ABIM INTERNAL MEDICINE ITE
COMPREHENSIVE EXAM STUDY GUIDE
WITH COMPLETE SOLUTIONS
●● Ibuprofen / naproxen for primary dysmenorrhea, if side effect or not
controlled,
Answer: OCP
●● Reduce risk of pressure ulcers in at risk-patients
Answer: use advanced static mattresses of overlays
●● life expectancy of at least --- years is expected to benefit from
screening mammography
Answer: 10 years
●● Frequent episodes of binge eating >1/week followed by
innapropriate compensatory behaviors (vomiting, laxatives,enema etc)
due to fear of gaining weight
Answer: Bulimia nervosa
●● anorexia BMI
Answer: generally underweight, or less than 18.5
,●● otitis media with effusion management
Answer: observe, usually resolves in 12 weeks
●● otitis externa treatment
Answer: combined antibiotic and glucocorticoid ototopical medication,
ee.g neomycin +polymyxin b +hydrocortisone
●● topical lidocaine is effective in treatment of herpetic neuralgia
Answer: topical lidocaine
●● describe uveitis
Answer: unilateral eye pain, photophobia, ciliary flush (Circumferential
redness along the border of the sclera and cornea), there may be miosis
●● Indications for bariatric surgery
Answer: BMI 40 or higher without comorbidities, BMI 35 with
comorbities
●● Orlistat
Answer: Weight loss medication, loose stool common side effect. Lose
about 3.5kg over 1 year
●● Lorcaserin
,Answer: Weight loss medication, avoid in pts taking SSRIs sue to
elevation in serotonin
●● Phentermine-topiramate
Answer: Weight loss medication, avoid in glaucoma
●● acromioclavicular join degeneration presentation
Answer: pain on superior aspect of shoulder, tenderness on palpation of
A-C joint, pain with shoulder adduction and abduction >120 degrees
●● Supraspinatus tear test
Answer: Positive drop arm test
●● supraspinatus tendinitis
Answer: pain on shoulder abduction or painful arc
●● Lung cancer screening
Answer: ANNUAL LOW-DOSE CT for age 55-80 years with 30-pack
year smoking history, including those who quit within 15 years
●● AAA Screening
Answer: One time abdominal US for men 65-75 who have smoked at
least 100 cigarrettes
, ●● standard outcome measure for cohort study
Answer: relative risk
●● Treatment options for bipolar depression
Answer: Seroquel monotherapy, combination olanzapine-fluoxetine
●● hormonal estrogen is contraindicated in women with migraines+aura
due to risk of
Answer: stroke
●● PAP smear screening
Answer: women 21-65 , every 3 years. In women 30 - 65, every 5 years
if combined with HPV testing
●● Indications for high intensity statin
Answer: Age 40 - 75 with diabetes and an LDL of 70 - 189,and 10 years
>7.5% ASCVD risk
●● men with low or low-normal testosterone level should have a repeat
confirmatory morning testosterone prior to begining testosterone
treatment
Answer:
COMPREHENSIVE EXAM STUDY GUIDE
WITH COMPLETE SOLUTIONS
●● Ibuprofen / naproxen for primary dysmenorrhea, if side effect or not
controlled,
Answer: OCP
●● Reduce risk of pressure ulcers in at risk-patients
Answer: use advanced static mattresses of overlays
●● life expectancy of at least --- years is expected to benefit from
screening mammography
Answer: 10 years
●● Frequent episodes of binge eating >1/week followed by
innapropriate compensatory behaviors (vomiting, laxatives,enema etc)
due to fear of gaining weight
Answer: Bulimia nervosa
●● anorexia BMI
Answer: generally underweight, or less than 18.5
,●● otitis media with effusion management
Answer: observe, usually resolves in 12 weeks
●● otitis externa treatment
Answer: combined antibiotic and glucocorticoid ototopical medication,
ee.g neomycin +polymyxin b +hydrocortisone
●● topical lidocaine is effective in treatment of herpetic neuralgia
Answer: topical lidocaine
●● describe uveitis
Answer: unilateral eye pain, photophobia, ciliary flush (Circumferential
redness along the border of the sclera and cornea), there may be miosis
●● Indications for bariatric surgery
Answer: BMI 40 or higher without comorbidities, BMI 35 with
comorbities
●● Orlistat
Answer: Weight loss medication, loose stool common side effect. Lose
about 3.5kg over 1 year
●● Lorcaserin
,Answer: Weight loss medication, avoid in pts taking SSRIs sue to
elevation in serotonin
●● Phentermine-topiramate
Answer: Weight loss medication, avoid in glaucoma
●● acromioclavicular join degeneration presentation
Answer: pain on superior aspect of shoulder, tenderness on palpation of
A-C joint, pain with shoulder adduction and abduction >120 degrees
●● Supraspinatus tear test
Answer: Positive drop arm test
●● supraspinatus tendinitis
Answer: pain on shoulder abduction or painful arc
●● Lung cancer screening
Answer: ANNUAL LOW-DOSE CT for age 55-80 years with 30-pack
year smoking history, including those who quit within 15 years
●● AAA Screening
Answer: One time abdominal US for men 65-75 who have smoked at
least 100 cigarrettes
, ●● standard outcome measure for cohort study
Answer: relative risk
●● Treatment options for bipolar depression
Answer: Seroquel monotherapy, combination olanzapine-fluoxetine
●● hormonal estrogen is contraindicated in women with migraines+aura
due to risk of
Answer: stroke
●● PAP smear screening
Answer: women 21-65 , every 3 years. In women 30 - 65, every 5 years
if combined with HPV testing
●● Indications for high intensity statin
Answer: Age 40 - 75 with diabetes and an LDL of 70 - 189,and 10 years
>7.5% ASCVD risk
●● men with low or low-normal testosterone level should have a repeat
confirmatory morning testosterone prior to begining testosterone
treatment
Answer:
