Ace Your ITE (Internal Medicine In-Training Exam)

Free ITE practice test 2026 with 850+ questions. Pass on your first try! Study guide, flashcards & tips.

Ace Your ITE (Internal Medicine In-Training Exam)

ITE Exam Practice Test : Free Exam Questions & Study Guide

The ITE exam (In-Training Examination) is a critical assessment for medical residents across various specialties, including Internal Medicine, Family Medicine, Anesthesia, and Pediatrics. Designed to mirror board certification exams, the ITE helps residents gauge their knowledge and identify areas for improvement before taking their final boards.

Our free ITE practice exam resources provide realistic questions to help you prepare. Whether you are studying for the ACP ITE exam, the ABFM ITE exam, or the Anesthesia ITE exam, practicing with high-quality questions is essential for achieving a top percentile score.

⏱️9 HoursTime Limit
📝300Questions
VariesPass Score
💵$0Residency Covered
📊PercentileScoring
🖥️MCQFormat
🔄YearlyFrequency
🏢OnlineProctored
📍HospitalLocation
🩺Board PrepPurpose
💻CBTDelivery
🎓MD/DORequirement

Did you know? Scoring well on the ITE exam is a strong predictor of passing your future board certification exam. Residents who score above the 50th percentile are significantly more likely to pass their boards on the first attempt.

Ite Exam - Internal Medicine In-Training Exam study guide

Free ITE Exam Questions

Our comprehensive ITE exam questions cover major medical specialties. Select a topic below to start your free ITE practice exam and test your knowledge against realistic board-style scenarios.

ITE Exam Flashcards

Click to flip and test your knowledge on key medical concepts

🫀What is the first-line treatment for acute pericarditis?

NSAIDs and Colchicine are the standard first-line therapy for acute pericarditis.

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🩺Which murmur is associated with aortic stenosis?

A systolic crescendo-decrescendo murmur heard best at the right upper sternal border.

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🍬What is the diagnostic threshold for diabetes using A1C?

An HbA1c level of 6.5% or higher is diagnostic for diabetes mellitus.

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🫁What is the most common cause of community-acquired pneumonia?

Streptococcus pneumoniae is the most frequent pathogen causing CAP.

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🦠What is the treatment for latent TB infection?

Isoniazid for 9 months or Rifampin for 4 months are common regimens.

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🩸What does elevated TSH with low Free T4 indicate?

This pattern is diagnostic of primary hypothyroidism.

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ITE Exam Study Guide

Prepare effectively for your residency in-service exam with our detailed ITE exam study guide. Whether you are taking the IM ITE exam or the Family Medicine ITE exam, understanding the basics is crucial for success.

What is the ITE exam?
The ITE (In-Training Examination) is a standardized test administered annually to medical residents to assess their medical knowledge and preparedness for board certification exams in their specialty.
Who takes the ITE exam?
Residents in specialties like Internal Medicine, Family Medicine, Pediatrics, and Anesthesia take the ITE exam annually throughout their residency training program.
Why is the ITE exam important?
ITE scores correlate with board pass rates. Program directors use ITE exam results to identify residents who may need additional academic support before taking their boards.
Is the ITE exam mandatory?
Yes, most residency programs require residents to take the ITE exam every year to track progress and ensure milestones are being met.

ITE Test Format & Structure

Understanding the ITE test format is key to managing your time effectively. The exam covers a broad range of topics depending on your specialty. Below is the structure for the Internal Medicine ACP ITE exam.

🫀Cardiology14%

Focuses on heart diseases, arrhythmias, and hypertension management.

HeartFailure
  • Topics: ACS, Valvular Disease, Hypertension
  • Questions: ~42 Questions
🫁Pulmonology10%

Covers lung diseases, critical care, and sleep medicine.

AsthmaVentilation
  • Topics: Pneumonia, PE, ILD
  • Questions: ~30 Questions
🦠Infectious Disease9%

Tests knowledge of pathogens, antibiotics, and infection control.

SepsisAntibiotics
  • Topics: Endocarditis, TB, STI
  • Questions: ~27 Questions
🍬Endocrinology9%

Includes hormonal disorders, diabetes, and thyroid management.

