Family Medicine Question Banks

Family Medicine Certification Exam Qbank

Unlock success on your path to certification and earn CME credits with 3,000 ABFM-formatted questions aligned with ABFM Test Plan Specifications.

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Questions

Aligned with the American Board of Family Medicine format. Authored & peer-reviewed by faculty, clinicians, and program directors. Approved for AAFP Prescribed Credits.

Each question is written to resemble the format and topics on the exam, meaning you won’t see any negatively phrased questions, no “all of the following except,” no “A and B”…you know what we mean. Most importantly, all questions include selective distractors (incorrect answer choices), which will help you think critically.

Must address important content
Must be well structured

Question

A 58-year-old man presents to the clinic with bilateral hand and wrist pain that has been progressively worsening for 6 months. He says the pain is accompanied by morning stiffness that now lasts up to 45 minutes, which slows him down when getting up for work. On physical exam, you note the proximal joints of both hands are swollen and tender. Which of the following is the most likely diagnosis?

A Fibromyalgia

B Osteoarthritis

C Polymyalgia rheumatica

D Reactive arthritis

E Rheumatoid arthritis

Correct Answer Distractors

Rheumatoid arthritis is considered an autoimmune disease that presents with symmetrical, inflammatory polyarthritis, often associated with morning stiffness lasting over 30 minutes. Rheumatoid arthritis commonly affects the proximal interphalangeal (PIP) and metacarpophalangeal joints. The joints are described as swollen and boggy, secondary to synovial hypertrophy or effusion. X-rays consistent with rheumatoid arthritis show bony erosions or subchondral cysts or both. The diagnosis can be confirmed with anti-cyclic citrullinated protein antibodies, with or without a positive rheumatoid factor. ESR and CRP are both nonspecific to rheumatoid arthritis, but are likely to be elevated secondary to inflammation. Arthritis presenting for less than a few weeks should prompt further work up for alternate causes, as rheumatoid arthritis is a chronic condition and considered appropriate for work up when symptoms have been present for 6 weeks or more.

Explanations

Written with a purpose

Understanding why an answer choice is incorrect is just as important as knowing why one is correct. That’s why every Rosh Review question includes detailed explanations for the correct and incorrect answer choices. These comprehensive summaries link the most important components of a topic—from risk factors to diagnostics and treatment—giving you the context to build relationships between them.

Created for optimal learning and recall
Help reinforce your knowledge
Focus on the essential information

Illustrations

Created to enhance learning

Custom illustrations and tables help further clarify the core concepts. When information is presented visually, you can focus on meaning, easily reorganize and group similar ideas, and make better use of your memory.

Powerful Analytics

Smarter Exam Predictions

Your Qbank’s performance metrics, like projected score or probability of passing, are now more accurate and personalized to the exam you’re studying for. The more questions you complete, the better your insights become.

Focus your learning

Deep insights to determine your strengths and weaknesses so you can spend your time on the subjects that matter.

Compare with your peers

Discover how your answer choices align with those selected by learners across the country.

Find out your probability of passing

Using data generated by previous users, your Qbank gives a prediction of how likely you are to pass your exam.

One Step Further

Taking your learning to the next level

After each explanation is a straightforward question with a simple, memorizable answer that reinforces the corresponding topic.

Strengthens your knowledge
Stands alone from the main explanation so you’re not rereading content

Question

What is first line in the treatment of early onset rheumatoid arthritis of moderate severity?

Reveal Answer

Rheumatoid Arthritis

Most commonly caused by autoimmune destruction of synovial joints
Risk factors: female sex, age 30–50 years
Sx: joint pain or swelling and morning stiffness lasting > 1 hour for > 6 weeks
PE: symmetric synovitis (swelling and effusion of small joints in hands and feet such as MCP or PIP), ulnar deviation, boutonnière deformity, and swan-neck deformity
Extra-articular manifestations of skin, eyes, lungs, heart: subcutaneous nodules over extensor surfaces, C1–C2 subluxation, vasculitis, keratoconjunctivitis sicca, pleuritis, organizing pneumonia, pericarditis
- Caplan syndrome: pulmonary nodules
- Felty syndrome: neutropenia and splenomegaly, occurs in long-standing severe RA
Lab results: positive RF and anti-CCP antibodies, elevated ESR and CRP
Tx
- Smoking cessation
- NSAIDs and glucocorticoids for symptomatic relief
- DMARDs to minimize joint damage (e.g., methotrexate)
Complications: CAD, osteoporosis

Rapid Review

Keeping things simple

These bulleted reviews focus on condensed, high-yield concepts about the main topic, from patient presentation to preferred management.

