MKSAP - General Internal Medicine
ACTUAL Exam Questions and CORRECT
Answers
How does the ACC/AHA define severe LDL - CORRECT ANSWER✔✔- 190+
Per ACC/AHA recommendations patients that are 20 years or older with LDL 190+ should be
treated with - CORRECT ANSWER✔✔- maximum tolerated statin therapy for primary
prevention of ASCVD regardles of the 10 year ASCVD risk score
Per the USPSTF adults aged 40-75 without a hx of ASCVD who have 1 or more traditional
risk factor AND a calculated 10 year ASCVD event risk of 10% or higher should be on -
CORRECT ANSWER✔✔- low to moderate-intensity statin therapy
Women in this age range have a clear benefit to screening mammography - CORRECT
ANSWER✔✔- 50-74
Duration of VTE ppx with LMWH following major orthopedic surgery - CORRECT
ANSWER✔✔- 35 days (in pts who are not at increased bleeding risk)
the minimum is 10-14 days
Definition of major orthopedic surgeries - CORRECT ANSWER✔✔- - hip arthroplasty
- knee arthroplasty
- hip fracture
FDA approved meds for painful diabetic neuropathy - CORRECT ANSWER✔✔- -
duloxetine
- tapentadol
- pregabalin
,Effective tx for depression at the end of life - CORRECT ANSWER✔✔- methylphenidate -
takes 24-48 hours to work
Medication that may have benefit in cancer-associated fatigue - CORRECT ANSWER✔✔-
methylphenidate
Factors that increase the probability of bacterial conjunctivits (3) - CORRECT
ANSWER✔✔- - redness of the conjunctival membrane obscuring the tarsal vessels
- matting of both eyes in the morning
- purulent discharge
Abx choice in routine bacterial conjuncivitis - CORRECT ANSWER✔✔- TMP-polymyxin B
or erythromycin
Abx choice in conjunctivitis in contact lens wearers - CORRECT ANSWER✔✔- topical
fluroquinolone to cover for Pseudomonas
Treatment of choice for acute bacterial prostatitis and duration - CORRECT ANSWER✔✔-
TMP-SMX (Bactrim) or ciprofloxacin for 6 weeks
In immunocompetent adults who don't have immunity against MMR, should they get the
vaccine? - CORRECT ANSWER✔✔- Yes, at least 1 dose if they don't fall into the high risk
category
These types of patients should receive 2 doses of MMR vaccine 28 days apart - CORRECT
ANSWER✔✔- - healthcare workers
- postsecondary students
- household contacts of immunocompromised patients
- international travelers
The following are associated with what:
, - fatigue of at least 6 months accompanied by substantial reduction in preillness activites,
postexertional malaise, unrefreshing sleep, and either cognitive impairment of orthostatic
intolerance - CORRECT ANSWER✔✔- systemic exertion intolerance disease
Solid breast lesion on ultrasound should be managed how? - CORRECT ANSWER✔✔-
Biopsy
Indications for bariatric surgery - CORRECT ANSWER✔✔- - BMI of 40+
- BMI of 35+ with DM2, CAD, OSA, or OA
USPSTF recommendations on PSA - CORRECT ANSWER✔✔- discuss benefits and harms
in men 55-69
Management of patients with unilateral tinnitus - CORRECT ANSWER✔✔- Prompt hearing
testing - if there is hearing loss then they should undergo MRI of the internal auditory canal
to rule out acoustic neuroma
If physical exam findings do not explain pulsatile tinnitus, the patient should undergo -
CORRECT ANSWER✔✔- CTA or MRA
Pulmonary rehab is recommended for all symptomatic patients with - CORRECT
ANSWER✔✔- - FEV1 < 50% of predicted
- hospitalized with an acute exacerbation of COPD
Referral to transplant center is indicated for patients with MELD score of - CORRECT
ANSWER✔✔- greater than 15
Shoulder disorder characterized by loss of shoulder movement accompanied by pain. Exam
will show loss of both active and passive ROM. - CORRECT ANSWER✔✔- Adhesive
capsulitis
(rotator cuff disease would not cause pain with both AROM and PROM)
