Internal Medicine Board
ABIM Upgraded Test
2025/2026 With Correct
Questions and Answers
The BP target for patients with stable ischemic heart disease and
hypertension - Correct Answers-130/80
Adults with stage 2 hypertension and an average BP of 20/10 mm Hg above
their BP target - Correct Answers-treat with two first-line drugs of different
classes.
The target BP for patients with hypertension and chronic kidney disease -
Correct Answers-130/80
Parenteral anticoagulant administration must overlap with warfarin for at
least ___ and until the INR is greater than 2 for ___ - Correct Answers-5d and
24h
Gastrointestinal infections caused by Vibrio species are associated with
ingestion of ___ and can be severe in patients with ___ dysfunction. - Correct
Answers-contaminated seafood, particularly shellfish; liver
HSV-1 Encephalitis radiologic finding - Correct Answers-T2 temporal
hyperdensities
Fetal risks associated with SLE mother with anti-Ro/SSA or anti-La/SSB -
Correct Answers-Neonatal congenital heart block & neonatal lupus
erythematosus
Mycobacterium marinum skin infections - Correct Answers-Papular then
ulcerative lesions on upper extremity
Side effects of metoclopramide-stop or reduce? - Correct Answers-
Hyperporlactinemia, galactorrhea, tardive dyskenesia; stop
Hormonal therapy for post menopausal women age ___ and if ___ since
menopause - Correct Answers-<60; <10 years
, RTA type II
Defect:
Location:
Serum K:
Urine pH: - Correct Answers-HCO3 Reabsorption
Proximal
Low
High or low
RTA Type I
Defect:
Location:
Serum K:
Urine pH: - Correct Answers-H+ excretion
Collecting Duct
Low
High
RTA Type IV
Defect:
Location:
Serum K:
Urine pH: - Correct Answers-H+& K excretion
Distal Convoluted Tubule
High
Low
AED to avoid in PTSD - Correct Answers-Levetiracetam
Screening for history of colorectal cancer colonoscopy at ___ year and ___
years after curative surgical resection; if results of these colonoscopies are
normal, then ___ years. - Correct Answers-1; 3; 5
PSGN vs. IgA nephropathy - Correct Answers-IgA - 5 days after infx, nl C3
PSGN - 10+ days after infx, low C3
Constrictive pericarditis treatment
1.
if fails after ___ (time)
then 2. - Correct Answers-1. Ibuprofen for 2-3 months
2. Pericardiectomy
First-line therapy for localized impetigo. - Correct Answers-topical
antibacterial
Treatment of fatigue in multiple sclerosis. - Correct Answers-Modafinil
ABIM Upgraded Test
2025/2026 With Correct
Questions and Answers
The BP target for patients with stable ischemic heart disease and
hypertension - Correct Answers-130/80
Adults with stage 2 hypertension and an average BP of 20/10 mm Hg above
their BP target - Correct Answers-treat with two first-line drugs of different
classes.
The target BP for patients with hypertension and chronic kidney disease -
Correct Answers-130/80
Parenteral anticoagulant administration must overlap with warfarin for at
least ___ and until the INR is greater than 2 for ___ - Correct Answers-5d and
24h
Gastrointestinal infections caused by Vibrio species are associated with
ingestion of ___ and can be severe in patients with ___ dysfunction. - Correct
Answers-contaminated seafood, particularly shellfish; liver
HSV-1 Encephalitis radiologic finding - Correct Answers-T2 temporal
hyperdensities
Fetal risks associated with SLE mother with anti-Ro/SSA or anti-La/SSB -
Correct Answers-Neonatal congenital heart block & neonatal lupus
erythematosus
Mycobacterium marinum skin infections - Correct Answers-Papular then
ulcerative lesions on upper extremity
Side effects of metoclopramide-stop or reduce? - Correct Answers-
Hyperporlactinemia, galactorrhea, tardive dyskenesia; stop
Hormonal therapy for post menopausal women age ___ and if ___ since
menopause - Correct Answers-<60; <10 years
, RTA type II
Defect:
Location:
Serum K:
Urine pH: - Correct Answers-HCO3 Reabsorption
Proximal
Low
High or low
RTA Type I
Defect:
Location:
Serum K:
Urine pH: - Correct Answers-H+ excretion
Collecting Duct
Low
High
RTA Type IV
Defect:
Location:
Serum K:
Urine pH: - Correct Answers-H+& K excretion
Distal Convoluted Tubule
High
Low
AED to avoid in PTSD - Correct Answers-Levetiracetam
Screening for history of colorectal cancer colonoscopy at ___ year and ___
years after curative surgical resection; if results of these colonoscopies are
normal, then ___ years. - Correct Answers-1; 3; 5
PSGN vs. IgA nephropathy - Correct Answers-IgA - 5 days after infx, nl C3
PSGN - 10+ days after infx, low C3
Constrictive pericarditis treatment
1.
if fails after ___ (time)
then 2. - Correct Answers-1. Ibuprofen for 2-3 months
2. Pericardiectomy
First-line therapy for localized impetigo. - Correct Answers-topical
antibacterial
Treatment of fatigue in multiple sclerosis. - Correct Answers-Modafinil
