Internal Medicine Board Review


Med-Challenger IM is the highest quality, easiest to use ABIM board review. Our internal medicine board review question bank prepares you for the shelf exam, in-training exam, American Board of Internal Medicine (ABIM) Initial Certification exam and ABIM Maintenance of Certification (MOC). With built-in MOC points, CME credits and ongoing updates, the Med-Challenger’s internal medicine exam review Qbank provides everything you need to ace ABIM exams and fulfill requirements without having to attend an in-person internal medicine review course or buy products over and over.

With 157 AMA credits & 157 ABIM MOC points built-in, ongoing updates, and Med-Challenger’s IM board exam review Qbank of over 1,600 board-style questions, internists are provided with everything needed to ace exams and fulfill MOC requirements year after year.

Useful year after year for Exams, MOC & CME requirements.
With Med-Challenger, it’s well in hand.

Start Full Trial / Buy

Special Value Bundles available. See options below.



Med-Challenger IM

Internal Medicine Board Review, Med-Challenger IM

Asset Overview

Up-to-date content and Q&A for ABIM board exam review, self-assessment, CME & MOC requirements – year after year.

  • Adaptive ABIM board exam prep & ABIM review Qbank
  • 1600+ ABIM blueprint-based board exam questions
  • Earn AMA PRA Category 1 Credits™ & ABIM MOC points annually
  • 100% Pass-guaranteed

Combined with the adaptive tools in your account,
Our platform gives you the most benefits.

up to date content QA

Ace the IM Boards.
And everything else.

Get prepared in the shortest amount of time.
Take care of annual requirements after.


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    100% Pass-guaranteed

    There’s little risk, given our 99% pass-rate. But if you use Med-Challenger and don’t pass, we’ll refund your asset purchase.

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    Blueprint-based Board Exam Simulation

    Tailored to the actual exam content specifications so you get the right amount of study in each area.

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    Time-saving Adaptive Learning

    Every use finds and fixes knowledge gaps by re-issuing missed Q&A. Ensures you see and master all content without repeats or wasted time.

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    Automatic Prescriptive Guidance

    Instantly receive paths to remediative content based on missed questions. Complete prescribed topic assessments and earn CME credit too.

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    Works Anytime, Anywhere

    Enjoy 24/7/365 access to your assets and tools via any Internet-enabled computer, tablet or smartphone.

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    Great After Exams Too

    New and newly-revised content is constantly being applied to your assets. Self-assess and repair your specialty knowledge using the most up-to-date information anytime – exams or not.


0%
Board Exam Pass-rate
0%
Avg. Score Improvement
0%
Avg. Study Time Saved

ace the IM boards

Content + Q&A

For Med-Challenger IM Internal Medicine Exam Review Qbank

0
Topics Covered
0+
Board-style Questions

Internal Medicine Question Topics

ABIM publishes a content blueprint of the material that will appear on the exam.

This is how we determine which material appears in your adaptive Qbank.

Cardiovascular Disease14%
Endocrinology, Diabetes, and Metabolism9%
Gastroenterology9%
Infectious Disease9%
Pulmonary Disease9%
Rheumatology and Orthopedics9%
Hematology6%
Nephrology and Urology6%
Medical Oncology6%
Neurology4%
Psychiatry4%
Dermatology3%
Geriatric Syndromes3%
Obstetrics and Gynecology3%
Allergy and Immunology2%
Miscellaneous2%
Ophthalmology1%
Otolaryngology and Dental Medicine1%
TOTAL100%

Author Information

Continually Updated
All content is continually maintained by clinical expert peer-review.

Editor-in-Chief:

Paul Griner, MD
Professor of Medicine
University of Rochester School of Medicine
Weston, MA

Contributing Editors / Clinical Reviewers:

Gerard Kiernan, MD
Hospitalist
Dartmouth Hitchcock Clinic
Keene, NH

Miguel G. Madariaga, MD, MSc, FACP, DLSHTM
Director, Center for Wound Healing and Hyperbaric Medicine
Physician, Infectious Disease
Doylestown Hospital
Doylestown, Pennsylvania

Rohan Sen, MD
Assistant Clinical Professor
Internal Medicine
Washington University School of Medicine
St. Louis, MO



Our IM Questions

NBME-style, blueprint-based Q&A.
Just like you’ll see on the actual ABIM exam.

Positively-stated, Case-based Question Stems

No “negatively phrased” questions, no “A and B”…you know what we mean. Our questions always address important “key point” blueprint-based content in a well structured manner.

