Internal Medicine Board ABIM
QUESTIONS AND ANSWERS
AC safe for breast feeding - CORRECT ANSWERS-LMWH and Warfarin
Acquired cystic kidney disease is associated with - CORRECT ANSWERS-markedly
increased risk for developing renal cell carcinoma
Acrodermatitis enteropathica deficiency and symptoms - CORRECT ANSWERS-Zinc
deficiency: erythematous and vesiculobullous dermatitis and alopecia
Adrenal vein sampling - CORRECT ANSWERS-Evaluate bilateral vs unilateral adrenal
cause of primary hyperaldosteronism
Adult onset Still's disease features - CORRECT 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 - CORRECT ANSWERS-treat with two first-line drugs of different classes.
AED to avoid in PTSD - CORRECT ANSWERS-Levetiracetam
AEDs with limited interaction with chemo and hepatic enzyme induction - CORRECT
ANSWERS-Valproate, Lacosamide, Lamotrigine, Levetiracetam
Antibody for subacute cutaneous SLE - CORRECT ANSWERS-Anti-Ro/SSA
(sometimes La/SSB), and antihistone (1/3)
, Antiepileptic associated with hyponatremia - CORRECT ANSWERS-Oxcarbazepine
and less with carbamazepine
Antiepileptic associated with subclinical acidosis and low serum HCO3 - CORRECT
ANSWERS-Topiramate
Arterial or venous thromobosis (e.g. hepatic aka Budd-Chiari) warrants work up for ___
in the form of ___ - CORRECT ANSWERS-Polycythemia vera; JAK2V617F mutation
Asymptomatic gallstones who should get surgery - CORRECT ANSWERS-High risk for
carcinoma: porcelain GB, Stones >3 cm
Besides infections (hepatitis), what other work up should membranous glomerulopathy
warrant - CORRECT ANSWERS-Malignancy (age appropriate screening), autoimmune,
meds
Broad spectrum AEDs - CORRECT ANSWERS-lamotrigine, levetiracetam, topiramate,
valproic acid, and zonisamide
Carotid dissection findings - CORRECT ANSWERS-Ipsi Horner's; Contra hemiparesis
d/t L frontal lobe
characteristic of severe tricyclic antidepressant overdose - CORRECT ANSWERS-
progressive somnolence, hypotension, widening of the QRS interval, seizure, and
anticholinergic signs (fever, tachycardia, mydriasis, reduced bowel sounds)
Characteristics of a bicuspid valve - CORRECT ANSWERS-Systolic or diastolic:
stenotic radiates to cartoid; nonstenotic to the apex
chronic inflammatory demyelinating polyradiculoneuropathy treatment - CORRECT
ANSWERS-Glucocorticoids $ immunomodulation
Colon cancer screening alternative - CORRECT ANSWERS-FIT annually or CT
colonography Q5 years
Colonoscopy screening for IBD with long-standing colitis - CORRECT ANSWERS-8-10
years after diagnosis then Q1-2y
Complications of testicular cancer therapy - CORRECT ANSWERS-Insulin resistance,
HTN, HLD, obesity, CVD
Conductive hearing loss of low-pitch sounds without tinnitus - CORRECT ANSWERS-
otosclerosis
Constrictive pericarditis treatment
1.
QUESTIONS AND ANSWERS
AC safe for breast feeding - CORRECT ANSWERS-LMWH and Warfarin
Acquired cystic kidney disease is associated with - CORRECT ANSWERS-markedly
increased risk for developing renal cell carcinoma
Acrodermatitis enteropathica deficiency and symptoms - CORRECT ANSWERS-Zinc
deficiency: erythematous and vesiculobullous dermatitis and alopecia
Adrenal vein sampling - CORRECT ANSWERS-Evaluate bilateral vs unilateral adrenal
cause of primary hyperaldosteronism
Adult onset Still's disease features - CORRECT 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 - CORRECT ANSWERS-treat with two first-line drugs of different classes.
AED to avoid in PTSD - CORRECT ANSWERS-Levetiracetam
AEDs with limited interaction with chemo and hepatic enzyme induction - CORRECT
ANSWERS-Valproate, Lacosamide, Lamotrigine, Levetiracetam
Antibody for subacute cutaneous SLE - CORRECT ANSWERS-Anti-Ro/SSA
(sometimes La/SSB), and antihistone (1/3)
, Antiepileptic associated with hyponatremia - CORRECT ANSWERS-Oxcarbazepine
and less with carbamazepine
Antiepileptic associated with subclinical acidosis and low serum HCO3 - CORRECT
ANSWERS-Topiramate
Arterial or venous thromobosis (e.g. hepatic aka Budd-Chiari) warrants work up for ___
in the form of ___ - CORRECT ANSWERS-Polycythemia vera; JAK2V617F mutation
Asymptomatic gallstones who should get surgery - CORRECT ANSWERS-High risk for
carcinoma: porcelain GB, Stones >3 cm
Besides infections (hepatitis), what other work up should membranous glomerulopathy
warrant - CORRECT ANSWERS-Malignancy (age appropriate screening), autoimmune,
meds
Broad spectrum AEDs - CORRECT ANSWERS-lamotrigine, levetiracetam, topiramate,
valproic acid, and zonisamide
Carotid dissection findings - CORRECT ANSWERS-Ipsi Horner's; Contra hemiparesis
d/t L frontal lobe
characteristic of severe tricyclic antidepressant overdose - CORRECT ANSWERS-
progressive somnolence, hypotension, widening of the QRS interval, seizure, and
anticholinergic signs (fever, tachycardia, mydriasis, reduced bowel sounds)
Characteristics of a bicuspid valve - CORRECT ANSWERS-Systolic or diastolic:
stenotic radiates to cartoid; nonstenotic to the apex
chronic inflammatory demyelinating polyradiculoneuropathy treatment - CORRECT
ANSWERS-Glucocorticoids $ immunomodulation
Colon cancer screening alternative - CORRECT ANSWERS-FIT annually or CT
colonography Q5 years
Colonoscopy screening for IBD with long-standing colitis - CORRECT ANSWERS-8-10
years after diagnosis then Q1-2y
Complications of testicular cancer therapy - CORRECT ANSWERS-Insulin resistance,
HTN, HLD, obesity, CVD
Conductive hearing loss of low-pitch sounds without tinnitus - CORRECT ANSWERS-
otosclerosis
Constrictive pericarditis treatment
1.
