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, and adaptive learning features, Med-Challenger's ABFM exam review is the best way to prepare for family medicine boards.

Family Medicine Exam Review.
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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.

And be set for the future as well.

100% pass-guaranteed.
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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.

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

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

The parents of a 14-year-old boy ask you how to keep their son safe as he approaches the legal age for driving in their state. What has been a proven factor in preventing teenagers from drinking and driving?

graduated driver licensing
limited tolerance laws
driving alone
confiscation of cellular phones
maximum legal drinking age

Factors that may help keep teenagers safe include minimum zero tolerance laws, legal drinking age, parental involvement, and graduated driver licensing systems. The graduated driver license system involves increasing the number of driving privileges given to a teenager as he or she gains more experience behind the wheel.

Reference:

Centers for Disease Control and Prevention. Teen drinking and driving: a dangerous mix. Accessed November 9, 2012.

Sample Question 2

A 14-year-old boy undergoing chemotherapy for acute myeloid leukemia presents with fever, cough, and neutropenia. Blood cultures are drawn, and he is started on antibiotics and an antifungal medication. Work-up shows a halo sign on computed tomography of the lung.

The diagnosis is most likely which of the following?

toxoplasmosis
aspergillosis
pulmonary metastasis
coccidioidomycosis
sarcoidosis

Aspergillosis is caused by a mold found on decaying vegetation and in the soil. The principal route of transmission is inhalation.

Invasive pulmonary aspergillosis is the most common type of aspergillosis and is found in immunocompromised children. Invasive aspergillosis can also involve sinus, cerebral, cutaneous, cardiac, and orbital sites. A conclusive diagnosis of aspergillosis requires a culture; there is no pathognomonic study finding. Commonly, multiple nodules can be seen on x-ray. The halo sign is a classic finding on computed tomography but can also be seen in other pulmonary fungal infections.

Coccidioidomycosis is the only other fungus on the list and is rarely associated with lung lesions.

Treatment of aspergillosis normally involves an antifungal medication and discontinuation of corticosteroids to help establish normal immune function.

Reference: 

Gould JM, Aronoff SC. Histoplasmosis (Histoplasma capsulatum). In: Kliegman RM, et al. Nelson Textbook of Pediatrics. 19th ed., 2011:1062-1063.

Rogg LE, Steinbach WJ. Aspergillus. In: Kliegman RM, et al. Nelson Textbook of Pediatrics. 19th ed., 2011:1058-1061.

Weisse ME, Maranich AM. Malassezia. In: Kliegman RM, et al. Nelson Textbook of Pediatrics. 19th ed., 2011:1058.

Sample Question 3

The image shown below is most commonly associated with which laboratory test?

SSA antibodies
Increased ESR
Anti-RNP
Increased CRP
Elevated Rheumatoid Factor

Correct!

The rheumatoid nodule is the most common skin manifestation of rheumatoid arthritis.

It is often found on pressure points and extensor surfaces, but can also form on many different sites as well as internal organs of the body.

They are present in up to 35 percent of patients with RA, and almost all of them have an elevated rheumatoid factor.

There is no strong correlation with any of the other tests.

Reference:
Rheumatoid arthritis: a review of the cutaneous manifestations. Sayah A; English JC 3rd J Am Acad Dermatol. 2005 Aug;53(2):191-209; quiz 210-2.

Sample Question 4

You have been asked to be the leader of your local medical community in a new campaign to prevent adolescent suicide. You know the US Preventive Services Task Force (USPSTF) has released a statement regarding this subject and you want to be consistent with the recommendations in that statement. In following the new guidelines from the USPSTF, and as the leader of your local medical organization, what will be your initial counsel to your community?

Evidence regarding the possible harms of screening adolescents for suicide risk is robust, and this evidence discredits the idea of using screening tools in primary care settings.
The monetary cost of screening adolescents for suicide risk is substantial and the decision to screen must be made on a case-by-case basis
Given that most adolescents who die by suicide have a psychiatric disorder and many have been seen recently in primary care, health care professionals should be aware of psychiatric problems in young patients and should consider asking these patients about suicidal ideation and referring them for therapy.
Evidence regarding the benefits of screening adolescents for suicide risk is robust, and this evidence supports the idea of using screening tools for all adolescents presenting for a primary care visit.
Evidence to determine whether it is beneficial to screen the general asymptomatic population of adolescent for suicide risks is inadequate; thus, providers need not be concerned with screening any adolescents for suicide risk when they present for a primary care visit.

