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ABIM IM BOARDS ITE EXAM QUESTIONS
WITH CORRECT ANSWERS
Question 1: Which tests should be ordered 3 months after starting PrEP
treatment?
- HIV and Liver Function Tests (LFTs)
- HIV and Creatinine (Cr)
- Syphilis and Complete Blood Count (CBC)
- CD4 count and Viral Load
Correct Answer: B) HIV and Creatinine (Cr)
Question 2: What are the indications to stop TB treatment?
- Resolution of symptoms
- >2 weeks of adequate treatment
- 3 consecutive negative tests
- All of the above
Correct Answer: D) All of the above (Resolution of symptoms, >2 weeks of
adequate tx, 3 consecutive negative tests)
Question 3: Which test is recommended for influenza?
- Rapid influenza NAAT
- Viral blood culture
- Chest X-ray
- Sputum gram stain
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Correct Answer: A) Rapid influenza NAAT
Question 4: What are the indications for a permanent pacemaker?
- Acquired AV block (2nd degree or 3rd degree AV block) and bundle branch
- Cardiomyopathy (dilated, hypertrophic) and heart failure
- Hypersensitive carotid sinus syndrome, SA node dysfunction, and
- All of the above
block
tachydysrhythmias
Correct Answer: D) All of the above
Question 5: When should routine screening for HIV be performed?
- Annually for everyone over 18
- Once for individuals aged 15-65
- Only for pregnant women
- Once for individuals aged 50-75
Correct Answer: B) Once for individuals aged 15-65
Question 6: What should you test for before starting a patient on therapy for
dermatitis herpetiformis?
- TSH levels
B) HLA-B27
- G6PD deficiency (because the treatment is dapsone)
- Liver Function Tests
Correct Answer: C) G6PD deficiency (because the treatment is dapsone)
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Question 7: What is the osmotic stool gap formula? (Note: The answer was blank in the provided text, so the standard medical formula has been provided).
- 290 - 2 * (Stool Na + Stool K)
- Stool Na + Stool K
- 290 - (Stool Na - Stool K)
- 2 * Stool Osmolality
Correct Answer: A) 290 - 2 * (Stool Na + Stool K)
Question 8: Which of the following are etiologies of hypophosphatemia?
- Refeeding syndrome and Vitamin D deficiency
- Acute alcohol intoxication and insulin administration
- Hyperparathyroidism
- Both A and B
Correct Answer: D) Both A and B (Refeeding syndrome, Vitamin D deficiency,
acute alcohol intoxication, insulin administration)
Question 9: MESNA is used for the management of which adverse effect?
- Cardiotoxicity from doxorubicin
- Hemorrhagic cystitis in cyclophosphamide and ifosfamide use (by
- Nephrotoxicity from cisplatin
- Pulmonary fibrosis from bleomycin
decreasing toxic metabolite acrolein)
Correct Answer: B) Hemorrhagic cystitis in cyclophosphamide and ifosfamide
use (by decreasing toxic metabolite acrolein)
Question 10: What does a fractional excretion of P > 5% + proximal renal
tubular dysfunction in patients on ifosfamide indicate?
- Acute interstitial nephritis
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- Ifosfamide-induced Fanconi syndrome
- Minimal change disease
- Renal vein thrombosis
Correct Answer: B) Ifosfamide-induced Fanconi syndrome
Question 11: What is Baloxavir's mechanism of action, indication, and timing of
administration?
- Neuraminidase inhibitor given daily for 5 days for severe flu
- Endonuclease inhibitor given as single-dose therapy in uncomplicated
- M2 channel blocker given for influenza A prophylaxis
- Viral uncoating inhibitor given within 72 hours
influenza; start within 48 hours of symptom onset
Correct Answer: B) Endonuclease inhibitor given as single-dose therapy in
uncomplicated influenza; start within 48 hours of symptom onset
Question 12: All NSTEMI patients get treated with what combination regardless
of reperfusion status?
- Heparin and Warfarin
- Aspirin and Plavix (clopidogrel)
- Alteplase and Aspirin
- Apixaban and Aspirin
Correct Answer: B) Aspirin and Plavix (clopidogrel)
Question 13: Which antiplatelet is preferred in patients without an increased
bleeding risk: ticagrelor or clopidogrel?
- Clopidogrel
- Ticagrelor
- Neither, prasugrel is always preferred