Family Medicine Board Review

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

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"Awesome family medicine exam review. Scored high on my ABFM boards, convenient for CME and keeps me informed. Big recommend to any family medicine physician."
Tom Berg, MD

#1 ABFM board review, MOC, CME, and more anytime, anywhere, any device.

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Med-Challenger is the most effective, easiest to use Family Medicine board review question bank for the American Board of Family Medicine certification and MOC examinations. Med-Challenger's family medicine exam review with over 3000 family medicine practice questions and intelligent FM self-assessment provides everything you need to pass the ABFM 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 board 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 board review has never been so easy, effective, or efficient.

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Our #1 family medicine question bank for ABFM exam prep is intelligent, automatically targeting weaker areas of knowledge, saving your time.

Over 3000 Family Medicine Exam Review Questions & Answers

High-Yield Family Medicine Board Review Questions mapped to the ABFM exam blueprint.

Using authoritative resources such as Rakel's family medicine textbook, our family medicine physician editors ensure our ABFM prep course is always current and covers the latest ABFM exam blueprint. The Med-Challenger Family Medicine Board 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

The MOST AMA & AAFP CME credits you'll find in any online ABFM review.

250

AMA Category 1 CME Credits

250

AAFP Prescribed Credits

abfm exam prep - family medicine review with ama and aafp CME credits

Produce CME certificates whenever you need annually. Useful year after year.

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

A 62-year-old woman is diagnosed with endometrial carcinoma and undergoes staging surgery and investigations. Histology shows endometrioid carcinoma, which is confined to the myometrium but invades the outer half. Pelvic and para-aortic nodes are not affected. There is no cervical involvement. Computed tomography shows no regional or distant spread.

Based on these results, which of the following is the correct stage of her disease?

stage 1C
stage 1A
stage 2
stage 1B

Endometrial tumors are staged according to the International Federation of Gynecologists and Obstetricians (FIGO) revised guidelines issued in 2009. This tumor is stage 1B, because it is confined to but invades the outer 50% of the myometrium. This is associated with a 5-year survival rate of 85%.

Stage 1A disease is confined to the inner one-half of the myometrium. Stage 1C is no longer a recognized category in the updated FIGO classification system. The previous stage 1A/B categories have been combined into 1 category (stage 1A) as a result of the similarity in survival rates seen in the 2 groups. "Stage 1B" now represents the previous stage 1C category. This is not stage 2 disease because the cervical stroma has not been invaded.

The new staging system has a higher prognostic value than the previous system, which was used since 1998. An important change in the new guidelines is the recognition that sarcomas are separate pathologic entities and as such are no longer included in the same staging system as other endometrial carcinomas.

References:

Lewin SN. Revised FIGO staging system for endometrial cancer. Clin Obstet Gynecol. 2011;54(2):215-218.

Zaino RJ. FIGO staging of endometrial adenocarcinoma: a critical review and proposal. Int J Gynecol Pathol. 2009;28(1):1-9.

Sample Question 2

A 27-year-old homeless woman has frostbite to her toes. What would be the ideal temperature to rewarm her frozen tissue?

30°C noncirculating water
38-42°C gently circulating water
44°C gently circulating water
38-42°C gently noncirculatory water

Ideal temperature for rewarming is between 38-42°C in gently circulating water (whirlpool therapy). The temperature should be maintained by a constant thermometer measurement. Higher temperatures cause the rewarming process to be much more painful.

Reference:
Danzl DF. Frostbite. In: Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed., 2009:1861-1867.

Sample Question 3

A 52-year-old man with no family history of colon cancer just had his first screening colonoscopy and was found to have a 14-mm polyp in the descending colon that was completely resected. Histology demonstrates tubular adenoma.

When should his next colonoscopy be scheduled?

6 months
3 years
5 years
1 year
10 years

Educational Objective:

Recognize high-risk polyps that require close surveillance.

Key Point:

Patient with polyps > 1 cm are at increased risk of colorectal malignancy and should undergo follow-up colonoscopy in 3 years.

Explanation:

Screening colonoscopies for average-risk patients should be recommended every 5 to 10 years. However, for patients with adenomatous polyps with higher risk features, this interval should be shortened. This patient has a high-risk feature: a polyp larger than 1 cm (14 mm is equivalent to 1.4 cm). High-risk features, including more than 3 adenomatous polyps of any size, any adenomatous polyp larger than 1 cm, or the presence of villous features should prompt repeat colonoscopy within 3 years.

References:

Macrae FA. Overview of colon polyps. Published November 14, 2017. Accessed April 10, 2018.

Short MW, Layton MC, Teer BN, Domagalski JE. Colorectal cancer screening and surveillance. Am Fam Physician. 2015;91(2):93-100.

Sample Question 4

Which of the following best describes postdural puncture headache?

For severe headaches, an epidural patch helps only a minority
Characteristically positional and increases with the upright position
Size of the spinal needle and orientation of the bevel make little difference in the incidence
Use of the atraumatic (pencil-tipped) needle for lumbar puncture (LP) does not reduce risk
Incidence affected by the amount of time patient remains recumbent after the procedure

Post-dural puncture headache can occur in as many as 40% of cases, the most frequent adverse event, and may be more common with multiple punctures, larger needles, larger volumes of CSF obtained and in migraineurs, but not associated with length of time recumbent after the procedure. The incidence is most effectively decreased by use of atraumatic “pencil-tipped” needles.

