Internal Medicine Board Review Course – 2019
The Best IM Board Review Course & Medical Education Solution
From the leader in online medical education, Med-Challenger
Our pass-guaranteed Internal Medicine board review course gets you prepared for ABIM boards fast, thanks to our constantly updated IM board practice questions, detailed answer explanations, and intelligent exam simulators. Plus, our online Internal Medicine review courses keep serving you after exams too. Certification or recertification – ABIM review has never been so easy, effective, or efficient.
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Internal Medicine Board Review Questions
Based on the American Board of Internal Medicine format.
A 16-year-old young woman is admitted to the hospital for treatment of acute pyelonephritis. Symptoms and signs that trigger the admission included high fever, chills, nausea and vomiting, pain and tenderness in the left flank, leukocytosis, and numerous white cells and bacteria on microscopic examination of the urine.
She is treated, initially, with ceftriaxone. Subsequently, urine and blood cultures grow E. coli that is sensitive to all antibiotics. No significant improvement is noted after 3 days in the hospital with appropriate doses of ceftriaxone. She remains febrile, has occasional rigors and begins to complain of pain shooting down from the left flank to the groin.
In a patient with acute pyelonephritis, which of the following conditions warrants radiological evaluation?
Challenging distractors are one of the most important features of a high quality ABIM question bank.
failure to improve within 24 hours after appropriate antibiotics
infection with E. coli species
symptoms of sepsis
symptoms consistent with renal colic
Understanding why an answer choice is incorrect is just as important as knowing why it is correct for a truly effective Internal Medicine board review course.
symptoms consistent with renal colic
Recognize indications for imaging studies in patients with acute pyelonephritis.
Possible nephrolithiasis, failure to improve within 72 hours on antibiotics, infections with Pseudomonas and other unusual bacteria are indications for imaging studies in patients with acute pyelonephritis.
This patient’s failure to improve after 72 hours of appropriate antibiotic therapy and the onset of pain radiating to the groin suggest partial ureteral obstruction from a stone. This obviously complicates the management of her pyelonephritis. The stone will probably need to be removed to achieve successful treatment of the pyelonephritis.
Failure to improve within 24 hours after appropriate antibiotics, while concerning, is not an indication to undertake radiological studies. If the clinical picture has not improved in 72 hours, imaging studies are appropriate.
Sepsis itself is not an indication for radiological evaluation. Infection with Pseudomonas or other unusual organisms should prompt radiological evaluation.
Nicolle LE and Norrby SR. Approach to the Patient with Urinary Tract Infection in Goldman-Cecil Medicine 2016; 284: 1872-1876
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Enhanced uptake and retention
Programmed learning - the self-study progression of Practice > Review > Assess - is an educational methodology scientifically proven to enhance information uptake and retention. Our topic-based review segments provide this progression, so you can absorb content faster - and remember it for a longer time.
Multimedia From Real Cases Strengthens Internal Medicine Review
Integrated audio and visual media for enhanced learning.
ABIM Board Review Options You Won’t Find Anywhere Else
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It's important to know, Med-Challenger courses require NO exam building labor on your part - unlike other board review QBanks. Our courses come with pre-built, exam-mapped, adaptive self-assessments so there's no set up required - you can just dive in. However, we also include custom build tools, so if you DO want to build something special - you can.
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Each Internal Medicine Board Review Question Has A Detailed Answer
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Every board simulation self-assessment analyzes missed questions and issues both full answer keys and a post-assessment self-remediation prescription to targeted review content so you can address any and all "weak areas" of knowledge on the spot - and save valuable time.
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"Outstanding board review & continuing education with lasting value. Web-based system is fantastic and easy to use. Makes exam review and CME super easy. Best investment I've ever made for my career."
Don Hill, MD
Internal Medicine Board Review Topics
IM Board Review
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