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.

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.
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.

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.
Internal Medicine ITE
Free ITE General Internal Medicine practice questions covering diagnosis and management. Master essential concepts for the ACP ITE exam.
Cardiology ITE
Comprehensive Cardiovascular Medicine ITE test questions for residents. Prepare for cardiology boards with these detailed case studies.
Pulmonology ITE
Pulmonology ITE mock test covering respiratory diseases and critical care. Sharpen your skills with realistic ITE exam family medicine scenarios.
Endocrinology ITE
Endocrinology ITE sample questions focusing on hormonal disorders and diabetes. Essential review for the IM ITE exam preparation.
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.
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 elevated TSH with low Free T4 indicate?
This pattern is diagnostic of primary hypothyroidism.
PRACTICE ITE TEST NOWITE 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.
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.
Focuses on heart diseases, arrhythmias, and hypertension management.
- Topics: ACS, Valvular Disease, Hypertension
- Questions: ~42 Questions
Covers lung diseases, critical care, and sleep medicine.
- Topics: Pneumonia, PE, ILD
- Questions: ~30 Questions
Tests knowledge of pathogens, antibiotics, and infection control.
- Topics: Endocarditis, TB, STI
- Questions: ~27 Questions
Includes hormonal disorders, diabetes, and thyroid management.
- Topics: DKA, Osteoporosis, Pituitary
- Questions: ~27 Questions
Covers GI tract, liver, and pancreatic diseases.
- Topics: Cirrhosis, GERD, Pancreatitis
- Questions: ~27 Questions
Focuses on blood disorders and cancer management.
- Topics: Coagulation, Lymphoma, Screening
- Questions: ~27 Questions
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
105 out of 150 correct
70%
Required to Pass: ~70% (Estimated)
ITE Salary and Career Earnings
$255,000
Median Annual Salary
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.
- 1Assess Baseline Knowledge - Take an ITE practice exam early to identify weak areas.
- 2Select Resources - Choose high-yield resources like MKSAP for the IM ITE exam or AAFP for Family Medicine.
- 3Daily Practice - Answer 10-20 ITE exam questions daily to build retention.
- 4Review Weaknesses - Focus on low-scoring topics from your previous year's ITE exam results.
- 5Simulate Testing - Complete full-length timed mock exams to build endurance.
- 6Review Guidelines - Ensure you are up to date with the latest clinical guidelines (e.g., hypertension, diabetes).
- 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.
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 Testing Contacts
For official information regarding your ITE exam dates and scores, contact the relevant organization.
ACP (Internal Med)American College of
Physicians
ABFM (Family Med)American Board of
Family Medicine
ABA (Anesthesia)American Board of
Anesthesiology
ABP (Pediatrics)American Board of
Pediatrics
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.
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.