Internal Medicine EOR Exam Review Part 1

In this video, I review the Blueprint Topics for your Internal Medicine end of rotation exam. There is a Part I and a Part II. This is Part I and discusses the following topics from the blueprint: MSK and rheumatology, Neurology, Renal/GU, Cardiology and Pulmonology.

I also provide tips on how I studied for the exam and what I used to study for the EOR. I apologize for the video being long, I tried to be as thorough as possible with the information being that this EOR is one of the hardest EOR's and is also one of the EOR's that covers the most information. I recorded this video over several months, so you will see me in different backgrounds throughout the video, so please let me know if there are any mistakes! Also if you have any cool mnemonics on how you remembered information for the exam feel free to comment below to help other students! I hope this video was helpful please comment below for questions or concerns! This will help me guide future videos and provide better content in them. I plan on making a shorter video for those of you that want the High Yield information to study for the Internal Medicine EOR.

Link for Internal Medicine Rotation Exam Review Part II:

Time Stamps
• 00:45 - How to study for your Internal Medicine Rotation Exam and what I used to study
• 06:40 - Musculoskeletal and Rheumatology
• 45:20 - Neurology
• 02:32:28 - Renal/ Genitourinary
• 04:34:19 - Cardiology
• 07:18:45 - Pulmonology

Sources Used:
- Rosh Review

What I used to study:
- Rosh Review Questions 🩺

🟢🟢Studying for your EOR exams, check out my other EOR exam review videos for other rotations:

For Memorization:
- Picmonic Link for Pharmacology memorization 💊
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❤️Thanks for watching my videos and if you have any topics you’d like me to discuss in my future videos comment below! Remember to keep studying hard, working hard and stay motivated!

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[ryanshaw]

I just found these for my last EOR and finally started doing well. You are a lifesaver!

[dimensionsingod]

I just passed my IM EOR Ms.Estefany!!! Thank you so much for setting up this channel it was a huge help to me. God bless you for doing this, in Jesus name Amen🙏🏾

[kaimanparkerPA-C]

I have my EOR next week and the only time I have to study is on my drive to my clinical site. Thank you for doing these!!

[liviloowho]

I just took my Imed EOR and it went really well, your video was so helpful! Thank you for taking the time to make this :)

[miathatcher]

Thank you so much for these videos! Passed my exam and cannot explain how helpful these

[christineanderson]

I am in love with you. 3 hour round trip M-F to my first rotation and you are saving my life. Thank you

[adrianabevilacquapas]

Thank you for making these, I just took my first eor yesterday and your video helped me so much ❤

[younaverse]

Thank you so much for this! It has been a life saver! Best of luck on all your endeavors!

[Irina-iwji]

Thank you so much for making these videos they are amazing!! Love your examples and explanations .

[ClearlyPixelated]

Thank you for this review! You're saving my EORs.

[MrPersnickety]

Hey Estefany I love the videos. Still very good 4 years later! Also like many am curious if you put your notes anywhere on the internets!

[dawcam]

At around the 10:25:00 mark....you said that metabolic acidosis causes hypokalemia....it's actually HYPERKalemia, as hydrogen ions are going into the cell in exchange for potassium into the serum. Thanks so much for this!!

[hailea]

