ABIM IM BOARDS ITE EXAM LATEST VERSION ACTUAL EXAM 180 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+

ABIM IM BOARDS ITE EXAM LATEST VERSION 2023-

2024 ACTUAL EXAM 180 QUESTIONS AND CORRECT

DETAILED ANSWERS WITH RATIONALES|ALREADY

GRADED A+

PAP smear screening - ANSWER- women 21-65 , every 3 years. In

women 30 - 65, every 5 years if combined with HPV testing

Indications for high intensity statin - ANSWER- Age 40 - 75 with

diabetes and an LDL of 70 - 189,and 10 years >7.5% ASCVD risk

men with low or low-normal testosterone level should have a repeat

confirmatory morning testosterone prior to begining testosterone

treatment - ANSWERsevere vasomotor symptoms in postmenopausal women are best treated

with - ANSWER- systemic hormonal therapy;- oral estradiol-progrestin

combo

test to be performed in all patients with syncope - ANSWER- EKG

Panic disorder treatment - ANSWER- SSRI (sertraline), SNRI, TCAs,

MAOi

Trichomoniasis treatment - ANSWER- single dose of metronidazole 2g,

and treat partner

Treatment of vasomotor symptoms in postmenopausal women without a

uterus - ANSWER- Transdermal or oral Estradiol only (no need for

progestin as they have no uterus)

Statins, ACE-i/ARB are teratogenic - ANSWER- discontinue in

pregnant women

Indications for pharmacologic weight loss treatment - ANSWER- BMI

greater than 30, or BMI greater than 27 with obesity associated

complications

Indications for BRCA gene testin - ANSWER- 1. Bilateral breast cancer

2. presence of both breast and ovarian cancer 3. breast cancer before the

age of 50 4. Ashkenazi Jews 5. multiple family members with breast

cancer 6. 1 or more family males with breast cancer

If high risk found, FIRST offer genetic counselling BEFORE testing for

BRCA

Individualized exercise program helps prevent falls in - ANSWERCOGNITIVELY INTACT, community dwelling adults. Does not work

for cognitively impaired adults.

influenza vaccine for patient's with egg allergy (Rash/hives) -

ANSWER- Inactivated influenza vaccine

indications for influenza vaccine - ANSWER- age 6 months and older

Indication for recombinant influenza vaccine - ANSWER- Ppl with

severe allergy/anaphylaxis to eggs

Top pharmacologic treatment for smoking cessation - ANSWERVarenicycline (better than Buproprion and nicotine patch).

Varenicycline NOT more effective than combination nicotine

replacement (e.g short acting nicotine+long acting nicotine replacement,

like nicotine spray+nicotine patch)

breast cancer screening modality for women with high breast density -

ANSWER- digital mamography (MRI Breast and US breast have low

validity)

Morphine should be avoided in renal failure. Alternative pain

medications is - ANSWER- Dilaudid, which is metabolized in the liver.

when a vaccine series is interrupted,it is best to resume than restart -

ANSWER- ...

HIV screening age - ANSWER- All adults, 15-65. Test detects HIV ab

and p24 antigen. ELISA is no longer used in screening