General IM

Question 1

LR(+) =

Answer 1

Sn/(1-Sp)

Question 2

LR(-) =

Answer 2

Sp/(1-Sn)

Question 3

Lung cancer screening indications

Answer 3

Age 55-80; 30py hx smoking (within past 15 years)

Question 4

Lung cancer screening modality/frequency

Answer 4

Annual low-dose CT

Question 5

Dyslipidemia screening indications

Answer 5

Men>35 or risk factors

Question 6

Frequency of dyslipidemia screening

Answer 6

q5yrs

Question 7

Osteoporosis screening indications

Answer 7

Women >65 or risk factors

Question 8

Frequency of diabetes screening

Answer 8

q3yrs

Question 9

Chlamydia/Gonorrhea Screening indications

Answer 9

Females under 24

Question 10

Indications for coronary artery calcium scoring

Answer 10

10yr CV risk >10%

Question 11

Zoster vaccine age

Answer 11

60

Question 12

Definition hypertensive urgency

Answer 12

BP>180/120

Question 13

Definition hypertensive emergency

Answer 13

BP>180/120 + end-organ damage

Question 14

First-line tx of hypertensive emergency

Answer 14

Nitroprusside

Question 15

First-line tx of hypertensive urgency

Answer 15

Clonidine or short-acting ACEI (captopril)

Question 16

Indications for direct LDL measurement

Answer 16

Triglycerides >400

Question 17

Which sign/pathology? Yellow papules on trunk/extremities

Answer 17

Eruptive xanthomas/Familial Hypercholesterolemia

Question 18

Which sign/pathology? nodules on extensor tendons

Answer 18

Tendinous xanthomas/Familial Hypertriglyceridemia

Question 19

Which sign/pathology? flat yellow papules/plaques around eyelids

Answer 19

Xanthelasma/Familial Hypertriglyceridemia

Question 20

Which sign/pathology? yellow plaques on skin folds (upper trunk/arms/neck)

Answer 20

Planar xanthomas/elevated LDL or triglycerides

Question 21

Which sign/pathology? soft yellow papules/nodules on extensor surfaces

Answer 21

Tuberous xanthomas/elevated LDL or triglycerides

Question 22

Indications for stopping statin or decreasing dose

Answer 22

Rhabdomyolysis (CK increase >10x nl) or hepatotoxicity (ALT >3x nl, bilirubin >2x nl)

Question 23

Which lipid agent? most effective for reducing triglycerides but may increase LDL; C/I with gallstones or CKD

Answer 23

Fibrates

Question 24

Which lipid agent? Most effective for raising HDL

Answer 24

Nicotinic Acid

Question 25

Which lipid agent? dietary supplement for lowering triglycerides

Answer 25

omega-3 fatty acids

Question 26

Indications for weight loss medication

Answer 26

BMI >30 or >27 with risk factors

Question 27

Indications for bariatric surgery

Answer 27

BMI >40 or >35 with refractory obesity complications

Question 28

Dx ankylosing spondylitis

Answer 28

ESR/CRP, XR pelvis

Question 29

Dx pertussis

Answer 29

PCR

Question 30

Which diagnosis? Tram-line pattern of airways on imaging

Answer 30

Bronchiectasis

Question 31

MOA Varenicline

Answer 31

Nicotine receptor agonist

Question 32

Which antidepressant? serotonin antagonist and noradrenergic enhancement

Answer 32

Mirtazapine

Question 33

Which antidepressant? norepinephrine and dopamine reuptake inhibitor

Answer 33

Bupropion

Question 34

Which drug? GABA analogue used as alcohol abstinence aid

Answer 34

Acamprosate

Question 35

Which inheritance pattern? FVL

Answer 35

AD

Question 36

Which inheritance pattern? BRCA

Answer 36

AD

Question 37

Which inheritance pattern? Hemochromatosis

Answer 37

AR

Question 38

Which inheritance pattern? Alpha-1-antitrypsin deficiency

Answer 38

AR

Question 39

Which inheritance pattern? FAP

Answer 39

AD