammatory demyelinating polyradiculoneuropathy treatment
- answers-Glucocorticoids $ immunomodulation
Colon cancer screening alternative
- answers-FIT annually or CT colonography Q5 years
Colonoscopy screening for IBD with long-standing colitis
- answers-8-10 years after diagnosis then Q1-2y
Complications of testicular cancer therapy
- answers-Insulin resistance, HTN, HLD, obesity, CVD
Conductive hearing loss of low-pitch sounds without tinnitus
- answers-otosclerosis
Constrictive pericarditis treatment
1.
if fails after ___ (time)
then 2.
- answers-1. Ibuprofen for 2-3 months
2. Pericardiectomy
Contraindicated in patients taking azathioprine; reason
- answers-febuxostat; azathioprine is metabolized via xanthine oxidase, which
febuxostat inhibits
Contraindications for cilostazol
- answers-HF or LVEF <40%
