ABIM INTERNAL MEDICINE BOARDS & ITE
EXAM ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED RATIONALE ANSWERS|
FREQUENTLY TESTING VERSION | ALREADY
GRADED A+|NEWEST|EXPERT VERIFIED FOR
GUARANTEED PASS
life expectancy of at least --- years is expected to benefit from screening mammography
10 years
Ibuprofen / naproxen for primary dysmenorrhea, if side effect or not controlled,
OCP
Reduce risk of pressure ulcers in at risk-patients
use advanced static mattresses of overlays
Women aged 65 and older AND younger women with fracture risk of 9.3% or higher
screen for osteoporosis with DEXA
Frequent episodes of binge eating >1/week followed by innapropriate compensatory
behaviors (vomiting, laxatives,enema etc) due to fear of gaining weight
Bulimia nervosa
anorexia BMI
generally underweight, or less than 18.5
otitis media with effusion management
observe, usually resolves in 12 weeks
otitis externa treatment
combined antibiotic and glucocorticoid ototopical medication, ee.g neomycin
+polymyxin b +hydrocortisone
1|Page
,topical lidocaine is effective in treatment of herpetic neuralgia
topical lidocaine
describe uveitis
unilateral eye pain, photophobia, ciliary flush (Circumferential redness along the border
of the sclera and cornea), there may be miosis
Indications for bariatric surgery
BMI 40 or higher without comorbidities, BMI 35 with comorbities
Orlistat
Weight loss medication, loose stool common side effect. Lose about 3.5kg over 1 year
Lorcaserin
Weight loss medication, avoid in pts taking SSRIs sue to elevation in serotonin
Phentermine-topiramate
Weight loss medication, avoid in glaucoma
acromioclavicular join degeneration presentation
pain on superior aspect of shoulder, tenderness on palpation of A-C joint, pain with
shoulder adduction and abduction >120 degrees
Supraspinatus tear test
Positive drop arm test
supraspinatus tendinitis
pain on shoulder abduction or painful arc
Lung cancer screening
ANNUAL LOW-DOSE CT for age 55-80 years with 30-pack year smoking history,
including those who quit within 15 years
AAA Screening
2|Page
, One time abdominal US for men 65-75 who have smoked at least 100 cigarrettes
standard outcome measure for cohort study
relative risk
Treatment options for bipolar depression
Seroquel monotherapy, combination olanzapine-fluoxetine
hormonal estrogen is contraindicated in women with migraines+aura due to risk of
stroke
PAP smear screening
women 21-65 , every 3 years. In women 30 - 65, every 5 years if combined with HPV
testing
Indications for high intensity statin
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
severe vasomotor symptoms in postmenopausal women are best treated with
systemic hormonal therapy;- oral estradiol-progrestin combo
test to be performed in all patients with syncope
EKG
Panic disorder treatment
SSRI (sertraline), SNRI, TCAs, MAOi
Trichomoniasis treatment
single dose of metronidazole 2g, and treat partner
Treatment of vasomotor symptoms in postmenopausal women without a uterus
Transdermal or oral Estradiol only (no need for progestin as they have no uterus)
3|Page
EXAM ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED RATIONALE ANSWERS|
FREQUENTLY TESTING VERSION | ALREADY
GRADED A+|NEWEST|EXPERT VERIFIED FOR
GUARANTEED PASS
life expectancy of at least --- years is expected to benefit from screening mammography
10 years
Ibuprofen / naproxen for primary dysmenorrhea, if side effect or not controlled,
OCP
Reduce risk of pressure ulcers in at risk-patients
use advanced static mattresses of overlays
Women aged 65 and older AND younger women with fracture risk of 9.3% or higher
screen for osteoporosis with DEXA
Frequent episodes of binge eating >1/week followed by innapropriate compensatory
behaviors (vomiting, laxatives,enema etc) due to fear of gaining weight
Bulimia nervosa
anorexia BMI
generally underweight, or less than 18.5
otitis media with effusion management
observe, usually resolves in 12 weeks
otitis externa treatment
combined antibiotic and glucocorticoid ototopical medication, ee.g neomycin
+polymyxin b +hydrocortisone
1|Page
,topical lidocaine is effective in treatment of herpetic neuralgia
topical lidocaine
describe uveitis
unilateral eye pain, photophobia, ciliary flush (Circumferential redness along the border
of the sclera and cornea), there may be miosis
Indications for bariatric surgery
BMI 40 or higher without comorbidities, BMI 35 with comorbities
Orlistat
Weight loss medication, loose stool common side effect. Lose about 3.5kg over 1 year
Lorcaserin
Weight loss medication, avoid in pts taking SSRIs sue to elevation in serotonin
Phentermine-topiramate
Weight loss medication, avoid in glaucoma
acromioclavicular join degeneration presentation
pain on superior aspect of shoulder, tenderness on palpation of A-C joint, pain with
shoulder adduction and abduction >120 degrees
Supraspinatus tear test
Positive drop arm test
supraspinatus tendinitis
pain on shoulder abduction or painful arc
Lung cancer screening
ANNUAL LOW-DOSE CT for age 55-80 years with 30-pack year smoking history,
including those who quit within 15 years
AAA Screening
2|Page
, One time abdominal US for men 65-75 who have smoked at least 100 cigarrettes
standard outcome measure for cohort study
relative risk
Treatment options for bipolar depression
Seroquel monotherapy, combination olanzapine-fluoxetine
hormonal estrogen is contraindicated in women with migraines+aura due to risk of
stroke
PAP smear screening
women 21-65 , every 3 years. In women 30 - 65, every 5 years if combined with HPV
testing
Indications for high intensity statin
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
severe vasomotor symptoms in postmenopausal women are best treated with
systemic hormonal therapy;- oral estradiol-progrestin combo
test to be performed in all patients with syncope
EKG
Panic disorder treatment
SSRI (sertraline), SNRI, TCAs, MAOi
Trichomoniasis treatment
single dose of metronidazole 2g, and treat partner
Treatment of vasomotor symptoms in postmenopausal women without a uterus
Transdermal or oral Estradiol only (no need for progestin as they have no uterus)
3|Page
