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Ace the ABFM Certification Exam with Med-Challenger's proven Family Medicine Certification Exam Review. Featuring over 3,000 ABFM Certification Exam Review questions with detailed explanations and rationales following the American Board of Family Medicine Certification Exam Blueprint, board exam simulation, and adaptive learning features, Med-Challenger's ABFM certification exam prep course is the best way to prepare for the family medicine board certification exam.

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Med-Challenger is the most effective, easiest to use Family Medicine certification exam question bank for the American Board of Family Medicine certification exam. Med-Challenger's family medicine certification prep course with over 3000 family medicine practice questions and intelligent ABFM self-assessment provides everything you need to pass the ABFM certification exam and fulfill other family medicine continuing certification requirements like KSAs, AMA PRA Category 1, and AAFP Prescribed CME credits, all in one powerful, effective, and convenient access point online.

Our pass-guaranteed Family Medicine certification exam review course gets you prepared for ABFM boards fast, thanks to our constantly updated Family Medicine review questions, detailed answer explanations, and intelligent FM board exam simulators. Plus, our online ABFM board review course keeps serving you after exams too. Certification or recertification – Family Practice certification exam review has never been so easy, effective, or efficient.

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3000+ Family Medicine Certification Exam Review Questions

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Using authoritative resources such as Rakel's family medicine textbook, our family medicine physician editors ensure our ABFM certification prep course is always current and covers the latest ABFM exam blueprint. The Med-Challenger Family Medicine Certification Review is 100% pass-guaranteed and used by the National Family Medicine Review live course, GME programs and healthcare organizations world-wide.

Earn Required CMEs

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Family Medicine Course Information

Family Medicine Review Course Information

Cardiovascular Disease

Congenital Heart Disease in the Adult
Congestive Heart Failure
Dysrhythmias/Conduction Defects
Endocarditis
Hypertension
Ischemic Heart Disease
Myocardial Disease
Pediatric Cardiovascular Disorders
Pericardial Disease
Valvular Heart Disease
Vascular Disease

Gastrointestinal Disorders

Biliary Tract Disease
Colonic and Anorectal Disease
Esophageal Disorders
Liver Disease
Pancreatic Disease
Small Intestinal Disease
Stomach or Duodenum
Pediatric Gastrointestinal Disorders

Endocrinology, Diabetes, and Metabolism

Adrenal Disorders
Diabetes Mellitus
Disorders of Calcium Metabolism and Bone
Hypoglycemia
Lipid Disorders
Obesity
Thyroid Disorders
Pediatric Endocrine Disorders

Allergy and Immunology

Auto-Immune Collagen Vascular Disorders
Drug Allergy
Food Allergy
Hypersensitivity Reactions
Primary Immunodeficiency Disorders
The Immunocompromised / Solid-Organ Transplant Patient
Pediatric Allergy and Immunology

Eye, Ear, Nose, and Throat

Eye: Assessment
Eye: Glaucoma
Eye: Inflammation and Infection
Eye: Pharmacology
Eye: Vascular Disorders
Nose: Infection and Inflammation
Oral Cavity: Medical Disorders
Otologic Infections
Otologic Signs, Symptoms, Presentations
Throat and Soft Tissue Neck: Medical Disorders
Pediatric Eye, Ear, Nose, and Throat Disorders

Hematology and Oncology

Anemia
Bone Tumors
Breast Cancer
Coagulopathies
Disseminated Intravascular Coagulation
Gastrointestinal or Hepatic Cancer Gynecologic Cancer
Hematologic Malignancies
Lung Cancer
Management of Malignant Pain
Neoplasms of the Head and Neck
Oncologic Emergencies
Sickle Cell Disease
Transfusion Medicine (Principles and Complications)
Urological Cancer
Pediatric Hematology and Oncology

