1. Allergy and Immunology
2% of the examIdentify weak areas and improve with focused review.
Start PracticingPass your IM certification
Free IM Practice Test
Pass the Internal Medicine exam with confidence.
Start with a free IM practice test and build exam-ready confidence for the Internal Medicine exam.
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1000+IM Questions
18Exam Domains
10Free Questions
2026Updated
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Everything your IM certification prep needs
Practice expert-vetted questions, find your weak domains, and turn every mistake into a focused review plan.
Expert-vetted questions
Every question is reviewed by an experienced IM professional for clarity, accuracy and practical exam relevance.
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Domain analytics show which parts of the exam blueprint are holding you back.
Turn mistakes into confidence
Missed questions become a review list, so nervous guessing turns into focused repetition.
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Study by domain
Practice the IM exam by domain
2. Cardiovascular Disease
14% of the examIdentify weak areas and improve with focused review.
Start Practicing3. Dermatology
3% of the examIdentify weak areas and improve with focused review.
Start Practicing4. Endocrinology, Diabetes, and Metabolism
9% of the examIdentify weak areas and improve with focused review.
Start Practicing5. Gastroenterology
9% of the examIdentify weak areas and improve with focused review.
Start Practicing6. Hematology
6% of the examIdentify weak areas and improve with focused review.
Start Practicing7. Infectious Disease
9% of the examIdentify weak areas and improve with focused review.
Start Practicing8. Miscellaneous
2% of the examIdentify weak areas and improve with focused review.
Start Practicing9. Nephrology and Urology
6% of the examIdentify weak areas and improve with focused review.
Start Practicing10. Neurology
4% of the examIdentify weak areas and improve with focused review.
Start Practicing11. Obstetrics and Gynecology
3% of the examIdentify weak areas and improve with focused review.
Start Practicing12. Medical Oncology
6% of the examIdentify weak areas and improve with focused review.
Start Practicing13. Ophthalmology
1% of the examIdentify weak areas and improve with focused review.
Start Practicing14. Otolaryngology and Dental Medicine
1% of the examIdentify weak areas and improve with focused review.
Start Practicing15. Psychiatry
4% of the examIdentify weak areas and improve with focused review.
Start Practicing16. Pulmonary Disease
9% of the examIdentify weak areas and improve with focused review.
Start Practicing17. Rheumatology and Orthopedics
9% of the examIdentify weak areas and improve with focused review.
Start Practicing18. Geriatric Syndromes
3% of the examIdentify weak areas and improve with focused review.
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Frequently asked questions
Straight answers about the IM exam, the questions, pricing, the free trial, and how this fits your prep.
The IM exam spans 18 domains - 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%), and Geriatric Syndromes (3%). Every practice question maps to one of them, so you train on exactly what's tested.
The Internal Medicine (IM) exam has 240 questions and is completed in 10 hours. Our timed practice tests mirror that length and pacing, so exam day feels familiar.
No - and that matters. These are original practice questions written to mirror the style, difficulty, and domain coverage of the IM exam blueprint. We never distribute actual exam content, so practicing here keeps you fully compliant with official exam policies.
No. IM Exam Prep is an independent study resource for Internal Medicine (IM). It is not affiliated with, sponsored by, or endorsed by the official certifying body or exam administrator.
Every paid plan unlocks the full bank of 1,000+ practice questions covering all 18 IM domains - 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%), and Geriatric Syndromes (3%). You can practice the whole bank, filter by domain, or run a timed, domain-balanced exam simulation.
Yes - the bank is maintained against the current exam outline, and questions are revised when the exam changes.
No honest practice platform can guarantee a pass. What realistic practice does is show you - before exam day - exactly which domains are weak, and give you the repetitions to fix them. That's the difference between hoping you're ready and knowing where you stand.
Yes. You get 10 free sample questions with instant feedback - no credit card and no account required.
The free sample shows you the question quality. Paid plans unlock the full 1,000+ question bank, exam-style practice modes, mistake review, and - on Fast Track and Pass Confidence - progress analytics that show your readiness by domain.
No. Every plan is a single one-time payment for a fixed access window - 48 hours, 7 days, or 6 weeks. There is no auto-renewal and no recurring billing.
Match it to your exam date: Final Review (2 days) for an exam in the next day or two, Fast Track (7 days) for an exam this week, Pass Confidence (6 weeks) for a structured run-up.
For most countries, the price you see is exactly what you pay - tax is already included. Where local law requires it to be added separately, it's shown clearly at checkout before you pay, so there are never any surprise fees.
Access is instant after payment and runs for your plan's full window from that moment. When the window ends, your local progress stays on your device - you can buy another window any time and pick up where you left off.
Yes - the whole platform is mobile-first: practice, mistake review, and analytics all work on any phone, tablet, or laptop with a browser. Nothing to install.
Every answer feeds your per-domain accuracy, readiness score, and weak-area list. Instead of re-reading everything, you drill the domains that are actually costing you points - that's what moves a score in days, not months.
Email us any time. The contact link is in the footer. Payments are processed securely by Polar, and active customers can download an invoice from their profile page.
Make sure you're signed in with the same email you used at checkout - access activates within a minute of payment. If it still doesn't appear, email us from the contact link in the footer and it'll be sorted out.
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Focus on one IM domain at a time - pick it here, then choose a mode.
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Re-drill the questions you got wrong.
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Drill your lowest-scoring domains first.
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For candidates with 2-6 weeks before exam day - the complete, confident way to prepare.
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Trusted by IM candidates
Real feedback from IM candidates on Reddit.
"board studying while on wards was brutal. the qbank on internalmedicineexam.com was the only thing i actually stuck with, did a block of cardio questions every night before bed. showed up test day and half the ecg stuff felt familiar. still tired but passed."
"honestly wasnt gonna pay for another resource but my score on the pulm section was garbage on my first practice test and i needed something to fix it fast. the mistake review feature actually showed me i kept mixing up similar diagnoses, not just random errors. helped alot more than rereading notes."
"procrastinated so hard on this. three weeks out i finally sat down and did the full length mocks back to back, timing myself like the real four sessions. rheum questions were way more than i expected but seeing the pattern early kept me from panicking on exam day. passed, relieved more than anything."