Exam (elaborations)
ABIM Internal Medicine Board Review - General IM
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ABIM Internal Medicine Board Review - General IM
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ABIM Internal Medicine Board Review -General IM
Study designs - cross-section - Correct Answer ✅Risk factor
and outcome measured at the same time
Study designs - retrospective (case control) - Correct
Answer ✅Subjects divided by outcome, then retrospectively
assessing frequency of risk factors
Study designs - prospective (cohort) - Correct Answer
✅Subjects divided by risk factor, then prospectively followed
for outcome
Study designs - randomized controlled trial - Correct
Answer ✅Subjective randomly divided and one group
receives intervention
Positive likelihood ratio (LR+) - Correct Answer
✅Sensitivity/(1-Specificity)
Negative likelihood ratio (LR-) - Correct Answer ✅(1-
Sensitivity)/Specificity
Vaccines - needed every pregnancy - Correct Answer
✅Tdap and influenza
Vaccines - MMR not indicated for adults born before ___ -
Correct Answer ✅1957
, ABIM Internal Medicine Board Review -
General IM
Vaccines - pneumococcal vaccines (PCV13 and PPSV23)
indicated in these groups - Correct Answer
✅Immunocompetent age >65
Functional or anatomic asplenia
Immunocompromised
CSF leaks or cochlear implants
Vaccines - pneumococcal vaccine (PPSV23 with revaccination
with PPSV23 5 years later) indicated in these groups -
Correct Answer ✅Immunocompetent with following
conditions:
Chronic heart, lung or liver disease
Diabetes
Alcoholism
Cigarette smoking
Screening - abdominal aortic aneurysm - Correct Answer
✅One-time in all men 65-76 who have ever smoked
Screening - diabetes - Correct Answer ✅All age >45
BP >135/80
PCOS
Family hx of DM
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