DiabetesThyroidAdrenal
  • Topics: DKA, Osteoporosis, Pituitary
  • Questions: ~27 Questions
🤢Gastroenterology9%

Covers GI tract, liver, and pancreatic diseases.

LiverBleeding
  • Topics: Cirrhosis, GERD, Pancreatitis
  • Questions: ~27 Questions
🩸Hematology/Oncology9%

Focuses on blood disorders and cancer management.

AnemiaLeukemiaChemo
  • Topics: Coagulation, Lymphoma, Screening
  • Questions: ~27 Questions
💡 Study Tip: MKSAP & UWorld

For the Internal Medicine ITE exam, the Medical Knowledge Self-Assessment Program (MKSAP) is widely considered the best resource. Combining this with UWorld questions provides a robust preparation strategy.

ITE Score Calculator

Total Scored Questions

150

0105150

105 out of 150 correct

70%

Required to Pass: ~70% (Estimated)

Your Score: 105 correctPASS

ITE Salary and Career Earnings

💰

$255,000

Median Annual Salary

🏥Resident (PGY-1)
$65,000
$5,400/moYear 1
🩺Resident (PGY-3)
$75,000
$6,250/moYear 3
👨‍⚕️Hospitalist
$280,000
$23,300/moPost-Residency
🫀Cardiologist
$450,000
$37,500/mo+3 Year Fellow
😷Anesthesiologist
$400,000
$33,300/moPost-Residency

How to Prepare for the ITE Exam

Successful preparation for the ITE exam requires a year-long strategy. Unlike cramming, the ITE rewards consistent study habits and clinical application.

📅
MONTH 1-6Review BasicsFoundation
📚
MONTH 6-9Q-BanksPractice
📝
MONTH 10-11Mock ExamsSimulation
🎯
MONTH 12Exam DaySuccess
Step-by-Step Process
  1. 1Assess Baseline Knowledge - Take an ITE practice exam early to identify weak areas.
  2. 2Select Resources - Choose high-yield resources like MKSAP for the IM ITE exam or AAFP for Family Medicine.
  3. 3Daily Practice - Answer 10-20 ITE exam questions daily to build retention.
  4. 4Review Weaknesses - Focus on low-scoring topics from your previous year's ITE exam results.
  5. 5Simulate Testing - Complete full-length timed mock exams to build endurance.
  6. 6Review Guidelines - Ensure you are up to date with the latest clinical guidelines (e.g., hypertension, diabetes).
  7. 7Rest and Recharge - Ensure adequate sleep before the exam to maximize cognitive performance.

ITE Exam Cost and Value

While the ITE exam cost is typically covered by residency programs, understanding the investment helps appreciate the value of this assessment.

$0Resident Cost Covered by Program
🎓
$300+Program Cost Per Resident
🏫
$500Study Materials MKSAP/UWorld
📚

Your residency program invests significantly in the ITE exam to ensure your board success. Take advantage of this paid opportunity to assess your readiness.

Ite Practice Exam - Internal Medicine In-Training Exam study guide

ITE Testing Contacts

For official information regarding your ITE exam dates and scores, contact the relevant organization.

🏨

ACP (Internal Med)American College of

Physicians

Website: acponline.org

Services: IM ITE Exam, MKSAP

Contact: 800-523-1546

👨‍⚕️

ABFM (Family Med)American Board of

Family Medicine

Website: theabfm.org

Services: Family Medicine ITE

Contact: 877-223-7437

😷

ABA (Anesthesia)American Board of

Anesthesiology

Website: theaba.org

Services: Anesthesia ITE Exam

Contact: 866-999-7501

🧸

ABP (Pediatrics)American Board of

Pediatrics

Website: abp.org

Services: Pediatric ITE Exam

Contact: 919-929-0461

ITE Test Day Checklist

Ready to Ace the ITE Exam?

Start practicing with our free ITE exam questions today and boost your chances of scoring in the top percentile.

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ITE Renewal and Board Certification

📅

Board Cycle

10 Years

📚

CME Credits

Varies

🔄

Maintenance

of Certification (MOC)

After residency, you will transition from the ITE exam to board certification exams and subsequent Maintenance of Certification (MOC) requirements to keep your license active.

ITE Exam Questions and Answers