Family Practice Exam Cheat Sheet 2026

The 30 highest-yield Family Practice Exam facts, distilled from real exam questions. Print it, save it as a PDF, or study it here β€” free, no sign-up.

Family Practice Exam exam key facts

  • The minimum passing score for the ABFM Family Medicine Certification Examination is set by the ABFM Board of Directors and reviewed regularly. Source
  • The ABFM Family Medicine Certification Examination costs $1,300 for an initial attempt. Source
  • Candidates who do not pass the ABFM Family Medicine Certification Examination may re-attempt it provided eligibility and application requirements are met, and each application is valid only for the examination applied for. Source
  • ABFM Family Medicine certification is issued as a certificate without an end date, and continued certification is contingent on meeting current and continuous requirements. Source
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300 questions
380 min time limit
70.00% to pass
  1. A patient with known CAD develops new-onset dyspnea and orthopnea. Which test best evaluates cardiac function? β†’ Echocardiogram
  2. What role does collaboration play in preventive medicine for Family Practice Exam professionals? β†’ It enhances outcomes through diverse perspectives and shared expertise
  3. What is the most important factor in effective communication with patients regarding acute care? β†’ Using clear, understandable language and confirming understanding
  4. Which ethical principle requires Family Practice Exam professionals to act in the patient's best interest? β†’ Beneficence
  5. What is the key benefit of evidence-based decision making in Family Practice Exam management? β†’ It improves accuracy and reduces bias in decisions
  6. A 4-year-old child is brought in with fever, drooling, and sitting in a tripod position with neck hyperextended. What is the most likely diagnosis? β†’ Epiglottitis
  7. A patient with atrial fibrillation has a CHAβ‚‚DSβ‚‚-VASc score of 3. What is the recommended management? β†’ Anticoagulation with a DOAC or warfarin
  8. What is the most important factor in effective communication with patients regarding geriatric care? β†’ Using clear, understandable language and confirming understanding
  9. A patient has a blood pressure of 165/95 mmHg on two separate office visits. According to ACC/AHA 2017 guidelines, what is the diagnosis? β†’ Stage 2 hypertension
  10. Which blood pressure target is recommended for a 72-year-old patient with hypertension but no diabetes or CKD, according to current ACC/AHA guidelines? β†’ Less than 130/80 mmHg
  11. Barrett's esophagus is best defined as which of the following histological changes? β†’ Replacement of normal squamous epithelium with intestinal-type columnar epithelium
  12. Which of the following should be avoided while treating depression in the elderly due to the possibility of cardiotoxic adverse effects? β†’ Amitriptyline
  13. Which of the following is the most appropriate treatment for stable angina refractory to nitrates and beta-blockers? β†’ Add a long-acting calcium channel blocker (amlodipine)
  14. Which of the following symptoms is used to identify Parkinson's disease? β†’ Bradykinesia, resting tremor, muscular rigidity, and postural instability
  15. Which ECG criterion is most commonly used to diagnose left ventricular hypertrophy? β†’ S in V1 + R in V5 >35 mm (Sokolow-Lyon)
  16. A patient stabilized on warfarin is started on fluconazole for a fungal infection. What effect will this have on the INR? β†’ Increase INR
  17. Which spirometry pattern is diagnostic of COPD? β†’ Post-bronchodilator FEV1/FVC ratio less than 0.70
  18. What is the role of informed consent in geriatric care? β†’ It ensures the patient understands and agrees to the plan
  19. Which electrolyte abnormality most increases the risk of digoxin toxicity? β†’ Hypokalemia
  20. What lab test is typically run on a patient taking diabetes medication? β†’ Hemoglobin A1c (CMP)
  21. A patient on an SSRI for depression reports easy bruising. What is the most likely pharmacologic mechanism? β†’ Platelet dysfunction
  22. What is the recommended initial antihypertensive agent in a diabetic patient with microalbuminuria? β†’ ACE inhibitor
  23. A patient with severe right upper quadrant (RUQ) pain presents. Which imaging test should be used to evaluate this patient? β†’ Ultrasound (US)
  24. Which of the following best describes the role of the SGLT-2 inhibitor empagliflozin in chronic disease management beyond glycemic control? β†’ Reduces cardiovascular mortality and hospitalizations for heart failure in type 2 diabetes
  25. What is the LDL goal for a patient with established atherosclerotic cardiovascular disease (ASCVD)? β†’ Less than 70 mg/dL
  26. Which intervention has the strongest evidence for improving liver histology in non-alcoholic fatty liver disease (NAFLD)? β†’ Weight loss of 7–10% of body weight through diet and exercise
  27. A patient with hypothyroidism is stable on levothyroxine but reports fatigue and weight gain. TSH is 6.8 mU/L. What is the next step? β†’ Increase the levothyroxine dose and recheck TSH in 6–8 weeks
  28. Which approach to mental health is considered best practice in current Family Practice Exam standards? β†’ Evidence-based, individualized interventions
  29. Which hepatitis B serologic pattern indicates immunity due to vaccination (not prior infection)? β†’ Anti-HBs positive only (HBsAg negative, anti-HBc negative)
  30. Which valve lesion produces a harsh systolic ejection murmur best heard at the right upper sternal border radiating to the carotids? β†’ Aortic stenosis

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How this page was made: written with AI tools and published by Nathan Beja, founder of Practice Test Geeks, who is responsible for its content. Exam facts are checked against the official sources listed below. Not reviewed by a subject-matter expert. Editorial policy

Sources & references

Exam facts on this page (fees, format, dates, passing scores) are checked against these official sources; the date is our last check. Editorial policy

  1. theabfm.org β€” Fees, passing score, retake fee, score validity, exam dates, test dates, test delivery, eligibility, retake policy, exam information Β· verified Nov 2026