The #1 Internal Medicine Board Review Course

Med-Challenger IM

ONLINE PASS-GUARANTEED ABIM BOARD REVIEW COURSE WITH ABIM MOC, CME CREDITS AND MORE.


Med-Challenger IM is the highest quality, easiest to use, and most-trusted internal medicine board review question bank and knowledge improvement suite for internal medicine exam review, ABIM Initial Certification, AOBIM Initial Certification, and annual ABIM maintenance of certification (Earn ABIM MOC Points) requirement compliance. Med-Challenger’s internal medicine review course is 100% pass-guaranteed and provides over 1600 case-based Q&A following the American Board of Internal Medicine exam blueprint, media banks, and ongoing content updates.

What’s more, with 157 AMA PRA Category 1 CME credits & 157 ABIM MOC Points built-in, Med-Challenger’s IM board review Qbank gives internists everything needed to ace IM exams and fulfill MOC requirements year after year with less time, labor, and worry.

Join the over 280,000 IM physicians who’ve used Med-Challenger to outperform on exams – and protect their practice. Try it for free today.

For all the things you must do for your practice.

With Med-Challenger, it’s well in hand.

I recently had to recert for my IM boards – The Med-Challenger internal medicine review program was a valuable tool – I passed! Thank you Med-Challenger. I continue to hone my skills on a regular basis on my own time- like it, LOVE it – seriously get this program!Paige Morris, M.D.
Item available in value packages.
This asset is included in IM PRO & Library packages.
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Med-Challenger IM

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Internal Medicine Board Review, Med-Challenger IM, Complete Review, Ongoing Updates, CME Credits

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Starting As Low As

$599

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Best IM Board Review, Med-Challenger Dashboard

Pass the IM boards, guaranteed.

Earn required ABIM MOC Points & CME too.

See why Med-Challenger IM is the #1 Internal Medicine Board Review in addition to having the MOST Q&A and HIGHEST pass-rate.

  • Connector.

    Time-saving adaptive learning engine leaves nothing behind

    Time-saving adaptive learning engine prioritizes missed and yet-to-be-seen content so you get every ounce of value from your review purchase.

  • Connector.

    Automatic prescriptive remediation takes you where you need to go next

    Automatic prescriptive remediation guidance offers “deeper dives” to repair your weak areas of knowledge.

  • Connector.

    Adaptive, ABIM blueprint-based exam simulation

    Simulate the board examination instantly, while taking Q&A in the right subject areas and in the right amounts, everytime.

  • Connector.

    Practice, Review & Assessment modes for enhanced retention

    Work the way you want. No pressure practice mode, read-friendly Review mode, and CME credit assessments

  • Connector.

    Create your own custom exams!

    Create your own exams with our Custom Exam Builder. Save your custom exams and re-use them for study or routine self-assessment.

  • Connector.

    Earn MOC Points and CME credits as you study

    Earn CME credits within assets quickly. Manage credit claims and produce CME certificates.

  • Connector.

    Dashboards, analytics & reports keep things on track

    Track your progress and scores, compare against global averages, maximize your purchases, and maximize your time.

  • Connector.

    Daily content updates & new Q&A, plus peer-to-peer fun

    With your Med-Challenger account, you can play our weekly Quick Quiz game with new content and peer leaderboards

  • Connector.

    Work anywhere, anytime, on any device - in less time

    Work on any device from anywhere. 100% responsive design and time-saving adaptive tools.

Proven IM Boards Success

After 25 years in IM board review, we know how to get results – and fast.

0+%
Board Exam Pass-rate
0%
Avg. Score Improvement
0%
Avg. Study Time Saved
Over 0
Internists Served

Included Content & Questions

For Med-Challenger IM Internal Medicine Exam Review Qbank

Over 0
Topics Covered
Over 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%


High-Yield IM Review 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.


Table of Contents

Everything you need to know for IM exams and current IM practice.


