{"product_id":"mayo-clinic-34th-annual-internal-medicine-board-review-2025-only-qbank","title":"Mayo Clinic 34th Annual Internal Medicine Board Review 2025 (Only Qbank)","description":"\u003cheader id=\"header\" class=\"header header-full-width has-sticky sticky-jump\"\u003e\n\u003cdiv class=\"header-wrapper stuck\"\u003e\n\u003cdiv id=\"masthead\" class=\"header-main \"\u003e\n\u003cdiv class=\"header-inner flex-row container logo-left medium-logo-center\" role=\"navigation\"\u003e\n\u003cdiv class=\"flex-col show-for-medium flex-right\"\u003e\n\u003cp\u003e\u003cb\u003e \u003c\/b\u003e\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/header\u003e\n\u003cmain id=\"main\" class=\"\"\u003e\n\u003cdiv class=\"shop-container\"\u003e\n\u003cdiv id=\"product-24331\" class=\"product type-product post-24331 status-publish first instock product_cat-internal-medicine product_tag-internal-medicine has-post-thumbnail downloadable virtual sold-individually taxable purchasable product-type-simple\"\u003e\n\u003cdiv class=\"product-container\"\u003e\n\u003cdiv class=\"product-footer\"\u003e\n\u003cdiv class=\"container\"\u003e\n\u003cdiv class=\"woocommerce-tabs wc-tabs-wrapper container tabbed-content\"\u003e\n\u003cul class=\"tabs wc-tabs product-tabs small-nav-collapse nav nav-uppercase nav-line nav-left\" role=\"tablist\"\u003e\n\u003cli class=\"description_tab active\" id=\"tab-title-description\" role=\"presentation\"\u003e\u003ca href=\"https:\/\/medicalamboss.com\/product\/mayo-clinic-34th-annual-internal-medicine-board-review-2025-only-qbank\/#tab-description\" role=\"tab\" aria-selected=\"true\" aria-controls=\"tab-description\"\u003eDescription\u003c\/a\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cdiv class=\"tab-panels\"\u003e\n\u003cdiv class=\"woocommerce-Tabs-panel woocommerce-Tabs-panel--description panel entry-content active\" id=\"tab-description\" role=\"tabpanel\" aria-labelledby=\"tab-title-description\"\u003e\n\u003cdiv class=\"bundle--hms_paragraph_with_feature paragraph paragraph--type--hms-paragraph-with-feature paragraph--view-mode--default row\"\u003e\n\u003cdiv class=\"columns small-12 medium-8 large-9 medium-order-2\"\u003e\n\u003cdiv class=\"field field--name-field-hms-pwf-paragraphs field--type-entity-reference-revisions field--label-hidden field__items\"\u003e\n\u003cdiv class=\"bundle--paragraph_component paragraph paragraph--type--paragraph-component paragraph--view-mode--default\"\u003e\n\u003cdiv class=\"row\"\u003e\n\u003cdiv class=\"columns small-12 medium-12 large-12 sidebar-full\"\u003e\n\u003cdiv class=\"prod-title\"\u003e\n\u003cdiv class=\"prod-format-tab\"\u003e\n\u003cdiv class=\"field field--name-field-heading field--type-heading field--label-hidden field__item\"\u003e\n\u003cdiv class=\"columns small-12 medium-12 large-12 sidebar-full\"\u003e\n\u003cdiv class=\"field field-name-field-course-summary field-type-text-with-summary field-label-hidden\"\u003e\n\u003cdiv class=\"field-items\"\u003e\n\u003cdiv class=\"field-item even\"\u003e\n\u003ch3\u003eMayo Clinic 34th Annual Internal Medicine Board Review 2025 (Only Qbank)\u003c\/h3\u003e\n\u003cp\u003eMayo 34th IMBR Quiz\u003c\/p\u003e\n\u003cp\u003eThis is ONly Qbank : 154 Questions with answers and explanation in PDF format ..\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"group-target-audience field-group-div\"\u003e\n\u003ch2\u003eTarget Audience\u003c\/h2\u003e\n\u003cdiv class=\"field field-name-field-target-audience field-type-text-long field-label-hidden\"\u003e\n\u003cdiv class=\"field-items\"\u003e\n\u003cdiv class=\"field-item even\"\u003e\n\u003cp\u003eThis course is designed for internal medicine physicians who are:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eIntending to obtain a thorough review in internal medicine\u003c\/li\u003e\n\u003cli\u003eCompleting their maintenance of certification knowledge modules\u003c\/li\u003e\n\u003cli\u003eTaking the initial ABIM certification examination\u003c\/li\u003e\n\u003cli\u003eTaking the ABIM maintenance of certification examination\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"group-learning-objectives field-group-div\"\u003e\n\u003ch2\u003eLearning Objectives\u003c\/h2\u003e\n\u003cdiv class=\"field field-name-field-learning-objectives field-type-text-long field-label-hidden\"\u003e\n\u003cdiv class=\"field-items\"\u003e\n\u003cdiv class=\"field-item even\"\u003e\n\u003cp\u003eUpon completion of this