ABIM IM Practice Test 3

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 3Tutor mode

Question 1 of 10

Rheumatology and Orthopedics

A 62-year-old man is seen for follow-up 4 weeks after his third gout flare in the past year; each flare was treated with a short course of prednisone, and he is now asymptomatic. He has chronic kidney disease (eGFR 38 mL/min/1.73 m²) and hypertension. Medications are amlodipine and losartan. He drinks two beers per week. Blood pressure is 132/80 mm Hg; other vital signs are normal. There is a firm, nontender subcutaneous nodule over the right olecranon consistent with a tophus, and no joint effusion. Laboratory results are shown. Which of the following is the most appropriate management?

Laboratory results
Test	Result	Reference range
Uric acid	9.4 mg/dL (H)	3.0–7.0 mg/dL
Creatinine	1.9 mg/dL (H)	0.70–1.30 mg/dL
Potassium	4.7 mEq/L	3.5–5.0 mEq/L
Alanine aminotransferase	24 U/L	10–40 U/L
Leukocyte count	6900/µL	4000–11,000/µL