ABIM IM BOARDS ITE EXAM LATEST VERSION ACTUAL EXAM 180 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+
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Course
ABIM IM BOARDS ITE
Institution
ABIM IM BOARDS ITE
ABIM IM BOARDS ITE EXAM LATEST VERSION 2023-
2024 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+
ABIM IM BOARDS ITE EXAM LATEST VERSION 2023-
2024 ACTUAL EXAM 180 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|ALREADY
GRADED A+
CSF PCR in Herpes simplex encephalitis - ANSWER-Early CSF PCR may be falsely negative in early stage of
disease, and should be repeated in 3-7 days.
HSV -1 encephalitis imaging - ANSWER-necrotizing infection of the temporal lobes, neuroimaging reveals
inflammation of one or both temporal lobes
adjunctive therapy to bacterial meningitis, suspected to be secondary to streptococcus - ANSWER-
Dexamethasone, improves outcome. Give 15 mins prior to initiation of antimicrobials
Severe C.diff definition - ANSWER-WBC >15,000
Cr >1.5
Treat with oral vancomycin
mycobacterial skin infection from nail salons, whirlpool footbaths - ANSWER-mycobacterium fortuitum
Best treated with Doxycycline (amoxicillin not effective)
chlamydia, gonorrhea cervicitis/urethritis treatment - ANSWER-Chlamydia- one dose azithromycin
(preferred to 7-day doxycycline)
Gonorrhea - Give Ceftriaxone and Azithromycin,as there is usually concomittant chlamydia infection
Lyme arthritis exclusion - ANSWER-Symptoms present for more than 1 month
Western Blot IgG negative
,Management asymptomatc babesiosis - ANSWER-No treatment. Repeat PCR in 3 months to check for
clearance of parasite
Pre-exposure HIV prophylaxis - ANSWER-Emtricitabine-Tenofovir
non-erosive arthritis caused by SLE - ANSWER-Jaccoud's arthorpathy
moderate osteoarthritis/gout flare with one symptomatic joint - ANSWER-targetted therapy with intra-
articular steroidsb as long as infections ruled out
Severe HSP in adults treatment - ANSWER-Prednisone
Neonatal risk of mother positive for anti-Ro/SSA or anti-La/SSB - ANSWER-Congenital heart block
Secondary osteoarthritis due to hemochromatosis presentatoin - ANSWER-characteristically involves the
MCP and the wrist joints
Pulmonary complications of polymyositis with positive anti Jo-1 - ANSWER-Interstitial lung disease is
strongly associated, patient may need CXR or high res CT Chest
Pts may also get aspiration pna, PAH
Goal uric acid level in gout - ANSWER-less than 6, increase allopurinol gradually till goal achieved, even
in CKD
treatment giant cel arthritis - ANSWER-Prednisone 60mg/dayor 1mg/kg/day
, For PMR, patient can be on a lower dose 15mg/day (10 - 20mg/d)
malignancy associated with sjogren syndrome - ANSWER-44X increased risk of Lymphoma. B-cell
lymphoma, MALT (obtain lymph node biopsy if new adenopathy)
ANCA associated vasculitides - ANSWER-1. Granulomatosis with polyangiitis (Wegener's)
2. Microscopic polyangiitis
3. Eosinophilic granulomatosis with polyangiitis (churg-strauss)
treatment interstitial lung disease associated with systemic sclerosis - ANSWER-cyclophosphamide
gold standard new pt with gout symptoms - ANSWER-joint aspiration, to establish diagnosis and rule out
infection
Eosinophilic granulomatosis with polyangiitis presentation - ANSWER-Eosinophilia
Migratory pulmonary infiltrates
mononeuritis multiplex
Purpuric skin rash
+in setting of antecedent atopy
DISH (diffuse idiopathic skeletal hyperostosis) or Forestier disease - ANSWER-Flowing osteophytes seen
on radiography
treatment kerratoconjunctivitis sicca not responding to artifical tears of punctal plug - ANSWER-
cyclosporine eye drop
Cryoglobulinemic vasculitis - ANSWER-Ear infarction (very common) as well as skin infarctions
Low C4 with normal C3 in presence of positive RF
about 90% are infected with hepatitis C
palpable purpura
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