activity, participants should be able to:\u003c\/p\u003e\n\u003cp\u003eIdentify topics and content areas for personal growth to tailor self-study\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eRecall clinical presentation of conditions critical to the practice of internal medicine and its subspecialties\u003c\/li\u003e\n\u003cli\u003eSelect next best steps in the evaluation, diagnosis and management of common and life-threatening conditions\u003c\/li\u003e\n\u003cli\u003eApply evidence-based medicine principles to answer statistical and clinical questions\u003c\/li\u003e\n\u003cli\u003eImplement best current evidence-based practices into patient care\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cb\u003e\u003cstrong\u003e34th Annual Internal Medicine Board Review\u003c\/strong\u003e\u003c\/b\u003e\u003cbr\u003e\u003cb\u003e\u003cstrong\u003eHilton Rochester Mayo Clinic Area Hotel\u003c\/strong\u003e\u003c\/b\u003e\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cp\u003eSample Quetsion\u003c\/p\u003e\n\u003cp\u003eQuestion 95:\u003c\/p\u003e\n\u003cp\u003eA 42-year-old woman with long history of obesity (BMI 30 kg\/m²) presents to clinic for a follow-up on abnormal uterine bleeding. Prior to these episodes, she had heavy menstrual periods lasting 4 days with dysmenorrhea. Pelvic exam during her initial evaluation 6 months ago was normal. Her Pap smear and results of a transvaginal ultrasound were also negative. Her complete blood count, coagulation labs, and thyroid-stimulating hormone levels were normal. Since then, she has had three more episodes of bleeding between periods.\u003c\/p\u003e\n\u003cp\u003eShe denies any easy bruising or other bleeding problems. She does not have any other medical problems and does not take any medications.\u003cbr\u003eWhich of the following is the most appropriate next step in management of this patient?\u003cbr\u003ea.\u003cbr\u003ePerform an endometrial biopsy\u003cbr\u003eb.\u003cbr\u003ePlace a progesterone intrauterine device\u003cbr\u003ec.\u003cbr\u003eStart a course of naproxen\u003cbr\u003ed.\u003cbr\u003eRecommend uterine artery embolization\u003cbr\u003e\u003cstrong\u003eAnswer:\u003c\/strong\u003e\u003cbr\u003e\u003cstrong\u003ea.\u003c\/strong\u003e\u003cbr\u003e\u003cstrong\u003ePerform an endometrial biopsy\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003eExplanation: Abnormal uterine bleeding (AUB) is defined as uterine bleeding in the absence of pregnancy that is abnormal in regularity, volume, frequency, or duration. Causes of AUB are now classified as structural (polyp, adenomyosis, leiomyoma, malignancy and hyperplasia) or non-structural related abnormalities (coagulopathy, ovulatory dysfunction, endometrial, iatrogenic, and not otherwise classified).\u003c\/p\u003e\n\u003cp\u003eThe patient should be evaluated next with an endometrial biopsy given persistent AUB and obesity.\u003c\/p\u003e\n\u003cp\u003eEndometrial biopsy should be the first line test in patients 45 years or\u003cbr\u003eolder due to the increasing risk of endometrial cancer.\u003c\/p\u003e\n\u003cp\u003eIn those younger than 45 years, endometrial biopsy is also recommended if there is a history of exposure to unopposed estrogen (polycystic ovarian syndrome, obesity), those who fail medical management and have persistent AUB, or those with endometrial abnormalities on ultrasound. Uterine artery embolization is typically utilized for heavy bleeding associated with uterine fibroids. Given the normal pelvic exam and ultrasound, fibroids are likely not the cause of the patient’s presentation. Placement of a progesterone intrauterine device and NSAIDs will likely both be effective for decreasing bleeding in non-anatomic causes of AUB. However, endometrial biopsy should be performed to rule out AUB related structural abnormalities first.\u003c\/p\u003e\n\u003cp\u003eMatthews ML. Abnormal uterine bleeding in reproductive-aged women. Obstet Gynecol Clin North Am. 2015;42(1):103-115\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/main\u003e\n\u003cp\u003e \u003c\/p\u003e","brand":" Ambossle","offers":[{"title":"Default Title","offer_id":46625210204385,"sku":null,"price":40.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0750\/1925\/6033\/files\/internal-768x393.jpg?v=1751985067","url":"https:\/\/ambosslee.com\/products\/mayo-clinic-34th-annual-internal-medicine-board-review-2025-only-qbank","provider":" Ambosslee","version":"1.0","type":"link"}