Free Practice Questions for Iraqi Board Internal Medicine
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Key Facts: Iraqi Board Internal Medicine Exam
IBMS / MOHESR
Governing Body & Ministry
Iraqi Board for Medical Specializations
4 Years
Residency Training Duration
IBMS Curriculum 2024-2025
70% / 60%+70%
Published Pass Marks (Preliminary / Final Written)
Scientific Council of Internal Medicine curriculum
110 MCQs
Practice Bank Study Items
OpenExamPrep
The Iraqi Board of Internal Medicine (FIBMS) is a 4-year postgraduate residency credential administered by the Scientific Board of Internal Medicine under IBMS and MOHESR. Assessment encompasses the Preliminary Written Exam (end of Year 1, 70% pass mark), Intermediate Clinical Skills OSCE (60% pass mark), a defended research dissertation, and the Final Examination (end of Year 4, featuring two 80-MCQ papers requiring 60% per paper and 70% composite average, followed by a 5-station clinical OSCE and oral viva). This independent 110-question practice bank covers theoretical written knowledge for Part 1 and Part 2; it is not a clinical OSCE simulation or a substitute for accredited residency training.
Sample Iraqi Board Internal Medicine Practice Questions
Try these sample questions to review concepts for the Iraqi Board Internal Medicine exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 110+ question experience with AI tutoring.
1A 58-year-old man presents with acute crushing retrosternal chest pain radiating to his left arm of 2 hours' duration. ECG shows 3-mm ST-segment elevation in leads V1–V4 with reciprocal depressions in leads II, III, and aVF. Heart rate is 88 bpm and blood pressure is 135/85 mmHg. The nearest cardiac catheterization facility is 25 minutes away. In addition to dual antiplatelet therapy and anticoagulation, which of the following is the most appropriate next step in management?
2A 64-year-old woman with chronic heart failure and an ejection fraction of 30% presents for outpatient follow-up. She reports persistent dyspnea on mild exertion (NYHA Class III). Her medications include sacubitril/valsartan 97/103 mg twice daily, carvedilol 25 mg twice daily, and spironolactone 25 mg daily. Blood pressure is 118/76 mmHg, heart rate is 68 bpm, and serum potassium is 4.6 mEq/L with eGFR of 52 mL/min/1.73 m². Which medication should be added next to reduce heart failure hospitalization and mortality?
3A 42-year-old man presents with sudden palpitations and lightheadedness. Blood pressure is 120/78 mmHg and heart rate is 185 bpm. The 12-lead ECG reveals a narrow-complex regular tachycardia with no visible P waves. Vagal maneuvers are performed without effect. Which of the following is the first-line pharmacologic agent for acute termination?
4A 72-year-old man presents with progressive exertional dyspnea, angina, and a syncopal episode while climbing stairs. Physical examination reveals a harsh, late-peaking systolic ejection murmur loudest at the right upper sternal border that radiates to the carotids, accompanied by a delayed and diminished carotid pulse (pulsus parvus et tardus). Echocardiography confirms a peak aortic velocity of 4.3 m/s and mean gradient of 48 mmHg. What is the definitive management?
5A 35-year-old woman with a history of rheumatic mitral stenosis presents with rapid palpitations and mild dyspnea. ECG demonstrates atrial fibrillation with a ventricular rate of 135 bpm. Echocardiography shows a mitral valve area of 1.2 cm² and left atrial diameter of 48 mm. Her CHA2DS2-VASc score is 1. Which anticoagulation strategy is indicated?
6A 68-year-old male with a 45-pack-year smoking history presents with worsening dyspnea, increased sputum volume, and sputum purulence for 3 days. On examination, oxygen saturation is 87% on room air, respiratory rate is 26 breaths/min, and diffuse expiratory wheezing is audible. Arterial blood gas shows pH 7.32, PaCO2 56 mmHg, and PaO2 54 mmHg. In addition to controlled oxygen, nebulized bronchodilators, and systemic corticosteroids, which antibiotic is most appropriate?
