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IM practice questions - frequently asked questions

Plain answers about how IM Exam Prep works: the exam, the questions, pricing, the free trial, and what you actually get.

No - and you should be wary of any site claiming otherwise. Every question here is original, written to mirror the style, difficulty, and judgment the real IM exam tests. Each one comes with a plain-language explanation of why the right answer is right and the others aren't.

The IM exam spans 18 domains: Allergy and Immunology (2% of the exam); Cardiovascular Disease (14% of the exam); Dermatology (3% of the exam); Endocrinology, Diabetes, and Metabolism (9% of the exam); Gastroenterology (9% of the exam); Hematology (6% of the exam); Infectious Disease (9% of the exam); Miscellaneous (2% of the exam); Nephrology and Urology (6% of the exam); Neurology (4% of the exam); Obstetrics and Gynecology (3% of the exam); Medical Oncology (6% of the exam); Ophthalmology (1% of the exam); Otolaryngology and Dental Medicine (1% of the exam); Psychiatry (4% of the exam); Pulmonary Disease (9% of the exam); Rheumatology and Orthopedics (9% of the exam); Geriatric Syndromes (3% of the exam). Every practice question on this site is tagged to one of these domains.

The domains are not weighted equally on the exam. By share of the marks: Cardiovascular Disease 14%; Endocrinology, Diabetes, and Metabolism 9%; Gastroenterology 9%; Infectious Disease 9%; Pulmonary Disease 9%; Rheumatology and Orthopedics 9%; Hematology 6%; Nephrology and Urology 6%; Medical Oncology 6%; Neurology 4%; Psychiatry 4%; Dermatology 3%; Obstetrics and Gynecology 3%; Geriatric Syndromes 3%; Allergy and Immunology 2%; Miscellaneous 2%; Ophthalmology 1%; Otolaryngology and Dental Medicine 1%.

The IM exam has 240 questions and is completed in 10 hours. Our timed practice mirrors that length and pacing, so exam day feels familiar.

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