ABIM INTERNAL MEDICINE ITE TEST BANK
COMPREHENSIVE TEST PAPER 2026
COMPLETE ANSWERS ACCURATE
⫸ Ibuprofen / naproxen for primary dysmenorrhea, if side effect or not
controlled, Answer: OCP
⫸ Reduce risk of pressure ulcers in at risk-patients Answer: use
advanced static mattresses of overlays
⫸ life expectancy of at least --- years is expected to benefit from
screening mammography Answer: 10 years
⫸ Frequent episodes of binge eating >1/week followed by innapropriate
compensatory behaviors (vomiting, laxatives,enema etc) due to fear of
gaining weight Answer: Bulimia nervosa
⫸ anorexia BMI Answer: generally underweight, or less than 18.5
⫸ otitis media with effusion management Answer: observe, usually
resolves in 12 weeks
⫸ otitis externa treatment Answer: combined antibiotic and
glucocorticoid ototopical medication, ee.g neomycin +polymyxin b
+hydrocortisone
,⫸ topical lidocaine is effective in treatment of herpetic neuralgia
Answer: topical lidocaine
⫸ describe uveitis Answer: unilateral eye pain, photophobia, ciliary
flush (Circumferential redness along the border of the sclera and
cornea), there may be miosis
⫸ Indications for bariatric surgery Answer: BMI 40 or higher without
comorbidities, BMI 35 with comorbities
⫸ Orlistat Answer: Weight loss medication, loose stool common side
effect. Lose about 3.5kg over 1 year
⫸ Lorcaserin Answer: Weight loss medication, avoid in pts taking
SSRIs sue to elevation in serotonin
⫸ Phentermine-topiramate Answer: Weight loss medication, avoid in
glaucoma
⫸ acromioclavicular join degeneration presentation Answer: pain on
superior aspect of shoulder, tenderness on palpation of A-C joint, pain
with shoulder adduction and abduction >120 degrees
⫸ Supraspinatus tear test Answer: Positive drop arm test
,⫸ supraspinatus tendinitis Answer: pain on shoulder abduction or
painful arc
⫸ Lung cancer screening Answer: ANNUAL LOW-DOSE CT for age
55-80 years with 30-pack year smoking history, including those who
quit within 15 years
⫸ AAA Screening Answer: One time abdominal US for men 65-75 who
have smoked at least 100 cigarrettes
⫸ standard outcome measure for cohort study Answer: relative risk
⫸ Treatment options for bipolar depression Answer: Seroquel
monotherapy, combination olanzapine-fluoxetine
⫸ hormonal estrogen is contraindicated in women with migraines+aura
due to risk of Answer: stroke
⫸ PAP smear screening Answer: women 21-65 , every 3 years. In
women 30 - 65, every 5 years if combined with HPV testing
⫸ Indications for high intensity statin Answer: Age 40 - 75 with
diabetes and an LDL of 70 - 189,and 10 years >7.5% ASCVD risk
, ⫸ men with low or low-normal testosterone level should have a repeat
confirmatory morning testosterone prior to begining testosterone
treatment Answer:
⫸ severe vasomotor symptoms in postmenopausal women are best
treated with Answer: systemic hormonal therapy;- oral estradiol-
progrestin combo
⫸ test to be performed in all patients with syncope Answer: EKG
⫸ Panic disorder treatment Answer: SSRI (sertraline), SNRI, TCAs,
MAOi
⫸ Trichomoniasis treatment Answer: single dose of metronidazole 2g,
and treat partner
⫸ Treatment of vasomotor symptoms in postmenopausal women
without a uterus Answer: Transdermal or oral Estradiol only (no need
for progestin as they have no uterus)
⫸ Statins, ACE-i/ARB are teratogenic Answer: discontinue in pregnant
women
⫸ Indications for pharmacologic weight loss treatment Answer: BMI
greater than 30, or BMI greater than 27 with obesity associated