7A 52-year-old woman presents with pleuritic chest pain and acute shortness of breath 10 days following an elective total hip replacement. On examination, heart rate is 112 bpm, blood pressure is 124/82 mmHg, respiratory rate is 24 breaths/min, and oxygen saturation is 91% on room air. D-dimer is markedly elevated. What is the definitive imaging investigation of choice to confirm the suspected diagnosis?
8A 62-year-old man presents with progressive non-productive cough and exertional dyspnea over the past 9 months. Physical examination reveals digital clubbing and bilateral fine late-inspiratory 'Velcro-like' crackles at both lung bases. High-resolution computed tomography (HRCT) shows subpleural, basal-predominant reticular opacities with honeycombing and traction bronchiectasis, without extensive ground-glass opacities. Pulmonary function testing shows a restrictive pattern with reduced DLCO. What is the most likely diagnosis?
9A 28-year-old woman with a history of persistent asthma presents to the emergency department with acute breathlessness and chest tightness. Despite using her salbutamol inhaler repeatedly at home, she speaks only in short words, has a respiratory rate of 32 breaths/min, heart rate of 128 bpm, and pulsed oxygen saturation of 90% on ambient air. Auscultation reveals a quiet chest with minimal air entry. Arterial blood gas shows pH 7.38, PaCO2 42 mmHg, and PaO2 58 mmHg. How should this PaCO2 value be interpreted?
10A 29-year-old woman with long-standing asthma has become increasingly steroid-dependent, coughing up thick brown mucus plugs. Chest imaging shows fleeting infiltrates and central bronchiectasis with normal distal airways. Total IgE is 2,400 IU/mL, peripheral eosinophils are 1.4 x 10^9/L, and both Aspergillus-specific IgE and IgG are raised. What is the diagnosis and the mainstay of treatment?
About the Iraqi Board Internal Medicine Exam
The Fellowship of the Iraqi Board for Medical Specializations in Internal Medicine (F.I.B.M.S.) is the pinnacle postgraduate clinical qualification for internists in Iraq, awarded by the Iraqi Board for Medical Specializations (IBMS) under the Ministry of Higher Education and Scientific Research (MOHESR). The rigorous 4-year residency program trains physicians across university teaching hospitals (including Medical City Baghdad, Al-Yarmouk, Al-Kindi, Al-Imamain Al-Kadhimiyan, Marjan in Babylon, Al-Basra, and Erbil) in inpatient wards, intensive care, coronary care, and specialized medical rotations. Important disclosure: The complete FIBMS qualification requires accredited clinical residency training, satisfactory procedural documentation, an approved and defended scientific research dissertation, and a structured clinical OSCE with oral viva, none of which can be replaced by multiple-choice practice. This 110-question multiple-choice practice bank is an independent English-language educational resource designed to support theoretical knowledge reinforcement and clinical reasoning for the Part 1 (Preliminary) and Part 2 (Final Written) examinations. It is not an official IBMS examination, does not provide OSCE stations, and is not an endorsement from or affiliated with IBMS or MOHESR.
Exam sponsor: Scientific Board of Internal Medicine, Iraqi Board for Medical Specializations (المجلس العراقي للاختصاصات الطبية — المجلس العلمي لاختصاص الطب الباطني). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.
Assessment
The Iraqi Board in Internal Medicine follows a four-year structured postgraduate residency governed by the Scientific Board of Internal Medicine under the Iraqi Board for Medical Specializations (IBMS) and the Ministry of Higher Education and Scientific Research (MOHESR). The assessment structure includes four primary milestones: 1) The Preliminary Written Examination (held in October and April at the end of Year 1), featuring multiple-choice questions assessing basic medical sciences applied to clinical medicine (pathophysiology, clinical pharmacology, laboratory and imaging interpretation; passing score 70%; maximum 4 attempts allowed before progressing to Year 3). 2) The Intermediate Clinical Skills Examination, conducted in OSCE format at accredited training centers (passing score 60%; mandatory prior to Year 4 and prior to the final written exam). 3) The Scientific Research Project, formulated in Year 3 and defended before a scientific panel prior to the final examination. 4) The Final Board Examination at the end of Year 4, which comprises a written examination of two papers (each containing 80 MCQs, optical mark read; minimal pass level 60% per paper, with an aggregate composite mean of at least 70% to pass) followed by a 5-station clinical OSCE (2 focused history, 2 focused clinical exam, 1 communication skills; minimal passing score 70% total with at least 60% in each station) and oral case viva discussions.
