ABIM IM BOARDS ITE QUESTIONS AND ANSWERS 2024 Women aged 65 and older AND younger women with fracture risk of 9.3% or higher - screen for osteoporosis with DEXA
Ibuprofen / naproxen for primary dysmenorrhea, if side effect or not controlled, - OCP
Reduce risk of pressure ulcers in at risk-patients - use advanced static mattresses of overlays
life expectancy of at least --- years is expected to benefit from screening mammography - 10 years
Frequent episodes of binge eating >1/week followed by innapropriate compensatory behaviors (vomiting, laxatives,enema etc) due to fear of gaining weight - Bulimia nervosa
anorexia BMI - generally underweight, or less than 18.5
otitis media with effusion management - observe, usually resolves in 12 weeks ABIM IM BOARDS ITE QUESTIONS AND ANSWERS 2024 otitis externa treatment - combined antibiotic and glucocorticoid ototopical medication, ee.g neomycin +polymyxin b +hydrocortisone
topical lidocaine is effective in treatment of herpetic neuralgia - topical lidocaine
describe uveitis - unilateral eye pain, photophobia, ciliary flush (Circumferential redness along the border of the sclera and cornea), there may be miosis
Indications for bariatric surgery - BMI 40 or higher without comorbidities, BMI 35 with comorbities
Orlistat - Weight loss medication, loose stool common side effect. Lose about 3.5kg over 1 year
Lorcaserin - Weight loss medication, avoid in pts taking SSRIs sue to elevation in serotonin
Phentermine-topiramate - Weight loss medication, avoid in glaucoma ABIM IM BOARDS ITE QUESTIONS AND ANSWERS 2024 acromioclavicular join degeneration presentation - pain on superior aspect of shoulder, tenderness on palpation of A-C joint, pain with shoulder adduction and abduction >120 degrees
Supraspinatus tear test - Positive drop arm test
supraspinatus tendinitis - pain on shoulder abduction or painful arc
Lung cancer screening - ANNUAL LOW-DOSE CT for age 55-80 years with 30-pack year smoking history, including those who quit within 15 years
AAA Screening - One time abdominal US for men 65-75 who have smoked at least 100 cigarrettes
standard outcome measure for cohort study - relative risk
Treatment options for bipolar depression - Seroquel monotherapy, combination olanzapine-fluoxetine ABIM IM BOARDS ITE QUESTIONS AND ANSWERS 2024 hormonal estrogen is contraindicated in women with migraines+aura due to risk of - stroke
PAP smear screening - women 21-65 , every 3 years. In women 30 - 65, every 5 years if combined with HPV testing
Indications for high intensity statin - 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 - severe vasomotor symptoms in postmenopausal women are best treated with - systemic hormonal therapy;- oral estradiol-progrestin combo
test to be performed in all patients with syncope - EKG
Panic disorder treatment - SSRI (sertraline), SNRI, TCAs, MAOi
Ibuprofen / naproxen for primary dysmenorrhea, if side effect or not controlled, - OCP
Reduce risk of pressure ulcers in at risk-patients - use advanced static mattresses of overlays
life expectancy of at least --- years is expected to benefit from screening mammography - 10 years
Frequent episodes of binge eating >1/week followed by innapropriate compensatory behaviors (vomiting, laxatives,enema etc) due to fear of gaining weight - Bulimia nervosa
anorexia BMI - generally underweight, or less than 18.5
otitis media with effusion management - observe, usually resolves in 12 weeks ABIM IM BOARDS ITE QUESTIONS AND ANSWERS 2024 otitis externa treatment - combined antibiotic and glucocorticoid ototopical medication, ee.g neomycin +polymyxin b +hydrocortisone
topical lidocaine is effective in treatment of herpetic neuralgia - topical lidocaine
describe uveitis - unilateral eye pain, photophobia, ciliary flush (Circumferential redness along the border of the sclera and cornea), there may be miosis
Indications for bariatric surgery - BMI 40 or higher without comorbidities, BMI 35 with comorbities
Orlistat - Weight loss medication, loose stool common side effect. Lose about 3.5kg over 1 year
Lorcaserin - Weight loss medication, avoid in pts taking SSRIs sue to elevation in serotonin
Phentermine-topiramate - Weight loss medication, avoid in glaucoma ABIM IM BOARDS ITE QUESTIONS AND ANSWERS 2024 acromioclavicular join degeneration presentation - pain on superior aspect of shoulder, tenderness on palpation of A-C joint, pain with shoulder adduction and abduction >120 degrees
Supraspinatus tear test - Positive drop arm test
supraspinatus tendinitis - pain on shoulder abduction or painful arc
Lung cancer screening - ANNUAL LOW-DOSE CT for age 55-80 years with 30-pack year smoking history, including those who quit within 15 years
AAA Screening - One time abdominal US for men 65-75 who have smoked at least 100 cigarrettes
standard outcome measure for cohort study - relative risk
Treatment options for bipolar depression - Seroquel monotherapy, combination olanzapine-fluoxetine ABIM IM BOARDS ITE QUESTIONS AND ANSWERS 2024 hormonal estrogen is contraindicated in women with migraines+aura due to risk of - stroke
PAP smear screening - women 21-65 , every 3 years. In women 30 - 65, every 5 years if combined with HPV testing
Indications for high intensity statin - 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 - severe vasomotor symptoms in postmenopausal women are best treated with - systemic hormonal therapy;- oral estradiol-progrestin combo
test to be performed in all patients with syncope - EKG
Panic disorder treatment - SSRI (sertraline), SNRI, TCAs, MAOi