Most adolescents who die by suicide have an underlying psychiatric disorder, and nearly 90% of suicidal young people were seen by a primary caregiver in the 12 months prior to dying by suicide. Therefore, health care professionals should be aware of any psychiatric problems in their young patients and should consider asking these patients about suicidal ideation and referring them for therapy. However, the USPSTF concluded in their May 2014 report that evidence regarding the general screening of asymptomatic adolescents for suicide risk in primary care is insufficient and that the evidence regarding the benefits versus harm incurred by screening cannot be determined based on available studies. That being stated, the report encourages health care professionals to identify adolescents with risk factors for suicide and refer those patients for treatment. The monetary cost of screening for suicide risk is minimal, although additional time is needed during the primary care visit to accommodate screening.

Reference:

LeFevre ML; U.S. Preventive Services Task Force. Screening for suicide risk in adolescents, adults, and older adults in primary care: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2014;160:719-726.

Sample Question 5

A 30-year-old woman presents with persistently high blood pressure above 180/90 mm Hg; her blood pressure was checked on two separate occasions during the last week. She denies any history of a chronic medical issue such as high blood pressure or diabetes. She also denies any complaints of nausea, vomiting, visual changes, dysuria, urgency, chest pain, or shortness of breath. However, she reports a positive family history of diabetes and hypertension in her family.

During her visit with you, you note that her blood pressure is 190/96 mm Hg in the right forearm and 188/94 mm Hg in the left forearm. On physical examination, she has no jugular venous distension, swelling of the eyes, or lymphadenopathy. Cardiovascular and pulmonary examinations are normal. 

Urinalysis shows:
Protein = 2+
Blood = 1+ with many RBC casts on microscopy
Ketones, red blood cells (RBCs) = Nil
White blood cells (WBCs) = 0.2/hpf
Creatinine = 0.9 mg/dL
blood urea nitrogen = 17 mg/dL
24-hour urinary proteins = 2.4 g

Complete blood count, electrolytes, liver function test, complements, and blood sugar levels are all found to be within normal limits.

Which of the following is the most appropriate step in the management of this patient's condition?

skin biopsy
cystoscopy
kidney biopsy
laparoscopy
urine culture

Correct!

This patient has evidence of primary glomerular disorder as suggested by RBC casts; hematuria, proteinuria, and elevated blood pressure are also secondary to glomerular disease. In order to determine the nature of the glomerular abnormality to initiate treatment, it is important to identify the primary glomerular disease by performing a biopsy of the kidney tissue.

Cystoscopy will not show any abnormality because the hematuria, proteinuria, and casts in the urine are due to glomerular disease.

Laparoscopy or skin biopsy is unlikely to yield any strong evidence to support the most likely diagnosis in this patient.

This patient has no WBCs in the urine, so the urine culture will most likely yield no organismal growth after culture.

References:
Brosnahan G, Fraer M. Chronic kidney disease: whom to screen and how to treat, part 1: definition, epidemiology, and laboratory testing. South Med J. 2010;103(2):140-146.
Leoncini G, Ratto E, Viazzi F, Pontremoli R. The role of microalbuminuria in the overall risk assessment of hypertensive patients. [In Italian]. G Ital Nefrol. 2007;24(6):565-573.

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:

Mark E. Deutchman, MD, FAAFP
Professor, Department of Family Medicine
Director, Advanced Training Track
Director, Rural Health Track
University of Colorado Health Sciences Center
Denver, CO

Contributing Author:

Kastoori Iyengar, MD
Family Physician
St. Vincent's Physician Group
Sterling, MA

Jennifer Williams, MD
Urgent Care Physician
Premier Health
Baton Rouge, LA

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 25o 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 250 Prescribed credit(s) by the American Academy of Family Physicians. Term of approval begins 01/01/2020. 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 250 contact hours.

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Proven ABFM board review that keeps on giving.

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Benefits for Lifelong Practice

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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.
Keeps your CME earnings history secure
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.
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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.

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Exam Review

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

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

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Play special CME quiz games within your account
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New content and CME case challenges weekly
Earn free CME credit for playing

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Medical education news & updates
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Diagnostic challenges
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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.
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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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ABFM Knowledge Self-Assessment Review (KSA Modules)

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71 AMA PRA Category 1 credits
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Legal course for physicians
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