Family Practice Exam Study Guide 2026
Everything you need to pass the Family Practice Exam exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.
📋 Family Practice Exam Exam Format at a Glance
📚 Family Practice Exam Topics to Study (69)
✍️ Sample Family Practice Exam Questions & Answers
1. A patient with atrial fibrillation has a CHA₂DS₂-VASc score of 3. What is the recommended management?
A CHA₂DS₂-VASc score ≥2 in men or ≥3 in women indicates a high stroke risk warranting anticoagulation, preferably with a DOAC over warfarin.
2. Which of the following is the most common etiology of peptic ulcer disease in the United States?
H. pylori infection is responsible for approximately 70–90% of duodenal ulcers and 60–70% of gastric ulcers, making it the leading cause of peptic ulcer disease.
3. A 29-year-old woman presents with amenorrhea for 3 months, galactorrhea, and headaches. Serum prolactin is 180 ng/mL. What is the most appropriate next step?
Before MRI, exclude pregnancy (most common cause of amenorrhea-galactorrhea) and hypothyroidism (causes elevated prolactin) to avoid unnecessary imaging.
4. A 70-year-old woman is started on alendronate for osteoporosis. What is the most important instruction to give her?
Patients must remain upright for at least 30 minutes after taking bisphosphonates to prevent esophageal irritation and ulceration.
5. What is the most common cause of secondary hypertension in adults under 40 years old?
Renovascular hypertension from renal artery stenosis (often fibromuscular dysplasia in young adults) is the most common cause of secondary hypertension in patients under 40.
6. A 28-year-old presents with sudden severe headache described as 'the worst headache of my life.' CT head is negative. What is the next best step?
A negative CT does not rule out subarachnoid hemorrhage; lumbar puncture is required to detect xanthochromia or RBCs.