Explore the question bank
Internal Medicine curriculum
Browse the full curriculum by category, domain, topic, and subtopic, with question counts at every level.
Counts include individual SOE sub-questions. Questions may appear in more than one category; each is counted once in its pathway total.
Core
Core Internal Medicine
Basic Sciences
277 questions
Biochemistry, Metabolism & Nutrition
37 questions
Carbohydrate and lipid metabolism (clinically applied)
12 questions
Glycolysis/gluconeogenesis concepts
3 questions
Inborn errors (overview)
4 questions
Lipid metabolism
3 questions
Obesity and insulin resistance
2 questions
Micronutrients and deficiency syndromes
12 questions
Fat-soluble vitamins
3 questions
Refeeding syndrome
3 questions
Trace elements
3 questions
Water-soluble vitamins
3 questions
Protein metabolism and liver synthetic function
13 questions
Albumin and oncotic pressure
4 questions
Amino acid metabolism
4 questions
Bilirubin metabolism
3 questions
Coagulation factors synthesis
2 questions
Cellular & Molecular Biology
43 questions
Cell structure, organelles, and trafficking
15 questions
Cell cycle, apoptosis, necrosis
3 questions
Cell–cell junctions and extracellular matrix
4 questions
Membrane structure & transport
4 questions
Organelles and key functions
4 questions
Oncogenesis fundamentals
13 questions
Cancer immunology (intro)
3 questions
Carcinogenesis & exposures
3 questions
Hallmarks of cancer (board-level)
3 questions
Tumor suppressors and oncogenes
4 questions
Signal transduction & second messengers
15 questions
Inflammation signaling
4 questions
Pharmacologic implications
3 questions
Receptor classes
4 questions
Second messengers
4 questions
Epidemiology, Biostatistics & Evidence-Based Medicine
45 questions
Clinical guidelines and evidence synthesis
12 questions
Ethics in research
3 questions
GRADE and strength of recommendation
3 questions
Implementation and de-implementation
3 questions
Systematic reviews/meta-analyses
3 questions
Diagnostic test interpretation
10 questions
Bayesian reasoning
2 questions
Core measures
3 questions
ROC curves and thresholds
2 questions
Screening principles
3 questions
Study design and validity
13 questions
Bias and confounding
3 questions
Causality and inference
3 questions
Interventional trials
3 questions
Observational designs
4 questions
Treatment effects and risk
10 questions
Decision analysis basics
3 questions
Effect size measures
2 questions
Heterogeneity and subgroup analyses
3 questions
Time-to-event analysis
2 questions
Genetics & Genomics
31 questions
Complex traits and gene–environment interaction
10 questions
Epigenetics
3 questions
Microbiome (board-level concepts)
2 questions
Polygenic risk concepts
3 questions
Somatic mosaicism & clonal hematopoiesis
2 questions
Genomic testing in clinical practice
10 questions
Ethical issues
2 questions
Pharmacogenomics
3 questions
Testing modalities
2 questions
Variant interpretation
3 questions
Mendelian inheritance and risk
11 questions
Autosomal dominant patterns
3 questions
Autosomal recessive patterns
3 questions
Mitochondrial inheritance
2 questions
X-linked inheritance
3 questions
Immunology & Inflammation
36 questions
Adaptive immunity
12 questions
B cell biology and antibodies
4 questions
Hypersensitivity reactions
3 questions
T cell biology
3 questions
Vaccinology principles
2 questions
Autoimmunity and tolerance
12 questions
Central and peripheral tolerance
3 questions
Immunodeficiency overview
3 questions
Systemic autoimmune disease mechanisms
3 questions
Transplant immunology (intro)
3 questions
Innate immunity and inflammation
12 questions
Complement system
3 questions
Inflammation resolution
3 questions
Pattern recognition and cytokines
3 questions
Phagocytes and granulomatous inflammation
3 questions
Pathology & General Pathophysiology
35 questions
Cell injury and adaptation
12 questions
Amyloidosis (overview)
3 questions
Edema and effusions pathophysiology
3 questions
Inflammation and repair
3 questions
Reversible vs irreversible injury
3 questions
Fever, SIRS, and sepsis biology
12 questions
Biomarkers (concepts)
3 questions
Cytokine-mediated shock
3 questions
Organ dysfunction mechanisms
3 questions
Stress response and endocrine changes
3 questions
Hemostasis and thrombosis (mechanisms)
11 questions
Atherosclerosis & aneurysm pathophysiology
3 questions
Coagulation cascade (clinical interpretation)
3 questions
Platelet biology
2 questions
Thrombosis and embolism
3 questions
Physiology & Homeostasis
50 questions
Cardiovascular physiology
13 questions
ECG electrophysiology basics
4 questions
Exercise physiology
3 questions
Hemodynamics and cardiac output
3 questions
Vascular biology
3 questions
Endocrine physiology
14 questions
Calcium and bone metabolism
4 questions
Glucose homeostasis
4 questions
Hypothalamic–pituitary axes
3 questions
Thyroid hormone action
3 questions
Renal physiology & volume regulation
12 questions
Acid–base renal handling
3 questions
Glomerular filtration and hemodynamics
3 questions
Tubular handling of electrolytes
3 questions
Water balance
3 questions
Respiratory physiology
11 questions
Acid–base and respiratory compensation
3 questions
Hypoxic pulmonary vasoconstriction
2 questions
Lung mechanics
3 questions
Ventilation/perfusion and gas exchange
3 questions
Cardiopulmonary Medicine
191 questions
Cardiology: Ischemia, Heart Failure, Valves, Rhythm
68 questions
Acute coronary syndromes
9 questions
ACS complications
3 questions
Diagnosis and initial management
2 questions
Reperfusion strategies
2 questions
Secondary prevention
2 questions
Arrhythmias and conduction disorders
12 questions
Atrial fibrillation/flutter
3 questions
Bradyarrhythmias and blocks
3 questions
Supraventricular tachycardias
3 questions
Ventricular arrhythmias
3 questions
Heart failure (acute and chronic)
13 questions
Acute decompensated HF management
3 questions
Advanced therapies and devices (overview)
3 questions
Classification and etiologies
3 questions
Guideline-directed medical therapy (GDMT) concepts
4 questions
Pericardial and myocardial disease
12 questions
Cardiomyopathies (overview)
3 questions
Myocarditis
3 questions
Pericarditis and effusion
3 questions
Pulmonary embolism strain vs MI differentiation
3 questions
Stable ischemic heart disease and angina
10 questions
Diagnostic evaluation
2 questions
Medical therapy
3 questions
Pathophysiology and symptom patterns
2 questions
Revascularization concepts
3 questions
Valvular heart disease
12 questions
Aortic regurgitation and mitral stenosis
3 questions
Aortic stenosis
3 questions
Endocarditis-related valvular issues (interface)
3 questions
Mitral regurgitation
3 questions
Pulmonology: Airways, Parenchyma, Pleura, Critical Respiratory
74 questions
Asthma
12 questions
Acute exacerbation management
3 questions
Chronic management
3 questions
Complications and mimics
3 questions
Diagnosis and phenotypes
3 questions
COPD
12 questions
Acute exacerbations
3 questions
Complications
3 questions
Diagnosis and staging
3 questions
Stable management
3 questions
Interstitial lung disease (ILD) and pulmonary fibrosis
13 questions
Acute exacerbation of ILD
3 questions
Diagnostic workup
3 questions
ILD pattern approach
4 questions
Management concepts
3 questions
Pleural disease
12 questions
Empyema and complicated parapneumonic effusion
3 questions
Malignant pleural effusion
3 questions
Pleural effusion evaluation
3 questions
Pneumothorax
3 questions
Pneumonia and lower respiratory infections
14 questions
Aspiration syndromes
3 questions
Community-acquired pneumonia
4 questions
Hospital-acquired and ventilator-associated pneumonia
4 questions
Opportunistic pneumonias (overview)
3 questions
Respiratory failure and ventilatory support (intro)
11 questions
Hypercapnic respiratory failure
3 questions
Hypoxemic respiratory failure
3 questions
Noninvasive ventilation basics
2 questions
Sleep-disordered breathing (overview)
3 questions
Vascular Medicine & Hypertension
49 questions
Aortic disease
13 questions
Acute aortic syndromes overview
4 questions
Aneurysms
3 questions
Aortic dissection
3 questions