A 32-year-old woman with a history of severe asthma presents to you with swelling, redness, fever, and heat in her left leg. You diagnose her with cellulitis and admit her for antibiotic therapy. The patient has had several asthma attacks this year treated with oral corticosteroids, but currently she is asymptomatic and her usual treatment is continued while in the hospital.

After being in the hospital for 12 hours, the patient’s fever worsens and she starts experiencing nausea and vomiting. She is also complaining of severe right upper-quadrant abdominal pain.

On examination, her abdomen is rigid but it is difficult to elicit pain on any particular quadrant of the abdomen, and bowel sounds are present. Her pulse is 110 beats/minute, blood pressure 95/62 mm Hg, and temperature is 101.2 °F. She tries to sit up but then complains of severe lightheadedness.

Which of the following is the most important next step in the treatment of this patient?

Clear Answer Options

A question’s difficulty is defined by the choice of distractors. Good distractors determine the difficulty level of a question. Therefore, good distractors are one of the most important features of a high quality question.

Administer STAT morphine for the pain and consult a surgeon for a possible acute abdomen.
Administer STAT intravenous hydrocortisone 50 mg followed by 50 mg every 8 hours.
Increase the rate of the fluids the patient is receiving to 150 cc/hour.
Order STAT chemistries and arterial blood gas values.

High-yield Remediation

Understanding why an answer choice is incorrect is just as important as knowing why it is correct. Med-Challenger questions contain detailed explanations for the correct and incorrect answer choices along with integrated media for those that learn best by visual stimuli.

Educational Objective:

Recognize and list the causes and treatment of an adrenal crisis.

Key Point:

Patients taking long-term steroids are at risk for secondary adrenal insufficiency. They may become underdosed during times of infection or major illness, resulting in an acute adrenal crisis. Treatment involves intravenous hydrocortisone.

Explanation:

This 32-year-old woman has a history of asthma and presented with cellulitis. Because steroids are commonly used with patients with asthma, these patients are at a higher risk of having iatrogenic adrenal suppression and they are at higher risk for adrenal crisis when acutely ill. In this scenario, the patient’s overall condition is worsening and she has presented with findings suggestive of adrenal crisis (worsening fever, nausea, vomiting, and abdominal pain mimicking acute abdomen). Under these circumstances, she should receive immediate treatment with STAT intravenous hydrocortisone 50 mg followed by 50 mg every 8 hours.

Chemistries, arterial blood gas levels, and an increase in intravenous fluids are also appropriate, but they would not be the first step. If confirmation of adrenal insufficiency is being considered, then dexamethasone can be administered instead of hydrocortisone to prevent altering results for cortisol levels. Dexamethasone can be administered immediately and blood drawn once therapy is initiated.

References:

Michels A, Michels N. Addison disease: early detection and treatment principles. Am Fam Physician. 2014;89(7):563-568.

Nieman LK. Clinical manifestations of adrenal insufficiency in adults. http://www.uptodate.com/contents/clinical-manifestations-of-adrenal-insufficiency-in-adults. Revised March 8, 2017. Accessed July 28, 2017.



CME Credits Included

Earn while you learn. Knock out requirements fast.

Earn Up To
0
AMA PRA Category 1 CME Credits™

EARN UP TO
0
ABIM MOC POINTS

Earn and Claim Credits Easily

  • Score 80% or better on topic-based CME assessments
  • CME earnings will appear in your CME Claims Center
  • Produce PDF CME Certificates (claim credits) instantly
  • PDFs list all topics claimed for hassle-free submission
  • Return anytime to reprint or review historical earnings

earn claim credits easily

CME Accreditation

Med-Challenger IM is intended for practitioners of internal medicine or clinicians otherwise involved in the diagnosis and treatment of acute, emergent, or chronic medical problems.

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Postgraduate Institute for Medicine and Challenger Corporation. The Postgraduate Institute for Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The Postgraduate Institute for Medicine designates this enduring material for a maximum of 216 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

postgraduate institute for medicine

You don’t just get the best content.
You get the best tools too.

Great content does nothing on it’s own. You have to use it.
We give you the most tools to “get it done” – your way.

Features & Benefits


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    Premium Membership

    Stop the Annoying Cycle. Refresh Your Account with All of Your Assets Every Year. No Need to Re-buy Ever! Learn More.

