10 free ABIM IM practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
ABIM IM Practice Test 10Tutor mode
Question 1 of 10
Psychiatry
A 33-year-old man is hospitalized with methicillin-susceptible Staphylococcus aureus tricuspid-valve endocarditis and is receiving intravenous cefazolin. He has injected heroin and fentanyl daily for 3 years; his last use was 18 hours ago. He now reports diarrhea, abdominal cramps, anxiety and body aches and says he wants help to stop using opioids. Temperature is 37.4 °C (99.3 °F), blood pressure is 138/86 mm Hg, and pulse rate is 106/min. He is restless and yawning, with dilated pupils, rhinorrhea and piloerection. His Clinical Opiate Withdrawal Scale score is 15. An ECG shows a corrected QT interval of 430 ms. Which of the following is the most appropriate next step in management?