Peripheral arterial disease
3 questions
Hypertension (diagnosis and management)
14 questions
Accurate measurement and diagnosis
4 questions
First-line therapies and combinations
3 questions
Hypertensive emergencies/urgencies
4 questions
Secondary hypertension causes
3 questions
Pulmonary hypertension and RV failure (interface)
10 questions
PH classification overview
3 questions
PH diagnostic tests (overview)
2 questions
RV failure physiology and treatment principles
3 questions
Targeted therapies (overview)
2 questions
Venous thromboembolism
12 questions
Complications and recurrence prevention
3 questions
DVT diagnosis and treatment
3 questions
Pulmonary embolism
3 questions
Thrombophilia and special situations
3 questions
Clinical Pharmacology
166 questions
Core Principles of Clinical Pharmacology
88 questions
Adverse drug reactions (ADRs) and safety
12 questions
ADR classification and recognition
3 questions
Medication errors and reconciliation
3 questions
Organ-specific toxicities
3 questions
Pregnancy/lactation and teratogenicity
3 questions
Clinical toxicology and overdose
13 questions
Alcohols and gases
3 questions
Cardiotoxic ingestions
4 questions
Common high-yield overdoses
3 questions
Initial approach to poisoning
3 questions
Dosing in renal/hepatic impairment
11 questions
Assessing kidney function for dosing
2 questions
Hepatic impairment dosing
3 questions
Obesity and underweight dosing
4 questions
Renal dose adjustments (principles)
2 questions
Drug–drug and drug–food interactions
13 questions
CYP-mediated interactions
4 questions
Herbals and supplements
3 questions
Pharmacodynamic interactions
3 questions
Transporters and chelation
3 questions
Pharmacodynamics (PD)
14 questions
Dose–response relationships
4 questions
Population variability
4 questions
Receptor pharmacology
3 questions
Time-dependent effects
3 questions
Pharmacokinetics (PK)
13 questions
Absorption and bioavailability
3 questions
Distribution
3 questions
Elimination
3 questions
Metabolism
4 questions
Therapeutic drug monitoring (TDM)
12 questions
Indications for TDM
2 questions
Key monitored drugs
4 questions
Sampling and interpretation
3 questions
TDM in special populations
3 questions
Major Therapeutic Classes in Internal Medicine
78 questions
Anticoagulants and antiplatelets
14 questions
Antiplatelet therapy
4 questions
DOACs
3 questions
Heparins and fondaparinux
5 questions
Warfarin
2 questions
Antimicrobials (overview for safe prescribing)
13 questions
Antifungals/antivirals
3 questions
Glycopeptides and lipopeptides
4 questions
Macrolides/fluoroquinolones/tetracyclines
3 questions
β-lactams
3 questions
Cardiovascular drugs
12 questions
Antianginal agents
4 questions
Antiarrhythmics
3 questions
Antihypertensives
2 questions
Heart failure therapies (foundational)
3 questions
CNS and pain medications
12 questions
Antidepressants/antipsychotics
3 questions
Antiepileptics
3 questions
Opioids and analgesic ladder
3 questions
Sedatives and hypnotics
3 questions
Endocrine and metabolic drugs
15 questions
Diabetes therapies
3 questions
Lipid-lowering therapies
3 questions
Steroids and adrenal drugs
5 questions
Thyroid therapies
4 questions
Immunomodulators and rheumatologic drugs
12 questions
Biologics and targeted therapies (overview)
3 questions
DMARDs (conventional)
3 questions
Transplant immunosuppression (overview)
3 questions
Vaccination and prophylaxis on immunosuppression
3 questions
Diagnostic Reasoning
133 questions
Clinical Reasoning Foundations
61 questions
Diagnostic error and safety
11 questions
Cognitive biases
2 questions
Safety nets
3 questions
Second opinions and escalation
3 questions
System factors
3 questions
Differential diagnosis building
12 questions
Illness scripts and pattern recognition
3 questions
Problem representation
2 questions
Red flags and must-not-miss diagnoses
4 questions
Systematic differentials
3 questions
History-taking for diagnosis
12 questions
Bias awareness in history
3 questions
Contextual history
3 questions
Functional and psychosocial assessment
2 questions
Symptom analysis frameworks
4 questions
Physical examination for decision-making
12 questions
Abdominal exam and acute abdomen screening
3 questions
Cardiopulmonary exam high-yield findings
3 questions
Neurologic screening and localization
3 questions
Vital signs and physiologic interpretation
3 questions
Probability and Bayesian reasoning at bedside
14 questions
Clinical prediction rules
5 questions
Decision thresholds
3 questions
Estimating pretest probability
3 questions
Using likelihood ratios
3 questions
Test Selection, Interpretation & Diagnostic Stewardship
72 questions
Chest imaging (CXR/CT basics)
12 questions
Common CT patterns
3 questions
CT indications and contrast considerations
2 questions
Diagnostic stewardship in imaging
3 questions
Systematic CXR approach
4 questions
ECG interpretation (core board patterns)
12 questions
Arrhythmia recognition
3 questions
Conduction and structural clues
3 questions
Electrolyte/drug effects
3 questions
Ischemia and infarction patterns
3 questions
Laboratory medicine fundamentals
12 questions
CBC interpretation
3 questions
Chemistry panels and liver tests
3 questions
Inflammatory and cardiac biomarkers
3 questions
Pre-analytical and analytical errors
3 questions
Microbiology diagnostics
12 questions
Blood cultures and contamination
3 questions
CSF interpretation
3 questions
Respiratory diagnostics
3 questions
Serology and immunologic tests pitfalls
3 questions
Pulmonary function tests and oxygenation
12 questions
ABG interpretation
3 questions
DLCO interpretation
3 questions
Pulse oximetry limitations
3 questions
Spirometry patterns
3 questions
Urinalysis and kidney diagnostics
12 questions
Dipstick and microscopy
4 questions
Imaging and biopsy indications (overview)
3 questions
Protein quantification
2 questions
Urine electrolytes
3 questions
Gastrointestinal Medicine
191 questions
Esophagus, Stomach, and Upper GI Bleeding
39 questions
Dysphagia and odynophagia
15 questions
Alarm features and cancer risk
3 questions
Initial diagnostic approach
3 questions
Mechanical obstruction vs motility disorder
4 questions
Oropharyngeal vs esophageal dysphagia
5 questions
GERD and peptic disorders
11 questions
Barrett esophagus
2 questions
Functional dyspepsia
3 questions
GERD diagnosis and management
3 questions
Peptic ulcer disease and H. pylori
3 questions
Upper GI bleeding
13 questions
Initial stabilization and risk stratification
3 questions
Non-variceal bleeding causes and management
4 questions
Special scenarios
3 questions
Variceal bleeding
3 questions
GI Oncology & Miscellaneous High-Yield Disorders
47 questions
Acute abdominal pain and surgical GI emergencies (overview)
10 questions
Appendicitis and diverticulitis
3 questions
Bowel obstruction
3 questions
GI perforation and peritonitis
2 questions
Mesenteric ischemia
2 questions
Colorectal cancer and polyposis syndromes (overview)
13 questions
Cancer prevention links
3 questions
Hereditary syndromes
3 questions
Presentation and workup
3 questions
Treatment concepts
4 questions
Motility and functional disorders (select)
12 questions
Acute intermittent porphyria (overview)
3 questions
Carcinoid syndrome (overview)
3 questions
Chronic nausea/vomiting differential
3 questions
Gastroparesis
3 questions
Pancreatic and hepatobiliary cancers (overview)
12 questions
Cancer-associated symptoms
3 questions
Cholangiocarcinoma and gallbladder cancer
3 questions
Hepatocellular carcinoma (HCC)
3 questions
Pancreatic adenocarcinoma
3 questions
Hepatobiliary, Pancreas, and Liver Failure
61 questions
Acute hepatitis and acute liver failure
12 questions
Acute liver failure management principles
2 questions
Fulminant infections in liver disease
3 questions
Toxic and ischemic hepatitis
4 questions
Viral hepatitis (A, B, C, E) overview
3 questions
Approach to abnormal liver chemistries
13 questions
Autoimmune and metabolic liver disease workup
3 questions
Drug-induced liver injury (DILI)
3 questions
Initial evaluation
3 questions
Pattern recognition
4 questions
Biliary disease
11 questions
Cholangitis
