ABIM IM BOARDS Questions And Answers
Graded A
Women aged 65 and older AND younger women with fracture risk of 9.3% or higher Correct Answer:
screen for osteoporosis with DEXA
Ibuprofen / naproxen for primary dysmenorrhea, if side effect or not controlled, Correct Answer: OCP
Reduce risk of pressure ulcers in at risk-patients Correct Answer: use advanced static mattresses of
overlays
Life expectancy of at least --- years is expected to benefit from screening mammography Correct
Answer: 10 years
Frequent episodes of binge eating >1/week followed by in appropriate compensatory behaviors
(vomiting, laxatives,enema etc) due to fear of gaining weight Correct Answer: Bulimia nervosa
Anorexia BMI Correct Answer: generally underweight, or less than 18.5
Otitis media with effusion management Correct Answer: observe, usually resolves in 12 weeks
Otitis externa treatment Correct Answer: combined antibiotic and glucocorticoid ototopical
medication, ee.g neomycin +polymyxin b +hydrocortisone
Topical lidocaine is effective in treatment of herpetic neuralgia Correct Answer: topical lidocaine
Describe uveitis Correct 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 Correct Answer: BMI 40 or higher without comorbidities, BMI 35 with
comorbities
Orlistat Correct Answer: Weight loss medication, loose stool common side effect. Lose about 3.5kg
over 1 year
Lorcaserin Correct Answer: Weight loss medication, avoid in pts taking ssris sue to elevation in
serotonin
Phentermine-topiramate Correct Answer: Weight loss medication, avoid in glaucoma
Acromioclavicular join degeneration presentation Correct 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 Correct Answer: Positive drop arm test
Supraspinatus tendinitis Correct Answer: pain on shoulder abduction or painful arc
, Lung cancer screening Correct 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 Correct Answer: One time abdominal US for men 65-75 who have smoked at least
100 cigarrettes
Standard outcome measure for cohort study Correct Answer: relative risk
Treatment options for bipolar depression Correct Answer: Seroquel monotherapy, combination
olanzapine-fluoxetine
Hormonal estrogen is contraindicated in women with migraines+aura due to risk of Correct Answer:
stroke
PAP smear screening Correct Answer: women 21-65 , every 3 years. In women 30 - 65, every 5
years if combined with HPV testing
Indications for high intensity statin Correct 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 Correct Answer:
Severe vasomotor symptoms in postmenopausal women are best treated with Correct Answer:
systemic hormonal therapy;- oral estradiol-progrestin combo
Test to be performed in all patients with syncope Correct Answer: EKG
Panic disorder treatment Correct Answer: SSRI (sertraline), SNRI, tcas, maoi
Trichomoniasis treatment Correct Answer: single dose of metronidazole 2g, and treat partner
Treatment of vasomotor symptoms in postmenopausal women without a uterus Correct Answer:
Transdermal or oral Estradiol only (no need for progestin as they have no uterus)
Statins, ACE-i/ARB are teratogenic Correct Answer: discontinue in pregnant women
Indications for pharmacologic weight loss treatment Correct Answer: BMI greater than 30, or BMI
greater than 27 with obesity associated complications
Indications for BRCA gene testin Correct 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 Correct Answer: COGNITIVELY INTACT,
community dwelling adults. Does not work for cognitively impaired adults.
Graded A
Women aged 65 and older AND younger women with fracture risk of 9.3% or higher Correct Answer:
screen for osteoporosis with DEXA
Ibuprofen / naproxen for primary dysmenorrhea, if side effect or not controlled, Correct Answer: OCP
Reduce risk of pressure ulcers in at risk-patients Correct Answer: use advanced static mattresses of
overlays
Life expectancy of at least --- years is expected to benefit from screening mammography Correct
Answer: 10 years
Frequent episodes of binge eating >1/week followed by in appropriate compensatory behaviors
(vomiting, laxatives,enema etc) due to fear of gaining weight Correct Answer: Bulimia nervosa
Anorexia BMI Correct Answer: generally underweight, or less than 18.5
Otitis media with effusion management Correct Answer: observe, usually resolves in 12 weeks
Otitis externa treatment Correct Answer: combined antibiotic and glucocorticoid ototopical
medication, ee.g neomycin +polymyxin b +hydrocortisone
Topical lidocaine is effective in treatment of herpetic neuralgia Correct Answer: topical lidocaine
Describe uveitis Correct 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 Correct Answer: BMI 40 or higher without comorbidities, BMI 35 with
comorbities
Orlistat Correct Answer: Weight loss medication, loose stool common side effect. Lose about 3.5kg
over 1 year
Lorcaserin Correct Answer: Weight loss medication, avoid in pts taking ssris sue to elevation in
serotonin
Phentermine-topiramate Correct Answer: Weight loss medication, avoid in glaucoma
Acromioclavicular join degeneration presentation Correct 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 Correct Answer: Positive drop arm test
Supraspinatus tendinitis Correct Answer: pain on shoulder abduction or painful arc
, Lung cancer screening Correct 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 Correct Answer: One time abdominal US for men 65-75 who have smoked at least
100 cigarrettes
Standard outcome measure for cohort study Correct Answer: relative risk
Treatment options for bipolar depression Correct Answer: Seroquel monotherapy, combination
olanzapine-fluoxetine
Hormonal estrogen is contraindicated in women with migraines+aura due to risk of Correct Answer:
stroke
PAP smear screening Correct Answer: women 21-65 , every 3 years. In women 30 - 65, every 5
years if combined with HPV testing
Indications for high intensity statin Correct 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 Correct Answer:
Severe vasomotor symptoms in postmenopausal women are best treated with Correct Answer:
systemic hormonal therapy;- oral estradiol-progrestin combo
Test to be performed in all patients with syncope Correct Answer: EKG
Panic disorder treatment Correct Answer: SSRI (sertraline), SNRI, tcas, maoi
Trichomoniasis treatment Correct Answer: single dose of metronidazole 2g, and treat partner
Treatment of vasomotor symptoms in postmenopausal women without a uterus Correct Answer:
Transdermal or oral Estradiol only (no need for progestin as they have no uterus)
Statins, ACE-i/ARB are teratogenic Correct Answer: discontinue in pregnant women
Indications for pharmacologic weight loss treatment Correct Answer: BMI greater than 30, or BMI
greater than 27 with obesity associated complications
Indications for BRCA gene testin Correct 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 Correct Answer: COGNITIVELY INTACT,
community dwelling adults. Does not work for cognitively impaired adults.