15:29 Gout
b. Gout
i. Pt:
1. Causes: protein food rich man; trauma or chemotherapy; Thiazide diuretics
2. What is Contrainidicated in Gout? = “Asprin and Thiazide duretic “ bothe cause hyperuricemia
a. Thiazide cause GLUC [ GL=glucose; U=hyper Uricemia; C=hyper Calcemia]
i. Thiazide only cause hypercalcemia but “both cause Hyper URICEMIA”
ii. Dx:
1. Initial clinical presentation:
a. Self limiting attack[Typical episodes of acute gout are characterized by severe pain, erythema, warmth, and swelling of 1 or more joints, ]
b. ; first metatarsophalangeal joint is most commonly affected
c.
2. Gold: gold standard for diagnosis is demonstration of urate crystals (needle-shaped with strong negative birefringence) in synovial fluid or tophus by polarized light microscopy
3. Testing may include a serum uric acid level
4. X ray : rat bite punched
iii. Tx:
1. 1st line for both goute or pseudogout[posetive birefrigent rohobmboid; calcium pyrophosphate] =
a. low-dose colchicine (1-1.2 mg orally followed by 0.5-0.6 mg 1 hour later) within 12-36 hours of flare onset
b. NSAID for both gout or pseudogout
i. If chronic renal failure=> Try “ COLCHICINE [dose adjusted for renal failure but not contraindicated[ then Jump to Steroid [intrarticular methylprednisolone or Kenalog[trimcolone inj]
2. Ppx [chronic]=
a. allopurinol/probenecid / Fat boxer[ febuxostat’ – are kidney safe so use trhem in ckd.
i. allopurinol initial dose 100 mg/day orally, titrated up by 100 mg/day every few weeks until the target uric acid level is achieved, up to maximum 800 mg/day
ii. febuxostat 40-80 mg/day (in United States, FDA warns of increased risk of death with febuxostat use and approval is limited to patients not treated effectively or with severe adverse events with allopurinol)
b. Second-line options in patients with normal renal function include uricosuric agents such as probenecid, benzbromarone, and lesinurad
c. Pegloticase for severe refractory only [ Pig with Case ]
3. 2nd line
a. Corticosteroids [prednisone ≥ 0.5 mg/kg/day so have of my body weight 35mg/day. ]
b. Intrarticular steroid

[teddyabrha]

7:09:49
how to remember mc presentation of Rheumatic fever
J - Joint/Polyarthritis = 1st MC [Jane way= palms painless; osler Outch- painful]
O - cardiitis[ 2nd mc
N odes
E - erythema mygrans
S- sydney chorea [sydney korea

[hailea]

9:55 Fibromyalgia:
ii. Dx:
1. widespread pain index (WPI) ≥ 7 and symptom severity (SS) scale score ≥ 5 or WPI 3-6 and SS scale score ≥ 9
2. symptoms present at similar level for ≥ 3 months
3. absence of disorder that would otherwise explain pain
iii. Tx:
1. Initial: nonpharmacologic treatment strategies such as patient education, self-management, and exercise and physical therapy.
2.
3. Psych and Pharm:
a. Psychiatry referral
b. tricyclic antidepressants
i. amitriptyline 25-50 mg (taken at night)
ii. cyclobenzaprine 5-20 mg (taken at night)
c. serotonin and norepinephrine reuptake inhibitors (SNRIs)
i. duloxetine 60 mg/day
ii. milnacipran 50 mg twice daily
d. anti epileptic
i. pregabalin 150-450 mg/day in divided doses, beginning with lowest possible dose and titrating up with monitoring for adverse events

[christinachorazy]

Thank you so much for your videos! They have been extremely helpful!!

[christurnbull]

Great video! Have you created any type of PDF or document that you wouldn’t mind sharing? I really like how you present the information and have it compact.

[hailea]

20:19

Polymyositis [20:15 ]
xiii. Pt CD8
1. Compared to CD4 for “Dermatositits who has “goliotrope and knuckle rashes.
xiv. Dx:
1. Clinical “muscle weakness” symmetrical ; no face helps to r/o stroke
2. Muscle biopsy for Anti JO, Anti Mimi and elevated CK
3. CK elevation in 1000’s
4. Like cilly bri dermatomyosisit also “ ednomysial “
xv. Tx:
1. Steroid mod to high dose

[laurenackerman]

8:49:49 - Pancreatitis, 8:59:27 Anal Fissure, 9:34:20 Celiac disease, 9:37:28 Cholangitis 9:49:30 Cholecystitis 9:51:44 Cirrhosis

[mirandaayers]

Miss girl you should share/sell your notes, I would die for them!