ABIM Questions and Answers 100% Correct

ABIM Questions and Answers 100%
Correct
ASCVDM-MAnswerM<5%M=MLowMRisk

5-7.5%M=MIntermediate

>7.5%M=MSevere



IfMindetermediate,Mconsider:M

-MCoronaryMArteryMCalciumMscoreMgreaterMthanM300MorMgreaterMthanM75%MforMage

-MC-reactiveMproteinMlevelM(hsCRP)MaboveM2Mmg/L

-MAnkle-brachialMindexMbelowM0.90

-MLDLMcholesterolMlevelM160Mmg/dLM

-MFamilyMhistory



-MHIGHMintensityMstatinMforMLDLM>M190MregardlessMofMrisk



AbdominalMAorticMAneurysmM-MAnswerM<4cmMlowMrisk,MUSMeveryM2-3MyearsM



4cm-5.4cmMneedM6-12MmonthMmonitoringM



OverM5.5cmM=MSURGERYM



HIGHMRISKMsurgeryMsoMneedMcardiacMevaluationMwithMATMLEASTMchemicalMstressMtestM
ifMsedentaryMandMangioMifMindicated...electiveMprocedureMsoMifMmyocardiumMatMrisk,MD
EFERMsurgery



IfMsymptomaticMoverM5cmMinMmenMorM4.5cmMinMwomenM=MSURGERY



-
MCholesterolMatheroemboliMareMhighMriskMafterManyMvascularMproceduresMespMthoseMwi
thMcomorbidities

-
MdifferentiateMfromMrenalMembolizationMwhichMisMdueMtoMAMfibMandMcanMpresentMlike
MpyelonephritisM(butMwithMincreasedMLDH)

,-MscreenMMALEMsmokersMoverM65



AbdominalMcompartmentMsyndromeM-MAnswerM-
MoliguriaMorMincreasingMserumMcreatinineMlevelsMwhoMhaveMhadMabdominalMsurgery,Mw
hoMhaveMreceivedMmassiveMfluidMresuscitation,MwhoMhaveMaMtenseMabdomen,MorMwho
MhaveMliverMorMpancreaticMdiseaseMwithMascites

-MmeasureMabdominalMpressureMorMbladderMpressureMforMdiagnosis

-MtreatmentMisMsurgicalMdecompression



AcanthocytesM(spurMcells)M-MAnswerM-MchronicMliverMdisease

-MchronicMalcoholism

-
MlessMprojectionsMcomparedMtoMburrMcellsM(oftenMrelatedMtoMacidMbaseMandMelectrolyt
eMdisturbancesMassociatedMwithMuremiaMandMglomerulonephritis)



ACANTHOSISMNIGRICANSM-MAnswerM-
MofMcourseMwithMinsulinMresistanceMbutMheavilyMassociatedMwithMSTOMACHMADENOCAR
CINOMA



AcetominophenMToxicityM-MAnswerM-MMCCMofMfulminantMliverMfailureMinMtheMUS

-
MifMrapidMdeteriorationMofMliverMfunction,MAMS,McoagulopathyMandMnoMhxMofMliverMdi
sease,MarrangeMforMtransferMforMtransplant



AcalculusMCholecystitisM-MAnswerM-
MinMcriticallyMillMpatients,MGBMwallMthickeningMwithMnoMstonesM

-McanMbeMdiagnosedMonMHIDAMscanMwhichMshowsMnon-
visualizationMofMtheMgallbladderM

-
MTx:MSurgeryMisMaMgoodMoptionMbutMinMcriticallyMillMpatientsMweMusuallyMaskMIRMto
MplaceMcatheterMtoMdrainMtheMfluidMtoMgiveMsomeMinitialMimprovementMasMpatientMre
covers,MthenMsurgeryMatMaMmoreMoppurtuneMorMstableMtime