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    Best ABEM Exam Review Question Banks

    #1 ABEM Board Review, Higher Scores. Best Pass-Rate, & the Most Q&A

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    Clinical Media Banks

    High-resolution Imagery, Topic-based Media Banks, & All Media Types

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    Fulfill Annual Requirments

    Annual ABEM LLSA articles, AMA & ACEP Credits, and ABEM MOC exam review

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    Adaptive Learning Engine

    Adapts to Target Weak Areas, All Q&A Get Seen & Mastered, & Active on All Simulation Exams

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    Create Custom Exams

    Exam Builder – Tailor Your Content and Create Custom Exams That Fit Your Needs, Save, & Re-use

How it Works


Your account. Your assets. Your abilities.


Med-Challenger works for both practicing clinicians, clinician educators, and quality directors by providing a singularly efficient and effective system of knowledge review, exam prep, and recurring career requirement fulfillment adaptable to any learning environment or objective.


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    1. Create your account

    A single account to hold your assets. Get one free.

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    2. Add assets

    One-time purchase your exam review and MOC requirements.

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    3. Get it done – your way.

    The abilities – the adaptive tools, career utilities, and benefits.

Extra Benefits



Super Straight-forward

We’ve built Med-Challenger to be more than some one time use question bank solution. After all, you have a specialized career with unique mandates and MOC requirements. And everyone loves flexible tools.

Just pick what you want to do.

  • Study for exams with time-saving adaptive learning
  • Earn multiple types of CME credit requirements
  • Play weekly games for fun against your peers
  • Discover new information and content updates

extra benefits CME credits
one place for everything

One Place for Everything

Stop the endless cycle of requirement scrambles. You can assemble everything under one account and never be caught off guard by your recurring career requirements.

Have everything at your fingertips.

  • Add multiple Qbank assets to a single account
  • Use assets in multiple ways for ‘my way’ education flexibility
  • Earn, print, and maintain various CME credit activities

Buy once, renew for pennies

Take care of costs along with hassles. Our premium membership plan allows you to craft your career need “go-to” at cost ONCE. Renew EVERYTHING for one low annual fee.

Enjoy lasting career efficiency.

  • Round out your needs and have them handy anytime, anywhere
  • Stop the full price re-buys year after year
  • Get new subscription-based materials annually for free

buy once, renew for pennies

Quick Comparison

A quick look at why Med-Challenger is the best choice in Family Medicine review.

FEATURE MED-C FM Rosh Review True Learn Board Vitals
Questions 2700+ 2200 1500 2300
AMA Cat 1 CME 245 100 0 40
AAFP CME 245 0 0 100
Exam Simulator Yes No No No
Learning Rx Yes No No No
Low-Cost Renewal Yes No No No

Testimonials

  • david bauer md
    Improved residency training and ongoing performance quality control, instantly, as easy as turning a key.David Bauer, MD - FM Residency Director
  • mark perdue PA-C
    By far the best product for knowledge review and cme. Great for exams, but even better for my practice life!Mark Perdue, PA-C, MHS
  • mary alice obrien dnp
    Challenger makes sure you have the very best content and the very best tools for getting the most out of your time.Mary Alice O'Brien, DNP, ARNP, FNP-BC
  • andrea eberly md
    Outstanding resources for practicing clinicians. You get everything you need in one spot. Takes a huge burden off.Andrea Eberly, MD, MS, FAAEM

Package Options

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Bundles include multiple assets for “entire career” coverage.
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Option 1

IM Basic

Everything for IM Boards

internal medicine basic
$595
One Time Purchase*

Asset included:

  • Internal Medicine Comprehensive Review
  • Adaptive Qbank with 1600+ ABIM-style questions
  • Board simulation with guided remediation
  • 157AMA PRA Cat. 1 Credits™
  • 157 ABIM MOC Points
  • Money-back, pass guarantee

Benefits included:

  • One year of access (Premium Membership) free with purchase
  • One-time Purchase! Purchased assets remain in your account forever – No more re-buys!
  • Renew access to ALL PURCHASED ACCOUNT ASSETS for only $199/yr
  • Content updates and annual subscription product additions FREE with active Premium Membership
  • Time-saving adaptive learning engine prioritizes missed and yet-to-be-seen content
  • Automatic prescriptive remediation guidance targets weak areas
  • Ready-made blueprint-based exams
  • Create your own custom exams!
  • Find and earn CME credits within assets quickly
  • Easy CME certificate production
  • Dashboards
  • Analytics & Reports
  • Free weekly Quick Quiz game with new content and peer leaderboards
  • Fully responsive for use on all devices
  • Free customer support

