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Exam (elaborations)

ABIM Internal Medicine Boards & ITE – Revamped Exam with Correct Questions and Answers – 2025/2026 Edition

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ABIM Internal Medicine Boards & ITE – Revamped Exam with Correct Questions and Answers – 2025/2026 Edition This document contains a fully revamped set of exam-style questions and accurate answers for both the ABIM Internal Medicine Boards and the In-Training Examination (ITE) for the 2025/2026 cycle. It includes high-yield material across all major specialties such as cardiology, endocrinology, infectious diseases, hematology-oncology, nephrology, gastroenterology, and evidence-based internal medicine. Designed for residents and physicians, this resource mirrors the latest exam format and clinical focus of both ABIM certification and ITE assessments.

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ABIM IM BOARDS IT
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Institution
ABIM IM BOARDS IT
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ABIM IM BOARDS IT

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Uploaded on
June 4, 2025
Number of pages
16
Written in
2024/2025
Type
Exam (elaborations)
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Questions & answers

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ABIM IM BOARDS ITE
REVAMPED EXAM WITH
CORRECT QUESTIONS &
ANSWERS
Women aged 65 and older AND younger women with fracture risk of 9.3% or
higher - Correct Answers-screen for osteoporosis with DEXA

Ibuprofen / naproxen for primary dysmenorrhea, if side effect or not
controlled, - Correct Answers-OCP

Reduce risk of pressure ulcers in at risk-patients - Correct Answers-use
advanced static mattresses of overlays

life expectancy of at least --- years is expected to benefit from screening
mammography - Correct Answers-10 years

Frequent episodes of binge eating >1/week followed by innapropriate
compensatory behaviors (vomiting, laxatives,enema etc) due to fear of
gaining weight - Correct Answers-Bulimia nervosa

anorexia BMI - Correct Answers-generally underweight, or less than 18.5

otitis media with effusion management - Correct Answers-observe, usually
resolves in 12 weeks

otitis externa treatment - Correct Answers-combined antibiotic and
glucocorticoid ototopical medication, ee.g neomycin +polymyxin b
+hydrocortisone

topical lidocaine is effective in treatment of herpetic neuralgia - Correct
Answers-topical lidocaine

describe uveitis - Correct Answers-unilateral eye pain, photophobia, ciliary
flush (Circumferential redness along the border of the sclera and cornea),
there may be miosis

Indications for bariatric surgery - Correct Answers-BMI 40 or higher without
comorbidities, BMI 35 with comorbities

,Orlistat - Correct Answers-Weight loss medication, loose stool common side
effect. Lose about 3.5kg over 1 year

Lorcaserin - Correct Answers-Weight loss medication, avoid in pts taking
SSRIs sue to elevation in serotonin

Phentermine-topiramate - Correct Answers-Weight loss medication, avoid in
glaucoma

acromioclavicular join degeneration presentation - Correct Answers-pain on
superior aspect of shoulder, tenderness on palpation of A-C joint, pain with
shoulder adduction and abduction >120 degrees

Supraspinatus tear test - Correct Answers-Positive drop arm test

supraspinatus tendinitis - Correct Answers-pain on shoulder abduction or
painful arc

Lung cancer screening - Correct Answers-ANNUAL LOW-DOSE CT for age 55-
80 years with 30-pack year smoking history, including those who quit within
15 years

AAA Screening - Correct Answers-One time abdominal US for men 65-75 who
have smoked at least 100 cigarrettes

standard outcome measure for cohort study - Correct Answers-relative risk

Treatment options for bipolar depression - Correct Answers-Seroquel
monotherapy, combination olanzapine-fluoxetine

hormonal estrogen is contraindicated in women with migraines+aura due to
risk of - Correct Answers-stroke

PAP smear screening - Correct Answers-women 21-65 , every 3 years. In
women 30 - 65, every 5 years if combined with HPV testing

Indications for high intensity statin - Correct Answers-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 -
Correct Answers-

, severe vasomotor symptoms in postmenopausal women are best treated
with - Correct Answers-systemic hormonal therapy;- oral estradiol-progrestin
combo

test to be performed in all patients with syncope - Correct Answers-EKG

Panic disorder treatment - Correct Answers-SSRI (sertraline), SNRI, TCAs,
MAOi

Trichomoniasis treatment - Correct Answers-single dose of metronidazole 2g,
and treat partner

Treatment of vasomotor symptoms in postmenopausal women without a
uterus - Correct Answers-Transdermal or oral Estradiol only (no need for
progestin as they have no uterus)

Statins, ACE-i/ARB are teratogenic - Correct Answers-discontinue in pregnant
women

Indications for pharmacologic weight loss treatment - Correct Answers-BMI
greater than 30, or BMI greater than 27 with obesity associated
complications

Indications for BRCA gene testin - Correct Answers-1. Bilateral breast cancer
2. presence of both breast and ovarian cancer 3. breast cancer before the
age of 50 4. Ashkenazi Jews 5. multiple family members with breast cancer
6. 1 or more family males with breast cancer

If high risk found, FIRST offer genetic counselling BEFORE testing for BRCA

Individualized exercise program helps prevent falls in - Correct Answers-
COGNITIVELY INTACT, community dwelling adults. Does not work for
cognitively impaired adults.

influenza vaccine for patient's with egg allergy (Rash/hives) - Correct
Answers-Inactivated influenza vaccine

indications for influenza vaccine - Correct Answers-age 6 months and older

Indication for recombinant influenza vaccine - Correct Answers-Ppl with
severe allergy/anaphylaxis to eggs

Top pharmacologic treatment for smoking cessation - Correct Answers-
Varenicycline (better than Buproprion and nicotine patch). Varenicycline NOT
more effective than combination nicotine replacement (e.g short acting

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