ITE Practice Test
Updated October 2026Facts verified Oct 20, 2026 against American College of Physicians (ACP); the exam is delivered through NBME's MyNBME portal
ITE: upcoming dates and official changes
- Updated Oct 20, 2026: Time limit is now 9-hour session (6 × 70-minute sections) (previously 9-hour session (6 × 70-minute sections)).
- Updated Oct 20, 2026: Exam fee is now $145 per registrant (previously $145 per registrant).
- Updated Oct 20, 2026: Number of questions is now 300 questions (260 scored, 40 unscored) (previously 300 questions (260 scored, 40 unscored)).
Facts verified Oct 20, 2026 against American College of Physicians. Dates that have passed are removed automatically.
- The IM-ITE has 300 questions, 260 scored and 40 unscored, in 6 sections of 50 items each, modeled on the ABIM certification exam blueprint. (American College of Physicians)
- The IM-ITE test session lasts 9 hours: 6 sections of 50 items with 70 minutes each, plus optional breaks and a 60-minute lunch. (American College of Physicians)
- The 2026 IM-ITE regular registration fee is $145 per registrant, paid by the residency program, and ACP has a strict no-refund policy. (American College of Physicians)
- Residency programs can give the IM-ITE in person, by remote proctoring through third-party software (Zoom, MS Teams or Webex), or a mix of both. (American College of Physicians)
- The IM-ITE is designed for internal medicine residents (PGY1–PGY3), but faculty, program directors and other physicians may also take it through a participating program. (American College of Physicians)
Facts verified Oct 20, 2026 against American College of Physicians. Dates that have passed are removed automatically.
ITE Exam at a Glance
| Item | Detail | Official source |
|---|---|---|
| Number of questions | 300 questions (260 scored, 40 unscored) | American College of Physicians |
| Time limit | 9-hour session (6 × 70-minute sections) | American College of Physicians |
| Exam fee | $145 per registrant | American College of Physicians |
| Delivery | In-person or remote proctored | American College of Physicians |
| Eligibility | Residents via their program; faculty and other physicians may also take it | American College of Physicians |
Facts verified Oct 20, 2026 against American College of Physicians. Dates that have passed are removed automatically.
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. Practice with the free ITE - Internal Medicine In-Training practice test on PracticeTestGeeks (7 questions with answer explanations).
Free ITE - Internal Medicine In-Training Exam Study Tools
Interactive ITE - Internal Medicine In-Training Exam resources on PracticeTestGeeks, free to start:
- ITE - Internal Medicine In-Training Exam flashcards — review key terms and concepts card by card
- ITE - Internal Medicine In-Training Exam study guide — topic-by-topic overview of what the exam covers
- ITE - Internal Medicine In-Training Exam cheat sheet — one-page printable summary for last-minute review
ITE Practice Test Questions
Prepare for the ITE - Internal Medicine In-Training Exam exam with our free practice test modules. Each quiz covers key topics to help you pass on your first try.
ITE Cardiovascular Medicine
ITE Exam Questions covering Cardiovascular Medicine. Master ITE Test concepts for certification prep.
ITE Endocrinology
Free ITE Practice Test featuring Endocrinology. Improve your ITE Exam score with mock test prep.
ITE General Internal Medicine
ITE Mock Exam on General Internal Medicine. ITE Study Guide questions to pass on your first try.
ITE Hematology and Oncology
Free ITE Test covering Hematology and Oncology. Practice and track your ITE exam readiness.
ITE Internal Medicine In-Training Exam Questions and Answers
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.
START ITE PRACTICE TEST🩺Which murmur is associated with aortic stenosis?
A systolic crescendo-decrescendo murmur heard best at the right upper sternal border.
REVIEW ITE QUESTIONS🍬What is the diagnostic threshold for diabetes using A1C?
An HbA1c level of 6.5% or higher is diagnostic for diabetes mellitus.
TRY ITE MOCK EXAM🫁What is the most common cause of community-acquired pneumonia?
Streptococcus pneumoniae is the most frequent pathogen causing CAP.
GET ITE EXAM PREP🦠What is the treatment for latent TB infection?
Isoniazid for 9 months or Rifampin for 4 months are common regimens.
ACCESS ITE STUDY GUIDE🩸What does improved TSH with low Free T4 indicate?
This pattern is diagnostic of primary hypothyroidism.
PRACTICE ITE TEST NOWITE Internal Medicine In-Training Exam Questions and Answers
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.
