INTERNAL MEDICINE BOARD ABIM EXAM 150+
PRACTICE QUESTIONS & VERIFIED ANSWERS
COMPREHENSIVE STUDY GUIDE (2026)
The BP target for patients with stable ischemic heart disease and
hypertension
- answer-130/80
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
) then 2.
- answer-1. Ibuprofen for 2-3 months
2. Pericardiectomy
First-line therapy for localized impetigo.
- answer-topical antibacterial
Treatment of fatigue in multiple sclerosis.
- answer-Modafinil
Asymptomatic gallstones who should get surgery
- answer-High risk for carcinoma: porcelain GB, Stones >3 cm
chronic inflammatory demyelinating polyradiculoneuropathy treatment
- answer-Glucocorticoids $ immunomodulation
Presbycusis
What kind of hearing loss?
Symmetric/Asymmetric?
Frequency lost?
- answer-
Sensorineural
Symmetric
High frequency
The standard treatment regimen for patients with stage I, II, or III anal
squamous cell carcinoma.
- answer-Radiation with 5FU chemo. If fails, surgery
O/P ABx monitoring for renal fxn, CBC, LFTs
- answer-Nafcillin, oxcacillin and carbapenems
O/P ABx monitoring for renal fxn, CBC, NOT LFT
- answer-β-lactam antibiotics excluding nafcillin, oxacillin and carbapenems
O/P ABx monitoring for renal fxn, CBC, and serum K
PRACTICE QUESTIONS & VERIFIED ANSWERS
COMPREHENSIVE STUDY GUIDE (2026)
The BP target for patients with stable ischemic heart disease and
hypertension
- answer-130/80
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
) then 2.
- answer-1. Ibuprofen for 2-3 months
2. Pericardiectomy
First-line therapy for localized impetigo.
- answer-topical antibacterial
Treatment of fatigue in multiple sclerosis.
- answer-Modafinil
Asymptomatic gallstones who should get surgery
- answer-High risk for carcinoma: porcelain GB, Stones >3 cm
chronic inflammatory demyelinating polyradiculoneuropathy treatment
- answer-Glucocorticoids $ immunomodulation
Presbycusis
What kind of hearing loss?
Symmetric/Asymmetric?
Frequency lost?
- answer-
Sensorineural
Symmetric
High frequency
The standard treatment regimen for patients with stage I, II, or III anal
squamous cell carcinoma.
- answer-Radiation with 5FU chemo. If fails, surgery
O/P ABx monitoring for renal fxn, CBC, LFTs
- answer-Nafcillin, oxcacillin and carbapenems
O/P ABx monitoring for renal fxn, CBC, NOT LFT
- answer-β-lactam antibiotics excluding nafcillin, oxacillin and carbapenems
O/P ABx monitoring for renal fxn, CBC, and serum K
