ABIM IM Practice Test 6
10 free ABIM IM practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
Question 1 of 10
Endocrinology, Diabetes, and MetabolismA 41-year-old woman is seen for 10 days of anterior neck pain radiating to both ears, with palpitations, tremor and anxiety. She had an upper respiratory infection 3 weeks ago. She is not pregnant and is not post partum, and she takes no medications or supplements. Temperature is 37.9 °C (100.2 °F), blood pressure is 136/80 mm Hg, and pulse rate is 108/min. The thyroid gland is firm, slightly enlarged and exquisitely tender, without discrete nodules. There is a fine tremor of the outstretched hands. There is no proptosis or pretibial edema. Laboratory results are shown. Radioactive iodine uptake at 24 hours is 2%. Which of the following is the most appropriate treatment?
| Test | Result | Reference range |
|---|---|---|
| Serum | ||
| TSH | <0.01 µU/mL (L) | 0.5–4.0 µU/mL |
| Free thyroxine (T₄) | 3.4 ng/dL (H) | 0.8–1.8 ng/dL |
| Thyroid-stimulating immunoglobulin | <100% | <130% |
| Blood | ||
| Erythrocyte sedimentation rate | 78 mm/hr (H) | Female: 0–20 mm/hr |