Cover the fundamentals in one list
Allow you to quickly scan the must-know information

FAQs

Get a little more clarification

Where can I find free practice questions for the ABFM board exam?: You can access free practice questions with a free trial for the Family Medicine Certification Exam Qbank—no billing information required. The free trial includes practice questions that align with the ABFM blueprint and include comprehensive answer explanations and beautiful teaching images.

After practicing with these questions, if you decide you're ready for thousands of additional questions to help you confidently prep for your board exam, you can easily upgrade to a full Qbank subscription.

How long is the ABFM board exam?: There are 300 total questions administered in four sections. You have 95 minutes to complete each section.

The Family Medicine Certification Exam Qbank contains thousands of questions covering all the topics you need to know, so you'll be prepared and confident for exam day.

How should I study for the ABFM board exam?

This detailed article about How to Increase Your Family Medicine Certification Exam Score includes our favorite study tips. Spoiler alert: you should target your “unknown unknowns.” Here’s how you do that:

Answer a question from a Qbank
If you answer incorrectly, read the explanation
Take notes about why the correct answer is correct, and make sure to take notes on anything in the explanation that you didn’t already know

If you do this for every question you answer incorrectly, and if you regularly review your notes and add information to topics as you do more questions, you’ll eventually determine your unknown unknowns. In return, you’ll uncover most of your blind spots that questions on the board exam can ask about.

The “How to Increase Your Score” article also includes day-of tips like which grammatical mistakes to keep an eye out for to help you narrow down answer choices. Our goal is to help you succeed, so read as many of these tips as you can before exam day.

Which family medicine Qbanks should I compare?

These are the companies we suggest trying to make sure you find the Qbank that's right for you. Compare them by signing up for a free trial:

AAFP
BoardVitals
Exam Master
NEJM Knowledge+
Rosh Review
TrueLearn
UWorld

How to Select the Best Family Medicine Board Review breaks down the selection criteria you can use.

How do I earn CME with Rosh Review?

If you sign up for an account that is linked to CME, here’s what you need to do:

Complete either all the questions or 1,000 questions in your Qbank (depending on your package)

Once that’s complete, here’s how to claim and download your certificate:

Go to the Account Settings tab (only on desktop/laptop)
Select Claim next to the subscription package name (see an example)
Attest to having completed the CME module and reviewing the CME information found here.
Complete the survey
Download your certificate

You’ll earn up to 100 AMA PRA Cat 1 CME credits.

What forms of payment do you accept?: Visa, Mastercard, American Express, and gold bars (just kidding–please don’t try this. It sounds heavy.)

What is the pass guarantee?: We believe in you, and if you use Rosh Review, we're confident you will pass your board exam.

If you complete 100% of the questions in your package and don't pass, you will be refunded the full amount of your subscription costs. Guaranteed. Your score report with your name and numerical score must be emailed Rosh Review at refund@roshreview.com within 60 days of the score report being published.

If you haven't completed all the questions or if you want to prepare to retake your exam, your subscription can be extended through the next exam date free of charge.

Who writes the questions and explanations?: The finest people around! Questions writers and content editors are board-certified clinicians who have all performed well on their examinations. Answer explanations are derived from the specialty's authoritative resources with some personal input to simply the material and synthesize it for greatest comprehension and recall.
If you’re interested in becoming a question writer, tell us a bit about yourself and we'll be in touch.

Can I use my subscription from multiple devices and locations?: Phone...laptop...tablet...yep! You can access your subscription from as many locations and as many devices as you want and have. However, we recommend starting and completing exams on a single device.

Keep in mind that sharing accounts is not allowed, so simultaneous logins are not allowed. Any abuse of the Terms & Conditions will result in cancellation of your account.

Please download the mobile app from the Apple Store or Google Play Store.

“I just received comfortably above passing score on the Initial Certification Exam! When I started using Rosh Review last year for the In-Service, my scores started rising considerably. Thanks again!”

Matthew DeAugustinis, MD

Attending Physician

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