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 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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📋 Family Practice Exam Exam Format at a Glance

300
Questions
380 min
Time Limit
70.00%
Passing Score

📚 Family Practice Exam Topics to Study (24)

✍️ Sample Family Practice Exam Questions & Answers

1. A patient with atrial fibrillation has a CHA₂DS₂-VASc score of 3. What is the recommended management?
✓ Anticoagulation with a DOAC or warfarin

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?
✓ Helicobacter pylori infection

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 70-year-old woman is started on alendronate for osteoporosis. What is the most important instruction to give her?
✓ Remain upright for 30 minutes after taking it

Patients must remain upright for at least 30 minutes after taking bisphosphonates to prevent esophageal irritation and ulceration.

4. What is the most common cause of secondary hypertension in adults under 40 years old?
✓ Renovascular hypertension

Renovascular hypertension from renal artery stenosis (often fibromuscular dysplasia in young adults) is the most common cause of secondary hypertension in patients under 40.

5. A patient is admitted with whiplash. The patient exhibits paresthesia along the spine when the neck is flexed, according to the examination. This is advantageous:
✓ Lhermitte sign

The Lhermitte sign is a neurological finding characterized by an electric shock-like sensation that radiates down the spine and into the extremities upon neck flexion. This sign is indicative of cervical spinal cord dysfunction or demyelination, often seen in conditions like whiplash, multiple sclerosis, or cervical spondylosis. Its presence suggests potential spinal cord irritation or damage.

6. A 52-year-old patient with chronic constipation has failed dietary fiber supplementation and increased fluid intake. Which pharmacological agent is the most appropriate next step?
✓ Polyethylene glycol (osmotic laxative)

Polyethylene glycol is the preferred first-line pharmacological agent for chronic constipation, with strong evidence for efficacy and long-term safety.

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Your Family Practice Exam Study Path
1. Learn with Flashcards → 2. Drill Practice Tests → 3. Take the Full Exam Simulation

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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 — Fees, passing score, retake fee, score validity, exam dates, test dates, test delivery, eligibility, retake policy, exam information · verified Nov 2026