Dermatology

Acne/Rosacea
Dermatitis (Eczemas)
Dermatologic Immunology
Disorders of Hair & Nails
Nodules and Tumors of the Skin
Papulosquamous Dermatoses
Photosensitivity Dermatoses
Pigment Disorders
Skin and Soft Tissue Infections
Vascular Dermatoses
Vesiculobullous Dermatoses
Pediatric Dermatology

Rheumatology, Musculoskeletal Disorders, and Sports Medicine

Bone and Joint Infections
Crystal-Induced Arthropathy
Deep Soft Tissue Infections
Disorders of Muscles
Infectious, Inflammatory, and Reactive Arthritis
Neck and Back Pain
Osteoarthritis
Rheumatoid Arthritis
Sports Injuries / Trauma
Systemic Lupus Erythematosus
Systemic Sclerosis
Vasculitis
Pediatric Rheumatology and Musculoskeletal Disorders

Infectious Diseases

Coronavirus (SARS-COV-2, COVID-19)
COVID-19 During Pregnancy
Diphtheria, Pertussis, Tetanus
Hantavirus
HIV and AIDS
Influenza, Mononucleosis, Herpes
Meningococcemia, Pneumococcemia
MRSA, VRE, ESBL
Parasitic Infections
Rabies
Sepsis Syndromes
Systemic Fungal Infections
Tick-Borne Illnesses
Tuberculosis
Pediatric Infectious Diseases

Nephrology and Urology

Acute Renal Failure
Chronic Kidney Disease
Glomerular Disorders
Nephrolithiasis
Prostate Disorders
Urinary Incontinence
Urinary Tract Infections
Water and Electrolyte Balance
Pediatric Nephrology and Urology

Neurologic Disorders

Central Nervous System Infections
Delirium and Dementia
Demyelinating/Inflammatory Diseases
Diseases of Movement Control
Headache Disorders Seizures Selected
Cranial Nerve Disorders Spinal Cord Syndromes
Stroke: Epidemiology and Presentation
Stroke: Initial Work-Up
Stroke: Preventive Care
Stroke: Treatment
Neurologic Assessment
Neuromuscular Junction Disease
Peripheral Neuropathies
Pediatric Neurologic Disorders

Psychiatric Disorders

Anxiety Disorders
Eating Disorders
Factitious Disorders
Mood Disorders
Personality Disorders
Psychological Factors Affecting Medical Disorders
Schizophrenia and Delusional (Paranoid) Disorders
Somatoform Disorders
Pediatric Psychiatric Disorders

Respiratory Disorders

Interstitial Lung Disease
Lower Respiratory Tract Infections
Asthma and Other Obstructive Lung Disease
Occupational and Environmental Lung Disease
Pleural Disease
Pulmonary Vascular Disease
Sleep Medicine
Upper Respiratory Tract Infections
Pediatric Respiratory Disorders

Women's Health and Maternity Care

Acute Complications of Pregnancy
Chronic Medical Illness During Pregnancy
Contraception
General Approach to the Pregnant Patient
Gynecological Assessment
Menopause and Hormone Therapy
Screening and Regular Health Care in Adult Women
Sexual Assault
Sexually Transmitted Infections: Female

Male Reproductive System Disorders

Penile Disorders
Sexually Transmitted Infections - Male
Testicular Disorders

Child and Adolescent Care

Anticipatory Guidance
Childhood Immunizations
Development Milestones
Disease Prevention
Failure to Thrive
Female Pubertal Development
Gynecologic Health Care
Male Pubertal Development
Normal Growth
Obesity
Periodic Health Examination / Screening
Pregnancy and Contraception
Self-Identity and Family Influence
Sexuality and Emotional Development
Sexually Transmitted Infections

Geriatrics

Physical Impairment in the Elderly
Bowel and Bladder Function
Common Issues in the Elderly
Neurological Issues in the Elderly
Other Primary Geriatrics
Geriatrics: Medical Conditions
Geriatrics: Pharmacotherapy
Geriatrics: Special Problems of the Elderly
Geriatrics: Urinary Incontinence

