ABIM IM BOARDS ITE EXAM LATEST VERSION 2023-2024 ACTUAL EXAM 180 QUESTIONS AND CORRECT
DETAILED ANSWERS
Women aged 65 and older AND younger women with fracture risk of 9.3% or higher - (answer) screen
for osteoporosis with DEXA
Ibuprofen / naproxen for primary dysmenorrhea, if side effect or not controlled, - (answer) OCP
Reduce risk of pressure ulcers in at risk-patients - (answer) use advanced static mattresses of overlays
life expectancy of at least --- years is expected to benefit from screening mammography - (answer) 10
years
Frequent episodes of binge eating >1/week followed by innapropriate compensatory behaviors
(vomiting, laxatives,enema etc) due to fear of gaining weight - (answer) Bulimia nervosa
anorexia BMI - (answer) generally underweight, or less than 18.5
otitis media with effusion management - (answer) observe, usually resolves in 12 weeks
otitis externa treatment - (answer) combined antibiotic and glucocorticoid ototopical medication, ee.g
neomycin +polymyxin b +hydrocortisone
topical lidocaine is effective in treatment of herpetic neuralgia - (answer) topical lidocaine
describe uveitis - (answer) unilateral eye pain, photophobia, ciliary flush (Circumferential redness
along the border of the sclera and cornea), there may be miosis
Indications for bariatric surgery - (answer) BMI 40 or higher without comorbidities, BMI 35 with
comorbities
Orlistat - (answer) Weight loss medication, loose stool common side effect. Lose about 3.5kg over 1
year
,ABIM IM BOARDS ITE EXAM LATEST VERSION 2023-2024 ACTUAL EXAM 180 QUESTIONS AND CORRECT
DETAILED ANSWERS
Lorcaserin - (answer) Weight loss medication, avoid in pts taking SSRIs sue to elevation in serotonin
Phentermine-topiramate - (answer) Weight loss medication, avoid in glaucoma
acromioclavicular join degeneration presentation - (answer) pain on superior aspect of shoulder,
tenderness on palpation of A-C joint, pain with shoulder adduction and abduction >120 degrees
Supraspinatus tear test - (answer) Positive drop arm test
supraspinatus tendinitis - (answer) pain on shoulder abduction or painful arc
Lung cancer screening - (answer) ANNUAL LOW-DOSE CT for age 55-80 years with 30-pack year
smoking history, including those who quit within 15 years
AAA Screening - (answer) One time abdominal US for men 65-75 who have smoked at least 100
cigarrettes
standard outcome measure for cohort study - (answer) relative risk
Treatment options for bipolar depression - (answer) Seroquel monotherapy, combination olanzapine-
fluoxetine
hormonal estrogen is contraindicated in women with migraines+aura due to risk of - (answer) stroke
PAP smear screening - (answer) women 21-65 , every 3 years. In women 30 - 65, every 5 years if
combined with HPV testing
Indications for high intensity statin - (answer) Age 40 - 75 with diabetes and an LDL of 70 - 189,and 10
years >7.5% ASCVD risk
, ABIM IM BOARDS ITE EXAM LATEST VERSION 2023-2024 ACTUAL EXAM 180 QUESTIONS AND CORRECT
DETAILED ANSWERS
men with low or low-normal testosterone level should have a repeat confirmatory morning testosterone
prior to begining testosterone treatment - (answer)
severe vasomotor symptoms in postmenopausal women are best treated with - (answer) systemic
hormonal therapy;- oral estradiol-progrestin combo
test to be performed in all patients with syncope - (answer) EKG
Panic disorder treatment - (answer) SSRI (sertraline), SNRI, TCAs, MAOi
Trichomoniasis treatment - (answer) single dose of metronidazole 2g, and treat partner
Treatment of vasomotor symptoms in postmenopausal women without a uterus - (answer)
Transdermal or oral Estradiol only (no need for progestin as they have no uterus)
Statins, ACE-i/ARB are teratogenic - (answer) discontinue in pregnant women
Indications for pharmacologic weight loss treatment - (answer) BMI greater than 30, or BMI greater
than 27 with obesity associated complications
Indications for BRCA gene testin - (answer) 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 - (answer) COGNITIVELY INTACT, community
dwelling adults. Does not work for cognitively impaired adults.
