General Internal Medicine

Question 1

What are the live vaccines

Answer 1

1) Varicella
2) Yellow fever
3) Intranasal live attenuated influenza
4) Live attenuated zoster
5) MMR
6) BCG
7) Oral Typhoid

Question 2

Treatment for medically unexplained symptoms

Answer 2

1) CBT
2) PT, OT
3) Group psychotherapy
4) Social support
5) Biofeedback
6) Graded exercise therapy
7) Stress management
8) Coping mechanism training

Question 3

Episcleritis vs scleritis

Answer 3

Episcleritis

1. acute onset
2. mild irritation
3. young patients, often w/o systemic disease
4. Tx topical lubricants, NSAIDs

Scleritis

1. Subacute redness, diffuse
2. Severe pain
3. +/- visual impairment
4. elderly, with systemic disease (~50%)
5. Tx eval underlying disease, topical steroids +/- immunosuppressant therapy

Question 4

Preferred screening tool for unhealthy alcohol use

Answer 4

AUDIT-C

CAGE is not recommended as first line for screening given the focus on complications of heavy alcohol use