3 questions
Cholelithiasis and cholecystitis
3 questions
Cholestatic chronic diseases
3 questions
Gallstone pancreatitis interface
2 questions
Cirrhosis and portal hypertension
13 questions
Ascites and SBP
3 questions
Hepatic encephalopathy
3 questions
Hepatorenal syndrome (HRS)
3 questions
Varices and portal hypertensive bleeding prevention
4 questions
Pancreatitis and pancreatic disorders
12 questions
Acute pancreatitis diagnosis and severity
3 questions
Chronic pancreatitis
3 questions
Complications
3 questions
Initial management
3 questions
Small and Large Intestine: Diarrhea, IBD, Malabsorption
44 questions
Acute diarrhea
12 questions
Clinical evaluation and dehydration severity
3 questions
Complications
3 questions
Infectious etiologies and testing
4 questions
Treatment principles
2 questions
Chronic diarrhea and malabsorption
11 questions
Categorization approach
3 questions
Celiac disease
3 questions
Microscopic colitis and bile acid diarrhea
2 questions
Pancreatic exocrine insufficiency
3 questions
Constipation and IBS
11 questions
Constipation evaluation
3 questions
Defecatory disorders
2 questions
IBS subtypes and diagnosis
3 questions
Treatment strategies
3 questions
Inflammatory bowel disease (IBD)
10 questions
Acute severe colitis and toxic megacolon
3 questions
Diagnosis and monitoring
3 questions
Therapy overview
2 questions
UC vs Crohn differentiation
2 questions
General Internal Medicine
158 questions
Perioperative & Consultative Medicine
47 questions
Perioperative medication management
12 questions
Anticoagulants/antiplatelets
3 questions
Antihypertensives and cardiac meds
3 questions
Diabetes medications
3 questions
Steroids and immunosuppression
3 questions
Perioperative pulmonary evaluation
11 questions
Postoperative pulmonary complications
4 questions
Pulmonary testing
2 questions
Risk assessment and optimization
3 questions
Ventilation/oxygenation issues post-op
2 questions
Postoperative medical complications
11 questions
AKI and fluid/electrolyte disorders
3 questions
Delirium prevention and management
2 questions
Fever and infection workup post-op
3 questions
VTE prophylaxis
3 questions
Preoperative cardiovascular evaluation
13 questions
Arrhythmias and devices
3 questions
Functional capacity and risk stratification
3 questions
Heart failure and valvular disease periop issues
4 questions
Management of ischemic heart disease
3 questions
Prevention, Screening & Health Maintenance
47 questions
Adult immunizations
14 questions
Age- and risk-based vaccines
3 questions
Routine adult vaccines
5 questions
Vaccine contraindications and adverse events
3 questions
Vaccines in special populations
3 questions
Cancer screening (board-level principles)
12 questions
Breast and cervical screening
3 questions
Colorectal cancer screening
3 questions
Lung cancer screening
3 questions
Prostate cancer screening
3 questions
Cardiometabolic prevention
12 questions
ASCVD risk estimation and statins
3 questions
Aspirin in prevention (principles)
3 questions
Diabetes prevention and screening
3 questions
Hypertension screening and prevention
3 questions
Infectious disease prevention counseling
9 questions
Hepatitis screening
2 questions
STI screening and prevention
2 questions
TB screening (risk-based)
2 questions
Travel health basics
3 questions
Transitions of Care, Patient Safety & Cross-cutting Skills
64 questions
Medication reconciliation and deprescribing
12 questions
Adherence and access barriers
3 questions
High-risk medications
3 questions
Polypharmacy management
3 questions
Transitions and communication
3 questions
Nutrition and obesity (generalist)
14 questions
Dietary patterns in chronic disease
4 questions
Enteral and parenteral nutrition (principles)
4 questions
Malnutrition assessment
4 questions
Obesity management overview
2 questions
Occupational and environmental medicine (intro)
12 questions
Fitness for duty and return-to-work
2 questions
Reporting and public health coordination
3 questions
Toxins and exposures
3 questions
Work-related lung disease
4 questions
Palliative care fundamentals
14 questions
Ethics at end-of-life (overview)
3 questions
Goals-of-care and advance care planning
4 questions
Hospice eligibility concepts
3 questions
Symptom management
4 questions
Substance use disorders (generalist approach)
12 questions
Alcohol use disorder
3 questions
Opioid use disorder
3 questions
Stimulants and other substances
3 questions
Tobacco and vaping
3 questions
Hematology and Oncology
192 questions
Hematologic Malignancies & Solid Tumor Principles
50 questions
Leukemias (acute and chronic) overview
12 questions
Acute leukemia recognition
3 questions
Chronic leukemias basics
3 questions
Supportive care
3 questions
Treatment complications
3 questions
Lymphoma (Hodgkin and non-Hodgkin) overview
14 questions
Clinical presentation and staging basics
3 questions
Complications
4 questions
Diagnostic approach
3 questions
Treatment concepts
4 questions
Plasma cell disorders
12 questions
Amyloidosis (clinical)
3 questions
MGUS vs smoldering vs multiple myeloma
3 questions
Myeloma complications
2 questions
Treatment overview
4 questions
Solid tumors: general principles
12 questions
Cancer-associated thrombosis
3 questions
Cancer screening and early detection integration
3 questions
Oncologic pain and symptom control
3 questions
Staging and performance status (overview)
3 questions
Oncologic Emergencies & Treatment Toxicities
52 questions
Febrile neutropenia
11 questions
Empiric antibiotic choices (principles)
3 questions
Growth factors and prophylaxis concepts
3 questions
Risk stratification and initial steps
2 questions
Source control and complications
3 questions
Hypercalcemia of malignancy
11 questions
Acute management
3 questions
Diagnostic approach
2 questions
Mechanisms
3 questions
Prevention of recurrence
3 questions
Immune- and targeted-therapy toxicities (overview)
10 questions
CAR-T and bispecific toxicities (overview)
2 questions
Checkpoint inhibitor immune-related adverse events
3 questions
Chemotherapy organ toxicities (select)
3 questions
Radiation-related complications (overview)
2 questions
Spinal cord compression and brain metastasis (overview)
11 questions
Complications
2 questions
Immediate management
3 questions
Leptomeningeal disease (overview)
3 questions
Recognition
3 questions
Tumor lysis syndrome (TLS)
9 questions
Diagnosis and labs
2 questions
Prevention
3 questions
Risk assessment
2 questions
Treatment
2 questions
Red Cell Disorders & Anemia
45 questions
Approach to anemia
9 questions
Iron studies interpretation
2 questions
MCV-based framework
3 questions
Reticulocyte index and marrow response
2 questions
When to refer/urgent evaluation
2 questions
Hemolytic anemia
13 questions
Confirming hemolysis
3 questions
Immune hemolysis
3 questions
Inherited and acquired non-immune hemolysis (overview)
4 questions
Microangiopathic hemolysis (MAHA)
3 questions
Iron deficiency anemia
12 questions
Complications
3 questions
Etiologies by demographic
3 questions
Refractory/complex cases
3 questions
Treatment
3 questions
Macrocytic anemia and B12/folate disorders
11 questions
Megaloblastic anemia
4 questions
Non-megaloblastic macrocytosis
3 questions
Transfusion principles in anemia
2 questions
Treatment and safety
2 questions
White Cell Disorders, Platelets, Coagulation & Transfusion
45 questions
Coagulation disorders and bleeding
12 questions
Anticoagulant-associated bleeding
3 questions
Approach to abnormal PT/aPTT
3 questions
DIC
3 questions
Hemophilia and vWD (overview)
3 questions
Leukocytosis and leukopenia
10 questions
Eosinophilia approach
2 questions
Lymphocytosis differential
2 questions
Neutropenia approach
3 questions
Neutrophilia differential
3 questions
Thrombocytopenia and platelet disorders
12 questions
Approach to thrombocytopenia
3 questions
HIT
3 questions
ITP
3 questions
Platelet function disorders (overview)
3 questions
Transfusion medicine
11 questions
Blood components and indications
2 questions
Patient blood management
3 questions
Special transfusion scenarios
3 questions
Transfusion reactions
3 questions
