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Question 1
A 62-year-old man presents with retrosternal chest pain at rest for 30 minutes, diaphoresis, and dyspnea. ECG shows 3-mm ST elevation in V2-V4. Initial troponin elevated. He is 60 minutes from a PCI-capable center. What is the most appropriate management?
Correct Answer:
Administer aspirin 162-325 mg chewed, heparin, and transfer for primary PCI (door-to-balloon goal ≤90 minutes)
Question 2
A 58-year-old man with HFrEF (EF 30%), NYHA class III, is on lisinopril, metoprolol succinate, and furosemide. Which medication has the strongest evidence to add for mortality reduction?
Correct Answer:
Spironolactone (or eplerenone)
Question 3
A 55-year-old man with COPD on tiotropium has had two moderate exacerbations in the past year and worsening dyspnea. Eosinophil count is 350 cells/μL. What is the appropriate next step in GOLD-aligned therapy?
Correct Answer:
Add LABA + ICS (triple therapy: LAMA/LABA/ICS)
Question 4
A 45-year-old woman presents with 6 months of intermittent epigastric pain, fatty food intolerance, and post-prandial nausea. RUQ ultrasound shows multiple gallstones with no wall thickening or pericholecystic fluid. LFTs are normal. What is the most appropriate management?
Correct Answer:
Elective laparoscopic cholecystectomy for symptomatic cholelithiasis
Question 5
A 60-year-old woman with newly diagnosed type 2 diabetes has eGFR 35 mL/min/1.73m2 and a UACR of 350 mg/g. Her A1c is 8.4%. She is currently only on metformin 500 mg BID. According to ADA 2026 standards, what is the best next step?
Correct Answer:
Continue metformin (acceptable down to eGFR 30; do not initiate <45) and add an SGLT2 inhibitor for renal protection
Question 1
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About this Exam

Prepare with the AOBIM Internal Medicine Practice Questions - AOBIM Internal Medicine Certifying Examination Exam practice quiz. This question bank includes 100 questions covering year-old, presents, shows, woman, and next. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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AOBIM Internal Medicine Practice Questions - AOBIM Internal Medicine Certifying Examination Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, presents, shows, woman, and next. 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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