Free ABIM Test Question and Answers

Question 1

When ascites is observed, an ultrasound should be followed by a diagnostic paracentesis. Albumin and total protein should be measured as part of the ascitic fluid study, and when infection is suspected, bacterial cultures and cell counts should be evaluated.

Accepted Answer

most cost-effective study to detect the presence of ascites

Answer

The most cost-effective study to detect the presence of ascites is a physical examination combined with a simple imaging technique called ultrasound. Ultrasound is a non-invasive and widely available imaging modality that can accurately detect the presence of ascites by visualizing fluid accumulation in the abdominal cavity.

Question 2

Near the medial plantar heel surface, there is pain and discomfort. Pain often strikes right after waking up and after a lengthy period of relaxation.

Accepted Answer

Plantar fasciitis

Answer

The symptoms you described are consistent with plantar fasciitis. Plantar fasciitis is a common condition characterized by pain and tenderness near the medial plantar heel surface. The pain is often most noticeable in the morning upon awakening or after prolonged periods of rest, and it can gradually improve with walking and activity.

Question 3

Anemia due to a lack of iron Typically, transferrin saturation is lower.

Accepted Answer

15%

Answer

In iron deficiency anemia, transferrin saturation is usually less than 15%. Transferrin saturation is a measure of the amount of iron bound to transferrin, a protein that transports iron in the blood. It is calculated by dividing the serum iron level by the total iron-binding capacity (TIBC) and multiplying by 100.

Question 4

Each year, upper endoscopy is recommended for individuals with familial adenomatous polyposis and MYH-associated polyposis to monitor the development of duodenal cancer.

Accepted Answer

1 to 5 years at an interval based on the stage of the duodenal polyposis.

Answer

In iron deficiency anemia, transferrin saturation is usually less than 15%. Transferrin saturation is a measure of the amount of iron bound to transferrin, a protein that transports iron in the blood. It is calculated by dividing the serum iron level by the total iron-binding capacity (TIBC) and multiplying by 100.

Question 5

Antimicrobial medications and bismuth should be avoided for ____ before testing in order to increase the diagnostic precision of the urea breath test and fecal antigen test.

Accepted Answer

28 days

Answer

To improve the diagnostic accuracy of the urea breath test and fecal antigen test for detecting Helicobacter pylori infection, antimicrobial agents and bismuth should be avoided for 28 days before testing. These substances can interfere with the accuracy of the tests and may lead to false-negative results. It is important to withhold any antibiotics, proton pump inhibitors (PPIs), bismuth-containing medications, and other medications that can suppress or eradicate H. pylori during this period to ensure accurate test results. The specific duration of avoidance may vary depending on the specific test being used and the recommendations of the healthcare provider. It's always best to consult with a healthcare professional for specific instructions regarding medication and dietary restrictions before undergoing H. pylori diagnostic testing.

ABIM - American Board of Internal Medicine Practice Test

ABIM - American Board of Internal Medicine Practice Test

Free ABIM Test Question and Answers