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ABIM Internal Medicine Boards ITE – Comprehensive 2026/2027 Study Guide with Questions, Answers & Explanations

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ABIM Internal Medicine Boards ITE – Comprehensive 2026/2027 Study Guide with Questions, Answers & Explanations

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ABIM IM BOARDS ITE EXAM QUESTIONS
WITH VERIFIED 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 effects 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


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


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

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