ABIM INTERNAL MEDICINE ITE TEST BANK
PRACTICE SCRIPT UPDATED 2026 TESTED
SOLUTIONS
⫸ Adults with stage 2 hypertension and an average BP of 20/10 mm Hg
above their BP target Answer: treat with two first-line drugs of different
classes.
⫸ The target BP for patients with hypertension and chronic kidney
disease Answer: 130/80
⫸ Parenteral anticoagulant administration must overlap with warfarin
for at least ___ and until the INR is greater than 2 for ___ Answer: 5d
and 24h
⫸ Gastrointestinal infections caused by Vibrio species are associated
with ingestion of ___ and can be severe in patients with ___ dysfunction.
Answer: contaminated seafood, particularly shellfish; liver
⫸ HSV-1 Encephalitis radiologic finding Answer: T2 temporal
hyperdensities
⫸ Fetal risks associated with SLE mother with anti-Ro/SSA or anti-
La/SSB Answer: Neonatal congenital heart block & neonatal lupus
erythematosus
,⫸ Mycobacterium marinum skin infections Answer: Papular then
ulcerative lesions on upper extremity
⫸ Side effects of metoclopramide-stop or reduce? Answer:
Hyperporlactinemia, galactorrhea, tardive dyskenesia; stop
⫸ Hormonal therapy for post menopausal women age ___ and if ___
since menopause Answer: <60; <10 years
⫸ RTA type II
Defect:
Location:
Serum K:
Urine pH: Answer: HCO3 Reabsorption
Proximal
Low
High or low
⫸ RTA Type I
Defect:
Location:
Serum K:
Urine pH: Answer: H+ excretion
Collecting Duct
, Low
High
⫸ RTA Type IV
Defect:
Location:
Serum K:
Urine pH: Answer: H+& K excretion
Distal Convoluted Tubule
High
Low
⫸ AED to avoid in PTSD Answer: 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. Answer: 1; 3; 5
⫸ PSGN vs. IgA nephropathy Answer: IgA - 5 days after infx, nl C3
PSGN - 10+ days after infx, low C3
⫸ Constrictive pericarditis treatment
1.
if fails after ___ (time)
PRACTICE SCRIPT UPDATED 2026 TESTED
SOLUTIONS
⫸ Adults with stage 2 hypertension and an average BP of 20/10 mm Hg
above their BP target Answer: treat with two first-line drugs of different
classes.
⫸ The target BP for patients with hypertension and chronic kidney
disease Answer: 130/80
⫸ Parenteral anticoagulant administration must overlap with warfarin
for at least ___ and until the INR is greater than 2 for ___ Answer: 5d
and 24h
⫸ Gastrointestinal infections caused by Vibrio species are associated
with ingestion of ___ and can be severe in patients with ___ dysfunction.
Answer: contaminated seafood, particularly shellfish; liver
⫸ HSV-1 Encephalitis radiologic finding Answer: T2 temporal
hyperdensities
⫸ Fetal risks associated with SLE mother with anti-Ro/SSA or anti-
La/SSB Answer: Neonatal congenital heart block & neonatal lupus
erythematosus
,⫸ Mycobacterium marinum skin infections Answer: Papular then
ulcerative lesions on upper extremity
⫸ Side effects of metoclopramide-stop or reduce? Answer:
Hyperporlactinemia, galactorrhea, tardive dyskenesia; stop
⫸ Hormonal therapy for post menopausal women age ___ and if ___
since menopause Answer: <60; <10 years
⫸ RTA type II
Defect:
Location:
Serum K:
Urine pH: Answer: HCO3 Reabsorption
Proximal
Low
High or low
⫸ RTA Type I
Defect:
Location:
Serum K:
Urine pH: Answer: H+ excretion
Collecting Duct
, Low
High
⫸ RTA Type IV
Defect:
Location:
Serum K:
Urine pH: Answer: H+& K excretion
Distal Convoluted Tubule
High
Low
⫸ AED to avoid in PTSD Answer: 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. Answer: 1; 3; 5
⫸ PSGN vs. IgA nephropathy Answer: IgA - 5 days after infx, nl C3
PSGN - 10+ days after infx, low C3
⫸ Constrictive pericarditis treatment
1.
if fails after ___ (time)
