ABIM IM BOARDS ITE FINAL PAPER 2026
TEST BANK QUESTIONS AND SOLUTIONS
GRADED A+
●● ECG leads representing the inferior portion of the heart.
Answer: II, III, and aVF (right coronary artery)
●● ECG leads representing the lateral myocardial wall.
Answer: I, AVL, V5, & V6
●● When should you consider immediate diagnostic coronary
angiography?.
Answer: order immediate diagnostic coronary angiography for a STEMI
or new-onset Left BBB
●● Another name for angioplasty....
Answer: Primary
●● In an acute inferior wall myocardial infarction, occlusion of which
coronary artery is usually implicated?.
Answer: Right coronary artery
,●● Difference in sounds between COPD and pulmonary
edema/interstitial lung disease..
Answer: Wheezing or rhonchi= more suggestive of COPD
Crackles= more suggestive of pulmonary edema or interstitial lung
disease.
●● Most common cause of an S3 heart sound.
Answer: CHF
●● What are S3 heart sounds.
Answer: S3 results from increased atrial pressure leading to increased
flow rates, as seen in congestive heart failure, which is the most
common cause of an S3 heart sound.
●● causes of a mid-systolic non-radiating murmur.
Answer: High output states (anemia, fever, thyrotoxicosis, pregnancy).
Aortic stenosis (ejecting systolic murmur that radiates to carotids).
Aortic sclerosis (valve thickening w/o outflow obstruction).
Pulmonic stenosis
,Hypertrophic cardiomyopathy (consider in younger patients).
●● Where is aortic regurgitation auscultated?.
Answer: It's an early DIASTOLIC murmur heard in the 2nd LEFT-upper
sternal border.
●● Indications for ordering an echocardiogram.
Answer: 1. Patient is symptomatic w/murmur.
2. Pt has continuous murmur.
3. Pt has diastolic murmur
4. Pt has murmur w/intensity >3/6.
●● Radiographic signs seen occasionally in PE.
Answer: Hampton hump (shallow wedge-shaped opacity in the
periphery of the lung w/its base against the pleural surface).
Westermark sign=sign that represents a focus of oligemia (leading to
collapse of vessel) seen distal to a PE. It's due to a combo of dilation of
the pulmonary arteries proximal to the embolus & collapse of the distal
vasculature creating the appearance of a sharp cut off on CXR.
●● Why can TSH be helpful in diagnosing heart failure.
Answer: Severe hypothyroidism can cause CHF.
, Hyperthyroidism can cause high output HF.
●● Medications that have been shown to decrease mortality in systolic
heart failure.
Answer: -ACE inhibitors
-ARBs (angiotensin receptor blockers)
-Beta blockers
-Aldosterone blockers
-Hydralazine & nitrates
●● Goal of treating hypertensive urgency.
Answer: BP reduction of 25% in the first few hours to day in order to
avoid reducing the BP too quickly.
●● Roth spots.
Answer: Retinal hemorrhages w/pale centers...usually seen in bacterial
endocarditis
●● Definition of metabolic syndrome.
Answer: Any three of the following five:
1. Fasting plasma glucose > 100 mg/dL (or on medical therapy for
hyperglycemia)
TEST BANK QUESTIONS AND SOLUTIONS
GRADED A+
●● ECG leads representing the inferior portion of the heart.
Answer: II, III, and aVF (right coronary artery)
●● ECG leads representing the lateral myocardial wall.
Answer: I, AVL, V5, & V6
●● When should you consider immediate diagnostic coronary
angiography?.
Answer: order immediate diagnostic coronary angiography for a STEMI
or new-onset Left BBB
●● Another name for angioplasty....
Answer: Primary
●● In an acute inferior wall myocardial infarction, occlusion of which
coronary artery is usually implicated?.
Answer: Right coronary artery
,●● Difference in sounds between COPD and pulmonary
edema/interstitial lung disease..
Answer: Wheezing or rhonchi= more suggestive of COPD
Crackles= more suggestive of pulmonary edema or interstitial lung
disease.
●● Most common cause of an S3 heart sound.
Answer: CHF
●● What are S3 heart sounds.
Answer: S3 results from increased atrial pressure leading to increased
flow rates, as seen in congestive heart failure, which is the most
common cause of an S3 heart sound.
●● causes of a mid-systolic non-radiating murmur.
Answer: High output states (anemia, fever, thyrotoxicosis, pregnancy).
Aortic stenosis (ejecting systolic murmur that radiates to carotids).
Aortic sclerosis (valve thickening w/o outflow obstruction).
Pulmonic stenosis
,Hypertrophic cardiomyopathy (consider in younger patients).
●● Where is aortic regurgitation auscultated?.
Answer: It's an early DIASTOLIC murmur heard in the 2nd LEFT-upper
sternal border.
●● Indications for ordering an echocardiogram.
Answer: 1. Patient is symptomatic w/murmur.
2. Pt has continuous murmur.
3. Pt has diastolic murmur
4. Pt has murmur w/intensity >3/6.
●● Radiographic signs seen occasionally in PE.
Answer: Hampton hump (shallow wedge-shaped opacity in the
periphery of the lung w/its base against the pleural surface).
Westermark sign=sign that represents a focus of oligemia (leading to
collapse of vessel) seen distal to a PE. It's due to a combo of dilation of
the pulmonary arteries proximal to the embolus & collapse of the distal
vasculature creating the appearance of a sharp cut off on CXR.
●● Why can TSH be helpful in diagnosing heart failure.
Answer: Severe hypothyroidism can cause CHF.
, Hyperthyroidism can cause high output HF.
●● Medications that have been shown to decrease mortality in systolic
heart failure.
Answer: -ACE inhibitors
-ARBs (angiotensin receptor blockers)
-Beta blockers
-Aldosterone blockers
-Hydralazine & nitrates
●● Goal of treating hypertensive urgency.
Answer: BP reduction of 25% in the first few hours to day in order to
avoid reducing the BP too quickly.
●● Roth spots.
Answer: Retinal hemorrhages w/pale centers...usually seen in bacterial
endocarditis
●● Definition of metabolic syndrome.
Answer: Any three of the following five:
1. Fasting plasma glucose > 100 mg/dL (or on medical therapy for
hyperglycemia)
