ABIM IM Practice Test 2026 — Free ABIM IM Exam Prep Questions
The ABIM Internal Medicine Certification Exam is the one-day board exam that residency graduates pass to become board-certified internists. Our practice questions use ABIM-style patient vignettes across the official blueprint, from cardiology and pulmonology to geriatrics, dermatology and women's health, with an explanation for every option.
ABIM IM format, scoring & key facts
Computer-based at secure Pearson VUE test centers. One day of about 10 hours: four sessions of up to 60 questions, each up to 2 hours, with 100 minutes of optional break time and an optional 30-minute tutorial. Laboratory reference ranges are shown in each question, with a high/low indicator.
| Questions | Up to 240 single-best-answer questions, about 35 of them unscored |
|---|---|
| Structure | 4 sessions of up to 60 questions, up to 2 hours each |
| Exam day | About 10 hours, with 100 minutes of optional break time |
| Lab values | Reference ranges are printed in each question, with high/low flags |
| Scoring | 200–800 standardized scale; criterion-referenced passing standard |
| First-time pass rate | 86% (2025) |
| 2027 exam dates | August 12, 16, 17, 25 and 26, 2027 |
| Registration | December 1, 2026 – April 15, 2027 (late until April 28, 2027) |
| Fee | $1,430 (late registration +$400) |
| Eligibility | 36 months of accredited IM residency completed by August 31 of the exam year |
Facts last verified Nov 3, 2026. Source: www.abim.org/media/wvwoy3wi/internal-medicine-cert.pdf. Always confirm details with ABIM before your exam.
When can you take the ABIM IM?
Offered once a year in August. 2027 exam dates: August 12, 16, 17, 25 and 26, 2027. Registration runs December 1, 2026 to April 15, 2027, with late registration April 16–28, 2027 (11:59 p.m. ET). Test center appointments are first-come, first-served.
What the ABIM IM covers
Every PrepBanq ABIM IM test mirrors the official domain weights.
Domain distribution
% of the exam| Content domain | Weight | ≈ Questions on exam | Our practice questions |
|---|---|---|---|
Allergy and Immunology | 2% | ~4 | 3 questions → |
Cardiovascular DiseaseIncludes hypertension, which totals 5% of the exam together with Nephrology and Urology. | 14% | ~29 | 21 questions → |
Dermatology | 3% | ~6 | 4 questions → |
Endocrinology, Diabetes, and Metabolism | 9% | ~18 | 14 questions → |
Gastroenterology | 9% | ~18 | 14 questions → |
Hematology | 6% | ~12 | 9 questions → |
Infectious Disease | 9% | ~18 | 14 questions → |
MiscellaneousPrimarily epidemiology, ethics, and safety and quality improvement. | 2% | ~4 | 3 questions → |
Nephrology and Urology | 6% | ~12 | 9 questions → |
Neurology | 4% | ~8 | 6 questions → |
Obstetrics and Gynecology | 3% | ~6 | 4 questions → |
Medical Oncology | 6% | ~12 | 9 questions → |
Ophthalmology | 1% | ~2 | 1 questions → |
Otolaryngology and Dental Medicine | 1% | ~2 | 1 questions → |
Psychiatry | 4% | ~8 | 6 questions → |
Pulmonary Disease | 9% | ~18 | 14 questions → |
Rheumatology and Orthopedics | 9% | ~18 | 14 questions → |
Geriatric Syndromes | 3% | ~6 | 4 questions → |
How to register for the ABIM IM
Eligibility
36 calendar months of accredited internal medicine residency (ACGME, RCPSC or CMQ) completed by August 31 of the exam year, satisfactory clinical-competence and procedure attestations from the program director, and an accredited MD/DO degree or ECFMG certification
Score release
Results are posted in the ABIM Physician Portal, generally within about three months of the last exam date
Credential renewal
Board Eligible for seven years after completing training requirements; once certified, the certificate stays valid while Maintenance of Certification requirements are met
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ABIM IM FAQ
How many questions are on the ABIM IM?
The ABIM IM has 240 questions (205 of them scored) and you have 8 hours to finish. Question types: Single-best-answer multiple-choice questions; the vast majority describe a patient scenario. Items may include patient photographs, radiographs, electrocardiograms and recordings of heart or lung sounds..
How long is the ABIM IM exam?
Testing time for the ABIM IM is 8 hours. 100 minutes of optional break time in total, across three breaks
What is the passing score for the ABIM IM?
ABIM IM passing standard: Standardized passing score set by a criterion-referenced (Angoff) process; there is no predetermined pass percentage. Score range: 200–800 standardized scale.
How much does the ABIM IM cost?
The ABIM IM registration fee is $1,430; late registration adds a non-refundable $400; international test centers add $500. Check the official site for current fees before you register.
What is on the ABIM IM?
The ABIM IM covers Allergy and Immunology (about 2%), Cardiovascular Disease (about 14%), Dermatology (about 3%), Endocrinology, Diabetes, and Metabolism (about 9%), Gastroenterology (about 9%), Hematology (about 6%), Infectious Disease (about 9%), Miscellaneous (about 2%), Nephrology and Urology (about 6%), Neurology (about 4%), Obstetrics and Gynecology (about 3%), Medical Oncology (about 6%), Ophthalmology (about 1%), Otolaryngology and Dental Medicine (about 1%), Psychiatry (about 4%), Pulmonary Disease (about 9%), Rheumatology and Orthopedics (about 9%), Geriatric Syndromes (about 3%).
Who administers the ABIM IM?
The ABIM Internal Medicine Certification Exam is administered by ABIM. Delivery: Computer-based at secure Pearson VUE test centers. One day of about 10 hours: four sessions of up to 60 questions, each up to 2 hours, with 100 minutes of optional break time and an optional 30-minute tutorial. Laboratory reference ranges are shown in each question, with a high/low indicator..
Is there a free ABIM IM practice test?
Yes. PrepBanq has 15 free ABIM IM practice tests with 150 exam-style questions in the real ABIM IM formats, and every answer is explained. No credit card is needed.
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