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ITE Internal Medicine In-Training VIP Practice Exam

ITE — The Internal Medicine In-Training Examination (ITE) is an annual educational assessment administered by the American College of Physicians (ACP) in collaboration with the American Board of Internal Medicine (ABIM); it consists of approximately 240 multiple-choice questions covering all major internal medicine subspecialties, completed by internal medicine residents each fall to benchmark knowledge and guide learning.

29
Questions
90m
Time Limit
70.00%
To Pass
Question 1 of 29👑 VIP

A 68-year-old woman with a history of hypertension and type 2 diabetes presents with a 3-month history of dyspnea on exertion and bilateral ankle edema. Her BP is 158/94 mmHg, HR 78 bpm, and she has bibasilar crackles on auscultation. Echocardiography shows an ejection fraction of 58% with concentric LV hypertrophy, impaired relaxation (E/A ratio 0.7, E/e' ratio 16), and elevated left atrial volume index. BNP is 480 pg/mL. Which of the following interventions has the strongest evidence for reducing mortality in this patient's condition?

Questions 2–29 and full explanations are VIP-exclusive.