Time Limit
1.5 to 2 hours per written paper (two papers per final written examination diet)
Passing Score
Preliminary written MCQ examination: 70%. Final written examination: at least 60% in each of the two papers and at least 70% combined. Clinical skills OSCE (required before Year 4): 60%. Final clinical OSCE of at least five stations: 70%.
Exam / Certification Fees
Prescribed by Iraqi Board for Medical Specializations / MOHESR regulatory bylaws
Exam sponsor websiteReported exam pass rate: 70% (Preliminary) / 60% per paper and 70% combined (Final). The Preliminary written multiple-choice examination has a pass mark of 70% and must be passed before progression to Year 3. The Final written examination requires at least 60% in each of the two papers and at least 70% combined. The clinical skills OSCE, which is mandatory before Year 4, requires 60%, and the final clinical OSCE of at least five stations requires 70%. This describes exam candidates, not OpenExamPrep users or results from using our resources. Exam sponsor website
Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.
Our practice resources: topics covered
We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.
Cardiology & Respiratory Medicine
Coronary artery disease, acute coronary syndromes, heart failure guidelines, arrhythmias, valvular heart disease, hypertension, asthma, COPD exacerbations, interstitial lung diseases, pulmonary thromboembolism, and acute respiratory failure.
Gastroenterology, Hepatology & Nutrition
Gastroesophageal reflux disease, peptic ulcer disease, inflammatory bowel disease, cirrhosis, portal hypertension, ascites and spontaneous bacterial peritonitis, acute and chronic viral hepatitis B and C, acute pancreatitis, and clinical nutrition.
Nephrology, Endocrinology & Metabolism
Acute kidney injury, chronic kidney disease staging and complications, glomerulonephritis, acid-base and electrolyte disturbances, type 1 and type 2 diabetes mellitus, diabetic ketoacidosis, thyroid dysfunction, adrenal insufficiency, Cushing syndrome, and calcium disorders.
Infectious Diseases, Endemic Pathogens & Hematology/Oncology
Regional endemic pathogens (brucellosis, visceral and cutaneous leishmaniasis, typhoid fever, Crimean-Congo hemorrhagic fever, tuberculosis), microcytic and macrocytic anemias, hemoglobinopathies (thalassemia major and intermedia), acute and chronic leukemias, lymphomas, and multiple myeloma.
Rheumatology, Neurology & Clinical Immunology
Systemic lupus erythematosus, rheumatoid arthritis, seronegative spondyloarthropathies, systemic vasculitides, acute ischemic and hemorrhagic stroke, epilepsy and status epilepticus, bacterial and viral meningoencephalitis, and neuromuscular junction disorders.
Preparing for the Iraqi Board Internal Medicine Exam
What You Need to Know
- Passing score: Preliminary written MCQ examination: 70%. Final written examination: at least 60% in each of the two papers and at least 70% combined. Clinical skills OSCE (required before Year 4): 60%. Final clinical OSCE of at least five stations: 70%.
