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

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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.

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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 33-year-old marathon runner complains of persistent pain at the base of his right hallux, which is aggravated with walking and running. An x-ray reveals fracture of his medial sesamoid bone under his right hallux. What is the best management?

posterior ankle splint
open-soled orthopedic shoe
below-knee walking cast
buddy taping to adjacent toe
internal fixation

Correct!

The sesamoids are 2 flat oval bones found within the tendon of the flexor hallucis brevis, under the head of the first metatarsal. Ten percent of the population has sesamoid bones under the fifth metatarsal head, and uncommonly, sesamoids are found under the second, third, or fourth metatarsal. Sesamoid fractures are uncommon and usually are caused by direct trauma from falls. Hyperextension of the great toe can also indirectly lead to a sesamoid fracture. Sesamoid fractures also can be found in association with metatarsophalangeal joint dislocations. Stress fractures of the sesamoids also occur. The medial sesamoid is more commonly fractured than the lateral, and a suspected fracture must be differentiated from partition of sesamoids, which occurs in up to one third of the population and also is more common on the medial aspect. Sesamoid fractures generally require a below-knee walking cast for 3 to 4 weeks. Most heal without complications and do not require orthopedic consultation.

Reference:
Riyad B. Abu-Laban and Kendall Ho. Marx: Rosen's Emergency Medicine, 7th ed.: Mosby; 2009. CHAPTER 55 - Ankle and Foot

Sample Question 2

Which of the following must be ruled out in a 2-year-old child with edematous, bluish-red gingivae?

Thrombotic thrombocytopenic purpura (TTP)
Leukemia
Systemic lupus erythematosus (SLE)
Dilantin hyperplasia
Pyogenic granuloma

Some 40% of patients on Dilantin (phenytoin) have some gingival enlargement. It is worse in younger patients. Leukemic cells can invade the gingivae, causing them to become edematous and bluish-red, and to possibly cover the teeth. The gingival tissue is at risk for infiltration by bacteria, possibly leading to sepsis secondary to the leukemic cells causing edema and bluish-red gingivae. Pyogenic granuloma is a condition found during pregnancy; it results in the overgrowth of fibrous tissue within the gingivae. SLE can cause painful oral ulcers, but this would be a rare presentation in a 2-year-old. TTP patients can present with the sudden onset of bleeding from the gingivae.

Sample Question 3

A 30-year-old man with no prior medical history presents to you with approximately 2 weeks of dry cough, fevers to 103 °F, and progressive dyspnea. He notes no hemoptysis, recent travel, exposure to sick contacts, or unintentional weight loss.

Upon questioning, he does not take any medications and does not have any known allergies.

Vital signs are: blood pressure 120/80 mm Hg, pulse 125 beats/minute, regular respiratory rate 30 breaths/minute, and oxygen saturation 90% on room air.

Findings on physical examination are significant for respiratory distress and bibasilar crackles on examination of the lungs. A CBC and blood chemistries failed to show any significant abnormalities. A twelve-lead electrocardiography shows sinus tachycardia, but no acute ischemic changes. Troponin test is negative and B-type natriuretic peptide is within normal limits. You order an x-ray chest of his chest (see Figure).

The patient is subsequently intubated and placed on a ventilator and you order cultures of blood and urine. You also start the patient on antibiotics for empiric treatment of pneumonia.

Bronchoscopy is subsequently performed and bronchoalveolar lavage (BAL) is consistent with a diagnosis of acute eosinophilic pneumonia.

What is the next step in the management of this patient's condition?

initiation of infliximab
initiation of azathioprine
initiation of cyclosporine
initiation of steroids

Idiopathic acute eosinophilic pneumonia is a rare condition of unknown etiology. Patients have a history similar to that in this case. The mainstays of treatment are supportive care and include supplemental oxygen, mechanical ventilation (if needed), and corticosteroids. Immunosuppressive agents such as infliximab, azathioprine and cyclosporine are not required since the illness responds so well to corticosteroids. Diagnostic criteria include the following:

Febrile illness of short duration ≤ 1 month, but often < 1 week)
Hypoxemic respiratory failure (eg, pulse oxygen saturation < 90% on room air or arterial oxygen tension < 60 mm Hg)
Diffuse pulmonary opacities on chest x-ray
BAL differential cell count showing eosinophilia > 25%
Absence of known causes of eosinophilic pneumonia (drugs, infections, asthma, atopic disease)

 

References:

Raghu G. Interstitial Lung Disease in Goldman-Cecil Medicine. 2016; 92: 575-588

Akuthota P, et al. Hypersensitivity pneumonitis and pulmonary infiltrates with eosinophilia. In: Kasper D, et al, eds. Harrison's Principles of Internal Medicine. 19th ed., 2015.

King TE Jr. Idiopathic acute eosinophilic pneumonia. Accessed March 30, 2016.

Sample Question 4

The following is an example of Hypothetico-deductive decision making:

“Although antibiotics would not normally be warranted, this case is atypical and I should administer them”
“I enjoy taking care of this patient because he is kind to others”
“My emotional involvement in this case cannot cloud my judgment”
“This patient has ST elevations. I will call the catheterization lab immediately”
“This psychiatric patient could have many dispositions, but the best and most ethical one is for him to be admitted”

The Hypothetico-deductive decision making process involves cognitive methods to arrive at a solution. Each new patient will have a unique disposition that will have to be made using analytic processing of stored knowledge.

Sample Question 5

An 80-year-old man with hypertension, dyslipidemia, and type 2 diabetes mellitus is receiving medication for pain management related to a vertebral compression fracture. He is allergic to penicillin (rash).

For the last 8 weeks, he has been taking hydrocodone/acetaminophen for his pain without adequate relief. His other medications include lisinopril, hydrochlorothiazide, amlodipine, simvastatin, metformin, and insulin glargine.

What would you want to consider next for this patient?

fentanyl
oxycodone
kyphoplasty
acetaminophen
tramadol

After 6 weeks of conservative care, consideration may be given to interventional treatment. Options for vertebral compression fractures include balloon kyphoplasty and vertebroplasty; however, evidence demonstrating the efficacy of these procedures is conflicting.

Reference:

Lemmon R, Leonard J. Neck and back pain. In: Rakel RE, Rakel D. Textbook of Family Medicine. 9th ed.,. 2015: 684-698.

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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Informative content blogs and updates keep you in step with MOC and guideline changes.
Enduring material, unlike a live course you can't revisit.

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Intelligent self-assessment and board exam simulation adapts to your knowledge needs
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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.

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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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