Emergent/Urgent Care

Advanced Airway: Adult
Airway: Pediatric
Breathing: Ventilatory Support (Adult/Pediatrics)
Disaster Preparedness
Environmental Disorders
Perioperative Care
Postoperative Complications
Procedural Sedation: Adult
Procedural Sedation: Pediatric
Resuscitation: Adult Cardiac
Resuscitation: Brain (After Cardiac Arrest)
Resuscitation: Neonatal
Resuscitation: Pediatric
Resuscitation: Shock
Resuscitation: Trauma
Toxicologic Disorders
Traumatic Disorders
Wound Management

Population-Based Care

Bioterror
Cancer Prevention and Screening
Diet and Prevention
Evidence-Based Medicine
Exercise and Prevention
Medical Law
Pain Management and Addiction Medicine
Prescribing Controlled Substances
Prevention of Cardiovascular Disease
Prevention of Infectious Disease

Patient-Based Systems

Clinical Decision-Making
Medical Error Prevention
Medical Ethics
Communication, Family, and Cultural Issues
End-of-Life Care
Patient Safety

Sample Question 1

An 8-year-old is in severe respiratory distress due to asthma. The patient had no improvement following multiple nebulized albuterol and ipratropium treatments, steroids, and intravenous magnesium. You decide to perform rapid-sequence intubation (RSI). Which of the following is the preferred agent for such a situation?

Vecuronium
Thiopental
Ketamine
Pancuronium

Educational Objective:

Discuss induction agents for intubating a patient with severe bronchospasm. 

Key Point:

Ketamine is the preferred agent due to its potent bronchodilating effect.

Explanation:

Thiopental should not be used in asthma since it releases histamine.  Pancuronium is not used in RSI due to its long-acting effect. Vecuronium is rapidly falling out of favor because rocuronium has a faster onset of action in cases for which nondepolarizing agents are needed.

Reference:

Schwartz RB. Pharmacologic Adjuncts to Intubation (Chapter 5). In: Roberts JR. Roberts and Hedgers’ Clinical procedures in Emergency Medicine 7th ed., 2019:111-126.e3

Sample Question 2

A 16-year-old otherwise healthy boy presents to you following a motorcycle accident. His heart rate is 150 beats/minute with age appropriate normal blood pressure and pulse oximetry. He is speaking normally and has no external signs of bleeding. Physical examination reveals a grossly dislocated right ankle with absence of dorsalis pedis pulses. Which of the following is the most appropriate next step?

reduction of the ankle without procedural sedation
administration of a short-acting procedural sedation agent and reduction of the dislocated ankle
consultation with an anesthesiologist because the injury places him in a high-risk classification
determination of fasting status as solid food within 6 hours and fluids within 2 hours are absolute contraindications to procedural sedation
none are correct

This patient has a potentially catastrophic injury with manifestations of circulatory compromise to the affected foot. Consultation with an anesthesiologist is not necessary because the patient's classification scheme puts him in a low-risk classification. Consultation with an anesthesiologist is generally recommended for patients with level III (severe systemic illness with functional limitations), IV (severe systemic illness that is a consistent threat to life), or V (moribund patient who may not survive without the procedure) classification or in whom a difficult airway is expected. This is not the case with this patient.

Fasting status should not be considered an absolute contraindication for procedural sedation. The 2- and 6-hour description is derived from expert consensus and not from evidence-based medicine. It is also determined from patients undergoing general anesthesia. Loss of airway protective reflexes and vomiting occur infrequently during procedural sedation. Reduction using a procedural sedation agent is appropriate in this instance given the severity of injury. Reduction without procedural sedation is ill advised. The patient will be in considerable pain resulting in increased difficulty in reduction.

Reference

Burbulys D, et al. Procedural sedation and analgesia. In: Marx JA, et al, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed., 2010.

Sample Question 3

A 26-year-old nulliparous woman with a history of menarche at age 12 years reports that her mother was recently diagnosed with unilateral breast cancer at age 48 years. She is concerned about her own risk.

There are no other first-degree relatives with breast cancer or ovarian cancer. The patient does not have a personal history of breast lumps or biopsies.

