Internal Medicine Review Question of the Day

ABIM Exam Review Question of the Day, Courtesy of Med-Challenger

Bookmark this page and come back daily.  Every day a new internal medicine review question will appear courtesy of Med-Challenger Internal Medicine.

A 40-year-old man is evaluated for a 4-week history of progressive shortness of breath, fatigue, decreased appetite, and a 5-pound weight loss.

He has a 20 pack-year smoking history, admits to active crack and heroin abuse, and drinks alcohol 2 to 3 times a week.

The patient's vital signs are: temperature 104 °F, heart rate 110 beats/minute, and blood pressure 110/60 mm Hg. He is generally unkempt with poor hygiene, and you are able to observe numerous track marks and healed scars on his skin.

He has decreased breath sounds and egophony on the right side. Findings on chest x-ray show a large, right-sided pleural effusion.

Pleural fluid analysis from thoracentesis shows:
White blood cell (WBC) count: 10,000/mm3
Neutrophils: 80%
Total protein: 3.8 g/dL (pleural protein/serum protein = 0.6)
Lactate dehydrogenase (LDH): 210 U/L (pleural LDH/serum LDH: 0.72)
Glucose 45 mg/dL
Amylase 42 U/L
pH: 7.12

Which of the following is most likely?

Remaining Tries: 2

Sweet CME Savings!

Save 15% on ANY ORDER with code:

"SWEET"

including PRO bundles.

Learn More
Contact us for upgrade & bulk pricing.

Enter code at checkout. SHOP NOW.

This internal medicine review question came from:

Med-Challenger IM PRO Bundle

Everything in Internal Medicine
IM PRO

Sweet CME Savings!

Save 15% on ANY ORDER with code:

"SWEET"

including PRO bundles.

Learn More
Contact us for upgrade & bulk pricing.

Enter code at checkout. SHOP NOW.

IM PRO VALUE BUNDLE - Everything internal medicine physicians need for knowledge excellence, ABIM & Knowledge Check In exam review, annual MOC ABIM Points requirements, and specialty CME credits, over their entire career - for one great value price.

$2,572 in value. You save over 22%.
Ideal use of your CME Budget!

$1999

Buy Now
Free Trial

Questions?
Call 1-800-676-0822 or sales@chall.com

Current Customers:
If you already own any of the titles in IM PRO, contact us for special discounts and upgrade pricing.

IM PRO bundle includes:

One year of initial access free.
Includes ongoing MOC materials & requirements.
Includes one year of Premium Membership
Board review courses are pass-guaranteed.

Platform Features & Utilities

CME Credit Totals:

  • Over 600 AMA PRA Category 1 CME Credits
  • 157 ABIM MOC Points

IM PRO is the ideal medical education purchase for internists. Useful every year and cost-effective.

Thomas Davenport, MD

P.S. Want more free board exam review questions?

You can get a 100 free board exam review questions (with CME credits) relevant to your specialty when you create a free Med-Challenger account.

Or, you can access 1000's of board review questions when you start a free full trial of any board exam review and CME courses in the Med-Challenger store.

Why Med-Challenger is the best choice.

Distinct advantages now - and over your entire career

Why treat recurring symptoms over and over when you can effectively cure the condition?  That's our approach and why we're more than "a question bank."  Med-Challenger's platform not only offers more features for self-study and required certification compliance, it's lifelong clinical education and certification support for your current and evolving career requirements.

One Account, One Login

Any course assets you add to your online account will be available online via a single account and login - on any device.

Saves Time & Money Forever

You never have to re-buy any assets at full price. You'll have reusable career assets ready every year for a fraction of the cost.

Evergreen Content

Content is regularly reviewed and updated with the most recent and relevant information.

Intelligently Self-Assess

Our platform tracks your performance and adapts to target your weak areas of knowledge, saving you time.  Exam sims, tutor modes and more.

In-Depth Explanations

Content-rich explanations and "pearls of wisdom" reinforce and expand your knowledge.

High-Resolution Image Banks

High-quality media help reinforce core concepts.

CME Games Keep It Fun

Our CME Quick Quiz gives you a fun way to test your knowledge and rank against peers.

Dashboards & Metrics

Track your progress and understand your level of preparedness.

Custom Exams

Use our proven pre-built exams or create your own reusable study system.

CME Requirement Ease

Earn, claim and manage continuing medical education credits of various types and produce CME certificates.

You Stay Informed

Important guideline alerts and case-based blogs keep you always up-to-date.

Exam Success, Guaranteed

We believe in you. If you complete all of the questions and don’t pass, you get your money back and we'll help you until you pass.

Live Customer Support

Your questions are answered by people (not robots!) whose goal is to solve any problem you may have.

Great for Group Learning

Used for remote learning management by clinical training programs and healthcare groups worldwide. Learn more.

FAQs

Quick Answers to Common questions
Emergency Nurse Practitioner Courses for ENP Exam Review and ENP CNE / CE Requirements