INTERNAL MEDICINE BOARD REVIEW PDF

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The 11th edition of Mayo Clinic Internal Medicine Board Review is fully revised to reflect the latest information necessary to prepare for the. Mayo Clinic Internal Medicine Board Review Questions & Answers - Ebook download as PDF File .pdf), Text File .txt) or read book online. mayo. AND BOARD REVIEW. For use with the 17th edition of HARRISON'S PRINCIPLES OF INTERNAL MEDICINE. EDITED BY. CHARLES WIENER, MD. Professor.


Internal Medicine Board Review Pdf

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American Board of Internal Medicine (ABIM) invited certified general This review process, which resulted in a new MOC exam blueprint, will. Board Review from Medscape is derived from the ACP Medicine CME program, which is Medicine and Clinical Professor of Internal Medicine, . This review ebook has been produced in a convenient PDF format to allow you to test your. pdf. The Johns Hopkins Internal Medicine Board Review. Pages Internal medicine board review Includes bibliographical references and index.

Be particularly careful with answers that have more than one part. Only one part may be correct. Other distraction techniques include 2 responses that are similar except for a word or phrase. Watch for responses that contradict others; usually, both of these can be ruled out.

What if you read a question and the traditional correct answer isnt an option? What if more than one answer could be cor- rect?

Ten select the best option available. Be very careful of responses that are the longest or the unique answer.

Tey are no more likely or unlikely to be correct despite prevailing wisdom. Dont try to read the board review material from cover to cover. Te best way to prepare is to review and always practice answering questions. To improve your understanding, read the explanation, and look up additional information related to each of the choicesboth correct and incorrect. If the answer you had formulated is not among the list of answers provided, you may have interpreted the question incorrectly.

When a patients case is presented, think of the diagnosis before looking at the list of answers. If you do not know the answer to a question, very ofen you are able to rule out one or several answer options.

Determine whether your diagnosis is supported by any of the answers. If you can elimi- nate any answers as clearly wrong, you will improve your odds at guessing. Occasionally, you can use information presented in one question to help you answer other, dif cult questions. Many questions are on the test for trial or validation purposes and are not scored. If a question seems to you to be a bad or confusing question, it may be in this category.

It is best not to spend an inordinate amount of time trying to second guess this type of question. Come back to it afer you have fnished, if you still have time. When reading long multiple-choice cases: First read the actual lead line of the question Once you understand what the question is asking: Stay focused and look for clues in the long stem of the question.

As you read through the questions: Note the key facts and abnormal fndings Skip questions about which you have no idea, and come back afer a complete frst pass 9. Each subspecialty has many common connections, and candidates for the ABIM and other examinations may want to prepare lists like this for diferent areas.

For example, a case that presents a patient with health careassociated pneumonia should immediately bring to mind antipseudomonal antibiotics, not antibiot- ics traditionally used for community-acquired pneumonia. Combined knee and hip pain should have you consider- ing a gait abnormality rather than abnormality in 2 joints simultaneously.

Use the basic fund of knowledge accumulated from clinical experience and reading to solve the questions. Approaching the questions as real-life encounters with patients is far better than trying to second-guess the exam- iners or trying to analyze whether the question is tricky.

As indicated above, the questions are never tricky, and there is no reason for the ABIM to trick the candidates into choos- ing wrong answers. Use examination techniques to your advantage. Look for target populations in questions. Start with a basic premise in mind, then modify it as the information warrants. Examples are as follows: For young patients, aim for aggressive management. For elderly patients, aim for less aggressive alternatives, especially in those with multisystem disease.

Beware of adverse medication efects and polypharmacy. For asymptomatic healthy patients, do nothing and observe. Use your existing fund of knowledge of internal medicine and your previous clinical experience.

Approach each question as a real-life patient encounter. Tere are no trick questions. Watch the time to ensure that you are at least halfway through the examination when half of the time has elapsed.

