FREE ABIM MCQ Questions and Answers

Question 1

A 32-year-old fit female patient comes in for a general checkup. She has no recognized medical conditions, either.
Every day, she runs 5 kilometers. Recently, she experienced dizziness while working out at the gym. She claims that she has never experienced something comparable before. She did say that it was a warm day with plenty of sunshine and that she had worked out a lot more than usual. She denies experiencing any palpitations, syncopal episodes, or chest discomfort.
One of her relatives, who is a medical student, quickly checked her vital signs. Her heart rate was constantly in the low 50s, which worried him. He recommended that she see a doctor for a checkup and additional investigation. Her EKG is shown. Which statement is accurate?

Accepted Answer

Sinus bradycardia occurs in healthy patients as an adaptive response, particularly in well-conditioned persons or while sleeping.

Answer

Infections almost never cause bradycardia.

Answer

The diagnosis warrants immediate holter monitor.

Answer

The prognosis is guarded.

Question 2

A 32-year-old female non-smoker appears with a few months' worth of exertion-related dyspnea.
She has experienced a spontaneous pneumothorax in the past. A typical CT picture is displayed. Which diagnosis is more likely?

Accepted Answer

Pulmonary lymphangioleiomyomatosis (LAM)

Answer

Emphysema due to alpha-1-antitrypsin deficiency

Answer

Sarcoidosis

Answer

Pulmonary Langerhans cell histiocytosis (PLCH)

Answer

Lymphocytic interstitial pneumonia (LIP)

Question 3

After today's mechanical fall from ground level, a 71-year-old man with a right hip fracture is admitted to the hospital.
Surgery is scheduled for the evening and will be followed by orthopedic surgery. His prior medical history includes osteoarthritis, diabetes mellitus, hypertension, dyslipidemia, coronary artery disease, and hypertension. He uses insulin 70/30, metformin, lisinopril, atorvastatin, aspirin, metoprolol, and insulin. He used to be self-sufficient at home and go shopping by himself.
His nuclear myocardial perfusion imaging, performed six months previously for chronic atypical chest discomfort, revealed no evidence of ischemia. He expresses discomfort in his right hip.
Temperature is 36.8 degrees Celsius, blood pressure is 156/81 millimeters of mercury, pulse rate is 69 beats per minute, and respiration rate is 18 beats per minute.
Without radiation, hearing a grade II/VI early-peaking systolic murmur above the left sternal boundary is easiest. His right hip joint is painful, and his right lower extremity is rotated outward.
He can wiggle his toes and has good feeling in his right lower extremities.
The electrocardiogram displays a typical sinus rhythm with a few ventricular contractions that are premature.
The below laboratory workup is displayed. The best course of action is which of the following?

Accepted Answer

Proceed with surgery without testing or delays

Answer

Repeat stress testing

Answer

Cancel surgery

Answer

Consult cardiology

Question 4

An occasional burning sensation in the lower extremities has been prevalent in the patient for the past 50 years.
The patient routinely exercises and follows a strict vegan diet. The previous medical history is not noteworthy. The physical examination went as expected. The results of pertinent tests are displayed below. Which of the following best represents the evaluation's next phase?

Accepted Answer

Serum methylmalonic acid and homocysteine levels

Answer

Electromyelography and nerve conduction studies

Answer

Therapeutic trial of vitamin B12

Answer

Bone marrow examination

Answer

Computed tomography of the lumbosacral spine

Question 5

An emergency department (ED) referral brings a 24-year-old patient in for a diagnosis of shortness of breath.
Reviewing the ED data revealed that the patient had minor respiratory distress, intermittent stridor, and frequent episodes of shortness of breath over the previous four months. At each presentation, oxygen saturation levels were normal. Intramuscular epinephrine and albuterol administered as empiric therapy did not affect the symptoms. The symptoms always went away on their own.
The patient's prior medical history is uneventful, and they are taking no drugs. The vital signs and physical exams are also typical right now. Which of the subsequent diagnoses is more likely?

Accepted Answer

Paradoxical vocal cord motion

Answer

Chronic rhinosinusitis

Answer

Reactive airways disease

Answer

Angioedema

Answer

Laryngospasm

Question 6

Which statement about DDAVP (desmopressin) is accurate?

Accepted Answer

It should not be given chronically to prevent bleeding in patients with moderate von Willebrand disease (vWD).

Answer

It is an analog of vasopressin and can cause hypernatremia.

Answer

It does not have efficacy in several mild platelet disorders, such as storage pool defect.

Answer

It can be used in all causes of vWD.

Question 7

Based on radiographic findings, including the collapse of the subchondral bone in the afflicted joints and the presence of core erosions (as opposed to the marginal erosions of rheumatoid and psoriatic arthritis).

Accepted Answer

Erosive OA is a subset of primary OA, diagnosis is

Answer

Colonoscopy surveillence if you have IBD

Answer

When to get Coronary artery calcium score

Answer

Infection associated with Contact primarily with dogs