What would be the highest-yield approach to reducing this woman’s risk of death from breast cancer?

Order baseline mammography.
Order magnetic resonance imaging (MRI) of the breast.
Refer the patient’s mother for genetic counseling and possible BRCA1/BRCA2 testing.
Refer the patient for genetic counseling and possible BRCA1/BRCA2 testing.

Educational Objective:

Identify women to refer for genetic counseling and testing for BRCA1/BRCA2 mutations.

Key Point:

Genetic testing should ideally be carried out when there is the highest risk of a positive test, and this occurs in patients diagnosed with breast cancer at age ≤ 50 years or women diagnosed with triple negative breast cancer at age ≤ 60 years.

Explanation:

Genetic testing should ideally be carried out when there is the highest risk of a positive test and this occurs in patients diagnosed with breast cancer at age no older than 50 years or women diagnosed with triple negative breast cancer at age 60 years or younger. BRCA mutations account for 7% of all cases of breast cancer, and BRCA1/BRCA2 mutations account for the majority of these patients.

This patient would be treated and screened differently if her mother was found to have BRCA1/BRCA2 mutation. Screening the mother for the mutation is higher yield than screening her daughter.

Baseline mammography at a young age is unlikely to be helpful due mostly to the poor sensitivity and specificity of mammography in young, premenopausal women with dense breast tissue. MRI may be useful if this woman is found to be at high risk (> 20% lifetime risk of breast cancer), but without information on carrier status for BRCA mutations, she would not fall into that category simply based on family history in 1 relative.

References:

Davidson N. Breast cancer and benign breast disorders (chapter 198). In: Goldman L, Schafer A. Goldman-Cecil Medicine. 25th ed., 2016:1351-1360.

National Comprehensive Cancer Network. NCCN Clinical Practice Guidelines in Oncology: Genetic/Familial High-Risk Assessment: Breast and Ovarian. Version 3.2019. Accessed February 25, 2019.

Sample Question 4

On physical examination of a sexually abused child, which of the following is seen in the majority of cases?

No abnormality
Torn hymen
Discharge
Labial fusion
Fimbriated hymen

The majority of children who have been sexually abused will have a normal examination, either because the physical contact produced no injury or because the injury has healed completely.

Sample Question 5

A 70-year-old patient presents to you with high blood pressure and osteoarthritis of the knee. The nonsteroidal anti-inflammatory drugs (NSAIDs) he has been taking have been somewhat effective, and he has moderate joint mobility. He asks you if there is anything else he can do to improve his osteoarthritis-related symptoms without the use of invasive techniques.

What should you tell him?

Discontinue naproxen.
Receive regular corticosteroid injections.
Start taking a narcotic at bedtime.
Begin a regular exercise program.

Educational Objective:

Identify effective therapies for osteoarthritis.

Key Point:

Regular exercise programs are highly effective for osteoarthritis and carry little, if any, risk to the patient when properly instituted.

Explanation:

Exercise is a noninvasive option that has been proven to reduce the pain associated with osteoarthritis. Regular exercise strengthens the muscles, leading to better distribution of weight across the joints and easing wear and tear. This leads to less pain and progression of osteoarthritis. Aerobic exercise also causes the release of the body's natural endorphins, which help to relieve pain. In addition, exercise promotes weight loss, which will help alleviate osteoarthritis-related symptoms in patients who are overweight or obese. Exercise programs for those with arthritis are best begun with the help of a specially trained exercise or physical therapist.

References:

Glyn-Jones S, Palmer AJ, Agricola R, et al. Osteoarthritis. Lancet. 2015;386(9991):376-387.

Goldman L, Schafer AI. Goldman-Cecil Medicine. 25th ed., 2015.

Target Audience

Med-Challenger FM is intended for practitioners of family medicine or clinicians otherwise involved in the diagnosis and treatment of acute, emergent, or chronic medical problems.