Infection and Immunity
198 questions
Antimicrobial Stewardship & Resistance
39 questions
Infection prevention and control
14 questions
Antimicrobial prophylaxis (select)
4 questions
Healthcare-associated infection prevention
3 questions
Post-exposure prophylaxis (overview)
3 questions
Standard and transmission-based precautions
4 questions
Principles of empiric therapy
12 questions
Duration and follow-up
3 questions
Host and site considerations
3 questions
Local resistance patterns
3 questions
Narrowing therapy
3 questions
Resistant organisms (overview)
13 questions
C. difficile prevention and recurrence
3 questions
ESBL/AmpC and CRE
3 questions
MRSA
3 questions
Pseudomonas and nonfermenters
4 questions
Core Infectious Syndromes & Sepsis
49 questions
CNS infections (overview)
13 questions
Bacterial meningitis
3 questions
Brain abscess
3 questions
Encephalitis
4 questions
TB/fungal meningitis (overview)
3 questions
Community-acquired infections (syndrome-based)
10 questions
Bacteremia of unclear source
2 questions
Pneumonia
3 questions
Skin and soft tissue infections
2 questions
UTI and pyelonephritis
3 questions
Endocarditis and intravascular infections
14 questions
Complications
3 questions
Device and line infections
4 questions
Diagnosis
4 questions
Empiric and targeted therapy concepts
3 questions
Sepsis and septic shock
12 questions
Adjunctive care
3 questions
Early antimicrobial therapy
3 questions
Recognition and initial resuscitation
3 questions
Source control
3 questions
Immunity, Rheumatology & Vasculitis (Board-Level)
62 questions
Approach to fever and inflammation of unclear source
12 questions
Adult-onset Still disease and HLH (overview)
3 questions
FUO framework
3 questions
Inflammatory markers interpretation
3 questions
Temporal arteritis and PMR
3 questions
Immunodeficiency and allergy (overview)
13 questions
Anaphylaxis and severe allergy
2 questions
Angioedema
3 questions
Primary immunodeficiency red flags
3 questions
Secondary immunodeficiency
5 questions
Rheumatoid arthritis and spondyloarthropathies (overview)
13 questions
Crystal arthropathies vs infection
3 questions
DMARDs/biologics safety (interface)
3 questions
RA diagnosis and extra-articular disease
3 questions
Spondyloarthritis
4 questions
Systemic lupus erythematosus (SLE)
12 questions
Clinical patterns and serologies
3 questions
Major organ involvement
3 questions
Pregnancy considerations (overview)
3 questions
Treatment principles
3 questions
Vasculitis syndromes (overview)
12 questions
ANCA-associated vasculitis
2 questions
Immune complex vasculitis
4 questions
Large-vessel vasculitis
3 questions
Vasculitis mimics and infection overlap
3 questions
Special Pathogens & Host States
48 questions
Fungal infections (overview)
12 questions
Candidemia
3 questions
Cryptococcosis
3 questions
Endemic mycoses
3 questions
Invasive aspergillosis and mucormycosis
3 questions
HIV medicine (core IM level)
11 questions
Antiretroviral therapy principles
3 questions
Diagnosis and monitoring
3 questions
Opportunistic infections (recognize and prevent)
3 questions
Preventive care in HIV
2 questions
Travel and zoonoses (select)
13 questions
Arboviruses
4 questions
Malaria
3 questions
Rabies and animal bites
3 questions
Tick-borne diseases (US-focused overview)
3 questions
Tuberculosis and NTM (overview)
12 questions
Active TB
3 questions
Extrapulmonary TB (overview)
3 questions
Latent TB infection (LTBI)
3 questions
Nontuberculous mycobacteria
3 questions
Metabolic and Renal Medicine
204 questions
Diabetes & Metabolic Disorders
48 questions
Diabetic emergencies
11 questions
DKA vs HHS differentiation
2 questions
Euglycemic DKA
2 questions
Hypoglycemia
3 questions
Treatment protocols (principles)
4 questions
Dyslipidemia and ASCVD prevention
13 questions
Hypertriglyceridemia
4 questions
Primary and secondary prevention frameworks
3 questions
Secondary dyslipidemias
3 questions
Statin intolerance and adverse effects
3 questions
Obesity medicine (metabolic focus)
12 questions
Anti-obesity pharmacotherapy overview
2 questions
Assessment and complications
4 questions
Bariatric surgery overview
3 questions
Lifestyle interventions
3 questions
Type 2 diabetes mellitus
12 questions
Diagnosis and targets
3 questions
Initial therapy and escalation
4 questions
Macrovascular risk reduction
2 questions
Microvascular complications
3 questions
Fluids, Electrolytes & Acid–Base
41 questions
Acid–base disorders
10 questions
Bicarbonate therapy indications (limited)
2 questions
Metabolic acidosis
3 questions
Metabolic alkalosis
2 questions
Respiratory acidosis/alkalosis
3 questions
Hypernatremia
10 questions
Diabetes insipidus management (overview)
2 questions
Etiologies and diagnosis
3 questions
Special scenarios
3 questions
Treatment principles
2 questions
Hyponatremia
11 questions
Correction safety
3 questions
Hypovolemic hyponatremia
2 questions
SIADH
3 questions
Tonicity and initial approach
3 questions
Potassium disorders
10 questions
Acid–base linkages
3 questions
Hyperkalemia
3 questions
Hypokalemia
2 questions
Periodic paralysis (overview)
2 questions
Nephrology & Urology Core
66 questions
Acute kidney injury (AKI)
14 questions
AKI management principles
3 questions
Classification and initial evaluation
3 questions
Common intrinsic causes
4 questions
Postrenal AKI
4 questions
Chronic kidney disease (CKD)
13 questions
CKD complications
3 questions
Medication considerations
4 questions
Renal replacement planning
3 questions
Staging and progression risk
3 questions
Glomerular diseases (overview)
11 questions
Common primary GN patterns
3 questions
Nephritic syndrome and RPGN
3 questions
Nephrotic syndrome
2 questions
Systemic disease GN
3 questions
Hematuria and proteinuria evaluation
15 questions
Hereditary kidney disease (overview)
4 questions
Microscopic hematuria approach
4 questions
Proteinuria approach
3 questions
Renal tubular disorders (overview)
4 questions
Nephrolithiasis and obstruction
13 questions
Acute management
3 questions
Obstructive uropathy
3 questions
Prevention
2 questions
Stone types and evaluation
5 questions
Thyroid, Adrenal, Pituitary & Calcium/Bone
49 questions
Adrenal disorders
12 questions
Adrenal insufficiency
3 questions
Cushing syndrome (overview)
3 questions
Pheochromocytoma/paraganglioma
3 questions
Primary aldosteronism
3 questions
Calcium, parathyroid, and metabolic bone disease
12 questions
Hypercalcemia evaluation and acute management
3 questions
Hypocalcemia and tetany
3 questions
Osteoporosis
3 questions
Paget disease and osteomalacia (overview)
3 questions
Hypothyroidism and hyperthyroidism
13 questions
Amiodarone and iodine effects
3 questions
Hypothyroidism evaluation and treatment
4 questions
Thyroid nodules and cancer (overview)
3 questions
Thyrotoxicosis and Graves disease
3 questions
Pituitary disorders
12 questions
Acromegaly (overview)
2 questions
Central diabetes insipidus and SIADH (interface)
4 questions
Hyperprolactinemia
3 questions
Hypopituitarism
3 questions
Neurobehavioral Medicine
150 questions
Chronic Neurology & Cognitive Disorders
46 questions
Dementia and mild cognitive impairment
11 questions
Alzheimer disease and mixed dementia
3 questions
Evaluation
3 questions
Lewy body and frontotemporal dementia (overview)
2 questions
Vascular dementia
3 questions
Multiple sclerosis and demyelinating disease (overview)
12 questions
Acute relapse management
2 questions
Diagnosis concepts
3 questions
Disease-modifying therapy overview
3 questions
Typical presentations
4 questions
Parkinsonism and movement disorders (overview)
11 questions
Ataxia and gait disorders (overview)
3 questions
Drug-induced parkinsonism
2 questions
Essential tremor
3 questions
Parkinson disease basics
3 questions
Peripheral neuropathy and radiculopathy
12 questions
Common causes
3 questions
Diagnostic testing
3 questions
Neuropathic pain management
3 questions
Pattern-based approach
3 questions
Neurologic Emergencies and Core Syndromes
58 questions
Acute headache syndromes
11 questions
Meningitis/encephalitis vs migraine differentiation
3 questions
Primary headaches (overview)
3 questions
