ABIM IM BOARDS ITE COMPLETE EXAM BANK 2025/2026 |
ACCURATE REAL EXAM QUESTIONS AND ANSWERS
WITH RATIONALES AND A STUDY GUIDE | EXPERT
VERIFIED FOR GUARANTEED PASS | LATEST UPDATE
1. Who should be screened for osteoporosis with DEXA?
A. All women ≥60
B. Women ≥65 and younger women with FRAX hip risk ≥3%
C. Women ≥65 and younger women with 10-yr major fracture risk ≥9.3%
D. All postmenopausal women
Correct answer: C
Rationale: USPSTF: screen all women ≥65 and younger women with elevated 10-yr
major osteoporotic fracture risk approximating that of a 65-year-old (often cited as
≥9.3%).
2. First-line therapy for primary dysmenorrhea?
A. Combined OCPs
B. NSAIDs (ibuprofen/naproxen)
C. Depot medroxyprogesterone
D. Levonorgestrel IUD
Correct answer: B
Rationale: NSAIDs are first-line; if inadequate or not tolerated, combined OCPs are
next.
3. Best intervention to reduce pressure ulcers in at-risk inpatients?
A. Frequent massage of bony prominences
B. Sheepskin overlays
C. Advanced static mattress/overlay
D. Air drying the skin
Correct answer: C
Dr Medina Reed
, Rationale: High-specification foam/advanced static surfaces reduce incidence vs
standard mattresses.
4. Minimum life expectancy for screening mammography to yield benefit?
A. 5 years
B. 7 years
C. 10 years
D. 12 years
Correct answer: C
Rationale: Screening benefits accrue over ~10 years; screen when life expectancy ≥10
years.
5. Diagnostic criteria most consistent with bulimia nervosa?
A. BMI <17 with amenorrhea
B. Binge eating ≥1/wk with compensatory behaviors and weight/shape concerns
C. Night eating syndrome
D. Binge eating without compensatory behaviors
Correct answer: B
Rationale: Recurrent binges + compensatory behaviors define bulimia; BMI may be
normal.
6. Which BMI is typical in anorexia nervosa?
A. ≥25
B. 18.5–24.9
C. <18.5
D. Any BMI
Correct answer: C
Rationale: Underweight (BMI <18.5) is common in anorexia (though atypical anorexia
exists).
7. Initial management of otitis media with effusion (no acute infection signs)?
A. Amoxicillin
B. Oral steroids
C. Observation; resolves within ~12 weeks
Dr Medina Reed
, D. Immediate tympanostomy
Correct answer: C
Rationale: Most effusions resolve spontaneously within 3 months.
8. First-line therapy for uncomplicated otitis externa?
A. Oral amoxicillin
B. Oral ciprofloxacin
C. Topical antibiotic + glucocorticoid drops
D. Dry ear only
Correct answer: C
Rationale: Topical combo (e.g., neomycin/polymyxin B/hydrocortisone) is standard.
9. Effective treatment for post-herpetic neuralgia (topical)?
A. Capsaicin 0.1%
B. Lidocaine 5% patches
C. Diclofenac gel
D. Mupirocin ointment
Correct answer: B
Rationale: Lidocaine patches reduce allodynia in PHN.
10. Typical anterior uveitis presentation?
A. Bilateral painless vision loss
B. Unilateral eye pain, photophobia, ciliary flush, miosis
C. Purulent discharge and crusting
D. Proptosis and ophthalmoplegia
Correct answer: B
Rationale: Inflammation of the uveal tract causes pain, photophobia, perilimbal (ciliary)
flush.
11. Indications for bariatric surgery?
A. BMI ≥35 without comorbidities
B. BMI ≥40 or BMI ≥35 with comorbidities
C. BMI ≥30 with any comorbidity
D. BMI ≥27 with diabetes
Dr Medina Reed
, Correct answer: B
Rationale: Standard criteria: BMI ≥40, or ≥35 with serious obesity-related conditions.
12. Orlistat counseling includes:
A. Significant BP reduction
B. Loose/oily stools; ~3–4 kg weight loss over a year
C. Risk of serotonin syndrome
D. Contraindicated in glaucoma
Correct answer: B
Rationale: GI side effects are common; modest weight loss.
13. Lorcaserin safety warning:
A. Causes renal stones
B. Avoid with SSRIs (serotonin elevation)
C. Contraindicated in glaucoma
D. Causes hypothyroidism
Correct answer: B
Rationale: Serotonergic agent—risk of serotonin syndrome with SSRIs. (Note:
Withdrawn from U.S. market for cancer risk; know for historical questions.)
14. Phentermine–topiramate is contraindicated in:
A. Hypertension
B. Glaucoma
C. COPD
D. Hypothyroidism
Correct answer: B
Rationale: Topiramate may increase IOP; avoid in glaucoma.
