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ABIM Medical Oncology Board Certification Practice Test

160 questions available

Medical oncology board certification covering solid tumors, hematologic malignancies, chemotherapy, targeted therapy, immunotherapy, and supportive care. Administered by American Board of Internal Medicine. Key domains include Breast Cancer, Gastrointestinal Cancer, Hematologic Neoplasms and Genitourinary Cancer. The exam consists of 240 questions over 600 minutes.

Certification exam
240 Exam questions
10 hours Time Limit
Practice bank
160 Practice Questions
2 hours 40 minutes Practice Time
Start Practice
The bank 160 Practice questions checked against the official objectives.
qf-import160 practice questions16 answers with a checkable referenceBlueprint 1.0Bank updated 2026-05-04

Sample Questions

Try a few questions to see what the full exam is like.

16 of 160 answers carry a checkable reference.

Hematologic Neoplasms

A patient with myeloma has t(4;14), renal dysfunction, and painful vertebral lesions. The exam team is testing what factor makes the case high risk. Which option is most appropriate?

Palliative Care, Survivorship, and Oncologic Complications

A patient with curable Hodgkin lymphoma will receive alkylator-containing salvage therapy before transplant and asks about future fertility at the first visit. The exam team is testing what should be done. Which option is most appropriate?

Hematologic Neoplasms

A patient with asymptomatic CLL has lymphocytosis, small nodes, hemoglobin 13, platelets 190, and del(13q) only. The exam team is testing what is the best management. Which option is most appropriate?

Hematologic Neoplasms

A patient with follicular lymphoma has low tumor burden, no symptoms, normal counts, and small nonthreatening nodes. The exam team is testing what is the best initial management. Which option is most appropriate?

Hematologic Neoplasms

A patient with AML is 76, has secondary AML after myelodysplasia, ECOG 2, and is unfit for intensive induction. The exam team is testing what front-line approach is most appropriate. Which option is most appropriate?

Why This Certification Opens Doors

Board certification is more than a credential; it is a public commitment to a standard of excellence. For patients facing a cancer diagnosis, it provides assurance that their oncologist has demonstrated validated expertise. For healthcare systems, it is a key marker of quality and a frequent requirement for clinical privileges and leadership roles. In a field where treatment paradigms evolve rapidly, the certification process underscores a physician's dedication to maintaining current, comprehensive knowledge, directly impacting the safety, efficacy, and personalization of patient care.

Exam Blueprint

Each domain is weighted to match the real certification exam, so a full practice simulation predicts your result.

01Breast Cancer
13-14%
02Gastrointestinal Cancer
13-14%
03Hematologic Neoplasms
13%
04Genitourinary Cancer
12%
05Thoracic Cancer
11-12%
06Palliative Care, Survivorship, and Communication
11%
07Clinical Research Methodology and Ethics
6-7%
08Head, Neck, Thyroid, and Central Nervous System Malignancies
6-7%
09Skin Cancer, Sarcomas, and Unknown Primary Site
7%
10Gynecologic Cancer
5-6%

Exam Details ABIM-ONC | 10 hours

Exam Code ABIM-ONC
Vendor qf-import
Time Limit 10 hours
Exam questions 240

Frequently Asked Questions

How is the exam structured and how long is it?

The exam is typically a one-day, computer-based test consisting of multiple-choice questions, often in single-best-answer format. It is divided into multiple sections, covering the full breadth of the medical oncology blueprint. The exact number of questions and session lengths are detailed in the exam policies provided by ABIM during registration.

What is the best resource for knowing what topics are covered?

The ABIM's official "Medical Oncology Certification Exam Blueprint" is the essential guide. It outlines the precise percentage distribution of questions across major content areas (e.g., Breast Cancer, Lung Cancer, Hematologic Malignancies, Supportive Care). All reputable review courses and materials align their content with this blueprint.

How much time should I dedicate to preparation?

Most candidates benefit from 3-6 months of dedicated, part-time study. Creating a structured schedule that allocates time for each major disease category and includes regular practice questions is crucial. The goal is sustained review rather than intensive, short-term memorization.

Are practice questions and self-assessments important?

Absolutely. Utilizing question banks and the ABIM's own assessment tools is critical. They help you identify knowledge gaps, become familiar with the exam's question style, and improve your pacing and clinical reasoning under test-like conditions.

What happens if I do not pass the exam?

You may retake the exam in a future administration. ABIM provides information on re-registration. Use the detailed score report provided by ABIM to analyze your performance and target your weaker areas for focused study in your subsequent preparation.