Internal MedicineThe question bank

1,277 questions. One blueprint.

An internal-medicine QBank, written by internists against the ABIM blueprint, reviewed by our editors, and finished with a full teaching explanation on every question. Try one — no account needed.

0 published questions12 IM systems100% with explanations
IM-0618 · NEPHROLOGYTry one

A 58-year-old man with kidney failure has weakness and palpitations. ECG shows peaked T waves and QRS widening. Which intervention should be given first?

K+ 7.2 mEq/L · HR 48/min · BP 102/64 mm Hg

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Questions per system1,277 published · counted live from the database
General Internal Medicine219
Cardiology120
Infectious Disease120
Gastroenterology110
Endocrinology105
Hematology99
Neurology98
Nephrology91
Oncology89
Pulmonary81
Rheumatology80
Critical Care65
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IM-0618 · NEPHROLOGY

✓ A — 3% hypertonic saline. Hyperkalemia with ECG changes requires immediate IV calcium to stabilize the cardiac membrane before shifting potassium or removing it from the body.

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