Internal Medicine 101
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Pneumonia
Community-Acquired Pneumonia9 Topics|3 Quizzes-
Pre-Quiz: Community-Acquired Pneumonia
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Background
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Epidemiology, Risk Factors, and Etiology
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Pathophysiology and Clinical Manifestations
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Diagnostic Tests
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Treatment and Management
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Literature Review: Community-Acquired Pneumonia
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Post-Quiz: Community-Acquired Pneumonia
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Post-Lesson Feedback Survey for Internal Medicine 101: Community-Acquired Pneumonia
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Pre-Quiz: Community-Acquired Pneumonia
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Venous Thromboembolic DiseaseAcute Management of Pulmonary Embolism12 Topics|2 Quizzes
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Pre-Quiz: Acute Management of Pulmonary Embolism
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Introduction
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Epidemiology and Pathophysiology
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Clinical Presentation
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Diagnosis and Risk Stratification
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General Approaches
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Anticoagulation in Acute Pulmonary Embolism with Literature Review
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Thrombolytic Therapy in Acute Pulmonary Embolism with Literature Review
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Ancillary Therapies in the Management of Pulmonary Embolism
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Summary and References
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Post-Quiz: Acute Management of Pulmonary Embolism
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Post-Lesson Feedback Survey for Internal Medicine 101: PE
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Pre-Quiz: Acute Management of Pulmonary Embolism
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Acute Management of DVT10 Topics|2 Quizzes
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Diabetes and HyperglycemiaHyperglycemia in Hospitalized Patients11 Topics|2 Quizzes
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Pre-Quiz: Hyperglycemia in Hospitalized Patients
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Introduction
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Clinical Presentation
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Pathophysiology
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Diagnostic Approach
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Pharmacotherapy
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Management of Hypoglycemia in Hospitalized Patients
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Literature Review: Key Guidelines and Studies for Hyperglycemia in Hospitalized Patients
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Summary and References
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Post-Quiz: Hyperglycemia in Hospitalized Patients IM 101
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Post-Lesson Feedback Survey for Internal Medicine 101: Hyperglycemia
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Pre-Quiz: Hyperglycemia in Hospitalized Patients
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Hyperglycemic Crisis: Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic Syndrome13 Topics|3 Quizzes
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Pre-Quiz: Hyperglycemic Crisis: Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic Syndrome
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Introduction
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Clinical Presentation
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Pathophysiology
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Risk Factors and Precipitating Triggers
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Diagnostic Approach
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Fluid Resuscitation
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Insulin Therapy
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Hypoglycemia Management
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Literature Review: Hyperglycemic Crisis
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References
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Post-Quiz: Hyperglycemic Crisis: Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic Syndrome IM 101
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Post-Lesson Feedback Survey for Internal Medicine 101: DKA & HHS
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Pre-Quiz: Hyperglycemic Crisis: Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic Syndrome
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Pulmonary ExacerbationsChronic Obstructive Pulmonary Disease Exacerbation10 Topics|3 Quizzes
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Pre-Quiz: Chronic Obstructive Pulmonary Disease Exacerbation
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Introduction to COPD Exacerbation
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Pathophysiology of COPD Exacerbation
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Clinical Manifestations
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Diagnostic Criteria and Assessment
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Management
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Literature Review: Key Guidelines and Studies
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Summary and References
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Post-Quiz: Chronic Obstructive Pulmonary Disease Exacerbation
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Post-Lesson Feedback Survey for Internal Medicine 101: COPD
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Pre-Quiz: Chronic Obstructive Pulmonary Disease Exacerbation
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Asthma Exacerbation15 Topics|3 Quizzes
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Pre-Quiz: Asthma Exacerbation
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Introduction to Asthma Exacerbation
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Pathophysiology
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Risk Factors and Precipitating Triggers
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Clinical Manifestations
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Diagnostic Criteria and Assessment
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Non-Pharmacological Management
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Pharmacological Management
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Complications and Emergency Management
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Monitoring and Follow-up
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Discharge Planning and Patient Education
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Literature Review: Asthma Exacerbation
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Summary and References
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Post-Quiz: Asthma Exacerbation
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Post-Lesson Feedback Survey for Internal Medicine 101: Asthma Exacerbation
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Pre-Quiz: Asthma Exacerbation
Participants 396
Pre-Quiz: Hyperglycemic Crisis: Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic Syndrome IM 101
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Question 1 of 5
1. Question
A 28-year-old man with type 1 diabetes presents with polyuria, polydipsia, nausea, and vomiting for 2 days. Vital signs show blood pressure 118/76 mm Hg, heart rate 102 bpm, respiratory rate 24 breaths/min, and temperature 37.1°C (98.8°F). Physical exam is significant for dry oral mucosa and fruity breath odor. Laboratory results show venous blood pH 7.20, serum bicarbonate 12 mEq/L, anion gap 22, plasma glucose 480 mg/dL, and urine ketones 4+.