Allergic Complications of Transfusions
Anaphylaxis
Asthma
Auto-Immune Systemic Disorders
Drug Allergy
Food Allergy
Primary Immunodeficiency Disorders
Rhinitis, Sinusitis, & Conjunctivitis
Skin Disorders
Urticaria and Angioedema
Congenital Heart Disease in the Adult
Dysrhythmias/Conduction Defects
Endocarditis and Other Cardiovascular Infections
Hypertension
Ischemic Heart Disease
Myocardial Disease
Pericardial Disease
Syncope
Valvular Heart Disease
Vascular Disease
Adrenal Disorders
Anterior Pituitary Disorders
Diabetes Mellitus
Disorders of Calcium Metabolism and Bone
Hypoglycemia Not Due to Insulinoma
Hypothalamic Disorders
Lipid Disorders
Nutritional Disorders
Polyglandular Disorders
Posterior Pituitary and Water Metabolism
Thyroid Disorders
Biliary Tract Disease
Colonic and Anorectal Disease
Esophageal Disease
Liver Disease
Pancreatic Disease
Small Intestinal Disease
Stomach or Duodenum
Undiagnosed Gastrointestinal Hemorrhage
Bowel and Bladder Function
Common Issues in the Elderly
Neurological Issues in the Elderly
Physical Impairment in the Elderly
Other Primary Geriatrics
Coagulation Factor Disorders and Thrombotic Disorders
Genetic Disorders of Hemoglobin
Hematologic Malignancies
Hemolytic Anemia
Hypoproliferative Anemia
Leukocyte Disorders
Platelet Disorders
Transfusions & Bone Marrow Transplantation
AIDS and HIV Infection
Bacteremia, Sepsis Syndrome, & Fever of Unknown Origin
Bacterial Infections
Enteric Infections
Infections of Joints and Bones
Lower Respiratory Tract Infections
Nosocomial/Procedure & Device-Associated Infections
Parasitic Infections
Prevention of Infectious Disease
Sexually Transmitted Diseases and Infections of Reproductive Organs
Systemic Fungal Infections
Tick-Borne Illnesses
Upper Respiratory Tract Infections
Viral Infections
Acute Renal Failure
Chronic Kidney Disease
Glomerular Disorders
Nephrolithiasis
Prostate Disorders
Tubulointerstitial Disease
Urinary Tract Infections
Water and Electrolyte Balance
Other Urology
Central Nervous System Infections
Cerebrovascular Disease
Cranial Neuropathy
Diseases of Muscle and Neuromuscular Function
Disorders of Cerebral Function
Headache
Movement Disorders
Multiple Sclerosis and Other Demyelinating Diseases
Nerve Root Syndromes/Mechanical Lesions of the Spine
Peripheral Neuropathy
Seizures
Breast Disorders
Diseases of the Vulva & Vagina
Family Planning and Reproductive Health
Menopause: Management, Risks, & Benefits of Therapy
Menstrual Disorders
Ovarian Disorders
Pregnancy
Uterine Disorders

Bone Tumors
Breast Cancer
Cancer Prevention, Screening, & Survivorship
Complications of Cancer and its Treatment
Gastrointestinal or Hepatic Cancer
Gynecologic Cancer
Lung Cancer
Neoplasms of the Head and Neck
Oncologic Emergencies
Urologic Cancer
Eye Infections & Other Ophthalmologic Disorders
Glaucoma
Retinal Disease
Diseases of the Ear
Diseases of the Oral Cavity, Pharynx, and Salivary Glands
Disorders of the Nose and Paranasal Sinuses
Anxiety Disorders
Eating Disorders
Factitious Disorders
Mood Disorders
Personality Disorders
Schizophrenia and Delusional (Paranoid) Disorders
Somatoform Disorders
Evaluation and Management of Pulmonary Disorders
Interstitial, Inflammatory, & Parenchymal Lung Diseases
Obstructive Airway Disease
Pulmonary Vascular Disease
Sleep Medicine
Inflammatory Disorders of Joints – Immunologic
Inflammatory Disorders of Joints – Non-Immunologic
Non-Inflammatory Musculoskeletal Disorders
Cardiac Arrest and Therapeutic Hypothermia
Cardiac Issues in the ICU
Critical Care Pharmacology
Endocrine Issues in the ICU
Ethical Dilemmas in the ICU
Gastroenterology in the ICU
General Care Issues in the ICU
Hematologic Issues in the ICU
Hemodynamic Monitoring
Infectious Disease Issues in the ICU
Management of Severe Obstructive Lung Disease
Neurology Issues in the ICU
Obstetrical Critical Care
Renal Issues in the ICU
Respiratory Failure
Shock
Surgical Critical Care Issues in the ICU
Thromboembolic Disease
Epidemiology
Ethics
Pain Management and Addiction Medicine
Acne/Rosacea
Dermatitis (Eczemas)
Dermatologic Immunology
Disorders of Hair & Nails
Nodules and Tumors of the Skin
Papulosquamous Dermatoses
Photosensitivity Dermatoses
Pigment Disorders
Skin and Soft Tissue Infections
Vascular Dermatoses
Vesiculobullous Dermatoses

Written and Maintained by Experts

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

Editor-in-Chief:

Paul Griner, MD
Professor of Medicine, Emeritus
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



Built-in MOC & CME Credit Resources

Earn MOC Points & CME credit while you study. Knock out requirements fast.