Subarachnoid hemorrhage and thunderclap headache
2 questions
Temporal arteritis
3 questions
Altered mental status and encephalopathy
11 questions
Delirium recognition and initial workup
3 questions
Hepatic and uremic encephalopathy
3 questions
Nonconvulsive status epilepticus (overview)
3 questions
Wernicke encephalopathy
2 questions
Neuromuscular weakness and spinal cord syndromes
12 questions
Acute myelopathy and cord compression
3 questions
Critical illness neuromyopathy (overview)
3 questions
Guillain–Barré syndrome
4 questions
Myasthenia gravis and crisis
2 questions
Seizures and status epilepticus
12 questions
Antiepileptic drug adverse effects (overview)
3 questions
Common seizure mimics
3 questions
First seizure evaluation
3 questions
Status epilepticus management
3 questions
Stroke and TIA
12 questions
Acute ischemic stroke treatment principles
3 questions
Hemorrhagic stroke basics
3 questions
Initial assessment and imaging
3 questions
Secondary prevention
3 questions
Psychiatry, Substance-Related Presentations & Sleep
46 questions
Depression and anxiety in medical illness
12 questions
Depression in chronic disease (overview)
3 questions
Diagnosis and screening
3 questions
Medication interactions and side effects
3 questions
Treatment options
3 questions
Psychosis, agitation, and behavioral emergencies
13 questions
Agitation management (medical setting)
3 questions
Catatonia (overview)
3 questions
Differential diagnosis of acute psychosis
3 questions
Neuroleptic malignant syndrome and serotonin syndrome
4 questions
Sleep disorders (overview)
11 questions
Insomnia
3 questions
Obstructive sleep apnea
3 questions
Parasomnias and circadian disorders (overview)
3 questions
Restless legs syndrome
2 questions
Substance-related syndromes
10 questions
Alcohol withdrawal and complications
3 questions
Opioid intoxication and withdrawal
2 questions
Sedative-hypnotic withdrawal
2 questions
Stimulant toxicity
3 questions
Advanced
Advanced Internal Medicine
Acute and Critical Care
50 questions
Emergency Stabilization & Resuscitation
50 questions
Airway management basics for internists
15 questions
Indications and risk assessment
4 questions
Post-intubation ventilator setup (principles)
3 questions
Pre-oxygenation and RSI principles
4 questions
Special airways
4 questions
Approach to the crashing patient
12 questions
Early critical investigations
3 questions
Early escalation and teamwork
3 questions
Primary survey (ABCDE)
3 questions
Rapid differential by physiology
3 questions
ICU Complications & Organ Support
10 questions
Acute kidney injury in ICU
2 questions
ARDS and severe hypoxemia
3 questions
Delirium, immobility, and ICU-acquired weakness
2 questions
Nosocomial infections and prevention
3 questions
Shock: advanced management
13 questions
Cardiogenic shock
3 questions
Distributive shock nuances
3 questions
Hemorrhagic shock and massive transfusion
3 questions
Obstructive shock
4 questions
Advanced Clinical Medicine
650 questions
Acute and Critical Care
95 questions
Acute coronary syndromes and malignant arrhythmias (critical care)
13 questions
Bradycardia and AV block emergencies
3 questions
Post-cardiac arrest care
4 questions
STEMI/NSTEMI time-critical pathways
3 questions
Tachyarrhythmias instability management
3 questions
Acute GI bleeding and massive hemorrhage
11 questions
Bleeding in liver disease/uremia
3 questions
Lower GI bleed and ischemic colitis
3 questions
Resuscitation and hemostatic strategy
3 questions
Variceal bleeding protocol
2 questions
Acute kidney injury and renal replacement in ICU (overview)
10 questions
Complications of RRT
3 questions
CRRT vs intermittent HD concepts
2 questions
Drug dosing on RRT
3 questions
Indications and timing debates
2 questions
Acute respiratory failure and ventilation basics
12 questions
ARDS management fundamentals
4 questions
Intubation decision-making
3 questions
Noninvasive support
2 questions
Weaning and extubation
3 questions
ICU sedation, analgesia, delirium, and nutrition
12 questions
Analgesia-first sedation and monitoring
3 questions
Delirium prevention and management bundle
3 questions
ICU nutrition concepts
3 questions
Stress ulcer and DVT prophylaxis
3 questions
Sepsis bundles and ICU escalation
12 questions
Adjuncts and controversies
3 questions
Organ support
3 questions
Sepsis in special hosts
3 questions
Time-critical actions
3 questions
Severe electrolyte and acid–base emergencies
13 questions
Severe acidosis and toxic ingestions
5 questions
Severe hypercalcemia and hypocalcemia
3 questions
Severe hyperkalemia
3 questions
Severe hyponatremia with symptoms
2 questions
Shock (all types)
12 questions
Fluid resuscitation strategies
3 questions
Initial recognition and classification
3 questions
Monitoring and endpoints
3 questions
Vasopressors and inotropes
3 questions
Advanced Therapeutics
59 questions
Advanced endocrine therapeutics
12 questions
Complex insulin management
3 questions
Diabetes drugs in comorbidities
3 questions
Osteoporosis pharmacotherapy sequencing (overview)
3 questions
Thyroid disease in special contexts
3 questions
Biologics, immunosuppression, and infection prophylaxis
12 questions
Managing immune-related adverse events
3 questions
Monitoring and toxicity mitigation
3 questions
Pre-therapy screening
3 questions
Transplant-specific therapeutics overview
3 questions
Complex anticoagulation and antithrombotic management
12 questions
Antiplatelet therapy in complex CAD
3 questions
Bleeding management and reversal
4 questions
DOAC selection in complex patients
2 questions
Mechanical valves and high-risk thrombosis
3 questions
Complex antimicrobial therapy and stewardship (advanced)
12 questions
Endocarditis and osteomyelitis stewardship
4 questions
OPAT and IV-to-PO transitions
3 questions
Resistant Gram-negative infections
3 questions
Serious MRSA infections
2 questions
Oncologic supportive care and toxicity management (advanced)
11 questions
Antiemetic regimens (overview)
3 questions
Cancer pain and palliative therapeutics
3 questions
Hematopoietic growth factors and transfusions
2 questions
Immunotherapy and cellular therapy toxicities (overview)
3 questions
Complex Diagnostics
55 questions
Advanced ECG and rhythm analysis
12 questions
Brugada, long QT, and inherited arrhythmia syndromes (overview)
3 questions
Electrolyte/drug-induced ECG nuances
3 questions
Pacemaker/ICD ECG basics
3 questions
Wide complex tachycardia differentiation
3 questions
Advanced echocardiography concepts (board-relevant)
10 questions
Diastolic dysfunction and HFpEF
3 questions
Endocarditis imaging
2 questions
Shock POCUS integration
2 questions
Valvular quantification
3 questions
Advanced hematologic and immunologic diagnostics
11 questions
Autoantibodies and complement patterns
2 questions
Hemolysis and smear interpretation
3 questions
Interpreting abnormal coagulation tests
3 questions
Monoclonal gammopathy evaluation
3 questions
Advanced imaging interpretation and incidentalomas
11 questions
Incidental adrenal nodule workup (overview)
2 questions
Pulmonary nodules (overview)
2 questions
Renal masses and cysts (overview)
3 questions
Thyroid nodules (overview)
4 questions
Advanced pulmonary diagnostics
11 questions
Bronchoscopy and BAL interpretation (overview)
3 questions
Complex PFT interpretation
3 questions
Sleep study interpretation basics (overview)
3 questions
V/Q, CTPA, and CTEPH workup
2 questions
Complex Multisystem Presentations
57 questions
Complex liver–kidney–heart interactions
12 questions
Cardiorenal syndromes
3 questions
Congestive hepatopathy
2 questions
Hepatorenal and cirrhotic cardiomyopathy
4 questions
Pulmonary-renal syndromes
3 questions
Fever of unknown origin and hyperinflammatory syndromes
11 questions
Advanced diagnostics
3 questions
Advanced differential and prioritization
2 questions
Empiric therapy risks
3 questions
High-yield rare entities
3 questions
Syncope and unexplained falls (advanced)
12 questions
Autonomic and orthostatic syndromes
3 questions
Cardiac causes
3 questions
Neurologic mimics
3 questions
Risk stratification and disposition
3 questions