DETAILED ANSWERS
Women aged 65 and older AND younger women with fracture risk of 9.3% or higher - (answer) screen
for osteoporosis with DEXA
Ibuprofen / naproxen for primary dysmenorrhea, if side effect or not controlled, - (answer) OCP
Reduce risk of pressure ulcers in at risk-patients - (answer) use advanced static mattresses of overlays
life expectancy of at least --- years is expected to benefit from screening mammography - (answer) 10
years
Frequent episodes of binge eating >1/week followed by innapropriate compensatory behaviors
(vomiting, laxatives,enema etc) due to fear of gaining weight - (answer) Bulimia nervosa
anorexia BMI - (answer) generally underweight, or less than 18.5
otitis media with effusion management - (answer) observe, usually resolves in 12 weeks
otitis externa treatment - (answer) combined antibiotic and glucocorticoid ototopical medication, ee.g
neomycin +polymyxin b +hydrocortisone
topical lidocaine is effective in treatment of herpetic neuralgia - (answer) topical lidocaine
describe uveitis - (answer) unilateral eye pain, photophobia, ciliary flush (Circumferential redness
along the border of the sclera and cornea), there may be miosis
Indications for bariatric surgery - (answer) BMI 40 or higher without comorbidities, BMI 35 with
comorbities
Orlistat - (answer) Weight loss medication, loose stool common side effect. Lose about 3.5kg over 1
year
,ABIM IM BOARDS ITE EXAM LATEST VERSION 2023-2024 ACTUAL EXAM 180 QUESTIONS AND CORRECT
DETAILED ANSWERS
Lorcaserin - (answer) Weight loss medication, avoid in pts taking SSRIs sue to elevation in serotonin
Phentermine-topiramate - (answer) Weight loss medication, avoid in glaucoma
acromioclavicular join degeneration presentation - (answer) pain on superior aspect of shoulder,
tenderness on palpation of A-C joint, pain with shoulder adduction and abduction >120 degrees
Supraspinatus tear test - (answer) Positive drop arm test
supraspinatus tendinitis - (answer) pain on shoulder abduction or painful arc
Lung cancer screening - (answer) ANNUAL LOW-DOSE CT for age 55-80 years with 30-pack year
smoking history, including those who quit within 15 years
AAA Screening - (answer) One time abdominal US for men 65-75 who have smoked at least 100
cigarrettes
standard outcome measure for cohort study - (answer) relative risk
Treatment options for bipolar depression - (answer) Seroquel monotherapy, combination olanzapine-
fluoxetine
hormonal estrogen is contraindicated in women with migraines+aura due to risk of - (answer) stroke
PAP smear screening - (answer) women 21-65 , every 3 years. In women 30 - 65, every 5 years if
combined with HPV testing
Indications for high intensity statin - (answer) Age 40 - 75 with diabetes and an LDL of 70 - 189,and 10
years >7.5% ASCVD risk
, ABIM IM BOARDS ITE EXAM LATEST VERSION 2023-2024 ACTUAL EXAM 180 QUESTIONS AND CORRECT
DETAILED ANSWERS
men with low or low-normal testosterone level should have a repeat confirmatory morning testosterone
prior to begining testosterone treatment - (answer)
severe vasomotor symptoms in postmenopausal women are best treated with - (answer) systemic
hormonal therapy;- oral estradiol-progrestin combo
test to be performed in all patients with syncope - (answer) EKG
Panic disorder treatment - (answer) SSRI (sertraline), SNRI, TCAs, MAOi
Trichomoniasis treatment - (answer) single dose of metronidazole 2g, and treat partner
Treatment of vasomotor symptoms in postmenopausal women without a uterus - (answer)
Transdermal or oral Estradiol only (no need for progestin as they have no uterus)
Statins, ACE-i/ARB are teratogenic - (answer) discontinue in pregnant women
Indications for pharmacologic weight loss treatment - (answer) BMI greater than 30, or BMI greater
than 27 with obesity associated complications
Indications for BRCA gene testin - (answer) 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 - (answer) COGNITIVELY INTACT, community
dwelling adults. Does not work for cognitively impaired adults.