Start by answering the frst question and continue sequentially. Almost all of the questions follow a case-presentation format. At times, subsequent questions will give you information that may help you answer a previous question. Do not be alarmed by lengthy questions; look for the questions salient points. When faced with a confusing question, do not become distracted by that question. Mark it so you can fnd it later, then go to the next question and come back to the unanswered ones at the end.

Extremely lengthy stem statements or case presentations are intended to test the candidates ability to separate the essen- tial from the unnecessary or unimportant information. You may want to highlight important information presented in the question in order to review this information afer reading the entire question and the answer options.

Tere is no pen- alty for guessing, so you should never leave an answer blank. If you truly have no idea about any of the choices, the B answer has been statistically more likely to be correct. It is better to choose B if you truly dont know the answer. Look for the salient points in each question. If a question is confusing, mark it to fnd it and come back to the unanswered questions at the end.

A radial femoral delay is suspected on examination. What should be the next step in the evaluation or management of this patient? Coronary angiogram b. Use of a hour Holter monitor c. Computed tomographic CT scan of the chest d. Reassurance with recommendations for warm-up and cooldown routines with exertion e. Use of a hour blood pressure monitor A year-old patient with a history of coronary artery bypass graf surgery 1 year ago presents with fatigue, dyspnea, and progressive lower extremity edema.

Te lungs are clear. Te heart is quiet, with normal frst and second heart sounds and no murmurs. Te jugular venous pres- sure JVP is elevated at midneck approximately 20 cm water.

Tere is an increase in the JVP with inspiration with a rapid descent. What does this combination of fndings strongly suggest? Heart failure due to biventricular dysfunction b.

Superior vena cava syndrome c. Constrictive pericarditis d. Failure of the bypass grafs and recurrent coronary artery disease A patient comes to you for evaluation of peripheral edema and palpitations.

A large v wave is noted in the jugular venous pressure JVP. What is your diagnosis?

Superior vena cava syndrome b. Atrial fbrillation c. Signifcant pulmonary stenosis e. Signifcant tricuspid regurgitation Which of the following is true about the ausculta- tory fnding of a fourth heart sound S 4 on physical examination? Ofen associated with hypertension b. Normal in young children c. Normal in athletes d. A hallmark of the onset of atrial fbrillation 2. Coronary angiography is normal. Biventricular pacing d.

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Isosorbide dinitrate in combination with hydralazine e. Spironolactone e. Digoxin A year-old man presents with syncope. He has a family history of sudden cardiac death. Jugular venous pressures show a prominent a wave. Carotid upstroke is rapid; lef ventricular impulse is sustained and dis- placed laterally. Te murmur at the lef sternal border is accentuated with the squat-to-stand maneuver.

His lungs are clear, he has no hepatomegaly, and his extremities are not edematous. A majority of patients are asymptomatic. Te pathophysiology of the disease is characterized by abnormalities in myocardial energetics. Unexplained syncope is an indication for an implantable cardioverter-defbrillator ICD.

Patients with heart failure symptoms should be ofered surgery. All frst-degree relatives should undergo screening for this disorder. A year-old woman presents with progressive dysp- nea on exertion. She denies having chest pain. She has a long-standing history of hypertension and chronic atrial fbrillation. Her medications include warfarin 3 mg daily, enalapril 5 mg daily, and digoxin 0.

Jugular venous distention is present. Her lungs were clear. Te electrocardiogram showed atrial fbrillation with lef ventricular hypertrophy. Chest radiography showed cardiomegaly with mild pulmo- nary venous hypertension.

Constrictive pericarditis b. Arteriovenous fstula c. Amyloidosis d. Coronary artery disease e. Hypertensive heart disease A year-old woman presents with dyspnea on exer- tion and tingling numbness in both lower extremities.