Which of the following is the most appropriate classification of this patient’s diabetic ketoacidosis (DKA) severity?
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Question 2 of 5
2. Question
A 65-year-old woman with a history of type 2 diabetes presents with altered mental status, extreme thirst, and fatigue. Vital signs show blood pressure 152/88 mm Hg, heart rate 118 bpm, respiratory rate 22 breaths/min, temperature 37.3°C (99.1°F), and oxygen saturation 95% on room air. Physical exam reveals dry mucous membranes and poor skin turgor. Laboratory results are significant for serum glucose 850 mg/dL, serum osmolality 320 mOsm/kg, venous blood pH 7.35, serum bicarbonate 22 mEq/L, and negative serum and urine ketones.
Which of the following is the most likely diagnosis?
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Question 3 of 5
3. Question
A 42-year-old man with type 1 diabetes is brought to the emergency department with confusion and vomiting. His wife reports he ran out of insulin 2 days ago. Vital signs show temperature 38.5°C (101.3°F), heart rate 112 bpm, blood pressure 98/58 mm Hg, and respiratory rate 28 breaths/min with deep, labored breathing. Laboratory results show venous blood pH 7.15, plasma glucose 650 mg/dL, serum bicarbonate 8 mEq/L, and positive serum and urine ketones.
Which of the following insulin regimens is most appropriate to initiate for this patient?
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Question 4 of 5
4. Question
A 22-year-old woman with type 1 diabetes is admitted with diabetic ketoacidosis. Her blood glucose is initially 420 mg/dL. After starting an intravenous insulin infusion 6 hours ago, her blood glucose is now 168 mg/dL. Which of the following is the best action to take regarding her insulin infusion rate?
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Question 5 of 5
5. Question
JH is a 48-year-old man who presents to the emergency department with the primary complaint of lethargy. For the past two weeks, he has been irregularly using a friend’s insulin pen without being able to specify the quantity or frequency of use. Shortly after his hospital admission, JH becomes unresponsive to verbal stimuli and only responds with moans after a deep sternal rub. Significant lab findings upon presentation include:
CHEMISTRY: Sodium 131mEq/L, Glucose 1588mg/dL, Chloride 106mEq/L, Potassium 4.2mEq/L, SCr 2.1mg/dL, BUN 33mg/dL, HCO3 21mEq/L, Plasma Osmolality (pOsm) 330mOsm/kg
CBC: WBC 6.1 x 103 cells/μl, Hgb 13.7g/dL, Hct 43.6%, Platelets 225,000/μl
URINALYSIS: RBC(-), WBC(-), LE(-), Ketones(-), Glucose (++)
ARTERIAL BLOOD GAS: pH 7.423
Based on JH’s clinical presentation and laboratory values, which of the following measurements most accurately reflects his current medical condition, and what is its calculated value?
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