Undifferentiated dyspnea with multimorbidity
11 questions
Cardiac vs pulmonary vs anemia vs metabolic causes
2 questions
Complex diagnostic strategy
3 questions
Disposition decisions
3 questions
Management tradeoffs
3 questions
Unexplained weight loss and constitutional symptoms
11 questions
Cancer-focused evaluation
2 questions
Endocrine and metabolic causes
3 questions
Infectious causes
3 questions
Psychiatric and social causes
3 questions
Multimorbidity and Frailty
52 questions
Frailty assessment and prognostication
9 questions
De-intensification of care
2 questions
Frailty identification tools
3 questions
Prognostic communication
2 questions
Sarcopenia and malnutrition
2 questions
Geriatric syndromes
12 questions
Delirium
3 questions
Falls and syncope in older adults
3 questions
Incontinence
3 questions
Pressure injuries and skin care
3 questions
Polypharmacy and complex medication management
9 questions
Adherence and regimen simplification
2 questions
Deprescribing high-risk meds
2 questions
Medication prioritization with multimorbidity
2 questions
Renal/hepatic dosing in older adults
3 questions
Special Populations
11 questions
Adults with disabilities and complex care needs
3 questions
Cultural and language equity in complex care
2 questions
Homelessness and housing insecurity
3 questions
Post-ICU syndrome (overview)
3 questions
Transitions of care and post-acute planning
11 questions
Hospital readmissions and high-risk patients
2 questions
Palliative and hospice transitions
3 questions
Safe discharge planning
3 questions
Skilled nursing, rehab, home health selection
3 questions
Procedural and Perioperative Care
78 questions
Arthrocentesis and injection (overview)
11 questions
Complications and contraindications
3 questions
Indications
3 questions
Synovial fluid analysis
3 questions
When to consult orthopedics/rheumatology
2 questions
Lumbar puncture
11 questions
Complications
3 questions
CSF collection and handling
3 questions
CSF interpretation (advanced patterns)
3 questions
Indications and contraindications
2 questions
Paracentesis
11 questions
Ascitic fluid interpretation
3 questions
Complications and management
3 questions
Indications and contraindications
3 questions
Technique and ultrasound guidance
2 questions
Perioperative medicine (advanced integration)
12 questions
Cardiac risk in complex patients
3 questions
Periop anticoagulation for high thrombotic risk
3 questions
Periop management of chronic meds
3 questions
Postop complications prevention
3 questions
Procedure fundamentals
11 questions
Aseptic technique and infection prevention
2 questions
Informed consent and capacity
3 questions
Periprocedural anticoagulation management
3 questions
Sedation and analgesia principles (overview)
3 questions
Thoracentesis
12 questions
Complications
3 questions
Indications and pre-procedure evaluation
3 questions
Next steps after thoracentesis
3 questions
Pleural fluid studies
3 questions
Vascular access (peripheral and central) overview
10 questions
Indications for central venous access
2 questions
Line complications
3 questions
Midlines and PICCs (selection concepts)
3 questions
Ultrasound guidance principles
2 questions
Professionalism and Ethics
52 questions
Capacity, consent, and surrogate decision-making
10 questions
Advance directives and POLST/MOLST concepts
2 questions
Capacity assessment
2 questions
Informed consent in complex care
3 questions
Surrogates and substituted judgment
3 questions
Confidentiality, privacy, and mandatory reporting (principles)
12 questions
Adolescent confidentiality (overview)
2 questions
Confidentiality in routine care
4 questions
Exceptions to confidentiality (overview)
3 questions
Subpoenas, documentation, and medicolegal basics
3 questions
End-of-life ethics and high-stakes decisions
9 questions
DNR/DNI and code status discussions
2 questions
Organ donation and donation after circulatory death (overview)
2 questions
Palliative sedation (overview)
3 questions
Withholding vs withdrawing life-sustaining treatment
2 questions
Error disclosure and communication in adverse events
9 questions
Documentation after adverse events
2 questions
Duty of candor principles
2 questions
Root cause analysis participation
3 questions
Second victim phenomenon
2 questions
Professional conduct, conflict of interest, and boundaries
12 questions
Conflict of interest in prescribing and research
3 questions
Cultural humility and respectful care
3 questions
Fitness to practice and impairment
3 questions
Professional boundaries
3 questions
Rare and Niche-but-Testable Diseases
44 questions
Amyloidosis (systemic)
11 questions
Clinical phenotypes
3 questions
Diagnostic strategy
3 questions
Red flags
2 questions
Types and treatment overview
3 questions
Endocrine emergencies (advanced)
11 questions
Adrenal crisis
2 questions
Hypercalcemic crisis
2 questions
Pituitary apoplexy
3 questions
Thyroid storm and myxedema coma
4 questions
Porphyria and other metabolic masqueraders (overview)
11 questions
A1AT deficiency
3 questions
Acute intermittent porphyria
3 questions
Hereditary hemochromatosis
3 questions
Wilson disease
2 questions
Sarcoidosis
11 questions
Diagnosis and mimics
3 questions
Hypercalcemia mechanism
2 questions
Organ involvement patterns
4 questions
Treatment principles
2 questions
Scholarship and Education
46 questions
Critical appraisal and statistics (advanced applied)
12 questions
Clinical prediction models and AI (overview)
3 questions
Diagnostic studies
3 questions
Interpreting RCTs and pragmatic trials
3 questions
Systematic reviews and guidelines
3 questions
Reflective practice and lifelong learning
10 questions
Clinical reasoning reflection and calibration
2 questions
Continuing professional development (CPD) planning
2 questions
Professional development and leadership learning
4 questions
Well-being and burnout prevention
2 questions
Scholarly activity and research literacy
12 questions
Ethics and IRB basics
4 questions
Formulating clinical questions
3 questions
Presentation and dissemination skills
2 questions
Quality improvement scholarship
3 questions
Teaching, supervision, and bedside education
12 questions
Clinical teaching frameworks
3 questions
Feedback and assessment
3 questions
Remediation and coaching (overview)
4 questions
Supervision and entrustment
2 questions
Special Populations
57 questions
Adolescent transition to adult care
9 questions
Adolescent mental health and substance risk
3 questions
Congenital heart disease in adults (overview)
1 question
Cystic fibrosis and chronic childhood diseases (overview)
3 questions
Transition planning
2 questions
Health equity in special populations
12 questions
Bias mitigation in clinical decisions
3 questions
Language, disability, and communication access
3 questions
Population health approaches (overview)
3 questions
Structural determinants and outcomes
3 questions
Immunocompromised host (non-transplant and transplant interfaces)
12 questions
Drug interactions
3 questions
Fever in immunocompromised patient
3 questions
Prophylaxis concepts
3 questions
Vaccination strategies
3 questions
Occupational, travel, and environmental illness (advanced)
13 questions
Altitude and diving medicine (overview)
3 questions
Heat illness and exertional syndromes
3 questions
Toxic exposures
4 questions
Travel fever evaluation
3 questions
Pregnancy interfaces for internists
11 questions
Diabetes in pregnancy (overview)
3 questions
Hypertensive disorders of pregnancy (overview)
3 questions
Medication safety counseling
3 questions
Thromboembolism in pregnancy (overview)
2 questions
Systems Leadership and Quality
55 questions
Clinical governance and stewardship
12 questions
Antimicrobial stewardship
3 questions
Clinical pathways and standard work
3 questions
Diagnostic stewardship
3 questions
Resource utilization and cost awareness
3 questions
Handoffs, escalation, and team leadership
11 questions
Interprofessional teamwork and conflict management
3 questions
Leadership in crisis
2 questions
Rapid response and deterioration management
3 questions
Safe handoff practices
3 questions
Patient safety fundamentals
