ABIM TEST BANK 2026 SOLVED QUESTIONS
AND EXAM SCRIPT FULL SOLUTION
▶ A fib with mitral stenosis? Answer: Valve less than 1.5 warfarin for AC
▶ Achalasia cancer risk? Answer: SCC of esophagus
▶ ASA respiratory disease (trigger any NSAID)? Answer: Leukotriene
mediated not IGE tx with montelukast
▶ IBD with extensive involvement screening? Answer: 8 yrs post dx and
then every 1-3 yr
▶ CLL dx? Answer: flow cytometry with clonal pops of B cells greater than
5k tx if having symptoms
▶ Alcohol Screening? Answer: AUDIT-C or single question how often 4-5
drinks per day
▶ cocaine chest pain? Answer: Benzo, ASA, nitrate
NOT b blockers
▶ GBS spinal tap findings? Answer: WBC 0-5
Glucose 40-70
Protein 45-1000
▶ Progressive dyspnea, hypoxia, cough? Answer: Get CT scan for
possible IPF
Traction bronchiectasis, honey combing, cystic changes
▶ Suspect COP? Answer: Fever and 6 Mo cough
▶ Celiac disease skin? Answer: dermatitis herpetiformis
▶ Caustic ingestion management.? Answer: Stabilize then EGD
, Don't try to counteract or place NG tube or give steroids
Increase risk for strictures
▶ Tublerosclerosis? Answer: Tumors in brain, heart, lung, kidney, skin
Mental dysfunction seizures dental pitting
No fm hx
▶ radioactive iodine uptake? Answer: Graves normal thyroiditis high then
low
▶ malabsorption? Answer: Can be due to Small bowel overgrowth
▶ Predictors of bad RA? Answer: Lots of joints, positive antiCCP, positive
RF, high ear and CRP concern for erosive RA
▶ Prolactinoma less than 10mm? Answer: Medical tx due to low risk of
downstream effects (headaches, vision changes, osteoporosis
▶ asymptomatic WPW management? Answer: Exercise EKG to risk stratify
High risk, ablation
▶ hypercalcemia tx? Answer: Depends on cause
Hyper parathyroid- concealer
Cancer and greater than 14-calcitonin and bisphosphonate
Sarcoidosis-prednisone
▶ Immigrant rheumatic heart disease? Answer: Mitral stenosis
▶ Osteo with CKD cell <30? Answer: Can use bisphos, use denosumab
▶ Medication overuse headache? Answer: Stop medication and bridge with
low dose steroid
▶ spenomegaly, high hgb, high plts? Answer: Polycythemia should have
low EPO
▶ MAC "hot tub lung"? Answer: Can cause hypersensitivity pneumonitis
AND EXAM SCRIPT FULL SOLUTION
▶ A fib with mitral stenosis? Answer: Valve less than 1.5 warfarin for AC
▶ Achalasia cancer risk? Answer: SCC of esophagus
▶ ASA respiratory disease (trigger any NSAID)? Answer: Leukotriene
mediated not IGE tx with montelukast
▶ IBD with extensive involvement screening? Answer: 8 yrs post dx and
then every 1-3 yr
▶ CLL dx? Answer: flow cytometry with clonal pops of B cells greater than
5k tx if having symptoms
▶ Alcohol Screening? Answer: AUDIT-C or single question how often 4-5
drinks per day
▶ cocaine chest pain? Answer: Benzo, ASA, nitrate
NOT b blockers
▶ GBS spinal tap findings? Answer: WBC 0-5
Glucose 40-70
Protein 45-1000
▶ Progressive dyspnea, hypoxia, cough? Answer: Get CT scan for
possible IPF
Traction bronchiectasis, honey combing, cystic changes
▶ Suspect COP? Answer: Fever and 6 Mo cough
▶ Celiac disease skin? Answer: dermatitis herpetiformis
▶ Caustic ingestion management.? Answer: Stabilize then EGD
, Don't try to counteract or place NG tube or give steroids
Increase risk for strictures
▶ Tublerosclerosis? Answer: Tumors in brain, heart, lung, kidney, skin
Mental dysfunction seizures dental pitting
No fm hx
▶ radioactive iodine uptake? Answer: Graves normal thyroiditis high then
low
▶ malabsorption? Answer: Can be due to Small bowel overgrowth
▶ Predictors of bad RA? Answer: Lots of joints, positive antiCCP, positive
RF, high ear and CRP concern for erosive RA
▶ Prolactinoma less than 10mm? Answer: Medical tx due to low risk of
downstream effects (headaches, vision changes, osteoporosis
▶ asymptomatic WPW management? Answer: Exercise EKG to risk stratify
High risk, ablation
▶ hypercalcemia tx? Answer: Depends on cause
Hyper parathyroid- concealer
Cancer and greater than 14-calcitonin and bisphosphonate
Sarcoidosis-prednisone
▶ Immigrant rheumatic heart disease? Answer: Mitral stenosis
▶ Osteo with CKD cell <30? Answer: Can use bisphos, use denosumab
▶ Medication overuse headache? Answer: Stop medication and bridge with
low dose steroid
▶ spenomegaly, high hgb, high plts? Answer: Polycythemia should have
low EPO
▶ MAC "hot tub lung"? Answer: Can cause hypersensitivity pneumonitis
