MKSAP - General Internal Medicine
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Screening for osteoporosis with DEXA scan - CORRECT ANSWER✔✔- - women age 65
older
- younger women who have fracture risk of 9.3% or higher
screening for lipid disorders - CORRECT ANSWER✔✔- - 5 years: all men 35 year or older
and all women 45 years or older who are at increased risk of CAD. tailored to individual
screening for diabetes - CORRECT ANSWER✔✔- - unknown
- american diabetes association: every 3 years in adults 45 YO and in younger adults with
BMI of >/25 and one risk factor for DM
- USPSTF: in asymptomatic adults with sustained high BP (>135/80). Or if have risk factors-
>/45 YO, obesity or overweight, 1st deg relative with DM, hx of gest DM, PCOS, high risk
ethnic (black, american indian, asian american, hispanic latino) etc.
screening for cervical CA - CORRECT ANSWER✔✔- - combo cytology (pap smear) + HPV
testing every 5 years (age 30-65)
- screening with pap smear every 3 years
screening for thyroid disesae - CORRECT ANSWER✔✔- -USPSTF DOES NOT rec doing
this.
- ACP recs screening women over 50 YO with at least 1 symptom
- American Thyroid association rec TSH in individuals with high risk for hypothyroidism
(personal hx of autoimmune disease, neck radiation, thyroid surgery) and consideration of
TSH testing in individual >/60 YO.
leading preventable cause of death in the US - CORRECT ANSWER✔✔- smoking .
increases risk of CA, heart disease, stroke and lung disease.
- quitting before age 40 decreases risk of death by approx 90%
, - USPSTF: rec docs ask all pt about smoking and provide tobacco cessation for users.
Central vertigo - CORRECT ANSWER✔✔- - nystagmus is not associated with latency
- typically lasts longer than 1 min
- does not fatigue with repeated trials
peripheral vertigo - CORRECT ANSWER✔✔- - nystagmus that begins after a brief period of
latency (2-40 seconds)
- typically lasts less than 1 min
- with repeated trials the nystagmus is not ellicited.
test used to differentiate central vs peripheral vertigo - CORRECT ANSWER✔✔- - dix
hallpike maneuver
used to treat peripheral vertigo - CORRECT ANSWER✔✔- - epley maneuver
- most commonly cause by BPPV (attributed to debris/canalithasis in posterior SC canal,
perturbing labyrinthine sensory receptors)
- used to reposition otoliths from the SC into the vestibule can be curative with pt suffering
from BPPV
Can be used to help treat BPPV however NOT good for long term management - CORRECT
ANSWER✔✔- - meclizine (centrally acting antihistamine)
- diazepam (vestibular suppressants)
- anti emetics
beneficial for refractory peripheral vertigo - CORRECT ANSWER✔✔- - vestibular
rehabiliation therapy.
True or false: For pt with no hx of cardiopulmonary disease and no cardiac or resp symptoms
preoperative pulmonary diagnostic testing is NOT benefecial - CORRECT ANSWER✔✔-
TRUE
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Screening for osteoporosis with DEXA scan - CORRECT ANSWER✔✔- - women age 65
older
- younger women who have fracture risk of 9.3% or higher
screening for lipid disorders - CORRECT ANSWER✔✔- - 5 years: all men 35 year or older
and all women 45 years or older who are at increased risk of CAD. tailored to individual
screening for diabetes - CORRECT ANSWER✔✔- - unknown
- american diabetes association: every 3 years in adults 45 YO and in younger adults with
BMI of >/25 and one risk factor for DM
- USPSTF: in asymptomatic adults with sustained high BP (>135/80). Or if have risk factors-
>/45 YO, obesity or overweight, 1st deg relative with DM, hx of gest DM, PCOS, high risk
ethnic (black, american indian, asian american, hispanic latino) etc.
screening for cervical CA - CORRECT ANSWER✔✔- - combo cytology (pap smear) + HPV
testing every 5 years (age 30-65)
- screening with pap smear every 3 years
screening for thyroid disesae - CORRECT ANSWER✔✔- -USPSTF DOES NOT rec doing
this.
- ACP recs screening women over 50 YO with at least 1 symptom
- American Thyroid association rec TSH in individuals with high risk for hypothyroidism
(personal hx of autoimmune disease, neck radiation, thyroid surgery) and consideration of
TSH testing in individual >/60 YO.
leading preventable cause of death in the US - CORRECT ANSWER✔✔- smoking .
increases risk of CA, heart disease, stroke and lung disease.
- quitting before age 40 decreases risk of death by approx 90%
, - USPSTF: rec docs ask all pt about smoking and provide tobacco cessation for users.
Central vertigo - CORRECT ANSWER✔✔- - nystagmus is not associated with latency
- typically lasts longer than 1 min
- does not fatigue with repeated trials
peripheral vertigo - CORRECT ANSWER✔✔- - nystagmus that begins after a brief period of
latency (2-40 seconds)
- typically lasts less than 1 min
- with repeated trials the nystagmus is not ellicited.
test used to differentiate central vs peripheral vertigo - CORRECT ANSWER✔✔- - dix
hallpike maneuver
used to treat peripheral vertigo - CORRECT ANSWER✔✔- - epley maneuver
- most commonly cause by BPPV (attributed to debris/canalithasis in posterior SC canal,
perturbing labyrinthine sensory receptors)
- used to reposition otoliths from the SC into the vestibule can be curative with pt suffering
from BPPV
Can be used to help treat BPPV however NOT good for long term management - CORRECT
ANSWER✔✔- - meclizine (centrally acting antihistamine)
- diazepam (vestibular suppressants)
- anti emetics
beneficial for refractory peripheral vertigo - CORRECT ANSWER✔✔- - vestibular
rehabiliation therapy.
True or false: For pt with no hx of cardiopulmonary disease and no cardiac or resp symptoms
preoperative pulmonary diagnostic testing is NOT benefecial - CORRECT ANSWER✔✔-
TRUE