Educational Objectives

The objective of this continuing medical education program is to provide an interactive review of the knowledge base of acute care and primary care medicine as appropriate by medical specialty. After completing this course, the participating clinician should be better equipped to:

Manage the broad spectrum of acute and chronic medical problems encountered in the practice of medicine.
Formulate appropriate differential diagnoses for patients presenting with acute medical problems of uncertain etiology.
Efficiently initiate therapeutic and diagnostic procedures for patients presenting with acute and chronic medical disorders.
Diagnose and treat acute and chronic: cardiovascular disorders; diseases of the eye, ear, nose, throat, skin and soft tissues; endocrinologic disorders; orthopedic and environmental injuries; gastrointestinal diseases; gynecologic and obstetric disorders; hematologic and oncologic problems; immunologic, allergic and rheumatologic diseases; infectious diseases; signs and symptoms; musculoskeletal disorders; pulmonary diseases; renal and urologic disorders; and intoxications and poisonings.
Demonstrate mastery of the knowledge and cognitive skills required to achieve objectives 1-4 by scoring at least 80% on all topics studied for CME credit.

Faculty

The following individuals have generously contributed to the content and/or editing of this program:

Editor-in-Chief:
Gerard Kiernan, MD

Contributing Author:
Mary Alice O'Brien, DNP, APRN, FNP-BC

Joint Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and Challenger Corporation. Postgraduate Institute for Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Designation Statement

AMA Credit - The Postgraduate Institute for Medicine designates this enduring material for a maximum of 252 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

AAFP Credit - This Enduring Material activity has been reviewed and is acceptable for up to 252 Prescribed credit(s) by the American Academy of Family Physicians. Term of approval begins 01/01/2021. Term of approval is for one year from this date. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ANCC Credit - The maximum number of hours awarded for this Continuing Nursing Education activity is 252 contact hours.

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ABFM Certification Exam Dates

About the Family Medicine Certification Exam and ABFM Certification Requirements

Standard ABFM Exam Dates (Certification)

Spring Examination Dates	April 6, 7, 8, 9, 10, 12, 13, 14, 15, 16, 17, 19, 20, 21, 22, 23, 24, 26, 27, 28, 29 & 30, 2021 May 1, 3 & 4, 2021
Fall Examination Dates	November 8, 9, 10, 11, 12, & 13, 2021

Other Family Medicine Exam Dates:

In-training exam: October 21–30, 2021

Other Family Medicine Certification Requirements:

Knowledge Self-Assessment (KSA): Either complete KSA topic-based modules annually, or complete CKSA questions sets quarterly for one year.
Professionalism
Family Medicine CME
State CME

Information about the One-Day
ABFM Certification Examination

Pass your ABEM boards with Med-Challenger

The American Board of Family Medicine is one of 24 medical specialty boards that make up the American Board of Medical Specialties (ABMS). Through ABMS, the boards work together to establish common standards for physicians to achieve and maintain board certification.

Board certification is a meaningful indicator that a physician has the knowledge, experience and skills necessary to provide high-quality patient care. Although board certification is voluntary, ABFM certification is recognized throughout the world as signifying excellence in the practice of Family Medicine.

The ABFM Family Medicine examination is referred to as the Family Medicine Certification Examination. The same examination is delivered to initial certification and continuing certification candidates

What's on the ABFM Certification Exam

What's covered on the American Board of Family Medicine Certification Exam?

ABFM publishes a content blueprint * of the material that will appear on the exam, the primary medical content categories of the blueprint are shown below. This is how we determine which material appears in ABFM board exam simulations.

Cardiovascular10%
Endocrine 7%
Gastrointestinal 6%
Hematologic/Immune3%
Integumentary5%
Musculoskeletal10%
Nephrologic3%
Neurologic3%
Nonspecific8%
Psychogenic6%
Reproductive-Female3%
Reproductive-Male1%
Respiratory11%
*Population-based Care4%
*Patient-based Systems4%
*Module13%
TOTAL~100% (because of rounding)

Population-based Care :
This includes topics such as biostatistics and epidemiology, evidence-based medicine, prevention, health policy and legal issues, bioterror, quality improvement, and geographic/urban/rural issues.
Patient-based Systems :
This includes topics such as clinical decision-making, communication and doctor patient interaction, family and cultural issues, ethics, palliative care,and end-of-life care.
Module:
Selected from seven possible choices at the time of the examination.