- Assessment: The Iraqi Board in Internal Medicine follows a four-year structured postgraduate residency governed by the Scientific Board of Internal Medicine under the Iraqi Board for Medical Specializations (IBMS) and the Ministry of Higher Education and Scientific Research (MOHESR). The assessment structure includes four primary milestones: 1) The Preliminary Written Examination (held in October and April at the end of Year 1), featuring multiple-choice questions assessing basic medical sciences applied to clinical medicine (pathophysiology, clinical pharmacology, laboratory and imaging interpretation; passing score 70%; maximum 4 attempts allowed before progressing to Year 3). 2) The Intermediate Clinical Skills Examination, conducted in OSCE format at accredited training centers (passing score 60%; mandatory prior to Year 4 and prior to the final written exam). 3) The Scientific Research Project, formulated in Year 3 and defended before a scientific panel prior to the final examination. 4) The Final Board Examination at the end of Year 4, which comprises a written examination of two papers (each containing 80 MCQs, optical mark read; minimal pass level 60% per paper, with an aggregate composite mean of at least 70% to pass) followed by a 5-station clinical OSCE (2 focused history, 2 focused clinical exam, 1 communication skills; minimal passing score 70% total with at least 60% in each station) and oral case viva discussions.
- Time limit: 1.5 to 2 hours per written paper (two papers per final written examination diet)
- Exam / certification fees: Prescribed by Iraqi Board for Medical Specializations / MOHESR regulatory bylaws Official sources
Using Our Practice Resources
- Work through all 110 available questions
- Review every answer and explanation
- Track weak areas and revisit them
- Use our AI tutor for tough concepts
Iraqi Board Internal Medicine: Suggested Study Strategy
Frequently Asked Questions
What is the governing authority and credential awarded by the Iraqi Board in Internal Medicine?
The program is administered by the Scientific Board of Internal Medicine under the Iraqi Board for Medical Specializations (IBMS / المجلس العراقي للاختصاصات الطبية), which operates under the Ministry of Higher Education and Scientific Research (MOHESR). Successful candidates are awarded the Fellowship of the Iraqi Board for Medical Specializations (F.I.B.M.S.) in Internal Medicine, the premier professional medical qualification in Iraq.
What is the examination structure of the Iraqi Board in Internal Medicine?
The curriculum features four structured evaluation components: 1) The Preliminary Written Examination at the end of Year 1 (MCQ format covering basic medical sciences applied to clinical practice; 70% passing score; maximum 4 attempts). 2) The Intermediate Clinical Skills Examination (OSCE format; 60% passing score; required before Year 4). 3) A defended scientific research dissertation prepared during Year 3 and Year 4. 4) The Final Board Examination at the end of Year 4, consisting of two written MCQ papers (80 questions each, requiring 60% minimum per paper and 70% composite average) and a 5-station clinical OSCE (covering focused history, clinical examination, and communication skills; requiring 70% overall with no station below 60%) alongside an oral viva.
What are the passing scores and retake policies for the written papers?
The Preliminary written examination has a pass mark of 70% and must be passed before progression to Year 3, with up to four attempts permitted and sittings in the first week of October and in April. The Final written examination requires at least 60% in each of the two papers and at least 70% combined, also with up to four attempts. The clinical skills OSCE required before Year 4 has a pass mark of 60%, and the final clinical OSCE of at least five stations requires 70%. A candidate who passes the written examination but fails the clinical examination four times must retake the written papers if more than three years have elapsed.
In what language are the Iraqi Board internal medicine examinations conducted?
The Iraqi Board for Medical Specializations publishes this council's curriculum, syllabus and reference list in English, and English-language proficiency appears among the admission requirements set by the Ministry. The council's published curriculum does not, however, contain any statement of the language in which the examination papers themselves are set, so no language of assessment is asserted here. This site is an independent English-language study resource and is not affiliated with, endorsed by, or connected to the Iraqi Board for Medical Specializations; candidates should confirm the language of their sitting directly with their Scientific Council.
Does this 110-question practice bank simulate the clinical OSCE or replace residency training?
No. The Iraqi Board qualification is an intensive 4-year clinical hospital residency demanding extensive patient care, ward management, procedural competencies, research defense, and a multi-station clinical OSCE with oral case discussions. This independent 110-question multiple-choice practice bank is strictly an educational study resource designed to help residents review theoretical medical knowledge and diagnostic reasoning for the Part 1 and Part 2 written examinations; it is not an OSCE simulation or a substitute for formal accredited clinical residency training.