She has jugular venous distention accentu- ated with inspiration and prominent x and y descents. Bibasilar crackles are present posteriorly. A fourth heart sound is present. She has mild bilateral pitting edema of the lower extremities. Sensation is diminished in both feet, but refexes and motor power are preserved. Te urinanalysis is remarkable for mild proteinuria. Te electrocardiogram shows sinus rhythm, low voltage, and an old anteroseptal infarct pattern. What is the best treatment option for this patient?

Stem cell transplant b. Angiotensin-converting enzyme inhibitors c. Combined heart and liver transplant d. Diuretic therapy e.

Hospice care A year-old man with a history of diabetes mellitus and hypertension presents to the hospital with new orthop- nea and edema. He has clear lungs, a displaced cardiac apex with a third heart sound but no cardiac murmurs, and no lower extremity edema. Chest radiography shows pulmonary congestion with cardiomegaly. Te elec- trocardiogram shows sinus rhythm, nonspecifc ST-T changes, and frequent premature ventricular complexes PVCs.

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What should be the next step in evaluating this patient? Endomyocardial biopsy b. Stress testing c. Coronary angiography d. Holter monitoring e. Sleep study A year-old African American woman with pulmo- nary edema is transferred to your hospital. Her jugular venous pressure is normal.

Her lungs are clear. A sum- mation gallop is present. She has no hepatosplenomeg- aly, ascites, or edema. Chest radiography is consistent with pulmonary congestion and cardiomegaly.

Te electrocardiogram shows sinus rhythm with a lef bun- dle branch block. A year-old woman presents with chest pain on exer- tion. Past medical history is remarkable for hyper- lipidemia, hypertension, abdominal aortic aneurysm repair, and a stroke from which she has made a good neurologic recovery.

Current treatment includes aspi- rin 81 mg daily, lisinopril 20 mg daily, and atorvastatin 40 mg daily. Jugular venous pres- sure is normal, and all peripheral pulses are normal. On auscultation, heart sounds are normal and the lungs are clear. Tere is no peripheral edema. A stress test is per- formed: A drug-eluting stent is deployed without complications, and the patient is discharged with clopidogrel 75 mg daily in addition to her usual medications.

Five days later, she calls and says that an intense pruritic rash has developed on her trunk and limbs. She believes that it is due to the clopidogrel. Which of the following is an absolute contraindication for the use of prasugrel as an alternative to clopidogrel in this patient? Female sex b. Age older than 65 years c. Weight less than 60 kg d. Percutaneous coronary intervention e. History of stroke A year-old woman wants your advice about a recent cardiology evaluation.

Having had angina for 5 years with increasingly limiting symptoms, she was advised to have coronary angiography, which showed severe 3-vessel disease.

Current med- ications include aspirin 81 mg daily, simvastatin 40 mg daily, atenolol 50 mg daily, and long-acting isosorbide dinitrate 60 mg daily. Tere are no murmurs, and the lungs are clear on auscultation. Which of the following is the most appropriate recommendation for this patient to treat her symptoms and improve the prognosis? Increase the dosage of atenolol to 75 mg daily.

Add ranolazine to her treatment and reassess in 1 month. Coronary artery bypass graf CABG surgery is the optimal strategy. Percutaneous coronary intervention PCI is the optimal strategy.

A year-old man returns for a clinic visit afer an ante- rior myocardial infarction 2 months ago. He was treated successfully with primary percutanteous coronary intervention.

A year-old woman presents to a community hospi- tal with a 5-day history of intermittent chest pressure at rest. Te pain is persistent on the day of admission. She has a history of chronic stable angina treated with aspirin mg daily, metoprolol 25 mg twice daily, and isosorbide mononitrate 60 mg daily. Her past medi- cal history is signifcant for hypertension and diabetes mellitus. Additional medications include hydrochlo- rothiazide 25 mg daily.

Her jugular venous pressure and all peripheral pulses are normal. On auscultation, the heart sounds are normal and the lungs are clear. Tere is trace peripheral edema. Te tro- ponin T level is elevated 0.

