Free ABIM IM Practice Tests (2026)
Start with the free diagnostic to see where you stand, then practice in tutor or timed mode. Full-length simulations match the real ABIM IM.
Diagnostics
ABIM IM Practice Test 1
10 questions · 20 min10 free ABIM IM practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
Start testPractice tests
ABIM IM Practice Test 2
10 questions · 20 min10 free ABIM IM practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
Start testABIM IM Practice Test 3
10 questions · 20 min10 free ABIM IM practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
Start testABIM IM Practice Test 4
10 questions · 20 min10 free ABIM IM practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
Start testABIM IM Practice Test 5
10 questions · 20 min10 free ABIM IM practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
Start testABIM IM Practice Test 6
10 questions · 20 min10 free ABIM IM practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
Start testABIM IM Practice Test 7
10 questions · 20 min10 free ABIM IM practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
Start testABIM IM Practice Test 8
10 questions · 20 min10 free ABIM IM practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
Start testABIM IM Practice Test 9
10 questions · 20 min10 free ABIM IM practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
Start testABIM IM Practice Test 10
10 questions · 20 min10 free ABIM IM practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
Start testABIM IM Practice Test 11
10 questions · 20 min10 free ABIM IM practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
Start testABIM IM Practice Test 12
10 questions · 20 min10 free ABIM IM practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
Start testABIM IM Practice Test 13
10 questions · 20 min10 free ABIM IM practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
Start testABIM IM Practice Test 14
10 questions · 20 min10 free ABIM IM practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
Start testABIM IM Practice Test 15
10 questions · 20 min10 free ABIM IM practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
Start testHow these ABIM IM practice tests match the real exam
The real ABIM Internal Medicine Certification Exam has 240 questions and a 480-minute time limit. 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. Each practice test here uses the same question formats, so you get used to how ABIM IM questions are asked before test day.
The tests draw on every ABIM IM content area, weighted like the official outline:
- Allergy and Immunology (about 2% of the exam)
- Cardiovascular Disease (about 14% of the exam)
- Dermatology (about 3% of the exam)
- Endocrinology, Diabetes, and Metabolism (about 9% of the exam)
- Gastroenterology (about 9% of the exam)
- Hematology (about 6% of the exam)
- Infectious Disease (about 9% of the exam)
- Miscellaneous (about 2% of the exam)
- Nephrology and Urology (about 6% of the exam)
- Neurology (about 4% of the exam)
- Obstetrics and Gynecology (about 3% of the exam)
- Medical Oncology (about 6% of the exam)
- Ophthalmology (about 1% of the exam)
- Otolaryngology and Dental Medicine (about 1% of the exam)
- Psychiatry (about 4% of the exam)
- Pulmonary Disease (about 9% of the exam)
- Rheumatology and Orthopedics (about 9% of the exam)
- Geriatric Syndromes (about 3% of the exam)
Use tutor mode to see the explanation after each answer, or timed mode to practise at real exam pace. Every answer comes with an explanation of why it is right and why the other options are wrong.