American Board of Internal Medicine (ABIM) Certification Practice Exam

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What is the classification of a TIMI Risk Score of 5-7?

Low risk
Intermediate risk
High risk
Critical risk

The correct answer is: High risk

A TIMI Risk Score of 5-7 places a patient in the high-risk category for adverse cardiovascular events, particularly in the context of unstable angina and non-ST elevation myocardial infarction (NSTEMI). The TIMI (Thrombolysis In Myocardial Infarction) Risk Score is used to estimate the risk of short-term mortality and to guide clinical decision-making in patients experiencing chest pain or other symptoms suggestive of acute coronary syndrome (ACS). The scoring system assesses various clinical factors, such as age, cardiac biomarkers, symptoms of myocardial ischemia, and comorbid conditions. A score of 5-7 indicates a significant burden of risk factors and correlates with an increased likelihood of major cardiovascular complications. Patients in this range may benefit from more aggressive treatment strategies and closer monitoring to mitigate the risk of heart attack or related events. Recognizing the implications of a high-risk score helps clinicians provide appropriate interventions, which may include hospitalization, further diagnostic testing, and potential revascularization procedures. This targeted approach is vital for improving patient outcomes in those identified as high risk due to their TIMI score.