Afer treatment with intravenous heparin and nitroglycerin, the patient becomes asymptomatic with complete resolution of the ECG abnormalities. Later that day, recurrent, transient chest pressure and ST-segment depression develop. In addition to arranging transfer to a hospital with facili- ties for coronary angiography, which of the following is the most appropriate next step?

Increase the dosage of metoprolol to 50 mg twice daily. Perform exercise sestamibi testing. Administer morphine intravenously. Administer reteplase 10 units intravenously over 2 minutes. A year-old woman presents to the emergency depart- ment with dyspnea and retrosternal chest pain that developed 3 hours ago, soon afer she had an intense argument with her daughter. Her past medical history is remarkable for hypertension and diabetes mellitus.

Te chest discomfort is not relieved by sublingual nitro- glycerin. Her jugular venous pressure, carotid pulse, and peripheral pulses are nor- mal. Te cardiac troponin T level is 0.

Te lead electro- cardiogram shows a 0. An emergency coro- nary angiogram shows mild coronary atherosclerosis. A lef ventriculogram shows severe hypokinesis of the api- cal and midsegments of the heart with normal function at the base. Which of the following is the most likely diagnosis? Myocarditis b. Apical ballooning syndrome takotsubo cardiomyopathy c. Acute coronary syndrome d. Dilated cardiomyopathy e. Pericarditis 2. Te patient elects medical therapy and returns to your clinic to discuss whether he should have percutaneous coronary inter- vention PCI.

What is the most appropriate advice on the merits of medical therapy compared with PCI for this patient? PCI will reduce the need for optimal risk factor management.

PCI will reduce the risk of myocardial infarction. PCI will result in much less angina compared with medical therapy. Both medical therapy and PCI will result in similar survival. Te patient will eventually require PCI if medical therapy is the initial treatment strategy. A year-old man is evaluated for a 1-year history of progressive right leg pain. He has a history of hyperten- sion but not diabetes mellitus. His medications include hydrochlorothiazide and aspirin.

Cardiac examination fndings are normal. Vascular examination identifes palpable but diminished pulses in the popliteal and posterior tibial arteries bilaterally with an absent dor- salis pedis pulse on the lef. Which of the following fea- tures would be most useful to distinguish intermittent claudication from pseudoclaudication as the primary cause of his symptoms? History of nicotine addiction b. Symptoms brought on by exertion c. Sof bruit over the right common femoral artery d.

Ankle-brachial index of 0. Symptom relief with sitting only A year-old man presents to the emergency depart- ment with a 1-hour history of back pain radiating to the anterior chest and neck. His pain came on suddenly while watching a football game on the television. His past medical history includes hypertension and ongoing tobacco use. On examination, he is uncomfortable.

His chest is clear on ausculta- tion. Vascular examination identifes a slight delay in the lef radial and ulnar pulses with a bruit over the lef sub- clavian artery. Femoral, popliteal, and posterior tibial pulses are symmetrical but diminished. On computed tomographic CT imaging, a type B aortic dissection work as a salesman.

His risk factors for vascular disease include smoking and hypertension. His current medi- cations are aspirin 81 mg daily, metoprolol 50 mg twice daily, clopidogrel 75 mg daily, simvastatin 40 mg daily, and lisinopril 20 mg daily. On examination, his body mass index is Complete blood cell count and serum chem- istry results are all within the reference ranges.

Results of a fasting lipid panel are as follows: For secondary prevention, in addition to smoking cessation, what is the most important next step? Intensify weight management and physical activity. Increase the dosage of simvastatin to 80 mg daily. Measure the plasma high-sensitivity C-reactive protein hs-CRP level. Continue the cardiovascular rehabilitation program long-term. Measure the plasma lipoprotein a level. A year-old woman presents with progressive angina. Her past medical history is signifcant for hyperlipidemia, hypertension, and diabetes mellitus.