complications
COMPREHENSIVE TEST PAPER 2026
COMPLETE ANSWERS ACCURATE
⫸ Ibuprofen / naproxen for primary dysmenorrhea, if side effect or not
controlled, Answer: OCP
⫸ Reduce risk of pressure ulcers in at risk-patients Answer: use
advanced static mattresses of overlays
⫸ life expectancy of at least --- years is expected to benefit from
screening mammography Answer: 10 years
⫸ Frequent episodes of binge eating >1/week followed by innapropriate
compensatory behaviors (vomiting, laxatives,enema etc) due to fear of
gaining weight Answer: Bulimia nervosa
⫸ anorexia BMI Answer: generally underweight, or less than 18.5
⫸ otitis media with effusion management Answer: observe, usually
resolves in 12 weeks
⫸ otitis externa treatment Answer: combined antibiotic and
glucocorticoid ototopical medication, ee.g neomycin +polymyxin b
+hydrocortisone
,⫸ topical lidocaine is effective in treatment of herpetic neuralgia
Answer: topical lidocaine
⫸ describe uveitis Answer: unilateral eye pain, photophobia, ciliary
flush (Circumferential redness along the border of the sclera and
cornea), there may be miosis
⫸ Indications for bariatric surgery Answer: BMI 40 or higher without
comorbidities, BMI 35 with comorbities
⫸ Orlistat Answer: Weight loss medication, loose stool common side
effect. Lose about 3.5kg over 1 year
⫸ Lorcaserin Answer: Weight loss medication, avoid in pts taking
SSRIs sue to elevation in serotonin
⫸ Phentermine-topiramate Answer: Weight loss medication, avoid in
glaucoma
⫸ acromioclavicular join degeneration presentation Answer: pain on
superior aspect of shoulder, tenderness on palpation of A-C joint, pain
with shoulder adduction and abduction >120 degrees
⫸ Supraspinatus tear test Answer: Positive drop arm test
,⫸ supraspinatus tendinitis Answer: pain on shoulder abduction or
painful arc
⫸ Lung cancer screening Answer: ANNUAL LOW-DOSE CT for age
55-80 years with 30-pack year smoking history, including those who
quit within 15 years
⫸ AAA Screening Answer: One time abdominal US for men 65-75 who
have smoked at least 100 cigarrettes
⫸ standard outcome measure for cohort study Answer: relative risk
⫸ Treatment options for bipolar depression Answer: Seroquel
monotherapy, combination olanzapine-fluoxetine
⫸ hormonal estrogen is contraindicated in women with migraines+aura
due to risk of Answer: stroke
⫸ PAP smear screening Answer: women 21-65 , every 3 years. In
women 30 - 65, every 5 years if combined with HPV testing
⫸ Indications for high intensity statin Answer: Age 40 - 75 with
diabetes and an LDL of 70 - 189,and 10 years >7.5% ASCVD risk
, ⫸ men with low or low-normal testosterone level should have a repeat
confirmatory morning testosterone prior to begining testosterone
treatment Answer:
⫸ severe vasomotor symptoms in postmenopausal women are best
treated with Answer: systemic hormonal therapy;- oral estradiol-
progrestin combo
⫸ test to be performed in all patients with syncope Answer: EKG
⫸ Panic disorder treatment Answer: SSRI (sertraline), SNRI, TCAs,
MAOi
⫸ Trichomoniasis treatment Answer: single dose of metronidazole 2g,
and treat partner
⫸ Treatment of vasomotor symptoms in postmenopausal women
without a uterus Answer: Transdermal or oral Estradiol only (no need
for progestin as they have no uterus)
⫸ Statins, ACE-i/ARB are teratogenic Answer: discontinue in pregnant
women
⫸ Indications for pharmacologic weight loss treatment Answer: BMI
greater than 30, or BMI greater than 27 with obesity associated
complications
