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ABIM Internal Medicine Practice Questions - American Board of Internal Medicine Initial Certification (Internal Medicine) Exam

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About this Exam

Prepare with the ABIM Internal Medicine Practice Questions - American Board of Internal Medicine Initial Certification (Internal Medicine) Exam practice quiz. This question bank includes 100 questions covering year-old, therapy, woman, first-line, and patient. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

Sample Questions

Question 1
A 58-year-old man with diabetes presents with 2 hours of crushing substernal chest pain. ECG shows 3 mm ST elevation in V2–V4. Door-to-balloon time at the PCI-capable hospital is expected to be within 60 minutes. What is the recommended reperfusion strategy?
Primary percutaneous coronary intervention
Fibrinolytic therapy with tenecteplase
Medical therapy alone with aspirin and heparin
Delayed angiography in 24 hours
Question 2
Which four-drug combination is considered first-line guideline-directed medical therapy (GDMT) for heart failure with reduced ejection fraction (HFrEF)?
ARNI, beta-blocker, MRA, SGLT2 inhibitor
ACEi, thiazide, digoxin, amiodarone
Nitrate, hydralazine, calcium channel blocker, furosemide
ARB, alpha-blocker, digoxin, loop diuretic
Question 3
A 72-year-old woman with hypertension, diabetes, and prior stroke has newly diagnosed nonvalvular atrial fibrillation. Her CHA2DS2-VASc is 5. What is the most appropriate stroke prevention?
Oral anticoagulation with a direct oral anticoagulant (DOAC)
Aspirin 81 mg daily
Aspirin plus clopidogrel
No therapy until symptoms develop
Question 4
According to the 2017 ACC/AHA hypertension guideline, which of the following blood pressure thresholds defines stage 1 hypertension?
Systolic 130–139 or diastolic 80–89 mm Hg
Systolic 140–159 or diastolic 90–99 mm Hg
Systolic ≥160 or diastolic ≥100 mm Hg
Systolic 120–129 and diastolic <80 mm Hg
Question 5
A 45-year-old woman presents with sudden pleuritic chest pain and dyspnea. She has no risk factors for PE, no unilateral leg swelling, HR 85, SaO2 98%, no hemoptysis, and no prior DVT/PE. She meets all 8 PERC criteria. What is the next step?
No further PE workup is needed
CT pulmonary angiography
D-dimer
Ventilation/perfusion scan

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Additional Information

ABIM Internal Medicine Practice Questions - American Board of Internal Medicine Initial Certification (Internal Medicine) Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, therapy, woman, first-line, and patient. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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Frequently Asked Questions

This quiz contains a total of 100 practice questions carefully selected to test your knowledge on this subject.
Yes, you will have exactly 0 minutes to complete the exam. A countdown timer will be visible once you start.
Yes, you can retake this practice test as many times as you need. The questions and options may be randomized on subsequent attempts to ensure comprehensive learning.

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