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Title
: Internal Medicine CME + MOC Self-Assessment Program
Activity/Course #:
: BVIM
Cost:
: $599.00
Release/Start Date:
: Oct 21 2016
Expiration Date:
: Dec 31 2018
Topics:
: Board Review/Prep
Target Audience:
: Primary Care Providers
Format:
: Board Review Prep Course
Estimated Time To Complete CME Activity:
: 40.0 hours
Credit(s):
: 40.0 AMA PRA Category I Credit(s)
Hardware/Software Requirements:
(Chrome not supported at this time)
BoardVital’s Internal Medicine continuing medical education activity will enable you to build your test-taking confidence with over 1,000 Internal Medicine Board Review questions targeted to the Internal Medicine Board re-certification Exams (ABIM and AOBIM) while completing CME. Earn up to 40.00 AMA PRA Category 1 Credit(s)  and 40 ABIM MOC points at the same time.  With your purchase you will have access to this activity for 12 months

Features

  • Over 1,000 Internal Medicine questions mapped to the Internal Medicine Board re-certification Exams (ABIM and AOBIM)

  • Complete both your CME and MOC requirements quickly and easily
  • Earn up to 40.00 AMA PRA Category 1 CME Credit(s)™ and 40 ABIM MOC points simultaneously
  • Correct your answers as you go with evidence-based rationales for the correct answe
  • Use anytime, anywhere from your computer or smartphone
  • 12 months access

Developed by top faculty and practicing physicians, BoardVitals helps thousands of doctors prepare for board certification exams and complete their CME requirements. BoardVitals is trusted by leading medical institutions including Harvard, Yale, Mt. Sinai, and Duke.

 

"I like your question bank a lot. I'm studying for my internal medicine boards and have been though MSKAP and was looking for a second wind - your set is great!" Chris L, Internist, New York

 

Topics Covered by the Internal Medicine Question Bank

  • Allergy and Immunology
  • Cardiology
  • Critical Care
  • Endocrinology
  • GI
  • Hematology
  • ID
  • Nephrology
  • Oncology
  • Pulmonary
  • Rheumotology

Learning Objectives
Upon completion of this activity, participants will be able to:

  • Make a diagnosis
  • Order and interpret results
  • Assess risk, determine prognosis, and apply principles from epidemiologic studies
  • Describe the underlying pathophysiology of disease and basic science knowledge

How do I earn Internal Medicine CME Credit Hours?

  1. Check the CME requirements for your state.
  2. Purchase the BoardVitals Internal Medicine CME self-assessment course.
  3. Answer questions with at least 70% accuracy (you can correct as you go!)
  4. View your progress and earned credits in your dashboard on the CME tab.
  5. When you’ve reached your desired number of credits, click Redeem. You can generate a certificate of completion PDF for your own records.

Internl Medicine Sample Questions

Question 1
A 20-year-old man who is HIV positive (last CD4 count = 180; undetectable viral load) and on HAART therapy comes to your office for a routine health-maintenance screening in late October. He has a history of Candida esophagitis 2 years ago and no other opportunistic infections. He is sexually active with male partners only. He cannot recall receiving any immunizations in the recent past. He has no history of chickenpox as a child. What vaccines should he be given for preventive care?

A) Hepatitis A, hepatitis B, influenza, pneumovax, Tdap
B) Hepatitis A, hepatitis B, influenza, pneumovax, Tdap, varicella
C) Hepatitis A, hepatitis B, influenza, pneumovax, Tdap, meningococcal vaccine, haemophilus
     influenzae
D) Hepatitis B, influenza, pneumovax, Tdap