11 questions
High reliability principles
3 questions
Human factors and ergonomics
3 questions
Safety event reporting and learning systems
2 questions
Types of harm and error
3 questions
Population health and service management (overview)
10 questions
Care for high-utilizer populations
2 questions
Clinical operations basics
3 questions
Ethical resource allocation
3 questions
Public health collaboration
2 questions
Quality improvement methodology
11 questions
Equity in QI
3 questions
Implementation science basics
2 questions
Measuring quality
3 questions
QI tools and frameworks
3 questions
Advanced Therapeutics
209 questions
High-Risk Medication Management & Monitoring
46 questions
Biologic therapies (deep safety)
12 questions
Infusion reactions and hypersensitivity
3 questions
Long-term monitoring
3 questions
Managing serious infections on biologics
3 questions
Pre-treatment evaluation and vaccination
3 questions
Complex heart failure therapeutics
11 questions
Advanced devices and palliative transitions
3 questions
Atrial fibrillation in HF
2 questions
Diuretic resistance
3 questions
GDMT optimization under constraints
3 questions
Multimorbidity and competing guideline targets
12 questions
Benefit–harm assessment
3 questions
Deprescribing and simplification at scale
3 questions
High-risk transitions (hospital to home)
3 questions
Therapeutic monitoring plans
3 questions
Therapeutics in advanced CKD and dialysis
11 questions
Antibiotic dosing on RRT
3 questions
Anticoagulation in CKD/ESRD
2 questions
Diabetes management in CKD
3 questions
Pain and sedation in CKD
3 questions
Multimorbidity and Frailty
34 questions
Complex chronic disease clustering
11 questions
Cancer survivorship with multimorbidity
3 questions
Cirrhosis + renal dysfunction + malnutrition
3 questions
COPD + HF + sleep apnea overlap
3 questions
Diabetes + CKD + HF interplay
2 questions
Frailty-focused acute care decisions
10 questions
Avoiding iatrogenesis
2 questions
Delirium prevention in high-risk patients
3 questions
Falls prevention programs
2 questions
ICU admission and escalation decisions
3 questions
Special Populations
13 questions
Caregiver burden and social support
2 questions
Dementia and medical decision-making
3 questions
Geriatric oncology (overview)
4 questions
Palliative integration for chronic organ failure
4 questions
Procedural and Perioperative Care
23 questions
Advanced perioperative risk management
11 questions
High-risk cardiac conditions
4 questions
Periop anticoagulation in high thrombotic risk
3 questions
Periop diabetes and obesity considerations
2 questions
Pulmonary hypertension and right heart failure periop
2 questions
Complication-aware procedural practice
12 questions
Arterial blood gas and arterial line basics (overview)
3 questions
Lumbar puncture and anticoagulation management
3 questions
Thoracentesis/paracentesis complications management
3 questions
Ultrasound-guided procedures (POCUS integration)
3 questions
Professionalism and Ethics
21 questions
Complex goals-of-care conversations
11 questions
Managing conflict with families
2 questions
Moral distress and clinician support
3 questions
Serious illness communication
3 questions
Time-limited trials and ICU decisions
3 questions
Consent and capacity in high-risk settings
10 questions
Advance directives interpretation under uncertainty
2 questions
Cultural and language barriers
3 questions
Emergency exceptions to consent
2 questions
Refusal of care
3 questions
Scholarship and Education
20 questions
Clinical scholarship and guideline implementation
10 questions
Academic integrity and authorship
3 questions
Guideline interpretation and local adaptation
2 questions
Journal club leadership
2 questions
Teaching diagnostic reasoning
3 questions
Designing curricula and assessments
10 questions
Assessment methods
3 questions
Feedback systems at program level
3 questions
Learning objectives and alignment
2 questions
Standard setting concepts (overview)
2 questions
Special Populations
43 questions
Complex care in pregnancy (IM interface)
12 questions
Autoimmune disease in pregnancy
3 questions
Cardiac disease and pregnancy (overview)
3 questions
Thyroid disease and pregnancy
3 questions
VTE and thrombophilia
3 questions
Health equity and culturally safe care
10 questions
Care for migrants and refugees (overview)
3 questions
Reducing disparities in chronic disease outcomes
2 questions
Trauma-informed care and stigma reduction
2 questions
Working with interpreters and low health literacy
3 questions
Immunocompromised hosts (advanced)
10 questions
Biologic therapies and latent infections
3 questions
HIV with complex comorbidities
2 questions
Post-transplant infectious syndromes (overview)
2 questions
Vaccination strategy in immunocompromise
3 questions
Occupational and travel medicine (advanced)
11 questions
Mass gathering medicine (overview)
4 questions
Return-to-work and disability
2 questions
Tropical medicine red flags
3 questions
Work-related lung and skin disease
2 questions
Systems Leadership and Quality
22 questions
Leading QI projects in clinical services
11 questions
Change management
3 questions
Choosing an aim and measures
3 questions
Data interpretation
2 questions
Spreading improvements
3 questions
Service management and patient flow
11 questions
Capacity and throughput
3 questions
Handoffs across services
3 questions
Resource stewardship
3 questions
Safety culture and speaking up
2 questions
Complex Diagnostics
35 questions
Bayesian & Stewardship-Based Diagnostics (Advanced)
35 questions
Advanced Bayesian reasoning in practice
11 questions
Calibration and diagnostic confidence
3 questions
Decision thresholds and shared decisions
2 questions
Diagnostic timeouts and debiasing
4 questions
Sequential testing strategy
2 questions
Advanced imaging and pattern recognition
12 questions
Abdominal imaging pearls
3 questions
Complex chest CT patterns
4 questions
Incidentalomas and overdiagnosis management
3 questions
Neuroimaging red flags
2 questions
Complex lab interpretation and pitfalls
12 questions
Autoimmune serologies pitfalls
3 questions
Endocrine test pitfalls
3 questions
Microbiology test interpretation
3 questions
Spurious results and artifacts
3 questions
Multimorbidity and Frailty
30 questions
Geriatric Medicine at Advanced Level
30 questions
Advanced polypharmacy in frailty
11 questions
Adverse drug event prevention
2 questions
Deprescribing complex regimens
3 questions
Medication management systems
3 questions
Renal dosing and monitoring in older adults
3 questions
Comprehensive geriatric assessment (CGA)
10 questions
Documentation and communication
2 questions
Domains of CGA
3 questions
Frailty and surgical/ICU risk
3 questions
Using CGA to guide care plans
2 questions
Symptom control in multimorbidity
9 questions
Anorexia-cachexia and nutrition
3 questions
Dyspnea management across diseases
2 questions
Insomnia and behavioral symptoms
2 questions
Pain management in frail older adults
2 questions
Procedural and Perioperative Care
23 questions
Advanced Procedural Competence and Perioperative Optimization
23 questions
Perioperative care for high-risk medications
12 questions
Anticoagulants and antiplatelets (advanced)
3 questions
Diabetes therapies periop
3 questions
Immunosuppressants periop
3 questions
Pain and sedation risk reduction
3 questions
Ultrasound-guided bedside procedures (advanced)
11 questions
Ascites procedures
3 questions
Pleural procedures
2 questions
POCUS for diagnosis and guidance
3 questions
Vascular access
3 questions
Professionalism and Ethics
23 questions
Advanced Ethics in Complex Internal Medicine
23 questions
Ethics consultation triggers and frameworks
11 questions
Documentation and communication
4 questions
Ethics in resource limitation
2 questions
Identifying ethical dilemmas
2 questions
Structured analysis
3 questions
Professionalism in difficult interactions
12 questions
Conflicts of interest in leadership roles
3 questions
Equity and bias in professionalism
3 questions
Interprofessional conflict resolution
3 questions
Managing disruptive behavior
3 questions