ACTUAL Exam Questions and CORRECT
Answers
How does the ACC/AHA define severe LDL - CORRECT ANSWER✔✔- 190+
Per ACC/AHA recommendations patients that are 20 years or older with LDL 190+ should be
treated with - CORRECT ANSWER✔✔- maximum tolerated statin therapy for primary
prevention of ASCVD regardles of the 10 year ASCVD risk score
Per the USPSTF adults aged 40-75 without a hx of ASCVD who have 1 or more traditional
risk factor AND a calculated 10 year ASCVD event risk of 10% or higher should be on -
CORRECT ANSWER✔✔- low to moderate-intensity statin therapy
Women in this age range have a clear benefit to screening mammography - CORRECT
ANSWER✔✔- 50-74
Duration of VTE ppx with LMWH following major orthopedic surgery - CORRECT
ANSWER✔✔- 35 days (in pts who are not at increased bleeding risk)
the minimum is 10-14 days
Definition of major orthopedic surgeries - CORRECT ANSWER✔✔- - hip arthroplasty
- knee arthroplasty
- hip fracture
FDA approved meds for painful diabetic neuropathy - CORRECT ANSWER✔✔- -
duloxetine
- tapentadol
- pregabalin
,Effective tx for depression at the end of life - CORRECT ANSWER✔✔- methylphenidate -
takes 24-48 hours to work
Medication that may have benefit in cancer-associated fatigue - CORRECT ANSWER✔✔-
methylphenidate
Factors that increase the probability of bacterial conjunctivits (3) - CORRECT
ANSWER✔✔- - redness of the conjunctival membrane obscuring the tarsal vessels
- matting of both eyes in the morning
- purulent discharge
Abx choice in routine bacterial conjuncivitis - CORRECT ANSWER✔✔- TMP-polymyxin B
or erythromycin
Abx choice in conjunctivitis in contact lens wearers - CORRECT ANSWER✔✔- topical
fluroquinolone to cover for Pseudomonas
Treatment of choice for acute bacterial prostatitis and duration - CORRECT ANSWER✔✔-
TMP-SMX (Bactrim) or ciprofloxacin for 6 weeks
In immunocompetent adults who don't have immunity against MMR, should they get the
vaccine? - CORRECT ANSWER✔✔- Yes, at least 1 dose if they don't fall into the high risk
category
These types of patients should receive 2 doses of MMR vaccine 28 days apart - CORRECT
ANSWER✔✔- - healthcare workers
- postsecondary students
- household contacts of immunocompromised patients
- international travelers
The following are associated with what:
, - fatigue of at least 6 months accompanied by substantial reduction in preillness activites,
postexertional malaise, unrefreshing sleep, and either cognitive impairment of orthostatic
intolerance - CORRECT ANSWER✔✔- systemic exertion intolerance disease
Solid breast lesion on ultrasound should be managed how? - CORRECT ANSWER✔✔-
Biopsy
Indications for bariatric surgery - CORRECT ANSWER✔✔- - BMI of 40+
- BMI of 35+ with DM2, CAD, OSA, or OA
USPSTF recommendations on PSA - CORRECT ANSWER✔✔- discuss benefits and harms
in men 55-69
Management of patients with unilateral tinnitus - CORRECT ANSWER✔✔- Prompt hearing
testing - if there is hearing loss then they should undergo MRI of the internal auditory canal
to rule out acoustic neuroma
If physical exam findings do not explain pulsatile tinnitus, the patient should undergo -
CORRECT ANSWER✔✔- CTA or MRA
Pulmonary rehab is recommended for all symptomatic patients with - CORRECT
ANSWER✔✔- - FEV1 < 50% of predicted
- hospitalized with an acute exacerbation of COPD
Referral to transplant center is indicated for patients with MELD score of - CORRECT
ANSWER✔✔- greater than 15
Shoulder disorder characterized by loss of shoulder movement accompanied by pain. Exam
will show loss of both active and passive ROM. - CORRECT ANSWER✔✔- Adhesive
capsulitis
(rotator cuff disease would not cause pain with both AROM and PROM)
