Internal Medicine Board ABIM
Questions and Answers Updated
2026
TheMBPMtargetMforMpatientsMwithMstableMischemicMheartMdiseaseMandMhypertensionM-
MAnswerM130/80
AdultsMwithMstageM2MhypertensionMandManMaverageMBPMofM20/10MmmMHgMaboveMthe
irMBPMtargetM-MAnswerMtreatMwithMtwoMfirst-lineMdrugsMofMdifferentMclasses.
TheMtargetMBPMforMpatientsMwithMhypertensionMandMchronicMkidneyMdiseaseM-
MAnswerM130/80
ParenteralManticoagulantMadministrationMmustMoverlapMwithMwarfarinMforMatMleastM___M
andMuntilMtheMINRMisMgreaterMthanM2MforM___M-MAnswerM5dMandM24h
GastrointestinalMinfectionsMcausedMbyMVibrioMspeciesMareMassociatedMwithMingestionMof
M___MandMcanMbeMsevereMinMpatientsMwithM___Mdysfunction.M-
MAnswerMcontaminatedMseafood,MparticularlyMshellfish;Mliver
HSV-1MEncephalitisMradiologicMfindingM-MAnswerMT2MtemporalMhyperdensities
FetalMrisksMassociatedMwithMSLEMmotherMwithManti-Ro/SSAMorManti-La/SSBM-
MAnswerMNeonatalMcongenitalMheartMblockM&MneonatalMlupusMerythematosus
MycobacteriumMmarinumMskinMinfectionsM-
MAnswerMPapularMthenMulcerativeMlesionsMonMupperMextremity
SideMeffectsMofMmetoclopramide-stopMorMreduce?M-
MAnswerMHyperporlactinemia,Mgalactorrhea,MtardiveMdyskenesia;Mstop
HormonalMtherapyMforMpostMmenopausalMwomenMageM___MandMifM___MsinceMmenopau
seM-MAnswerM<60;M<10Myears
RTAMtypeMII
,Defect:
Location:
SerumMK:
UrineMpH:M-MAnswerMHCO3MReabsorption
Proximal
Low
HighMorMlow
RTAMTypeMI
Defect:
Location:
SerumMK:
UrineMpH:M-MAnswerMH+Mexcretion
CollectingMDuct
Low
High
RTAMTypeMIV
Defect:
Location:
SerumMK:
UrineMpH:M-MAnswerMH+&MKMexcretion
DistalMConvolutedMTubule
High
Low
AEDMtoMavoidMinMPTSDM-MAnswerMLevetiracetam
ScreeningMforMhistoryMofMcolorectalMcancerMcolonoscopyMatM___MyearMandM___MyearsM
afterMcurativeMsurgicalMresection;MifMresultsMofMtheseMcolonoscopiesMareMnormal,Mthen
M___Myears.M-MAnswerM1;M3;M5
, PSGNMvs.MIgAMnephropathyM-MAnswerMIgAM-M5MdaysMafterMinfx,MnlMC3
PSGNM-M10+MdaysMafterMinfx,MlowMC3
ConstrictiveMpericarditisMtreatment
1.M
ifMfailsMafterM___M(time)
thenM2.M-MAnswerM1.MIbuprofenMforM2-3MmonthsM
2.MPericardiectomy
First-lineMtherapyMforMlocalizedMimpetigo.M-MAnswerMtopicalMantibacterial
TreatmentMofMfatigueMinMmultipleMsclerosis.M-MAnswerMModafinil
AsymptomaticMgallstonesMwhoMshouldMgetMsurgeryM-
MAnswerMHighMriskMforMcarcinoma:MporcelainMGB,MStonesM>3Mcm
chronicMinflammatoryMdemyelinatingMpolyradiculoneuropathyMtreatmentM-
MAnswerMGlucocorticoidsM$Mimmunomodulation
Presbycusis
WhatMkindMofMhearingMloss?
Symmetric/Asymmetric?
FrequencyMlost?M-MAnswerMSensorineural
Symmetric
HighMfrequency
TheMstandardMtreatmentMregimenMforMpatientsMwithMstageMI,MII,MorMIIIManalMsquamous
McellMcarcinoma.M-MAnswerMRadiationMwithM5FUMchemo.MIfMfails,Msurgery
O/PMABxMmonitoringMforMrenalMfxn,MCBC,MLFTsM-
MAnswerMNafcillin,MoxcacillinMandMcarbapenems
Questions and Answers Updated
2026
TheMBPMtargetMforMpatientsMwithMstableMischemicMheartMdiseaseMandMhypertensionM-
MAnswerM130/80
AdultsMwithMstageM2MhypertensionMandManMaverageMBPMofM20/10MmmMHgMaboveMthe
irMBPMtargetM-MAnswerMtreatMwithMtwoMfirst-lineMdrugsMofMdifferentMclasses.
