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ABIM Exam Study Guide | Internal Medicine Board Review, Practice Questions & Certification Prep 2026/2027

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ABIM Exam Study Guide is a comprehensive internal medicine board preparation resource designed to help physicians and medical trainees prepare for the American Board of Internal Medicine (ABIM) Certification Exam. This review material includes high-yield clinical concepts, board-style practice questions, and essential internal medicine topics to support effective exam preparation. Ideal for internal medicine residents, physicians preparing for board certification, and medical professionals seeking structured review resources for ABIM examination readiness.

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ABIM
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Terms in this set (871)


Presentation is most commonly Rhino- mucormycosis
orbital-cerebral. With Acute Sinusitis all
sinuses with rapid expansion, periorbital
edema, proptosis, blindness; in a diabetic
host or immunocompromised host;
diagnosis and treatment

biopsy and tissue exam that show hyphae with irregular branching without
How do you diagnose mucormycosis? septations. (Unless its Aspergillus, which has regular branching - still needs
surgery, and amphotericin B)

scaly pruritic patch or plaque that is erythematous, circular, or oval with
Clinical features of tinea corporis? centrifugal spread. Subsequent central clearing with an actively advancing border
that appears annular (ring like)

Can you use nystatin against tinea No (ineffective against ringworm due to inactivity against dermatophytes)
corporis?

Topical tacrolimus is approved for atopic dermatitis/discoid lupus
treating inflammatory skin conditions such
as what?

Is there sufficient evidence to suggest No
that routine catheter exchange in patients
with long-term indwelling catheters will
reduce the risk of bacteriuria?

Immunocompromised patient presents Listeria monocytogenes
with acute, febrile gastroenteritis and
bacteremia with Gram-positive rods,
raising suspicion for what bacteria? Found
in soil/decaying vegetation/low-level
contaminated food

Exposure to bird feces is associated with Chalmydia psittaci
psittacosis due to what bacteria?

, Humans acquire these organisms Mycobacterium avium complex
primarily through aerosolized municipal
water, but transmission can occur through
contaminated soil, food, and birds.

Hypersensitivity pneumonitis with hot tub MAC
lung manifest as an acute flu-like illness
with dyspnea, cough, malaise, fever. Most
cases are self limited. Due to what
bacteria?

Would pseudomonas present as a lobar
interstitial infiltrate on CXR or lobar
infiltrate?

Current guidelines recommend what Carbapenems
antibiotic category for treating ESBL-
producing organisms?

gram-positive, atypical, and some gram-negative bacteria (Legionella) but not
What does Azithromycin cover?
MRSA

What risk is a pacemaker/ICD placement? low risk (no need to adjust warfarin)

What risk is cataract surgery? low risk (no need to adjust warfarin)

Should you ever adjust the target INR for No
a surgery for a patient on Warfarin?

Recommendation for AAA less than 4 cm U/S every 2-3 years

Recommendation for AAA between 4.0- Ultrasound every 6-12 months
4.9 cm

Recommendation for AAA between 5.0- Surgery for >5.5 cm
5.9

When is surgical repair indicated for > or equal to 5.5 cm in diameter or > or equal to 0.5 cm increase in 6 month period
AAA? in all symptomatic patients

Who gets screened for AAA Men ages 65-75 with a smoking history

Lady comes in after starting amlodipine ACEI
with feet swelling, and question asks,
which medication class if added with
amlodipine would've prevented this?

Patient needs his right sided knee Delay the surgery (Needs to be at least 6-12 months)
replacement but was recently started on
DAPT after DES 4 months prior, what
should you do with medicines?

Patient had a stent placed and is at low 30 months
bleeding risk, what is the perfect scenario
for DAPT

Which cardiac condition is seen in Coarctation of the aorta
approximately 3-10% of patients with
Turner syndrome?

What are the indications for primary Prior MI with EF < or equal to 30%, NYHA Class 2 or 3 symptoms, must be 40 days
prevention with AICD placement? post-MI and 3 months post-vascularization

Secondary prevention guidelines for Prior VF or unstable VT without a reversible cause; Prior sustained VT with
AICD underlying cardiomyopathy.

A patient comes in with hypertension, Diabetes (may influence you to pick an ACEI as well)
new; family history of thyroid cancer at a
young age, What test should be ordered
next? Thyroid ultrasound? CT chest?

Document information

Uploaded on
August 3, 2026
Number of pages
6
Written in
2026/2027
Type
Exam (elaborations)
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