Te heart sounds are normal, and a fourth heart sound is present. Te lungs are clear on auscultation, and the peripheral pulses are normal. Current daily medications include aspirin mg, atenolol 25 mg, lisinopril 10 mg, atorvastatin 20 mg, insulin, and met- formin. Laboratory test results are a normal complete blood cell count and creatinine 1. A stress test is markedly positive for ischemia. Te cardiologist has recommended proceeding with coronary angiog- raphy. In addition to discontinuing use of metformin, which of the following steps would be most important before angiography?

Increase the dosage of atenolol to 50 mg daily. Ensure that the patient is not dehydrated before the procedure. Add slow-release isosorbide mononitrate 60 mg daily. Decrease the dosage of aspirin to 81 mg daily. Start clopidogrel therapy with 75 mg daily.

OVER 2,300 INTERNAL MEDICINE PRACTICE QUESTIONS – START TODAY!

A year-old man presents with chest pain on exertion. He can walk approximately one-half mile before symp- toms develop. Current treatment includes lisinopril 40 mg daily and atorvastatin 20 mg daily. Right popliteal deep vein thrombosis, heterozygous factor V Leiden, and right fbular fracture 5 days prior d. Symptomatic PE 10 days afer a 5-hour fight e. Lef ovarian vein thrombosis afer vaginal hysterectomy A year-old right-handed woman is being evaluated for a transient ischemic attack TIA that she experi- enced earlier this morning.

While clearing the break- fast dishes, she noted a 2-minute episode of slurred speech and right hand and facial numbness. She has a history of hypertension but has been healthy otherwise with no additional diagnoses. Her chest is clear on auscultation. Cardiac examination identifes a normal jugular venous pulse and apical impulse.

On auscultation, there is no murmur or gallop. A bruit is heard over both carotid arteries. Carotid upstrokes are normal. Te electrocar- diogram shows normal sinus rhythm with normal inter- vals and axes.

Which of the following statements is true for symptomatic carotid disease? Most TIAs result from a symptomatic ipsilateral carotid lesion. For the patient presented, carotid artery stenting with a distal protection device will provide superior short- and long-term stroke-free survival compared with carotid endarterectomy.

A year-old man with diabetes mellitus, ongo- ing tobacco use, hypertension, and hyperlipidemia complains of 2-block claudication in both legs.

His symptoms improve with standing and are consistent from day to day. He has no rest pain or ulceration. His symptoms have been stable for the past 2 years.

His carotid upstrokes are normal without bruit. Cardiac examination identifes a normal jugular venous pressure and apical impulse. Findings on auscultation are normal. He has normal pulses in the femoral and popliteal arteries bilaterally without bruit. Te pedal pulses are not palpable. His extremities do not have ulcers, ischemic fssures, dependent rubor, or elevation pallor. Te ankle-brachial index is 0.

An angiogram performed at his local medical facility 1 year ago showed severe infrapopliteal arterial occlusive disease with diseased but patent prox- imal arteries bilaterally. What is the most appropriate treatment regimen for this patient with intermittent claudication? Which of the follow- ing is an indication for surgical intervention? Type B aortic dissection b. Nonperfused lef kidney identifed on the CT scan c.

Severe hypertension d. Discordant brachial blood pressures, indicating compromise of the lef subclavian artery by the dissection e. Presence of the murmur, indicating disruption of the aortic valve annulus by the dissection A year-old woman is evaluated for an abdominal aortic aneurysm AAA found at a vascular screening fair at her local supermarket. Her risk factors for ath- erosclerosis include hypertension and hyperlipidemia. She has not smoked in the past and has no history of diabetes mellitus.

Te carotid upstrokes are normal. On abdominal examination, an enlarged pulsatile mass is superior to the umbilicus. Femoral, popliteal, and posterior tibial pulses are nor- mal. Which of the following fndings should prompt surgical referral for intervention? Annual growth rate of 0. Accompanying lef iliac artery aneurysm measuring 2.