ITE Internal Medicine In-Training Exam Questions and Answers
Total Scored Questions
150
105 out of 150 correct
70%
Required to Pass: ~70% (Estimated)
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 Internal Medicine In-Training Exam Questions and Answers
- ✓Valid Hospital ID / Photo ID
- ✓Program-assigned Login Credentials
- ✓Water and Snacks (if allowed)
- ✓Arrive 15 minutes early
- ✓Comfortable clothing (layers)
- ✓Turn off pager/cell phone
- ✓Review exam tutorial beforehand
- ✓Good night's sleep!
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.
ITE Internal Medicine In-Training Exam Questions and Answers
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.
- +Industry-recognized credential boosts your resume
- +Higher earning potential (10-20% salary increase on average)
- +Demonstrates commitment to professional development
- +Opens doors to advanced career opportunities
- −Exam preparation requires significant time investment (4-8 weeks)
- −Registration costs $145 per resident in 2026 (paid by the program; $30 late fee after July 13)
- −May require continuing education to maintain
- −Some employers may not require certification
Sample ITE - Internal Medicine In-Training Exam Practice Questions
Try these questions from our free ITE - Internal Medicine In-Training Exam practice tests. The correct answer and an explanation follow each question.
Which physical exam finding is most characteristic of severe aortic regurgitation?
- A. Slow-rising carotid pulse (pulsus parvus et tardus)
- B. Wide pulse pressure with bounding/water-hammer pulse
- C. Fixed split S2
- D. Middiastolic rumble at the apex
Answer: B. Wide pulse pressure with bounding/water-hammer pulse
Severe AR causes volume overload of the LV, producing a wide pulse pressure (elevated systolic, low diastolic) and a bounding, collapsing (water-hammer) pulse.
A 55-year-old man presents with exertional syncope. Physical exam reveals a harsh mid-systolic crescendo-decrescendo murmur at the right upper sternal border radiating to the carotids. Carotid upstroke is diminished and delayed (pulsus parvus et tardus). What is the most likely diagnosis?
- A. Hypertrophic obstructive cardiomyopathy
- B. Severe aortic stenosis
- C. Pulmonary stenosis with right heart failure
- D. Aortic regurgitation with wide pulse pressure
Answer: B. Severe aortic stenosis
Pulsus parvus et tardus (small, slow-rising carotid pulse) with a calcific mid-systolic murmur radiating to carotids and exertional syncope are classic findings of severe calcific aortic stenosis.
A 40-year-old HIV-positive man (CD4 40) on antiretrovirals develops vision loss. Fundoscopic exam shows yellow-white perivascular exudates with hemorrhage ('pizza pie' appearance). What is the diagnosis and treatment?
- A. Toxoplasma retinitis; pyrimethamine plus sulfadiazine
- B. CMV retinitis; IV ganciclovir or oral valganciclovir
- C. Ocular histoplasmosis; itraconazole
- D. Cryptococcal chorioretinitis; fluconazole
Answer: B. CMV retinitis; IV ganciclovir or oral valganciclovir
CMV retinitis in advanced AIDS presents with the classic 'pizza pie' fundoscopic appearance and is treated with valganciclovir 900mg BID for induction followed by maintenance therapy.
A 48-year-old man with no cardiac history presents with syncope preceded by dizziness while standing. On exam, systolic BP drops from 140 to 95 mmHg after 3 minutes of standing. Heart rate does not compensate appropriately. The most likely diagnosis is:
- A. Autonomic dysfunction (orthostatic hypotension)
- B. Vasovagal syncope
- C. Cardiac arrhythmia
- D. Hypovolemia
Answer: A. Autonomic dysfunction (orthostatic hypotension)
Orthostatic hypotension with inadequate heart rate response suggests autonomic neuropathy; common causes include diabetes, Parkinson's disease, and certain medications.
Take the full ITE - Internal Medicine In-Training Exam practice test
ITE Questions and Answers
Official Resources
- American College of Physicians — IM-ITE Program: the official ACP page for the Internal Medicine In-Training Examination, with registration windows, score-report timing, and the current-year information sheet.
- American Board of Internal Medicine (ABIM): the certifying board whose blueprint the IM-ITE mirrors — use it to check certification requirements and the topics your ITE percentile is meant to predict.
- National Board of Medical Examiners (NBME): the testing organization that delivers the IM-ITE exam platform, including tutorials and technical requirements for exam day.
How this page was made: written with AI tools and published by Nathan Beja, founder of Practice Test Geeks, who is responsible for its content. Exam facts are checked against the official sources listed below. Not reviewed by a subject-matter expert. Editorial policy
Sources & references
Exam facts on this page (fees, format, dates, passing scores) are checked against these official sources; the date is our last check. Editorial policy
- acponline.org — Test delivery, eligibility, exam format, time limit, fees, passing score · verified Oct 2026