72 hour free trial available


Try / Buy IM Basic

Option 2 BEST SELLER

IM PRO

Everything for IM Practice

internal medicine pro
$2295
One Time Purchase*

Assets included:

  • Internal Medicine Comprehensive Review
  • Adaptive Qbank with 1600+ ABIM-style questions
  • Board simulation with guided remediation
  • 157AMA PRA Cat. 1 Credits™
  • 157 ABIM MOC Points
  • Money-back, pass guarantee
  • Urgent Care Comprehensive Review
  • Adaptive Qbanks with 3300+ ABUCM-style questions
  • Board simulation with guided remediation
  • 230 AMA PRA Cat. 1 Credits™
  • Money-back, pass guarantee
  • State-Required CME
  • Covers state-mandated CME needs in all 50 US states
  • Over 1000 NBME-style questions with detailed answers
  • Adaptive self-assessment with guided remediation
  • 100 AMA PRA Cat. 1 Credits™
  • Trauma Center CME
  • Required CME for trauma center personnel
  • Over 100 NBME-style questions with detailed answers
  • Adaptive self-assessment with guided remediation
  • 50 AMA PRA Cat. 1 Credits™
  • Stroke Center CME
  • Required CME for stroke center personnel
  • Over 100 NBME-style questions with detailed answers
  • Adaptive self-assessment with guided remediation
  • 8 AMA PRA Cat. 1 Credits™
  • Cardiac Center CME
  • Required CME for cardiac center personnel
  • Over 100 NBME-style questions with detailed answers
  • Adaptive self-assessment with guided remediation
  • 8 AMA PRA Cat. 1 Credits™
  • ECG Cases
  • Over 100 NBME-style questions with detailed answers
  • Adaptive self-assessment with guided remediation

Benefits included:

  • One year of access (Premium Membership) free with purchase
  • One-time Purchase! Purchased assets remain in your account forever – No more re-buys!
  • Renew access to ALL PURCHASED ACCOUNT ASSETS for only $199/yr
  • Content updates and annual subscription product additions FREE with active Premium Membership
  • Time-saving adaptive learning engine prioritizes missed and yet-to-be-seen content
  • Automatic prescriptive remediation guidance targets weak areas
  • Ready-made blueprint-based exams
  • Create your own custom exams!
  • Find and earn CME credits within assets quickly
  • Easy CME certificate production
  • Dashboards
  • Analytics & Reports
  • Free weekly Quick Quiz game with new content and peer leaderboards
  • Fully responsive for use on all devices
  • Free customer support

72 hour free trial available


See Full Details
Try / Buy IM PRO

Option 3 BEST VALUE

The Library

Everything, Ever

med-challenger library
$3995
One Time Purchase*

Assets included:

  • Emergency Medicine
  • Family Medicine
  • Internal Medicine
  • Pediatric Medicine
  • Pediatric Emergency
  • OB/GYN
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  • Special Purpose
  • Physician Assistant
  • Nurse Practitioner: Primary
  • Nurse Practitioner: Emergency
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  • EM LLSA Subscription
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  • PEDS MOC Part 2
  • Auscultation (Cardio & Pulm)
  • Dermatology
  • Ultrasound
  • ECG Interpretation
  • Radiology Interpretation
  • Risk Management & Malpractice
  • Self-Defense
  • State-required CME
  • Cardiac Center CME
  • Stroke Center CME
  • Trauma Center CME

  • AMA PRA Cat. 1 Credits™ and other CME types included
  • New Med-Challenger course assets including new titles and editions FREE as they are released.

Benefits included:

  • One year of access (Premium Membership) free with purchase
  • One-time Purchase! Purchased assets remain in your account forever – No more re-buys!
  • Renew access to ALL PURCHASED ACCOUNT ASSETS for only $199/yr
  • Content updates and annual subscription product additions FREE with active Premium Membership
  • Time-saving adaptive learning engine prioritizes missed and yet-to-be-seen content
  • Automatic prescriptive remediation guidance targets weak areas
  • Ready-made blueprint-based exams
  • Create your own custom exams!
  • Find and earn CME credits within assets quickly
  • Easy CME certificate production
  • Dashboards
  • Analytics & Reports
  • Free weekly Quick Quiz game with new content and peer leaderboards
  • Fully responsive for use on all devices
  • Free customer support

72 hour free trial available


See Full Details
Try / Buy The Library

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Renew access to ALL PURCHASED ASSETS in your account for only $199/yr.
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