TheMtargetMBPMforMpatientsMwithMhypertensionMandMchronicMkidneyMdiseaseM-
MAnswerM130/80
ParenteralManticoagulantMadministrationMmustMoverlapMwithMwarfarinMforMatMleastM___M
andMuntilMtheMINRMisMgreaterMthanM2MforM___M-MAnswerM5dMandM24h
GastrointestinalMinfectionsMcausedMbyMVibrioMspeciesMareMassociatedMwithMingestionMof
M___MandMcanMbeMsevereMinMpatientsMwithM___Mdysfunction.M-
MAnswerMcontaminatedMseafood,MparticularlyMshellfish;Mliver
HSV-1MEncephalitisMradiologicMfindingM-MAnswerMT2MtemporalMhyperdensities
FetalMrisksMassociatedMwithMSLEMmotherMwithManti-Ro/SSAMorManti-La/SSBM-
MAnswerMNeonatalMcongenitalMheartMblockM&MneonatalMlupusMerythematosus
MycobacteriumMmarinumMskinMinfectionsM-
MAnswerMPapularMthenMulcerativeMlesionsMonMupperMextremity
SideMeffectsMofMmetoclopramide-stopMorMreduce?M-
MAnswerMHyperporlactinemia,Mgalactorrhea,MtardiveMdyskenesia;Mstop
HormonalMtherapyMforMpostMmenopausalMwomenMageM___MandMifM___MsinceMmenopau
seM-MAnswerM<60;M<10Myears
RTAMtypeMII
,Defect:
Location:
SerumMK:
UrineMpH:M-MAnswerMHCO3MReabsorption
Proximal
Low
HighMorMlow
RTAMTypeMI
Defect:
Location:
SerumMK:
UrineMpH:M-MAnswerMH+Mexcretion
CollectingMDuct
Low
High
RTAMTypeMIV
Defect:
Location:
SerumMK:
UrineMpH:M-MAnswerMH+&MKMexcretion
DistalMConvolutedMTubule
High
Low
AEDMtoMavoidMinMPTSDM-MAnswerMLevetiracetam
ScreeningMforMhistoryMofMcolorectalMcancerMcolonoscopyMatM___MyearMandM___MyearsM
afterMcurativeMsurgicalMresection;MifMresultsMofMtheseMcolonoscopiesMareMnormal,Mthen
M___Myears.M-MAnswerM1;M3;M5
, PSGNMvs.MIgAMnephropathyM-MAnswerMIgAM-M5MdaysMafterMinfx,MnlMC3
PSGNM-M10+MdaysMafterMinfx,MlowMC3
ConstrictiveMpericarditisMtreatment
1.M
ifMfailsMafterM___M(time)
thenM2.M-MAnswerM1.MIbuprofenMforM2-3MmonthsM
2.MPericardiectomy
First-lineMtherapyMforMlocalizedMimpetigo.M-MAnswerMtopicalMantibacterial
TreatmentMofMfatigueMinMmultipleMsclerosis.M-MAnswerMModafinil
AsymptomaticMgallstonesMwhoMshouldMgetMsurgeryM-
MAnswerMHighMriskMforMcarcinoma:MporcelainMGB,MStonesM>3Mcm
chronicMinflammatoryMdemyelinatingMpolyradiculoneuropathyMtreatmentM-
MAnswerMGlucocorticoidsM$Mimmunomodulation
Presbycusis
WhatMkindMofMhearingMloss?
Symmetric/Asymmetric?
FrequencyMlost?M-MAnswerMSensorineural
Symmetric
HighMfrequency
TheMstandardMtreatmentMregimenMforMpatientsMwithMstageMI,MII,MorMIIIManalMsquamous
McellMcarcinoma.M-MAnswerMRadiationMwithM5FUMchemo.MIfMfails,Msurgery
O/PMABxMmonitoringMforMrenalMfxn,MCBC,MLFTsM-
MAnswerMNafcillin,MoxcacillinMandMcarbapenems
