General Internal Medicine
Objectives
Screen for osteoporosis in a patient with risk factors.
Identify the relatively large impact of smoking cessation on improving health.
Treat a patient with benign paroxysmal positional vertigo.
Evaluate pulmonary risk in a preoperative patient.
Treat lateral epicondylosis (lateral epicondylitis).
Select an appropriate quality improvement method to reduce waiting times.
Treat primary dysmenorrhea.
Prevent pressure ulcers in an older patient.
Recognize when to discontinue breast cancer screening.
Diagnose bulimia nervosa.
Manage otitis media with effusion.
Treat a patient with neuropathic pain.
Diagnose uveitis.
Treat an overweight patient with pharmacologic therapy.
Counsel a high-risk older driver.
Manage medically unexplained symptoms with cognitive-behavioral therapy.
Evaluate a palpable breast mass in a postmenopausal woman.
Evaluate a patient with disequilibrium.
Manage postoperative anemia in a patient with cardiovascular disease.
Diagnose acromioclavicular joint degeneration.
Manage breaking bad news to a patient.
Screen for lung cancer in a former smoker.
Treat cauda equina syndrome.
Treat erectile dysfunction in an obese patient.
Treat hyperlipidemia in a patient with atherosclerotic cardiovascular disease and risk factors for statin-associated adverse effects.
Recognize relative risk as the standard outcome measure for a cohort study.
Diagnose hearing loss in an older patient.
Diagnose sacroiliitis.
Manage a patient who has undergone direct-to-consumer genetic testing.
Treat dyspnea at the end of life.
Manage diabetes mellitus medications in the preoperative setting.
Treat bipolar I disorder.
Manage suspected severe obstructive sleep apnea in the postoperative setting.
Manage preoperative evaluation in a patient undergoing low-risk surgery.
Evaluate a breast mass in a young woman.
Treat systemic exertion intolerance disease (formerly known as chronic fatigue syndrome) with cognitive-behavioral therapy.
Manage contraception in a young woman with complex migraine.
Recognize types of bias that affect screening tests.
Manage prepatellar bursitis.
Manage the risk of perioperative adrenal insufficiency in a patient on chronic glucocorticoid therapy.
Evaluate decision-making capacity in a patient with mild dementia.
Diagnose epididymitis.
Treat stress urinary incontinence in a woman.
Screen for cervical cancer in a young woman.
Treat hyperlipidemia in a patient with diabetes mellitus and elevated cardiovascular risk.
Manage cardiac testing in an asymptomatic patient with low cardiovascular risk.
Reduce fall risk in an older patient with vitamin D supplementation.
Diagnose depression in the setting of terminal illness.
Evaluate a patient for hypogonadism.
Diagnose plantar fasciitis.
Treat subacute, nonspecific low back pain.
Continue β-blockers in the perioperative period.
Diagnose an anterior cruciate ligament tear.
Recognize anchoring as a source of cognitive error.
Treat acute sinusitis.
Treat vasomotor symptoms in a low-risk menopausal woman.
Use a cause-and-effect (fishbone) diagram to organize results of a root cause analysis.
Evaluate perioperative cardiac risk in a patient with no significant risk factors for major adverse cardiac events.
Evaluate a patient with syncope.
Manage a patient with recent percutaneous coronary intervention who is scheduled for elective noncardiac surgery.
Treat panic disorder.
Evaluate a patient prior to prescribing hormonal contraception.
Treat upper respiratory tract infection.
Diagnose a suspected full-thickness rotator cuff tear.
Manage depression that does not respond to full-dose antidepressant monotherapy.
Recognize unprofessional physician conduct on social media.
Manage chronic cough due to gastroesophageal reflux disease.
Screen for atrial fibrillation during the physical examination.
Treat trichomoniasis.
Reduce cardiovascular risk in a patient with metabolic syndrome.
Treat severe menopausal vasomotor symptoms in a woman whose uterus has been removed.
Adjust medications in a woman who may become pregnant.
Treat an overweight patient with behavioral therapy.
Diagnose somatic symptom disorder.
Treat chronic pain with cognitive-behavioral therapy.
Manage a patient's request for genetic testing.
Prevent falls in a cognitively impaired patient.
Administer the seasonal influenza vaccine to a patient with a history of egg allergy.
Recommend appropriate pharmacologic treatment for smoking cessation.
Diagnose brainstem stroke in a patient with vertigo.
Manage a patient with a family history suggestive of an inherited disorder.
Facilitate decision-making for a patient who lacks decision-making capacity.
Screen for breast cancer in a patient with high breast density.
Evaluate lower extremity edema due to chronic venous insufficiency.
Manage functional incontinence in a frail older woman.
Treat an unstageable pressure ulcer in an older patient.