Father who died of a ruptured AAA e. Tender aneurysm on examination A year-old man presents for evaluation in the emer- gency department with acute onset of dyspnea and severe cough. He has had no recent travel, trauma, or surgery. He notes that his lef leg has been painful for 2 days, and this morning he noted some swelling.

Mayo Clinic Internal Medicine Board Review

He is dyspneic. His chest is clear. Cardiac examination identifes mild jugular venous dis- tention with a subtle right ventricular lif. His lef leg is slightly edematous. Computed tomographic angiogra- phy of the chest identifes bilateral pulmonary emboli. Duplex ultrasonography identifes an extensive lef femoral-popliteal deep vein thrombosis DVT.

Which of the following fndings should prompt inferior vena cava IVC flter placement? Mobile thrombus in the lef femoral vein identifed on ultra- sonographic imaging c.

Family history of PE d. History of PE 3 years ago e. Retroperitoneal hemorrhage afer initiation of heparin therapy Which of the following conditions should prompt pro- longed secondary prophylaxis with warfarin? Portal vein thrombosis 3 weeks afer colonic resection for ulcerative colitis b. Bilateral pulmonary embolism PE in a year-old woman who uses oral contraception 2.

He is a smoker with stable, mild claudica- tion. He has hyperlipidemia, which is controlled with diet and statin therapy. Lifestyle modifcation and drug therapy are initiated for BP control. What is the recom- mended BP goal for this patient? A year-old woman has long-standing hypertension. She reports having substernal chest pres- sure and mild dyspnea. An electrocardiogram shows ST-segment depression in the inferior leads. What is the most appropriate parenteral antihypertensive drug to consider for this patient?

Sodium nitroprusside b. Hydralazine c. Labetalol d. Nitroglycerin e. Nicardipine A year-old woman has had episodes of headache associated with diaphoresis and nausea. Tese episodes begin suddenly and vary in duration from 15 to 30 min- utes. Her family history is signifcant for pheochromocytoma in her mother.

Results of routine laboratory tests were normal. What is the most appropriate next step in her evaluation? Measure plasma free metanephrines.

Begin drug treatment with metoprolol. Obtain a computed tomogram of the abdomen. Obtain a duplex ultrasonogram of the renal arteries. Measure plasma and urine catecholamines. A year-old man with a history of metabolically active calcium oxalate nephrolithiasis has hypertension that was recently diagnosed and is not controlled with lifestyle modifcations. Which of the following drugs would be the most appropriate initial choice for treat- ing his hypertension?

Lisinopril b. Furosemide c. Losartan d. Atenolol e. Chlorthalidone a. Computed tomographic angiography CTA of the legs b. Magnetic resonance angiography MRA of the legs c. Risk factor modifcation and the Canadian walking program d. Angioplasty and stenting e. A year-old man with no complaints comes to you for a general medical examination. Te rest of the examination fnd- ings are normal. He takes acetaminophen for occasional arthritis pain.

He has no other signifcant past medical or surgical history. What would be your next step in management? Recheck blood pressure in 2 years. Recheck blood pressure in 1 year. Recheck blood pressure in 6 months.

Recheck blood pressure in 2 months. Evaluate and treat blood pressure now. Which of the following drugs would be most appropriate for this patient?

Lisinopril 10 mg once daily b. Doxazosin 2 mg once daily c. Losartan 50 mg once daily d. Hydrochlorothiazide Aliskiren mg once daily Te patient eats a high-salt diet and does not exercise.

Her mother has hypertension. Routine labora- tory test results are within the reference ranges. What is the most appropriate next step in evaluating or treating this patient?

Discuss lifestyle modifcations and begin therapy with atenolol. Begin therapy with a low dose of hydrochlorothiazide. Begin therapy with a low dose of hydrochlorothiazide in combination with lisinopril. Obtain a hour ambulatory BP recording. Te other causes of syncope are most unlikely in this patient. Answer d. Te most appro- priate management is to up-titrate the dosages of lisinopril and carvedilol now and reevaluate the patient over the next 3 to 6 months to determine whether CRT is indicated.

