Question bank / Exams / Shelf exams / Internal Medicine
Internal Medicine shelf exam bank
Two exam formats, one pool. Forms are sampled to the published content outline, run as one timed block with the real exam tools (timer, flag, strike-out, lab values), and explanations stay locked until you finish. After each form you get a score report by system and physician task, with lessons for your weak areas.
Start
Full-length forms and topic practice are part of Elite. Sign in if you already have it.
Fixed mock forms
Three fixed forms per format, built to the same blueprint with no question shared between them. Elite. Status and scores show on the Exams hub.
Practice by topic (tutor mode)
Questions you have not seen in an earlier full form are preferred, so a new form never repeats an old one unless the pool runs out; when it does, the form tells you how many items repeat. Misses go to your Missed Questions deck for daily review.
NBME Medicine subject exam blueprint
Official outline: www.nbme.org/subject-exams/advanced-clinical/internal-medicine · www.nbme.org/subject-exams/clinical-science/medicine. Weights are paraphrased public ranges. System ranges from the NBME Internal Medicine outline page; the Medicine clinical-science outline lists the physician tasks below.. Re-check the live outline before test day.
Blueprint and pool depth
Swipe the tables sideways to see every column.
| Area | Official range | On a 110-item form | BW pool items | Depth |
|---|---|---|---|---|
| General principles and multisystem | 5-10% | 9 | 13 | ok |
| Blood, lymphoreticular and immune | 6-15% | 12 | 33 | deep |
| Mental disorders | 1-5% | 3 | 11 | deep |
| Nervous system | 5-10% | 9 | 13 | ok |
| Cardiovascular | 10-15% | 15 | 50 | deep |
| Respiratory | 10-15% | 15 | 33 | deep |
| Nutritional and digestive | 10-15% | 15 | 36 | deep |
| Female reproductive | 1-5% | 3 | 5 | ok |
| Renal, urinary and male reproductive | 5-10% | 9 | 32 | deep |
| Skin | 1-5% | 4 | 9 | deep |
| Musculoskeletal and connective tissue | 1-5% | 4 | 20 | deep |
| Endocrine and metabolic | 8-12% | 12 | 67 | deep |
| Task | Official range | On a 110-item form |
|---|---|---|
| Applying foundational science | 15-20% | 22 |
| Diagnosis | 45-50% | 55 |
| Health maintenance, pharmacotherapy and management | 25-30% | 33 |
No category is below its minimum.
COMAT Internal Medicine blueprint
Official outline: www.nbome.org/assessments/comat/clinical-subjects · www.nbome.org/assessments/comat/clinical-subject-exams/internal-medicine. Weights are paraphrased public ranges. Listed presentation ranges only; the remainder area is derived.. Re-check the live outline before test day.
Blueprint and pool depth
Swipe the tables sideways to see every column.
| Area | Official range | On a 120-item form | BW pool items | Depth |
|---|---|---|---|---|
| Cardiovascular and circulatory | 16-22% | 23 | 50 | deep |
| Respiratory | 16-22% | 23 | 33 | ok |
| Gastrointestinal and nutritional | 12-16% | 17 | 36 | deep |
| Hematology and oncology | 13-18% | 18 | 33 | ok |
| Other systems (endocrine, renal, nervous, MSK, skin, psychiatric, general) (derived) | 22-43% | 39 | 170 | deep |
| Task | Official range | On a 120-item form |
|---|---|---|
| History, physical and diagnostic technologies | 50-60% | 69 |
| Management | 20-30% | 32 |
| Scientific mechanisms of disease | 10-20% | 19 |
No category is below its minimum.
About these forms
Independent educational practice. Not an official NBME or NBOME exam, not affiliated with either, and not a score predictor. Questions are original. Bone Wizardry items are not equated to real forms, so the score report shows a percent-correct band and a rough percentile range marked as an estimate. The free sampler uses reviewed-only items.