Earn Up To
157
AMA PRA Category 1 CME Credits™

Earn up to
157
ABIM MOC Points

CME Accreditation

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.

This activity is jointly provided by Postgraduate Institute for Medicine and Challenger Corporation.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 157 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

ABIM MOC accredited
Postgraduate Institute for Medicine accredited

Earn and Claim Credits in a snap.



  • 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 and Claim Credits Easily, Earn CME Credits, AMA PRA Category 1 CME Credits

Testimonials

Med-Challenger’s IM board review course is hands down one of the best investments I have ever made. Easy to use and I can do everything from one screen. I passed my boards with flying colors.A. Chen, M.D.
I noticed a clear pattern on the In-Service examinations between the residents who did their Challenger assignments and those who didn’t. The ones who did the Challenger assignments scored better in all subject areas; the ones who had not completed their Challenger assignments did worse across the board. The constant exposure to multiple choice questions kept those who did Challenger more frequently better used to that style of questionB. Rudd, M.D.

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.

All Features & Benefits

Beware!

Other “QBanks” stop short.
With Med-Challenger, you not only get the largest IM QBank – you get a complete system of self-assessment, knowledge upkeep, and career MOC efficiency that serves you now and forever.


Med-Challenger's unique objective based user interface

Better than the best “QBank.”

Built for the IM boards – and everything beyond.

We give you over 1,600 IM board review questions with detailed explanations – more than any IM Board Review Question Bank.

But we also give you additional review tools, content assets, media banks, and time-saving career conveniences – like satisfying MOC requirements on-demand – useful every year.

Our IM board review doesn’t just get you through exams, it keeps an eye toward your future, your ongoing practice needs, and your quality of life.

In fact, you can add multiple products to your single Med-Challenger account to cover every special need your specific practice career requires.

Searchable clinical media banks

And you’ll never have to re-buy assets ever again!

Instead of wasting time and money every year, we have a better plan -
One-time purchasing and a single low cost Premium Membership super-renewal!
Purchase products at regular price ONCE. Add items at any time. (You'll never pay full price again!)
Get a FULL YEAR of use with every purchase. Then, simply RENEW your Premium Membership when the time comes.
Only $199 / year renews access to ALL of your purchased Med-Challenger assets for another full year of use.
We keep everything current and ready at all times, even adding new materials to annual MOC subscription products.
No more re-buys! No more worries. Enjoy everything you need, on-demand, every year - for less.
NOTHING BEATS IT.

With Med-Challenger, you can do everything your IM career requires, more easily, now and forever.


Package Options

Do the boards. Or just do it all.

Buy assets individually or by bundle.

Bundles include multiple assets for “entire career” coverage.
Compare the options below. Start a free trial.

Option 1

IM Basic

Everything for IM Boards

Med-Challenger IM Board Review Course + ABIM MOC Points + AMA PRA Category 1 CME Credits
internal medicine basic
$599
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


Start Free Full Trial
Add IM Basic to Cart

Option 2 BEST SELLER

IM PRO

Everything for IM Practice

Med-Challenger IM Board Review Course + Urgent Care Review + ABIM MOC Points + Special CMEs
internal medicine pro
$1999
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
  • Risk Management & Malpractice Prevention
  • 35 board-style questions with detailed answers
  • Adaptive self-assessment with guided remediation
  • Written by team of established practicing physicians, expert witnesses, and litigators

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


Start Free Full Trial
Add IM PRO to Cart

Option 3 BEST VALUE

The Library

Everything, Ever

The Med-Challenger Library Subscription: All Courses & All New Additions
med-challenger library
$3699
One Time Purchase*

Assets included:

  • Emergency Medicine
  • Family Medicine
  • Internal Medicine
  • Pediatric Medicine
  • Pediatric Emergency
  • OB/GYN
  • Urgent Care
  • Special Purpose
  • Physician Assistant
  • Nurse Practitioner: Primary
  • Nurse Practitioner: Emergency
  • RN / NCLEX
  • EM LLSA Subscription
  • FM MC-FP KSA Subscription
  • 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


Start Free Full Trial
Add The Library to Cart

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.

How it Works
  • Connector.

    1. Create your account

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

  • Connector.

    2. Add assets

    One-time purchase your exam review and MOC requirements.

  • Connector.

    3. Get it done – your way.

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

And by the way….

Med-Challenger also works for IM Group Education.

Add group education resources and education management controls to your IM training program or clinical IM group.