Corrections & Updates

2019 Internal Medicine Video Board Review

2019 Internal Medicine Immersive Review Course Print Syllabus

General Internal Medicine: Card Number 166

Question Side

Text currently reads:

Middle-aged, Caucasian, female smoker with h/o of primary ovarian insufficiency complains of pain in her back and presents with:

Text should read:

Middle-aged, Caucasian, female smoker with h/o primary ovarian insufficiency complains of pain in her back and presents with:

Endocrinology: Card Number 103

Question Side

Text currently reads:

↓FSH, ↑LH, FSH:LH > 2, slightly ↑ testosterone and DHEA

Text should read:

↓FSH, ↑LH, LH:FSH > 2, slightly ↑ testosterone and DHEA

Answer Side:

Text currently reads:

On exam, a Cushing’s case will probably not include the FSH:LH ratio.

Text should read:

On exam, a Cushing’s case will probably not include the LH:FSH ratio.

Gastroenterology: Card Number 127

Answer Side

Text currently reads:

Dx: Clinical ± endoscopy with biopsies if symptoms fail to respond to bid PPIs and in the presence of worrisome symptoms such as odynophagia, GI bleeding, weight loss, and/or anemia ± RUQ U/S to exclude biliary tract disease if nausea and epigastric pain are present.

Text should read:

Dx: Clinical ± endoscopy with biopsies if symptoms fail to respond to bid PPIs, or in the presence of worrisome symptoms, such as odynophagia, GI bleeding, weight loss, and/or anemia, ± RUQ U/S to exclude biliary tract disease if nausea and epigastric pain are present.

Neurology: Card Number 405

Answer Side

Text currently reads:

Remember the 20-30-40 rule for vent assistance: VC < 20 mL/kg, MIP < –30 cm H₂0, and MEP < 40 cm H₂0.

Text should read:

Remember the 20-30-40 rule for vent assistance: VC < 20 mL/kg, MIP > –30 cm H₂0, and MEP < 40 cm H₂0.

Please note: The eSyllabus does not contain page numbers.

 Gastroenterology: Page 10, Esophagus — Anatomy > Patient with Ulcerative Esophagitis

Text currently reads:

Patient with Ulcerative Esophagitis

• Start with PPI daily
• Rescope to assess healing and exclude Barrett esophagitis
• If persistent esophagitis: Change PPI to bid
• Indefinite maintenance treatment — Up to 80% recur off meds

Text should read:

Patient with Ulcerative Esophagitis

• Start treatment with PPI twice daily
• Repeat EGD to assess for healing and to exclude Barrett esophagitis
• Indefinite maintenance treatment — Up to 80% recur off meds

Gastroenterology: Page 13, The Stomach > AR 14B

Text currently reads:

What is the appropriate management?

1. Keep NPO to allow ulcer to heal
2. Continue PPI bid for 8 weeks
3. Continue PPI bid and check for H. pylori
4. Refer to surgery for management of ulcer

Text should read:

What is the appropriate management?

1. Keep NPO to allow ulcer to heal.
2. Continue PPI bid for 8 weeks.
3. Continue PPI bid, avoid NSAIDs, and check for H. pylori.
4. Refer to surgery for management of ulcer.

Gastroenterology: Page 56, Liver > AR 78

Text currently reads:

A 25-year-old male with history of IV drug use presents with 2-week history of fatigue, RUQ pain, and yellowing of his eyes. He denies alcohol use.

Lab Studies:

WBC 5.0, Hgb 14, AST 1500, ALT 1634, TB 3.2

RUQ sonogram shows no masses, no gallstones,

Normal-sized CBD

Which of the following serologic pattern would confirm the diagnosis?

1. HAV IgM+, HAV IgG+
2. HBcAg IgM+, HBsAg+, HBeAg+
3. HBcAg IgM+, HBsAg–

Text should read:

Which of the following serologic patterns would confirm the diagnosis?

1. HAV IgM+, HAV IgG+
2. HBcAb IgM+, HBsAg+, HBeAg+
3. HBcAb IgM+, HBsAg–

 Gastroenterology: page 63, Liver > AR 91

Text currently reads:

A 66-year-old female with HCV and alcohol-induced cirrhosis is admitted for confusion. She has a known history of encephalopathy, history of variceal bleeding s/p EGD with banding × 3, and ascites (on diuretic therapy).

Medications at home: nadolol 20 mg daily, spirnolactone 100 mg daily, furosemide 40 mg daily

Vitals signs on admission: HR 88, BP 100/55, T 99.2° F (37.3° C) + asterixis, distended abdomen with fluid wave

Labs: WBC 15, Hgb 10.3, Cr 1.2, plts 55, TB 1.3

Diagnostic paracentesis: Cell count 900, 65% PMNs

Text should read:

A 66-year-old female with HCV and alcohol-induced cirrhosis is admitted for confusion. She has a known history

of encephalopathy, history of variceal bleeding s/p EGD with banding × 3, and ascites (on diuretic therapy).

Medications at home: nadolol 20 mg daily, spironolactone 100 mg daily, furosemide 40 mg daily

Vitals signs on admission: HR 88, BP 100/55, T 99.2° F (37.3° C)

+ asterixis, distended abdomen with fluid wave

Labs: WBC 15, Hgb 10.3, Cr 1.2, plts 55, TB 1.3, albumin 3.4

Diagnostic paracentesis: Cell count 900, 65% PMNs, albumin in ascitic fluid 2.1, total protein in ascitic fluid 2.4

Biostats/Ethics/Safety/QI: Card Number 130, Question Side

Text currently reads:

What statistical parameter identifies how well a test rules out those in a population who do not have a given disease?

Text should read:

What statistical parameter identifies how well a test rules in those in a population who have a given disease?

Neurology: Card Number 823, Question Side

Text currently reads:

After a difficult labor, a newborn presents with:

• A sagging left shoulder
• A left arm that hangs limp in internal rotation with a pronated wrist
• Absent biceps tendon reflex
• Absent triceps tendon reflex
• Normal sensory examination?

Text should read:

After a difficult labor, a newborn presents with:

• A sagging left shoulder
• A left arm that hangs limp in internal rotation with a pronated wrist
• Absent biceps tendon reflex
• Triceps tendon reflex is present.
• Normal sensory examination?

Oncology: Card Number 883, Question Side

Text currently reads:

What is the most common congenital renal disorder?

Text should read:

What is the most common congenital renal tumor?