ABIM Internal Medicine Certification Practice Test

Prepare for your test with realistic questions.

The American Board of Internal Medicine (ABIM) has developed the Internal Medicine certification exam to assess the knowledge, clinical skills, and diagnostic reasoning of prospective internists.

Click “Start Test” above to take a free ABIM certification practice test, and check out our premium-quality ABIM test prep resources by clicking the links below!

ABIM Internal Medicine Exam Eligibility

To be eligible for the ABIM Internal Medicine certification exam, you must meet the following requirements:

  • You must have at least 36 months of accredited internal medicine training
  • You must have at least 30 months of clinical experience/education

ABIM Internal Medicine Exam Outline

The ABIM Internal Medicine exam contains 240 multiple-choice questions, 35 of which are unscored, and you will be given a time limit of 8 hours to complete the exam.

The exam is split into 18 medical content categories.

  • Allergy and immunology (2%)
  • Cardiovascular disease (14%)
  • Dermatology (3%)
  • Endocrinology, diabetes, and metabolism (9%)
  • Gastroenterology (9%)
  • Hematology (6%)
  • Infectious disease (9%)
  • Miscellaneous (2%)
  • Nephrology and urology (6%)
  • Neurology (4%)
  • Obstetrics and gynecology (3%)
  • Medical oncology (6%)
  • Ophthalmology (1%)
  • Otolaryngology and dental medicine (1%)
  • Psychiatry (4%)
  • Pulmonary disease (9%)
  • Rheumatology and orthopedics (9%)
  • Geriatric syndromes (3%)

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ABIM Internal Medicine Exam Registration

To register for the exam, you must submit an application to ABIM, along with the $1,430 examination fee. Once your application has been approved, you will receive an Authorization to Test (ATT) and information on how to schedule your exam appointment.

Test Day

You should arrive at the Pearson VUE testing center at least 30 minutes before the scheduled exam to allow time for the check-in procedures. During check-in, you will be asked for two valid forms of ID, and at least one form of ID must contain a photo. Failure to provide this identification will result in your exam being cancelled.

Before you enter the testing room, you will be asked to leave all personal items behind, including your phone, wallet, bags, and keys.

Once the exam begins, you will be given specific break periods to use at your leisure.

How the ABIM Internal Medicine Exam is Scored

Your ABIM exam score is reported on a scale from 200 to 800, with 366 being the minimum passing score requirement. A scaled score is calculated based on the number of correctly answered questions, also known as a “raw score.”

You should receive your official score report within three months of your testing appointment.

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How many questions are on the ABIM Internal Medicine exam?


There are 240 multiple-choice questions on the exam.


How long is the ABIM Internal Medicine exam?


The maximum time limit for this exam is 8 hours.


What is the passing score for the ABIM Internal Medicine exam?


To pass the exam, you must achieve a minimum scaled score of 366.


How much does the ABIM Internal Medicine exam cost?


The examination fee is $1,430.

By Kate Nockunas

Kate has been Mometrix’s Nursing and Medical Editor for over four years. She has a bachelor’s degree in Communications from Vanderbilt University, a bachelor’s degree in Nursing from Marymount University, and a master’s degree in Education from Johns Hopkins. Kate is a critical care registered nurse who still works occasionally in the ICU and PACU.


by Mometrix Test Preparation | Last Updated: December 27, 2023