The Top 5 Hardest Internal Medicine Board Review Questions

internal medicine board review questions

Passing the Internal Medicine Board Exam is one of the final steps to reaching your goal of becoming an ABIM Board Certified Internal Medicine Physician. If your Internal Medicine Certification Exam date is approaching, we suggest getting familiar with a few Internal Medicine board review questions.

To help you get started, see if you can correctly answer these top five most challenging Internal Medicine Board Review Questions from BoardVitals Internal Medicine Question Bank. Among BoardVitals users last year, these questions made up the highest number of incorrect answer-responses out of 1,450+ total board review questions. Can you answer all five correctly?

How did you do? Did you find the questions to be challenging? Despite Cardiovascular Disease making up the most considerable portion of the Internal Medicine Board Exam, it may be worth noting that two out of five of these were pharmacology questions, with the remaining content covering Allergy and Immunology, Cardiovascular, and General Medicine categories. If you found these questions to be particularly difficult, try answering these free internal medicine board questions instead. 

About the Internal Medicine Board Exam  

The Internal Medicine Board Certification Exam is administered by the American Board of Internal Medicine (ABIM). It is composed of clinical-based scenarios following a multiple-choice question format across 18 medical-specialty and 12 cross-category content areas. Clinical information presented spans across a variety of mediums, including but not limited to patient-case photographs, radiographs, electrocardiograms, and relevant recordings. Overwhelmed already? Not to worry, BoardVitals Internal Medicine Question Bank offers 1,450+ challenging Board Review questions with images in similar format quality to the actual exam. Pass your Internal Medicine Board Examination the first go around with BoardVitals. 

  • Allergy and Immunology 2%  
  • Cardiovascular Disease 14%  
  • Dermatology 3% 
  • Endocrinology, Diabetes, and Metabolism 9%  
  • Gastroenterology 9%  
  • Geriatric Syndromes 3%  
  • Hematology 6%  
  • Infectious Disease 9%  
  • Nephrology and Urology 6%  
  • Neurology 4%  
  • Obstetrics and Gynecology 3% 
  • Medical Oncology 6%  
  • Ophthalmology 1%  
  • Otolaryngology and Dental Medicine 1% 
  • Psychiatry 4%  
  • Pulmonary Disease 9%  
  • Rheumatology and Orthopedics 9% 
  •  Miscellaneous 

With a unique complexity of case-based questions spanning across 18 subject areas, first-time Internal Medicine Examinees reported a 93% Pass Rate in 2020.

Looking for Internal Medicine CME? As an add-on option, this question bank is redeemable for up to 40 AMA PRA Category 1™ Credit(s), so you can simultaneously complete your CME requirements as you study. The BoardVitals platform allows users to create custom quizzes and access in-depth analytics. It is accessible from a convenient mobile app or through a web browser and each subscription is backed by a 100% Pass Guarantee.