Te patient is well compensated from an HF standpoint. Her episodes of AF are infrequent and not particularly long in duration.

Terefore, use of a daily antiarrhythmic drug eg, sotalol is not warranted toxicity could occur over the long term with limited beneft. Dronedarone is contrain- dicated in patients with HF or recent decompensation of HF. Tis patient is asymptomatic and presents with bradycardia that may be readily explained by her athletic conditioning. Her murmur is systolic, sof less than grade 2 , and heard 1.

Answer b. Since the patient is asymptomatic, there is no indication for drug therapy or an electrophysiology study unless he is in a high-risk occupation eg, pilot, military member. Answer a. According to current guidelines, warfarin is indicated. I have yet to do the exam to find out how the course helps.

Irrespective of the exam, it is a good way to brush up and feel confident about practicing medicine. Speakers were great, knowledgeable and great presenters for the most part.

The convenience of being able to study at home cannot be overstated. I learned something of value from every lecture. The speakers were good and engaging. There was more than adequate time for some one-on-one interaction with the lecturers.

Online access outside the conference venue was a big plus. I strongly recommend this course. Choice of location Arlington Heights, IL was wonderful.

For the intensity and focus required, it was refreshing to be away from the congestion of the down town, big-city areas. With the scope to be covered, I believe the presenters did a great job! I would definitely recommend this course.

Harrison's™ Principles of Internal Medicine: Self-Assessment and Board Review, 19e

I always like to attend live programs, it gets me out of my busy schedule. I would like to congratulate and commend you and all your staff for the excellent set up. The presenters were excellent —they held our attention and gave frequent small breaks to keep it fresh.

Highly recommend. ID, and Rhematology were great. Nephrologist was a very good teacher.

Course is well organized, well prepared by the organizers, presenters and support staff very helpful and courteous. Some of the best presentations were in Cardiology Dr. Kapoor and Pulmonology — best presenters of these two topics, which was helpful. I appreciate the take-home course materials and ability to review lectures online. The course was very board-specific. It is an efficient way to learn about IM and score well at the boards. All of the speakers were well organized and moved very quickly through the material.

I feel we covered almost all of the important topics necessary to do well on the boards. Complete review of all material. Better than my medical school and residency teaching. Most comments and lectures helping in my practice in addition to review for board exams. Also, the topics will be useful for my future primary care practice. Staff was very accommodating and helpful.

I just stumbled on the course online and I am so glad I did. Excellent faculty and staff. Pace of the course was great. Content extremely useful. Very good review of IM with up-to-date information. Event was well-organized. Fast paced, excellent speakers, excellent handouts and online materials.

Overall excellent course. A wonderful experience! It will not only help me for the board exam, but also in my office practice. Keep up the good work. Opened my eyes to what I really needed to study and concentrate on. Lecturers were great. It revealed my weaknesses and strengths. I would highly recommend this course to anyone. It is ideal for new fellows in a busy fellowship. This was an intense, thorough review of Internal Medicine. Very comprehensive.

Great tips on what the boards are looking for. Online videos are great for review. On a scale of , it scores ! The material is organized well and is a good source to review for the boards. Well organized, enthusiastic speakers who are well-known experts. All topics were thoroughly covered.

Laser focused coverage of material presented by dynamic speakers. The speakers were experts and concisely presented the topics vital to success in board exam preparation.He denies having chest discomfort or palpitations.

Such discussions usually cause more consternation, although some candidates may derive a false sense of having performed well on the exam- ination.

Excellent speakers from renowned institutions. Pain Medicine. Basic Sciences. Which statement is false regarding serum brain natri- uretic peptide BNP levels?

Notes and other materials the candidates have gathered during residency training can be good sources of information. All of the speakers were well organized and moved very quickly through the material.

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