General internal medicine for General Physicians
How general internal medicine is tested
Written for DHA, SMLE, DOH, QCHP, OMSB, MOH, NHRA and Kuwait MOH — the same GP licensing mix, not a general internal medicine specialist paper.
This set is the medicine that does not live in one organ: sepsis bundles, Duke endocarditis, fever of unknown origin, toxidromes and fitness for surgery.
qSOFA/SOFA and the hour-one sepsis bundle still appear. Infective endocarditis is Duke criteria plus the first empiric cover and when to echo.
Poisoning stems want the named antidote (naloxone, NAC, bicarbonate, atropine). Preoperative assessment is cardiac risk and when to delay elective surgery — not anaesthetic circuits.
What sepsis action do they mark correct?
Cultures, source, fluids and timely antimicrobials. Lactate is a trend, not a reason to withhold the bundle. Steroids are not first-line for every fever.
How is endocarditis diagnosed in MCQs?
Modified Duke: bacteraemia plus echo or vascular/immunologic features. Know when a new regurgitant murmur plus fever is already enough to start workup.
Which toxicology pairs are high-yield?
Paracetamol–NAC, opioid–naloxone, TCA–bicarbonate, organophosphate–atropine/pralidoxime, benzo–supportive (flumazenil rarely). Match the toxidrome before the antidote.
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