Most dural-puncture headaches resolve spontaneously, and increasing fluid and/or caffeine intake and use of migraine-specific (triptans) therapies or simple analgesics can be helpful. Definitive treatment with an epidural blood patch is recommended for severe, refractory cases.

Reference:
Kwiatkowski T, Alagappan K: Headache, in Rosen’s Emergency Medicine, 7th edition, Concepts and Clinical Practice. Marx JA editor. 2009, Mosby (Elsevier); volume 2, part III, section 7, Neurology, chapter 101

Sample Question 5

A 67-year-old carpenter is brought in by his family because of concerns about his cognition and behavior. He has been compulsively eating junk food and gaining weight. The patient has seemed apathetic about his business and has had difficulty planning projects. He has become less verbal overall and seems to have difficulty expressing himself. The family also says he has been more irritable and has verbally lashed out at family members, which he had never done before. The patient denies feeling ill or depressed.

Computed tomography shows lobar atrophy of the frontal and temporal lobes. Metabolic screening test results are normal. Cognitive testing reveals that his memory is minimally impaired, andhis judgment and language are moderately impaired.

Which of the following types of dementia is the most likely in this patient?

dementia with Lewy bodies
Creutzfeldt-Jakob disease
Parkinson disease with dementia
frontotemporal dementia
Alzheimer disease

Frontotemporal dementia is a clinical spectrum of neurodegenerative disorders affecting primarily the frontal lobes, the temporal lobes, or both. Prominent symptoms in frontotemporal dementia include personality and behavioral changes as well as language disturbances. Unlike in Alzheimer disease, behavior symptoms occur early and misdiagnosis for psychiatric disorders are very common.

Patients often have difficulties with planning and language as well as behaviors, and their memory is relatively preserved. The distinguishing imaging finding of frontotemporal dementia is atrophy of the frontal and temporal lobes.

References:

Apostolova LG. Dementias. In: Daroff RB, et al. Bradley’s Neurology in Clinical Practice. 2012: 1534-1582.e5.

Waldo ML. The frontotemporal dementias. Psych Clin North Am. 2015;38:193-209.

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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Proven ABFM board review that keeps on giving.

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Sharon Montes, MD

Benefits for Lifelong Practice

High-Yield

Content Resources

Comprehensive, up-to-date & new content.

High-quality specialty review and knowledge protection
Question banks mapped to board exam specifications
Detailed answer explanations with bonus Pearls of Wisdom
Written and peer-reviewed by practicing, board-certified physician educators.
Informative content blogs and updates keep you in step with MOC and guideline changes.
Enduring material, unlike a live course you can't revisit.

Intelligent

Assessment & Feedback

Do more in less time with intelligent tools.

Intelligent self-assessment and board exam simulation adapts to your knowledge needs
Learning prescriptions guide you to reinforcement in areas of difficulty
Smart exams de-emphasize content you know well so you spend time on material you don't
Flexible study modes and read-friendly answer keys
Build smart custom exams
Predictive performance analytics

Practical

Built for Lifelong Practice

Boards and beyond, built for career MOC.

No need to attend or travel to a live course
Study when you want
Earn and claim CME credits and produce CME certificates easily.
Ongoing news and new content just for having an account.
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Premium membership keeps ALL of your purchased content assets up-to-date and useful.
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Works anywhere, on any device, year round.
Saves time. Intelligent exams focus on what you need to know better.
Quick and easy to use. No startup labor.
Don't stress over and over about MOC requirement resources.
One-time purchases stay in your account forever.
Single online login to all purchased assets.

Multiple Ways to Learn & Earn

The Med-Challenger platform gives you more than any other. It's designed for today's pressing needs and longterm knowledge quality, maintenance of certification, and hassle-free requirement fulfillment. We know that everyone's practice life and personal requirements vary. We've set everything up where you can use your content assets in multiple ways. Your content assets stay up-to-date and you have flexible and fun ways to use the resources you need to know so you stay at your best.

Study

Exam Review

Prepare for exams faster and score higher.

Exam blueprint-based board review
Comprehensive, adaptive board exam simulation
Chapter & topic exams
Practice tests & "see answers" review modes
Build, save & re-use intelligent custom exams
Instant feedback & remediation analysis

Earn

Get CME Credits

Earn CME credits while you study - or anytime.

Earn CME credit while you study
AMA Category 1 credits
Specialty credits
State-required credits
Track CME earnings
Easy CME certificate PDF generation

Play

Battle Peers

Stay current though fun peer-to-peer games.

Play special CME quiz games within your account
Peer leaderboards
Create your own player alias
New content and CME case challenges weekly
Earn free CME credit for playing

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Stay informed of changes to care and CME requirements.

Medical education news & updates
New materials annually for MOC
Guideline knowledge checks & updates
Diagnostic challenges
Informative practice alerts
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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.
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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.
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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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FM Cert

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Platform Features & Utilities

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ABFM MOC Exam & FMCLA Review + CME Credit

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Platform Features & Utilities

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Pre-built smart sims & tests
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ABFM Board Review (ABEM)

Pass-guaranteed
ABFM Board Review
250 AMA & 250 AAFP CMEs
Value $599

ABFM Knowledge Self-Assessment Review (KSA Modules)

All 16 current KSA modules
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Urgent Care Board Review

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3300+ board-style exam questions
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State-required CME Course

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Value $229

Malpractice & Risk Management

Legal course for physicians
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