Question 1
A 58-year-old man with diabetes presents with 2 hours of crushing substernal chest pain. ECG shows 3 mm ST elevation in V2–V4. Door-to-balloon time at the PCI-capable hospital is expected to be within 60 minutes. What is the recommended reperfusion strategy?
Correct Answer:
Primary percutaneous coronary intervention
Question 2
Which four-drug combination is considered first-line guideline-directed medical therapy (GDMT) for heart failure with reduced ejection fraction (HFrEF)?
Correct Answer:
ARNI, beta-blocker, MRA, SGLT2 inhibitor
Question 3
A 72-year-old woman with hypertension, diabetes, and prior stroke has newly diagnosed nonvalvular atrial fibrillation. Her CHA2DS2-VASc is 5. What is the most appropriate stroke prevention?
Correct Answer:
Oral anticoagulation with a direct oral anticoagulant (DOAC)
Question 4
According to the 2017 ACC/AHA hypertension guideline, which of the following blood pressure thresholds defines stage 1 hypertension?
Correct Answer:
Systolic 130–139 or diastolic 80–89 mm Hg
Question 5
A 45-year-old woman presents with sudden pleuritic chest pain and dyspnea. She has no risk factors for PE, no unilateral leg swelling, HR 85, SaO2 98%, no hemoptysis, and no prior DVT/PE. She meets all 8 PERC criteria. What is the next step?
Correct Answer:
No further PE workup is needed
Question 1
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Prepare with the ABIM Internal Medicine Practice Questions - American Board of Internal Medicine Initial Certification (Internal Medicine) Exam practice quiz. This question bank includes 100 questions covering year-old, therapy, woman, first-line, and patient. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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ABIM Internal Medicine Practice Questions - American Board of Internal Medicine Initial Certification (Internal Medicine) Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, therapy, woman, first-line, and patient. 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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