VIP Exclusive
ITE Internal Medicine In-Training VIP Practice Exam III
ITE — The Internal Medicine In-Training Examination (ITE) is administered annually by the American College of Physicians (ACP) to internal medicine residents; it contains approximately 300 single-best-answer questions administered over two half-day sessions and is used for self-assessment and program evaluation rather than formal pass/fail credentialing.
30
Questions
480m
Time Limit
70.00%
To Pass
Question 1 of 30👑 VIP
A 58-year-old man with a history of non-ischemic dilated cardiomyopathy (EF 25%) presents for routine follow-up. He is on maximally tolerated doses of carvedilol, lisinopril, and eplerenone. His BNP is 980 pg/mL. His QRS duration on ECG is 158 ms with a left bundle branch block morphology. Which of the following is the most appropriate next step to reduce his risk of mortality and hospitalization?
Questions 2–30 and full explanations are VIP-exclusive.