American Board of Internal Medicine (ABIM) Certification Practice Exam

Which levels should be monitored every 3 to 6 months in patients taking interferon beta for multiple sclerosis?

1. Serum bilirubin

2. Serum creatinine

3. Serum aminotransferase

4. Serum potassium

The correct answer is: Serum aminotransferase

Monitoring serum aminotransferase levels every 3 to 6 months in patients taking interferon beta for multiple sclerosis is crucial due to the potential for hepatotoxicity associated with this medication. Interferon beta can cause liver enzyme elevations, which may indicate liver inflammation or damage. Regular monitoring allows for timely detection of significant increases in these enzymes, enabling prompt intervention to prevent further liver injury. Although monitoring other lab values, such as serum bilirubin, serum creatinine, and serum potassium, can be important in different clinical contexts, they are not the primary focus in the setting of interferon beta therapy. For instance, bilirubin monitoring is more relevant for conditions affecting the liver beyond just the effects of interferon, while serum creatinine is typically used to assess kidney function rather than liver health. Serum potassium is important in contexts where medications may cause electrolyte disturbances but is not specifically related to the monitoring requirements for interferon beta. Thus, the emphasis on serum aminotransferase levels aligns with the medication's risk profile and the need for ongoing assessment of liver function in patients receiving interferon beta therapy. Regular monitoring is a proactive approach to managing therapy and ensuring patient safety.