INTERNAL MEDICINE BOARDS ABIM EXAM VERSION 180 QUESTIONS AND

INTERNAL MEDICINE BOARDS ABIM EXAM VERSION 180 QUESTIONS AND

INTERNAL MEDICINE BOARDS ABIM EXAM

VERSION 2026-2027 180 QUESTIONS AND

CORRECT DETAILED ANSWERS WITH

RATIONALES

Gastrointestinal infections caused by Vibrio species are associated with

ingestion of ___ and can be severe in patients with ___ dysfunction. -

ANSWER- contaminated seafood, particularly shellfish; liver

HSV-1 Encephalitis radiologic finding - ANSWER- T2 temporal

hyperdensities

Fetal risks associated with SLE mother with anti-Ro/SSA or antiLa/SSB - ANSWER- Neonatal congenital heart block & neonatal lupus

erythematosus

Mycobacterium marinum skin infections - ANSWER- Papular then

ulcerative lesions on upper extremity

Side effects of metoclopramide-stop or reduce? - ANSWERHyperporlactinemia, galactorrhea, tardive dyskenesia; stop

Hormonal therapy for post menopausal women age ___ and if ___ since

menopause - ANSWER- <60>

RTA type II

Defect:

Location:

Serum K:

Urine pH: - ANSWER- HCO3 Reabsorption

Proximal

Low

High or low

RTA Type I

Defect:

Location:

Serum K:

Urine pH: - ANSWER- H+ excretion

Collecting Duct

Low

High

RTA Type IV

Defect:

Location:

Serum K:

Urine pH: - ANSWER- H+& K excretion

Distal Convoluted Tubule

High

Low

AED to avoid in PTSD - ANSWER- Levetiracetam

Screening for history of colorectal cancer colonoscopy at ___ year and

___ years after curative surgical resection; if results of these

colonoscopies are normal, then ___ years. - ANSWER- 1; 3; 5

PSGN vs. IgA nephropathy - ANSWER- IgA - 5 days after infx, nl C3

PSGN - 10+ days after infx, low C3

Constrictive pericarditis treatment

1.

if fails after ___ (time)

then 2. - ANSWER- 1. Ibuprofen for 2-3 months

2. Pericardiectomy

First-line therapy for localized impetigo. - ANSWER- topical

antibacterial

Treatment of fatigue in multiple sclerosis. - ANSWER- Modafinil)