ABIM INTERNAL MEDICINE REVIEW QUESTIONS & ANSWERS 2… EXAM
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
ABIM Internal Medicine
Review Questions &
Answers 2026-2027 |
High-Yield Part 1
Verified Answers Exam Ready With Rationales
589 QUESTIONS
DOCUMENT OVERVIEW
This document contains 589 high-yield questions with correct answers provided, offering
concise explanations to enhance understanding. It covers essential concepts in internal
medicine, making it suitable for exam preparation, review, and certification study. By
utilizing this resource, learners can efficiently reinforce their knowledge and improve
retention of critical material.
CONTENTS
• Cardiac Stress Testing • Miscellaneous Conditions
• Myocardial Ischemia • Acute Coronary Syndromes
• Arrhythmias • Pulmonary Conditions
• Endocarditis • Cardiac Murmurs
Page 1
, • Heart Failure • Pregnancy and Cardiology
• Autoimmune Disorders • Infectious Diseases
• Dermatology • Thyroid Disorders
• Diabetes Management • Anemia and Hematology
• Oncology • Gastrointestinal Disorders
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 589
What is a positive stress test
CORRECT ANSWER
Flat or Down sloping
St-segment depression >1 mm
occurring 80 msec after j point
Q2 QUESTION 2 OF 589
When to stop a stress test
CORRECT ANSWER
St segment depression > 2 mm,
ventricular tachycardia,
drop in SBP > 15,
CP,
dyspnea,
lightheadedness
Q3 QUESTION 3 OF 589
Stress test of choice with a LBBB or ventricular pacing?
Page 2
, CORRECT ANSWER
Myocardial perfusion imaging with adenosine,
NOT exercising!
Q4 QUESTION 4 OF 589
When to not use adenosine for stress
CORRECT ANSWER
Bronchospasm,
severe valvular dysfunction,
severe carotid stenosis,
2nd degree heart block, t
heophylline dependent
Q5 QUESTION 5 OF 589
Elevated PCWP, RA pressure
decreased SBP/cardiac output
CORRECT ANSWER
cardiogenic shock
Q6 QUESTION 6 OF 589
Elevated PAP, RAP
nl PCWP, SBP
CORRECT ANSWER
pulmonary HTN
Q7 QUESTION 7 OF 589
What causes a paradoxic split S2
Page 3
, CORRECT ANSWER
LBBB,
RV pacing,
HOCM
Q8 QUESTION 8 OF 589
What are the parts of the venous waveform?
CORRECT ANSWER
A wave - atrial contraction
X descent - atria relax, RV fills rapidly
Bottom of x descent is TC valve closure
V wave - ventricle contacting against closed TC valve
Y descent - TC valve opens,
passive emptying into ventricle
Q9 QUESTION 9 OF 589
Most important prognostic factor with CAD
CORRECT ANSWER
Degree of LV dysfunction
Q10 QUESTION 10 OF 589
Reperfusion injury
CORRECT ANSWER
the re-estab of blood flow after a coronary artery is blocked,
which may further damage the heart tissue due to the formation of O2 free radicals
Q11 QUESTION 11 OF 589
When to use fibrinolytics in ACS
Page 4
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
ABIM Internal Medicine
Review Questions &
Answers 2026-2027 |
High-Yield Part 1
Verified Answers Exam Ready With Rationales
589 QUESTIONS
DOCUMENT OVERVIEW
This document contains 589 high-yield questions with correct answers provided, offering
concise explanations to enhance understanding. It covers essential concepts in internal
medicine, making it suitable for exam preparation, review, and certification study. By
utilizing this resource, learners can efficiently reinforce their knowledge and improve
retention of critical material.
CONTENTS
• Cardiac Stress Testing • Miscellaneous Conditions
• Myocardial Ischemia • Acute Coronary Syndromes
• Arrhythmias • Pulmonary Conditions
• Endocarditis • Cardiac Murmurs
Page 1
, • Heart Failure • Pregnancy and Cardiology
• Autoimmune Disorders • Infectious Diseases
• Dermatology • Thyroid Disorders
• Diabetes Management • Anemia and Hematology
• Oncology • Gastrointestinal Disorders
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 589
What is a positive stress test
CORRECT ANSWER
Flat or Down sloping
St-segment depression >1 mm
occurring 80 msec after j point
Q2 QUESTION 2 OF 589
When to stop a stress test
CORRECT ANSWER
St segment depression > 2 mm,
ventricular tachycardia,
drop in SBP > 15,
CP,
dyspnea,
lightheadedness
Q3 QUESTION 3 OF 589
Stress test of choice with a LBBB or ventricular pacing?
Page 2
, CORRECT ANSWER
Myocardial perfusion imaging with adenosine,
NOT exercising!
Q4 QUESTION 4 OF 589
When to not use adenosine for stress
CORRECT ANSWER
Bronchospasm,
severe valvular dysfunction,
severe carotid stenosis,
2nd degree heart block, t
heophylline dependent
Q5 QUESTION 5 OF 589
Elevated PCWP, RA pressure
decreased SBP/cardiac output
CORRECT ANSWER
cardiogenic shock
Q6 QUESTION 6 OF 589
Elevated PAP, RAP
nl PCWP, SBP
CORRECT ANSWER
pulmonary HTN
Q7 QUESTION 7 OF 589
What causes a paradoxic split S2
Page 3
, CORRECT ANSWER
LBBB,
RV pacing,
HOCM
Q8 QUESTION 8 OF 589
What are the parts of the venous waveform?
CORRECT ANSWER
A wave - atrial contraction
X descent - atria relax, RV fills rapidly
Bottom of x descent is TC valve closure
V wave - ventricle contacting against closed TC valve
Y descent - TC valve opens,
passive emptying into ventricle
Q9 QUESTION 9 OF 589
Most important prognostic factor with CAD
CORRECT ANSWER
Degree of LV dysfunction
Q10 QUESTION 10 OF 589
Reperfusion injury
CORRECT ANSWER
the re-estab of blood flow after a coronary artery is blocked,
which may further damage the heart tissue due to the formation of O2 free radicals
Q11 QUESTION 11 OF 589
When to use fibrinolytics in ACS
Page 4
