ABIM Internal Medicine Board Review - General IM Containing Test Questions And Answers

ABIM Internal Medicine Board Review -
General IM Containing Test Questions
And Answers
Study designs - cross-section - Answer - Risk factor and outcome measured at the
same time

Study designs - retrospective (case control) - Answer - Subjects divided by outcome,
then retrospectively assessing frequency of risk factors

Study designs - prospective (cohort) - Answer - Subjects divided by risk factor, then
prospectively followed for outcome

Study designs - randomized controlled trial - Answer - Subjective randomly divided and
one group receives intervention

Positive likelihood ratio (LR+) - Answer - Sensitivity/(1-Specificity)

Negative likelihood ratio (LR-) - Answer - (1-Sensitivity)/Specificity

Vaccines - needed every pregnancy - Answer - Tdap and influenza

Vaccines - MMR not indicated for adults born before ___ - Answer - 1957

Vaccines - pneumococcal vaccines (PCV13 and PPSV23) indicated in these groups -
Answer - Immunocompetent age >65
Functional or anatomic asplenia
Immunocompromised
CSF leaks or cochlear implants

Vaccines - pneumococcal vaccine (PPSV23 with revaccination with PPSV23 5 years
later) indicated in these groups - Answer - Immunocompetent with following conditions:
Chronic heart, lung or liver disease
Diabetes
Alcoholism
Cigarette smoking

Screening - abdominal aortic aneurysm - Answer - One-time in all men 65-76 who
have ever smoked

Screening - diabetes - Answer - All age >45
BP >135/80
PCOS
Family hx of DM
Hx of gestational DM
High-risk ethnic groups