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AOBIM Internal Medicine Practice Questions - AOBIM Internal Medicine Certifying Examination Exam

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About this Exam

Prepare with the AOBIM Internal Medicine Practice Questions - AOBIM Internal Medicine Certifying Examination Exam practice quiz. This question bank includes 100 questions covering year-old, presents, shows, woman, and next. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

Sample Questions

Question 1
A 62-year-old man presents with retrosternal chest pain at rest for 30 minutes, diaphoresis, and dyspnea. ECG shows 3-mm ST elevation in V2-V4. Initial troponin elevated. He is 60 minutes from a PCI-capable center. What is the most appropriate management?
Administer aspirin 162-325 mg chewed, heparin, and transfer for primary PCI (door-to-balloon goal ≤90 minutes)
Give thrombolytics (tenecteplase) only if PCI is unavailable within 120 minutes
Wait for cardiology consultation before any intervention
Administer beta-blocker as first-line therapy
Question 2
A 58-year-old man with HFrEF (EF 30%), NYHA class III, is on lisinopril, metoprolol succinate, and furosemide. Which medication has the strongest evidence to add for mortality reduction?
Digoxin
Spironolactone (or eplerenone)
Amlodipine
Hydrochlorothiazide
Question 3
A 55-year-old man with COPD on tiotropium has had two moderate exacerbations in the past year and worsening dyspnea. Eosinophil count is 350 cells/μL. What is the appropriate next step in GOLD-aligned therapy?
Add LABA only
Add LABA + ICS (triple therapy: LAMA/LABA/ICS)
Add roflumilast monotherapy
Stop tiotropium and start short-acting bronchodilator only
Question 4
A 45-year-old woman presents with 6 months of intermittent epigastric pain, fatty food intolerance, and post-prandial nausea. RUQ ultrasound shows multiple gallstones with no wall thickening or pericholecystic fluid. LFTs are normal. What is the most appropriate management?
Elective laparoscopic cholecystectomy for symptomatic cholelithiasis
Ursodiol for stone dissolution
Watchful waiting (asymptomatic stones)
ERCP with sphincterotomy
Question 5
A 60-year-old woman with newly diagnosed type 2 diabetes has eGFR 35 mL/min/1.73m2 and a UACR of 350 mg/g. Her A1c is 8.4%. She is currently only on metformin 500 mg BID. According to ADA 2026 standards, what is the best next step?
Discontinue metformin (eGFR <45 contraindication)
Continue metformin (acceptable down to eGFR 30; do not initiate <45) and add an SGLT2 inhibitor for renal protection
Add a sulfonylurea
Add basal insulin only

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Additional Information

AOBIM Internal Medicine Practice Questions - AOBIM Internal Medicine Certifying Examination Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, presents, shows, woman, and next. 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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