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Adaptive prep mapped to the ABIM Internal Medicine blueprint — 10 content categories, 6 competencies, grounded in ACC/AHA, ATS and current US clinical evidence.
240 single-best-answer questions · 8 blocks of 60 minutes · ~10-hour day total at Pearson VUE · embeds unscored pilot items · audio and image questions included
Held once per year over several dates in August. Registration window December through April. Three consecutive-year attempt limit, then 1-year waiting period. Must pass within 7 years of becoming Board Eligible. Confirm the 2026 sitting and booking dates on the official awarding-body page before booking.
The ABIM publishes content category and competency weightings. Cardiovascular, gastroenterology and pulmonary are the largest single categories.
Source: official American Board of Internal Medicine (ABIM) blueprint
Topics that consistently produce the most marks across recent administrations.
Heart failure with reduced EF — four-pillar therapy (ARNI, beta-blocker, MRA, SGLT2i), device thresholds
Acute coronary syndromes — antiplatelet duration, troponin interpretation, revascularisation timing
Cirrhosis complications — HE, ascites, SBP, HRS, screening for HCC and varices
Sepsis bundle — current Surviving Sepsis Campaign timing requirements, antibiotic stewardship
Anticoagulation in atrial fibrillation — CHA2DS2-VASc, DOAC choice, bridging strategies
Lung cancer screening — USPSTF criteria, low-dose CT eligibility
Themes consistent across ABIM Chair of Examiners reports and candidate feedback.
Candidate-reported observations — not official guidance.
Designed for IM residents preparing during PGY-3 year.
A live item from the iatroX bank. Try it before launching a full session.
A 70-year-old man with extensive sun exposure has multiple rough scaly papules on the scalp and temples. There is no induration or ulceration. He asks how to reduce future skin cancer risk. Which of the following would you recommend?
Why iatroX is built differently for ABIM Internal Medicine Boards.
Every iatroX item is tagged to a blueprint topic, so your performance dashboard mirrors the structure of the exam itself.
The engine surfaces your weakest topics first, in real time, instead of marching you through a static syllabus.
Incorrect items return at increasing intervals to interrupt the forgetting curve and lock knowledge into long-term memory.
Timed full-length simulations that mirror the official exam structure under realistic conditions.
One iatroX subscription includes the ABIM Internal Medicine Boards bank plus every other premium iatroX exam bank.
Cancel anytime · 30-day money-back guarantee on annual
ABIM's current pass-rate PDF lists the 2025 Internal Medicine first-time taker pass rate as 86%, with an ultimate pass rate of 98%. Subspecialty pass rates vary by exam year and cohort size.
The pass mark is 366 on a scaled score system 200–800 with a mean of 500. Scoring is criterion-referenced — your performance is evaluated against a fixed standard, not against other test takers.
You cannot take the exam more than 3 times in 3 consecutive years. After 3 failed attempts, you must wait one year before retesting. Each attempt requires the full examination fee.
You must pass within 7 years of becoming Board Eligible. Board Eligibility otherwise lapses and you must complete additional training before re-eligibility.
Yes. A single iatroX subscription includes the ABIM Internal Medicine bank alongside every other premium iatroX exam bank.
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Reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP · Last reviewed 12 May 2026
See our methodology and editorial policy.