Answer
A) Hepatitis A, hepatitis B, influenza, pneumovax, Tdap


Explanation
Correct: (A) Hepatitis A, hepatitis B, influenza, pneumovax, Tdap. Explanation: The vaccines recommended for HIV patients include hepatitis B, influenza, pneumonia, and Tdap. Immunization for hepatitis A is also recommended among HIV patients with the following risk factors for acquiring the disease: men who have sex with men, patients with hepatitis C, and IV-drug abusers. The varicella vaccine, a live vaccine, is contraindicated among immunosuppressed patients, including those with HIV. Both meningococcal and haemophilus influenzae vaccines are not recommended routinely in HIV patients. Also consider meningococcal vaccination for those who will be traveling to endemic areas, military recruits, dormitory residents, or those with functional or anatomic asplenia. Haemophilus influenzae vaccination is not recommended because the vaccine is not protective for most infecting strains in HIV patients.

Reference
Wolters Kluwer Health Lippincott Williams & Wilkins. The Cleveland Clinic Foundation Intensive Review of Internal Medicine Sixth Edition. Copyright 2014 All rights reserved.

Question 2

A 26-year-old female complains of headache. She states that these headaches are normal for her. She generally gets them when she is stressed out. Her mother has a history of headaches too. She says that she usually sees spots with these headaches. Which of the following is this patient suffering from?

A) Migraine without aura
B) Classic migraine
C) Cluster headache
D) Trigeminal neuralgia
E) Sinus thrombosis

Answer
B) Classic migraine


Explanation
Correct: (B) Classic migraine. Explanation: Migraines are common types of headaches and account for millions of ED visits. Patients may experience incapacitating headaches that can last from 4-72 hours. They typically occur in women more than men and start in the 2nd decade of life. Classic migraines, or migraines with aura, account for 20% of cases and are generally preceded by neurologic symptoms such as visual changes (scotomas, fortification spectrums, etc). Other less common auras include language or cognitive disorders, tingling, numbness or motor disturbances. (A) Migraines without aura are the most common type of migraine, accounting for approximately 80% of cases. (C) A cluster headache is a headache syndrome that affects young-to-middle aged men most. It occurs with little warning and in multiple episodes lasting from 15 minutes to 3 hours. It is described as one-sided, sharp or stabbing behind the eye. Additionally, ipsilateral autonomic symptoms may manifest as ptosis, miosis and sweating. (D) Trigeminal neuralgia is a painful unilateral facial phenomenon that is described as quick, sharp, shock-like pains that manifest along the distribution of the trigeminal nerve. Pain can be exacerbated by minor sensations such as wind, washing, shaving or subtle movements. Each attack is brief and lasts a few seconds. (E) Sinus thrombosis needs to be a strong consideration in any differential diagnosis for headache. Symptoms of sinus thrombosis are nonspecific such as headache, seizure, somnolence and/or focal neurological deficits. Common findings with cavernous sinus thrombosis include cranial nerve deficits, especially ocular muscle dysfunction. Risk factors include hypercoagulability (pregnancy, genetic disorders, oral contraceptives, etc.), systemic inflammatory disorders, and/or vasculitis.

Reference
Kwaitkowski T & Friedman BW. Chapter 103. Headache Disorders. In: Marx JA, Hockberger RS, Walls RM, et al., eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 8th ed. Philadelphia, PA: Elsevier Mosby; 2012.

Questions taken from the BoardVitals Internal Medicine ABIM/AOBIM Exam Question Bank.

Sponsored and Certified By
American Academy of Family Physicians
Accreditation Designation Statement
The University of Nebraska Medical Center, Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Nebraska Medical Center, Center for Continuing Education designates this Internet Enduring Material for a maximum of 40 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Further Internal Medicine CME info found here.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 40 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.
Faculty Disclosure Policy
Policy on Faculty and Provider Disclosure: It is the policy of the accredited providers to ensure fair balance, independence, objectivity and scientific rigor in all activities. All faculty participating in CME activities sponsored by the accredited providers are required to present evidence-based data, identify and reference off-label product use and disclose all relevant financial relationships with those supporting the activity or others whose products or services are discussed. Faculty disclosure will be provided in the activity materials.
Commercial Support
No commercial support for this activity.