(C) This patient is 69 and should have been routinely immunized against Strep. What are potential risk factors for this patient’s meningitis? Exposure to an unvaccinated child would potentially place this patient at risk for developing H. influenzae meningitis but not Listeria monocytogenes meningitis. Prevention and control of meningococcal disease: recommendations of the Advisory Committee on Immunization Practices (ACIP). targeted for use during clerkship rotations. “BoardVitals is outstanding! Windows has one less modifier key than Mac, so, this is an attempt to have a nice set with sequences. Aug 21, 2014 - This forum is to designed to help you prepare internal medicine boards and the ABIM exam. CSF Gram stain reveals few polymorphonuclear cells and Gram-positive bacilli. 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This patient's advanced age and consumption of contaminated food would place her at risk for developing Listeria meningitis. Internal Medicine Shelf Exam Sample Question 1. Now, go back and redo all the questions that you got wrote or you marked. USMLE world is gold for the Internal Medicine shelf. Click here for information on CMEList, Inc. Privacy and Terms of Service Agreement. Bacterial meningitis in the United States, 1986: report of a multistate surveillance study. For customer support, please reach out to [email protected] or call (877) 619-3479. Please check local guidance and protocols as well as indications and contraindications of medications. Listeria monocytogenes is acquired through ingestion of contaminated foods (meats, vegetables, cheeses were implicated in the past) as well as trans-placentally to fetuses. Today we have a variety of chemical products such as soaps and detergents, paints, plastic, medicines, perfumes, flavours, dyes, fertilisers, herbicides, insecticides and many synthetic materials. (B) This patient does not meet the criteria for requiring meningococcal vaccination (no history of asplenia, no travel to endemic areas, no complement deficiency), and this will not be protective against Listeria monocytogenes. A 69-year-old female with no prior medical problems presents with 1 day of a severe headache and fever up to 104°F. 500 challenging Internal Medicine Shelf Board Review Questions. Use Quick Review Science Notes to help you learn or brush up on the subject quickly. Wenger J, et al. Internal Medicine Mnemonics Cheat Sheet Internal Medicine Cheat Sheet. Mark questions that have important points (even if you got them right) or ones that you got right by guessing. Medicine Cheat Sheets. Clinical interpretation must be used in the healthcare setting and within limits of competency. The National Board of Medical Examiners (NBME) administers Subject Exams, or “shelf exams” as they are colloquially referred to. C130 Comprehensive Internal Medicine Consultation – minimum time spent 75 mins. ICD-10 Codes related to Obstetrics and Gynecology. Sinai, and Duke. I strongly recommend BoardVitals IM exams!”, Sonya Lecuona, Internal Medicine Specialist, Baltimore MD. J Infect Dis. Explanation: The Gram stain of CSF shows Gram-positive bacilli consistent with Listeria monocytogenes meningitis. She reports nausea, photo- and phonophobia, and intermittent episodes of expressive aphasia. 2015. The questions are challenging and reflect current best practices. 2. Click here or reach out to [email protected] for more information on how to promote and sell your products on CMEList. 35 Cheat Sheets tagged with Medicine. BoardVitals is trusted by more than 400 leading medical institutions including Harvard, Yale, Mt. pneumoniae, N. meningitidis, and H. influenzae type b are respiratory pathogens and can be transmitted from person to person via airborne droplets. Receive special offers, keep up with MOC requirements and stay informed of the latest offerings in free online CME in your specialty. Developed by top faculty and practicing physicians, BoardVitals helps tens of thousands of doctors prepare for board certification/recertification exams and complete their CME requirements. Stop and start times recorded in patient record. The NBME Internal Medicine Shelf Exam is challenging especially from the standpoint that it occurs during your internal medicine clerkship – a period that you are likely spending a lot of time at the hospital. Then, review your notes. She reports nausea, photo- and phonophobia, and intermittent episodes of expressive aphasia. Available from: www.cdc.gov/listeria. 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