Treat extrapyramidal symptoms in a patient who has schizophrenia.
Treat menopausal genitourinary symptoms.
Treat acute pain in a patient at the end of life.
Report an impaired colleague to the appropriate authorities.
Evaluate syncope with appropriate use of tilt-table testing.
Treat a patient with olecranon bursitis.
Diagnose generalized anxiety disorder.
Manage hepatitis B virus vaccination in a patient with an interrupted vaccine series.
Evaluate a patient with medically unexplained symptoms.
Diagnose syncope due to orthostatic hypotension.
Screen for HIV infection.
Manage an older patient with visual impairment.
Diagnose patellofemoral pain syndrome.
Manage cachexia in a patient with cancer.
Diagnose a central pain syndrome.
Vaccinate a patient with anatomic asplenia against pneumococcal disease.
Treat social anxiety disorder.
Evaluate a patient with asymptomatic severe aortic stenosis undergoing elective noncardiac surgery.
Treat drug-induced lower extremity edema.
Manage cyclic mastalgia.
Manage cardiac syncope with appropriate inpatient cardiac monitoring in a high-risk patient.
Manage a patient with rotator cuff tendinitis.
Evaluate acute, nonspecific low back pain.
Treat mild lower urinary tract symptoms caused by benign prostatic hyperplasia.
Identify mood disorder as a cause of erectile dysfunction.
Recognize threats to the validity of a study.
Diagnose vestibular neuronitis.
Manage risk for cardiovascular disease and cancer in a healthy patient.
Diagnose scleritis.
Diagnose borderline personality disorder.
Evaluate cardiovascular risk in a patient with erectile dysfunction before initiating therapy.
Recognize autism spectrum disorder.
Prevent recurrent vulvovaginal candidiasis.
Diagnose spinal stenosis.
Diagnose retinal detachment.
Manage a patient with medically unexplained symptoms.
Treat a patient with alcohol withdrawal.
Evaluate an obese patient.
Monitor statin therapy in an asymptomatic patient with hyperlipidemia.
Manage cervical cancer screening in an older woman.
Treat chronic neurogenic neck pain.
Manage surrogate decision making in a patient without decision-making capacity.
Evaluate a study using absolute risk reduction.
Diagnose sexual interest/arousal disorder.
Exclude hypertrophic cardiomyopathy in a high school athlete.
Monitor a patient with chronic noncancer pain on opioid therapy.
Treat hyperlipidemia in a patient with low risk for atherosclerotic cardiovascular disease.
Manage disclosure of a medical error to an affected patient.
Manage perioperative anticoagulation in a patient on chronic warfarin therapy who has a low annual risk of thromboembolism.
Treat upper airway cough syndrome due to allergic rhinitis.
Treat obesity with lifestyle modification.
Evaluate a patient with benign prostatic hyperplasia.
Treat a patient with chronic insomnia.
Manage cerumen impaction.
Manage the gastrointestinal side effects of opioid therapy.
Manage postoperative venous thromboembolism prophylaxis in a patient with abdominal cancer.
Initiate palliative care in an appropriate patient.
Manage transition of care in an older patient who requires posthospital rehabilitation.
Treat moderate dry age-related macular degeneration with high-dose antioxidants to prevent progression to advanced disease.
Manage a patient's refusal of life-prolonging treatment.
Diagnose Achilles tendinopathy.
Treat genitourinary syndrome of menopause.
Diagnose the cause of tinnitus.
Diagnose primary open angle glaucoma.
Treat insomnia in a patient in whom sleep hygiene techniques are ineffective.
Diagnose allergic conjunctivitis.
Prevent stroke with statin therapy following a transient ischemic attack.
Manage a patient's request to withdraw life-prolonging treatment.
Administer the tetanus, diphtheria, and acellular pertussis vaccine during pregnancy.
Evaluate a patient with systemic exertion intolerance disease (formerly known as chronic fatigue syndrome).
Diagnose otosclerosis as a cause of conductive hearing loss.
Treat a patient with medically complicated obesity.
Manage polypharmacy in an older patient.
Manage sexual side effects in a patient taking a selective serotonin reuptake inhibitor.
Evaluate a study using number needed to treat.
Treat underlying depression in a patient with medically unexplained symptoms.
Diagnose orbital cellulitis.
Evaluate anovulatory bleeding in a premenopausal woman.
Recognize the indications for imaging studies in the diagnosis of neck pain.
Manage colorectal cancer screening in an average-risk patient.
Evaluate perioperative cardiovascular risk in a patient with cardiac risk factors but good functional capacity.
Manage hepatitis B virus vaccination in a patient with an interrupted vaccine series.
Recognize the indications for imaging studies in the diagnosis of neck pain.