What is the format of the ABFM Certification Exam?

What's the ABFM Certification Exam format?

The ABFM Certification Examination in Family Medicine is a test of family medicine knowledge and clinical problem-solving ability relevant to Family Medicine. Appropriate subject areas of the following disciplines are included: Community Medicine; Adult Medicine; Maternity Care; Gynecology; Care of Neonates, Infants, Children and Adolescents; Behavior & Mental Health; the Surgical Patient; and the Older Patient.

Elements of the examination include, but are not limited to, diagnosis, management, and prevention of disease. The examination consists of four sections and is a full day in length.

The Family Medicine Certification Examination is divided into four (4) equal sections of 100 minutes. Each section contains 80 multiple choice questions. The modular exam portion of the examination is contained in the second section of the examination and consists of 40 multiple choice questions over the topic selected.

The second section of the examination will first present the 40 questions over the modular exam topic selected and then 40 questions which cover the breadth of Family Medicine. The modular exam topic will be selected prior to beginning the second section of the examination. Once a modular exam topic has been selected and confirmed, the selection cannot be changed.

The One-Day Family Medicine Certification Examination consists only of single best response, multiple-choice questions. On exam day there will be a brief orientation/tutorial prior to starting, which will allow you to re-familiarize yourself with the exam process.

How to prepare for the ABFM Certification Exam

Study tips and tricks for passing the Family Medicine certification board exam.

how to prepare for family medicine board certification exam

Get our ABFM Board Exam Survival Guide

Recent Med-Challenger customer surveys indicate that residents spent, on average, 10 weeks preparing for the Family Medicine boards (written exam), and 5 weeks preparing for the oral exam. ABFM certification exam pass rates were generally in the mid-90% and length of time had no correlation with a higher pass rate.

ABFM exam study guides...

If it's time to prepare for the ABFM certification exam, and you’re wondering where to begin … Let us help you! Our family medicine boards study guide is full of tips, tricks, and valuable insight into the art of family medicine certification exam prep and the inner-workings of the exam itself. After all, this is the only thing standing between you and your new career!

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Med-Challenger Family Medicine Reviews

See what family physicians have said about
our #1 family medicine board review - Med-Challenger FM

Med-Challenger FM gives you the best family medicine content for ABFM exams and my practice. Even better, it stays useful for annual MOC requirements.
Mary Arnold, MD

Excellent ABFM MOC board review and the best investment I've made for my continuing education. It's a wonderful education solution that saves my time and money.
Robert Place, MD

This course has helped our family medicine residency program immensely. I used it myself for ABFM recertification and passed with a higher score.
David Bauer, MD, PhD

Family Medicine Board Review
Product Comparison

Take a look at premiere Family Medicine knowledge products from leading vendors.

FEATURE	MED-C FM	Rosh Review	True Learn	Board Vitals
ABFM Review Questions & Full Explanations	3000+	3000+	1200	2300+
AMA Cat 1 CME Credits	250	100	No CME	40
AAFP Prescribed Credits	250	0	No CME	100
Labor-free to Start	Yes	No	Yes	Yes
Exam Simulator	Yes	No	No	No
Time-saving Adaptive AI	Yes	No	No	No
"Weak Area" Guidance	Yes	No	No	Yes
Custom Exams	Yes	Only	Yes	Yes
Multi-product Single Login	Yes	No	No	Yes
Full Year of Use Standard	Yes	Yes	No	No
Low-Cost Renewal* for use every year	Yes	No	No	Yes

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ABFM Family Medicine Certification Exam Review

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Follows the ABFM Exam Content Outline

3,000+ ABFM-formatted questions

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