ABIM Rheumatology study guide
ABIM Rheumatology · Work through your exam, one topic at a time.
The ABIM Rheumatology Certification Examination is the American Board of Internal Medicine's subspecialty certifying assessment for physicians who have completed rheumatology fellowship training and wish to demonstrate the knowledge, clinical judgment, and skills required for independent practice in rheumatology. According to ABIM, certification examinations assess the knowledge, clinical judgment and skills essential for providing high-quality care in internal medicine and its subspecialties, and certification demonstrates that a physician is ready for independent practice. The exam is delivered as four sessions of up to 60 multiple-choice questions each, for a total of up to 240 single-best-answer items over approximately 10 hours, with 100 total minutes of optional break time divided between three breaks. The overwhelming majority of questions use a clinical stem (patient-based case scenario) format testing higher-order clinical decision-making, and a small number address specific knowledge points without a clinical stem; some questions require interpretation of illustrative materials such as radiographs and photomicrographs. The ABIM Rheumatology study guide has 2 sections and about 683 words.
01Rheumatology: Core Disease Concepts and Clinical Reasoning
Approach rheumatology by pattern recognition across four axes: joint distribution (mono/oligo/poly; symmetric vs asymmetric; axial vs peripheral), tempo (acute vs insidious), inflammatory vs mechanical features (morning stiffness 1 hour, improvement with use, nocturnal pain, elevated ESR/CRP favor inflammation), and extra-articular clues (rash, sicca, serositis, renal, pulmonary, ocular). Know the classic phenotypes cold: rheumatoid arthritis (symmetric small-joint polyarthritis, prolonged morning stiffness, anti-CCP more specific than RF), SLE (multisystem, ANA sensitive but nonspecific; anti-dsDNA and anti-Sm specific; complement consumption in flares), spondyloarthritis (inflammatory back pain, enthesitis, dactylitis, HLA-B27 association, asymmetric oligoarthritis), crystal disease (gout: negatively birefringent needle-shaped; CPPD: positively birefringent rhomboid, often knee/MCP), polymyalgia rheumatica and giant cell arteritis (age 50, shoulder/hip girdle pain, elevated ESR; ask about headache, jaw claudication, vision), and vasculitis organized by vessel size.
349 words, about 2 min02Internal Medicine and Cross-Cutting Content in Rheumatology
The rheumatology exam expects you to manage the whole patient , not just the joint. Many questions test how systemic disease and its treatments interact with other organ systems, and how common internal medicine problems present differently in rheumatologic patients.
334 words, about 2 min