AchalasiaM-MAnswerM-MassociatedMwithMsquamousMcellMcarcinoma

,Barrett'sM=Madenocarcinoma



Tx:MFirstMtryMbotuliniumMtoxinM

-MifMconsideringMsurgery,MlaparoscopicMmyotomyMisMtheMfirstMchoice



AcneM-MAnswerM-M1stMlineMisMtopicalMretinoid

-M2ndMabx

-M3rdMisotretinoinM(forMCYSTICMacne)



ISOTRETINOINMcanMcauseMELEVATEMTRIGLYCERIDESMandMleadMtoMpancreatitisMsoMtreatM
withMFenofibrateMasMwell



NONMINFLAMMATORYMACNE

-MopenMandMclosedMcomedones

-MTx:MtopicalMretinoidMisMtheMbest



INFLAMMATORYMACNE

-Mpapules,Mpustules,Mnodules,Mcysts



PregnantMpatientsMshouldMbeMoffMforMONEMMONTHMbeforeMconceiving



AcquiredMcysticMkidneyMdiseaseM(ACKD)M-MAnswerM-MnoMfamilyMhistory

-MsmallMkidneys,McystsMinMtheMrenalMparenchyma

-MonceMESRD,MpatientMatMsignificantlyMincreasedMriskMofMrenalMcellMcarcinoma



AcromegalyM-MAnswerM-
MalsoMassociatedMwithMhyperglycemia,MskinMtags,McolonMpolypsM

-MDx:MserumMIGF-1Mlevel

-MTx:MtranssphenoidalMpituitaryMsurgeryMforMremovalMofMadenoma

-
MmightMnotMcompletelyMremoveMtumorMbutMsurgeryMcanMeffectivelyMdebulkMtheMtumor
MandMpreserveMvisionMinMadditionMtoMsignificantlyMdecreasingMGHMsecretionMasMmeasur
edMbyMIGF-1Mlevels

, -
MradiationMtherapyMafterwardMmayMcontinueMtoMworkMonMtheMtumorMifMsymptomsMdo
n'tMimproveMwithMsurgery



AcuteMangleMclosureMglaucomaM-MAnswerM-Mpain,Mn/n

-McolorfulMhalos,MdecreasedMvision

-MophthalmicMemergency,Mgonioscopy



AcuteMIntermittentMPorphyriaM-MAnswerM-
MdeficienciesMinMparticularMenzymesMofMtheMhemeMbiosyntheticMpathwayM

-MneuroMsymptoms,MabdominalMpain,MpsychMmanifestationsM

-MDx:MUrineMstudiesMduringMacuteMattack



AcuteMLiverMFailureM-MAnswerM-
MnonMalcoholic,MnonMacetaminophenMinduced,MnonMinfectious:MN-
acetylcysteineMIVMisMbeneficialMasMweMwaitMforMtransplant,MREGARDLESSMofMtylenolMus
eMorMnot!!Mwtf!!



-MAcetominophenMtoxicityMisMMCC

-
MifMrapidMdeteriorationMofMLFTsMwithMcoagulopathy,MAMSMandMnoMhxMofMliverMdiseas
e,MgoMaheadMandMcallMtransplantMcenterMforMarrangements



ALCOHOLICMHEPATITIS

-McanMbenefitMfromMsteroidsMdependingMonMscore



AcuteMMIM-MAnswerMVentricularMSeptalMRupture

-
MVSDMmanifestsMasMhemodynamicMcompromiseMinMtheMsettingMofMaMnewMHOLOSYSTOL
ICMmurmurMATMLEFTMSTERNALMBORDERM3MtoM7MdaysMafterManMinitialMmyocardialMinfa
rction.M

-
MPatientMhasMsymptomsMofMCARDIOGENICMSHOCK,MSYNCOPEMandMCHF,MechoMshowingM
leftMtoMrightMbloodMflow.MEmergencyMconditionMrequiringMEMERGENTMSURGERY