Scholarship and Education
22 questions
Advanced Educator and Scholar Competencies
22 questions
Learning science and curriculum design (overview)
11 questions
Cognitive load and instructional design
2 questions
Competency-based medical education (CBME)
3 questions
Faculty development and coaching
3 questions
Simulation-based education
3 questions
Scholarly writing and dissemination
11 questions
Academic career development
3 questions
Educational scholarship
3 questions
Presentation skills
3 questions
Writing for publication
2 questions
Special Populations
34 questions
High-Risk and Under-Served Groups (Advanced)
34 questions
Care of patients with advanced cancer and comorbidities
13 questions
Complications of therapy affecting other organs
4 questions
Decision-making under limited prognosis
2 questions
Infection risk management
4 questions
Transitions to hospice
3 questions
Patients with serious mental illness
10 questions
Capacity and adherence challenges
3 questions
Delirium vs psychiatric symptom overlap
2 questions
Metabolic monitoring for antipsychotics
2 questions
Suicide risk in medical illness
3 questions
Patients with substance use disorders and complex illness
11 questions
Hospital-based addiction care
3 questions
Infections related to injection drug use
3 questions
Pain management with OUD
3 questions
Trauma-informed care
2 questions
Structured oral examination (SOE)
797 questions
Unspecified domain
797 questions
Acute cognitive change assessment in Internal Medicine
8 questions
Acute coronary syndrome (ACS) with comorbidity modification
8 questions
Acute decompensated heart failure and cardiorenal syndrome
8 questions
Acute hypercapnic respiratory failure
6 questions
Acute kidney injury (AKI) evaluation and prevention
8 questions
Acute liver failure management and escalation
8 questions
Acute monoarthritis evaluation and safe therapy selection
7 questions
Acute pancreatitis diagnosis, severity stratification, and complications
8 questions
Advanced therapeutics and systems leadership
8 questions
Anemia evaluation and cancer screening
8 questions
Anticoagulation complications and reversal
8 questions
Applying evidence to patient-centered decisions
8 questions
Arrhythmia risk evaluation and prevention
8 questions
Atrial fibrillation in acute illness
8 questions
Biliary sepsis and urgent source control
7 questions
Cardiogenic shock stabilization and escalation
8 questions
Cavitary lung disease differential diagnosis
9 questions
Chronic diarrhea diagnostic reasoning and IBD management
8 questions
Cirrhosis complications and bedside procedure safety
8 questions
CNS infection initial management and procedural decision-making
8 questions
Complex diagnostics and rapid physiologic assessment
8 questions
Complex symptom-based diagnostic reasoning
8 questions
Complex symptom management and safe prescribing
8 questions
Comprehensive geriatric assessment and individualized goal setting
8 questions
Comprehensive preventive care in Internal Medicine
8 questions
Delirium prevention and management in critical care
8 questions
Determination of death and donation processes
8 questions
Diabetes complications and limb salvage
8 questions
Diabetic ketoacidosis (DKA) management
8 questions
Diagnostic reasoning and diagnostic safety
8 questions
Diagnostic reasoning education and test stewardship
8 questions
Dysphagia evaluation and cancer pathways
8 questions
Edema differential diagnosis using physiology
8 questions
End-of-life decision-making in Internal Medicine
8 questions
Endocrine emergency management with cardiopulmonary complications
7 questions
Environmental emergency with multi-organ complications
8 questions
Ethics, capacity, and emergency treatment boundaries
7 questions
Febrile neutropenia and catheter-related infection
8 questions
Fever evaluation under immunosuppression
8 questions
Fulminant sepsis with public health interface
7 questions
FUO workup with endocarditis consideration
8 questions
GI bleeding resuscitation and portal hypertension complications
8 questions
Hematologic emergency recognition and plasma exchange pathway
8 questions
Hemorrhagic shock, anticoagulation reversal, and endoscopy coordination
8 questions
HHS and concurrent cardiovascular events
8 questions
High-severity pneumonia and escalation decisions
8 questions
High-stakes neurologic diagnostic strategy
8 questions
Hospital-acquired infection management
8 questions
HSV encephalitis recognition and treatment
8 questions
Hypercalcemia diagnosis and emergency treatment
8 questions
Hypertensive emergency recognition and organ protection
8 questions
Hyponatremia workup and safe correction
8 questions
Infective endocarditis diagnosis and complications
8 questions
Integrative diagnostic reasoning across systems
8 questions
Kidney stones with systemic risk factor management
8 questions
Life-threatening electrolyte disturbance management
8 questions
Macrocytic anemia and neurologic integration
8 questions
Medication-related harm in multimorbidity
9 questions
Medication adverse effect recognition and alternative anticoagulation
8 questions
Modern therapeutics adverse event recognition
8 questions
Movement disorder evaluation with autonomic complications
8 questions
Nephritic syndrome and rapidly progressive GN approach
8 questions
Nephrotic syndrome complications and hypercoagulability
8 questions
Neurobehavioral medicine in medical settings
8 questions
Neurocritical stabilization and cause finding
8 questions
Obstetric medicine interface for internists
8 questions
Oncologic emergency recognition
8 questions
Oncologic metabolic emergency and renal protection
9 questions
Opportunistic infection recognition and management
8 questions
Patient safety event management and professionalism
8 questions
Pericarditis diagnosis and treatment
8 questions
Perioperative risk stratification and optimization
8 questions
Pleural effusion evaluation and procedural safety
8 questions
Procedural planning and medication safety
8 questions
Quality improvement and infection prevention
8 questions
Rare-but-serious diagnostic consideration
8 questions
Respiratory failure and ventilator management
8 questions
Resuscitation and high-risk PE management
8 questions
Risk trade-offs in complex chronic disease
8 questions
Safe transitions of care in Internal Medicine
8 questions
Sepsis recognition with frailty and delirium risk
8 questions
Severe hypothyroidism emergency care
8 questions
Shock differential and endocrine rescue therapy
8 questions
Shock management and organ support in critical care
8 questions
Status asthmaticus stabilization and escalation
8 questions
Stroke reperfusion decision-making
8 questions
Syncope evaluation and valvular heart disease
8 questions
Systemic autoimmune disease with pulmonary involvement
8 questions
Systemic lupus flare with multi-organ involvement
8 questions
Systems-based practice and ethical allocation
8 questions
TIA evaluation and vascular risk management
8 questions
Time-critical chest pain differential and emergency management
8 questions
Time-critical neurologic presentation triage
9 questions
Toxicology, airway, and safe antidote use
8 questions
Toxicology and withdrawal management
8 questions
Transfusion medicine emergency and systems response
8 questions
Undifferentiated dyspnea and integrated cardiopulmonary management
8 questions
Vasculitis emergency recognition and management
8 questions
VTE diagnosis and anticoagulation initiation
8 questions
Whole-patient internal medicine: prioritization, deprescribing, and safe discharge
8 questions
Systems Leadership and Quality
20 questions
Advanced Systems Practice and Leadership
20 questions
Designing and evaluating care pathways
10 questions
Clinical pathway creation
3 questions
High-value care integration
2 questions
Measuring impact
3 questions
Sustainability and spread
2 questions
Leading high-reliability teams
10 questions
Crisis management and incident command (overview)
3 questions
Safety culture measurement and improvement
3 questions
Standardization vs flexibility
2 questions
Team cognition and situational awareness
2 questions