ABIM IM BOARDS ITE EXAM QUESTIONS WITH CORRECT

EXAM ELABORATIONS Sep 7, 2025
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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
  • block

  • Cardiomyopathy (dilated, hypertrophic) and heart failure
  • Hypersensitive carotid sinus syndrome, SA node dysfunction, and
  • tachydysrhythmias

  • All of the above

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
  • decreasing toxic metabolite acrolein)

  • Nephrotoxicity from cisplatin
  • Pulmonary fibrosis from bleomycin

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
  • influenza; start within 48 hours of symptom onset

  • M2 channel blocker given for influenza A prophylaxis
  • Viral uncoating inhibitor given within 72 hours

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

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Category: EXAM ELABORATIONS
Added: Sep 7, 2025
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ABIM IM BOARDS ITE EXAM QUESTIONS WITH CORRECT ANSWERS. Women aged 65 and older AND younger women with fracture risk of 9.3% or higher - ----Answers---=-screen for osteoporosis with DEXA Ibuprofen ...

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