15. AC joint (acromioclavicular) degeneration presents with:
A. Pain over bicipital groove only
B. Superior shoulder pain, AC tenderness, pain with adduction and abduction >120°
C. Night pain only
D. Paresthesias to 4th/5th digits
Dr Medina Reed
ACCURATE REAL EXAM QUESTIONS AND ANSWERS
WITH RATIONALES AND A STUDY GUIDE | EXPERT
VERIFIED FOR GUARANTEED PASS | LATEST UPDATE
1. Who should be screened for osteoporosis with DEXA?
A. All women ≥60
B. Women ≥65 and younger women with FRAX hip risk ≥3%
C. Women ≥65 and younger women with 10-yr major fracture risk ≥9.3%
D. All postmenopausal women
Correct answer: C
Rationale: USPSTF: screen all women ≥65 and younger women with elevated 10-yr
major osteoporotic fracture risk approximating that of a 65-year-old (often cited as
≥9.3%).
2. First-line therapy for primary dysmenorrhea?
A. Combined OCPs
B. NSAIDs (ibuprofen/naproxen)
C. Depot medroxyprogesterone
D. Levonorgestrel IUD
Correct answer: B
Rationale: NSAIDs are first-line; if inadequate or not tolerated, combined OCPs are
next.
3. Best intervention to reduce pressure ulcers in at-risk inpatients?
A. Frequent massage of bony prominences
B. Sheepskin overlays
C. Advanced static mattress/overlay
D. Air drying the skin
Correct answer: C
Dr Medina Reed
, Rationale: High-specification foam/advanced static surfaces reduce incidence vs
standard mattresses.
4. Minimum life expectancy for screening mammography to yield benefit?
A. 5 years
B. 7 years
C. 10 years
D. 12 years
Correct answer: C
Rationale: Screening benefits accrue over ~10 years; screen when life expectancy ≥10
years.
5. Diagnostic criteria most consistent with bulimia nervosa?
A. BMI <17 with amenorrhea
B. Binge eating ≥1/wk with compensatory behaviors and weight/shape concerns
C. Night eating syndrome
D. Binge eating without compensatory behaviors
Correct answer: B
Rationale: Recurrent binges + compensatory behaviors define bulimia; BMI may be
normal.
6. Which BMI is typical in anorexia nervosa?
A. ≥25
B. 18.5–24.9
C. <18.5
D. Any BMI
Correct answer: C
Rationale: Underweight (BMI <18.5) is common in anorexia (though atypical anorexia
exists).
7. Initial management of otitis media with effusion (no acute infection signs)?
A. Amoxicillin
B. Oral steroids
C. Observation; resolves within ~12 weeks
Dr Medina Reed
, D. Immediate tympanostomy
Correct answer: C
Rationale: Most effusions resolve spontaneously within 3 months.
8. First-line therapy for uncomplicated otitis externa?
A. Oral amoxicillin
B. Oral ciprofloxacin
C. Topical antibiotic + glucocorticoid drops
D. Dry ear only
Correct answer: C
Rationale: Topical combo (e.g., neomycin/polymyxin B/hydrocortisone) is standard.
9. Effective treatment for post-herpetic neuralgia (topical)?
A. Capsaicin 0.1%
B. Lidocaine 5% patches
C. Diclofenac gel
D. Mupirocin ointment
Correct answer: B
Rationale: Lidocaine patches reduce allodynia in PHN.
10. Typical anterior uveitis presentation?
A. Bilateral painless vision loss
B. Unilateral eye pain, photophobia, ciliary flush, miosis
C. Purulent discharge and crusting
D. Proptosis and ophthalmoplegia
Correct answer: B
Rationale: Inflammation of the uveal tract causes pain, photophobia, perilimbal (ciliary)
flush.
11. Indications for bariatric surgery?
A. BMI ≥35 without comorbidities
B. BMI ≥40 or BMI ≥35 with comorbidities
C. BMI ≥30 with any comorbidity
D. BMI ≥27 with diabetes
Dr Medina Reed
, Correct answer: B
Rationale: Standard criteria: BMI ≥40, or ≥35 with serious obesity-related conditions.
12. Orlistat counseling includes:
A. Significant BP reduction
B. Loose/oily stools; ~3–4 kg weight loss over a year
C. Risk of serotonin syndrome
D. Contraindicated in glaucoma
Correct answer: B
Rationale: GI side effects are common; modest weight loss.
13. Lorcaserin safety warning:
A. Causes renal stones
B. Avoid with SSRIs (serotonin elevation)
C. Contraindicated in glaucoma
D. Causes hypothyroidism
Correct answer: B
Rationale: Serotonergic agent—risk of serotonin syndrome with SSRIs. (Note:
Withdrawn from U.S. market for cancer risk; know for historical questions.)
14. Phentermine–topiramate is contraindicated in:
A. Hypertension
B. Glaucoma
C. COPD
D. Hypothyroidism
Correct answer: B
Rationale: Topiramate may increase IOP; avoid in glaucoma.
15. AC joint (acromioclavicular) degeneration presents with:
A. Pain over bicipital groove only
B. Superior shoulder pain, AC tenderness, pain with adduction and abduction >120°
C. Night pain only
D. Paresthesias to 4th/5th digits
Dr Medina Reed
