1 | Page
ABIM IM BOARDS ITE Questions and
Correct Answers
Women aged 65 and older AND younger women with fracture risk
of 9.3% or higher Ans: — screen for osteoporosis with DEXA
Ibuprofen / naproxen for primary dysmenorrhea, if side effect or
not controlled, Ans: — OCP
Reduce risk of pressure ulcers in at risk-patients Ans: — use
advanced static mattresses of overlays
life expectancy of at least --- years is expected to benefit from
screening mammography Ans: — 10 years
Frequent episodes of binge eating >1/week followed by
innapropriate compensatory behaviors (vomiting, laxatives,enema
etc) due to fear of gaining weight Ans: — Bulimia nervosa
anorexia BMI Ans: — generally underweight, or less than 18.5
otitis media with effusion management Ans: — observe, usually
resolves in 12 weeks
otitis externa treatment Ans: — combined antibiotic and
glucocorticoid ototopical medication, ee.g neomycin +polymyxin b
+hydrocortisone
topical lidocaine is effective in treatment of herpetic neuralgia
Ans: — topical lidocaine
describe uveitis Ans: — unilateral eye pain, photophobia, ciliary
flush (Circumferential redness along the border of the sclera and
cornea), there may be miosis
© 2025 All rights reserved
, 2 | Page
Indications for bariatric surgery Ans: — BMI 40 or higher without
comorbidities, BMI 35 with comorbities
Orlistat Ans: — Weight loss medication, loose stool common side
effect. Lose about 3.5kg over 1 year
Lorcaserin Ans: — Weight loss medication, avoid in pts taking
SSRIs sue to elevation in serotonin
Phentermine-topiramate Ans: — Weight loss medication, avoid in
glaucoma
acromioclavicular join degeneration presentation Ans: — pain on
superior aspect of shoulder, tenderness on palpation of A-C joint,
pain with shoulder adduction and abduction >120 degrees
Supraspinatus tear test Ans: — Positive drop arm test
supraspinatus tendinitis Ans: — pain on shoulder abduction or
painful arc
Lung cancer screening Ans: — ANNUAL LOW-DOSE CT for age 55-
80 years with 30-pack year smoking history, including those who
quit within 15 years
AAA Screening Ans: — One time abdominal US for men 65-75 who
have smoked at least 100 cigarrettes
standard outcome measure for cohort study Ans: — relative risk
Treatment options for bipolar depression Ans: — Seroquel
monotherapy, combination olanzapine-fluoxetine
hormonal estrogen is contraindicated in women with
migraines+aura due to risk of Ans: — stroke
PAP smear screening Ans: — women 21-65 , every 3 years. In
women 30 - 65, every 5 years if combined with HPV testing
© 2025 All rights reserved
, 3 | Page
Indications for high intensity statin Ans: — Age 40 - 75 with
diabetes and an LDL of 70 - 189,and 10 years >7.5% ASCVD risk
severe vasomotor symptoms in postmenopausal women are best
treated with Ans: — systemic hormonal therapy;- oral estradiol-
progrestin combo
test to be performed in all patients with syncope Ans: — EKG
Panic disorder treatment Ans: — SSRI (sertraline), SNRI, TCAs,
MAOi
Trichomoniasis treatment Ans: — single dose of metronidazole 2g,
and treat partner
Treatment of vasomotor symptoms in postmenopausal women
without a uterus Ans: — Transdermal or oral Estradiol only (no
need for progestin as they have no uterus)
Statins, ACE-i/ARB are teratogenic Ans: — discontinue in pregnant
women
Indications for pharmacologic weight loss treatment Ans: — BMI
greater than 30, or BMI greater than 27 with obesity associated
complications
Indications for BRCA gene testin Ans: — 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 Ans: —
COGNITIVELY INTACT, community dwelling adults. Does not work
for cognitively impaired adults.
© 2025 All rights reserved
ABIM IM BOARDS ITE Questions and
Correct Answers
Women aged 65 and older AND younger women with fracture risk
of 9.3% or higher Ans: — screen for osteoporosis with DEXA
Ibuprofen / naproxen for primary dysmenorrhea, if side effect or
not controlled, Ans: — OCP
Reduce risk of pressure ulcers in at risk-patients Ans: — use
advanced static mattresses of overlays
life expectancy of at least --- years is expected to benefit from
screening mammography Ans: — 10 years
Frequent episodes of binge eating >1/week followed by
innapropriate compensatory behaviors (vomiting, laxatives,enema
etc) due to fear of gaining weight Ans: — Bulimia nervosa
anorexia BMI Ans: — generally underweight, or less than 18.5
otitis media with effusion management Ans: — observe, usually
resolves in 12 weeks
otitis externa treatment Ans: — combined antibiotic and
glucocorticoid ototopical medication, ee.g neomycin +polymyxin b
+hydrocortisone
topical lidocaine is effective in treatment of herpetic neuralgia
Ans: — topical lidocaine
describe uveitis Ans: — unilateral eye pain, photophobia, ciliary
flush (Circumferential redness along the border of the sclera and
cornea), there may be miosis
© 2025 All rights reserved
, 2 | Page
Indications for bariatric surgery Ans: — BMI 40 or higher without
comorbidities, BMI 35 with comorbities
Orlistat Ans: — Weight loss medication, loose stool common side
effect. Lose about 3.5kg over 1 year
Lorcaserin Ans: — Weight loss medication, avoid in pts taking
SSRIs sue to elevation in serotonin
Phentermine-topiramate Ans: — Weight loss medication, avoid in
glaucoma
acromioclavicular join degeneration presentation Ans: — pain on
superior aspect of shoulder, tenderness on palpation of A-C joint,
pain with shoulder adduction and abduction >120 degrees
Supraspinatus tear test Ans: — Positive drop arm test
supraspinatus tendinitis Ans: — pain on shoulder abduction or
painful arc
Lung cancer screening Ans: — ANNUAL LOW-DOSE CT for age 55-
80 years with 30-pack year smoking history, including those who
quit within 15 years
AAA Screening Ans: — One time abdominal US for men 65-75 who
have smoked at least 100 cigarrettes
standard outcome measure for cohort study Ans: — relative risk
Treatment options for bipolar depression Ans: — Seroquel
monotherapy, combination olanzapine-fluoxetine
hormonal estrogen is contraindicated in women with
migraines+aura due to risk of Ans: — stroke
PAP smear screening Ans: — women 21-65 , every 3 years. In
women 30 - 65, every 5 years if combined with HPV testing
© 2025 All rights reserved
, 3 | Page
Indications for high intensity statin Ans: — Age 40 - 75 with
diabetes and an LDL of 70 - 189,and 10 years >7.5% ASCVD risk
severe vasomotor symptoms in postmenopausal women are best
treated with Ans: — systemic hormonal therapy;- oral estradiol-
progrestin combo
test to be performed in all patients with syncope Ans: — EKG
Panic disorder treatment Ans: — SSRI (sertraline), SNRI, TCAs,
MAOi
Trichomoniasis treatment Ans: — single dose of metronidazole 2g,
and treat partner
Treatment of vasomotor symptoms in postmenopausal women
without a uterus Ans: — Transdermal or oral Estradiol only (no
need for progestin as they have no uterus)
Statins, ACE-i/ARB are teratogenic Ans: — discontinue in pregnant
women
Indications for pharmacologic weight loss treatment Ans: — BMI
greater than 30, or BMI greater than 27 with obesity associated
complications
Indications for BRCA gene testin Ans: — 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 Ans: —
COGNITIVELY INTACT, community dwelling adults. Does not work
for cognitively impaired adults.
© 2025 All rights reserved
