ABFM\ American Board of Family Medicine Ite
Practice Exam | Questions And 100% Correct Answers
Already Graded A+ | 2026\2027 Version
Nutrition route for severe acute pancreatitis
-Correct Answer-Continuous enteral feeding (esp. in first 48h)
- Help prevent infectious complications, such as infected necrosis, by maintaining the
gut mucosal barrier and preventing translocation of bacteria that may seed pancreatic
necrosis.
Bedbug bites
-Correct Answer-Having multiple exposures on skin often not covered by clothing would
be typical of household fleas or bedbugs.
Chiggers
-Correct Answer-A chigger is the larval form of a mite, which is an eight-legged
arthropod. The larval form has only six legs, and tends to crawl into spaces near
constricted clothing and cause welts from their bite along the neckline, waistline, sock
line, or more rarely on the genitals.
Chronic kidney disease is defined as an estimated glomerular filtration rate (eGFR) <60
mL/min/1.73 m2 for at least 3 months, or other evidence of kidney damage such as
albuminuria, abnormal imaging, or an abnormal biopsy.
-Correct Answer-Current guidelines recommend referral to a nephrologist if a patient's
renal disease is either of unknown aetiology, is deteriorating quickly (eGFR decreasing
by >5 mL/min/1.73 m2 per year), or is severe.
Thresholds used to define severe chronic kidney disease include an eGFR <30
mL/min/1.73 m2, a urine albumin to creatinine ratio >300 g/mg, persistent acidosis or
potassium imbalance, non-iron deficiency anaemia with a haemoglobin level <10 g/dL,
and evidence of secondary hyperparathyroidism.
Stage I sarcoidosis
-Correct Answer-An asymptomatic patient with stage I sarcoidosis (bilateral hilar
lymphadenopathy on chest radiography) without suspected infection or malignancy
does not require an invasive tissue biopsy because the results would not affect the
,recommended management, which is monitoring only. Treatment is not indicated
because spontaneous resolution of stage I sarcoidosis is common.
Annual failure rate of a combined oral contraceptive pill
is
-Correct Answer-9%
Cognitive assessment test for delirium
-Correct Answer-Confusion Assessment Method (CAM)
Benefits of Directly Observed Therapy
-Correct Answer-Decrease both the acquisition and transmission of drug-resistant
tuberculosis and to increase treatment success in HIV-positive patients.
- The use of DOT does not guarantee the ingestion of all doses of every medication, as
patients may miss appointments, may not actually swallow the pills, or may regurgitate
the medication, sometimes deliberately. Due to these limitations, the use of DOT does
not remove the need to monitor patients for signs of treatment failure.
Beyond short-term pain relief, local corticosteroid injection provides the best long-term
improvement for
-Correct Answer-Trigger finger
The American Academy of Paediatrics recommends screening children 9-11yo for
-Correct Answer-Dyslipidaemia
If patient deemed at high risk of iron deficiency anaemia, universal screening should be
conducted at
-Correct Answer-12 months of age and again at 15-30 months of age
At what age is HIV screening recommended in adolescents
-Correct Answer-16-18 years of age
Cervical cancer screening in women 21-65yo
-Correct Answer-The USPSTF recommends screening for cervical cancer every 3 years
with cervical cytology alone in women aged 21 to 29 years. For women aged 30 to 65
years, the USPSTF recommends screening every 3 years with cervical cytology alone,
every 5 years with high-risk human papillomavirus (hrHPV) testing alone, or every 5
years with hrHPV testing in combination with cytology (cotesting).
Initial management of stable, regular, monomorphic
wide-complex tachycardia
,-Correct Answer-Adenosine
Screening for hepatitis C virus (HCV) with an anti-HCV antibody test is recommended
for all adults at high risk of infection, and one-time screening is recommended in adults
born between 1945 and 1965.
-Correct Answer-If the anti-HCV antibody test result is positive, current infection should
be confirmed with a qualitative HCV RNA test.
Diagnosing ADHD in adults
-Correct Answer-Requires symptoms that interfere with social, academic, or
occupational functioning and are present in more than one setting. DSM-5 states that a
history of symptoms before age 12 is required for the diagnosis.
Calcium levels in Di George syndrome
-Correct Answer-Low (hypocalcaemia)
GORD in infants
-Correct Answer-Features of gastroesophageal reflux include a history of recurrent
pneumonia, a low growth curve, a family history of sudden infant death syndrome, and
normocytic anaemia.
Which treatments for cough has evidence of efficacy and safety when used for children
from 1 to 2 years of age?
-Correct Answer-Honey
Acute chest syndrome in Sickle Cell Disease
-Correct Answer-Atypical pathogens predominates (Mycoplasma and Chlamydophila).
Viral infections are also common, especially in children with ACS.
Other possible pathogens include Staphylococcus aureus, Streptococcus pneumoniae,
and Haemophilus influenzae.
Therefore, the use of a third-generation cephalosporin along with azithromycin is the
recommended antibiotic coverage.
Also include supportive care with supplemental oxygen, intravenous fluids, pain control,
and incentive spirometry.
Absorption of levothyroxine is impaired by several gastrointestinal conditions
, -Correct Answer-Includes atrophic gastritis, chronic PPI use, and Helicobacter pylori
infection.
Acute uncomplicated cystitis antibiotic choice
-Correct Answer-Bactrim/Co-trimoxazole, Nitrofurantoin, Fosfomycin
- Increasing resistance to fluoroquinolones has been seen and they are therefore less
likely to be
successful. Because of the association with tendon rupture they are also not considered
first-line treatment.
One of your patients recently went into atrial fibrillation and you order an
echocardiogram. The diameter of which structures best predicts the likelihood that sinus
rhythm will be maintained after successful cardioversion?
-Correct Answer-Left atrium
Non-displaced mid-clavicular fracture
-Correct Answer-Treated with just a sling for 2-6 weeks. A sling is more comfortable and
less irritating than a figure-of-eight bandage.
Passive range of motion of the shoulder is indicated as soon as the pain allows.
Physical therapy may be started at 4 weeks after the injury.
Treating reflux in infants
-Correct Answer-Implementing body position changes while awake (on side or prone),
lower volume feedings if they are overfed, thickening agents, and antiregurgitant
formula.
It is recommended to avoid the use of medication in infants that have regurgitation that
is effortless, painless, and not affecting growth. When the infant is not growing well or
appears to be in pain, it would be appropriate to initiate pharmacotherapy with an acid
suppressing medication (4-week trial).
Justifiable breach of patient confidentiality
-Correct Answer-1. Abuse of a vulnerable person (child
or elderly)
2. A public health risk (communicable disease)
3. Substantial danger to the patient or others
Most appropriate maximum blood glucose goal in sepsis
Practice Exam | Questions And 100% Correct Answers
Already Graded A+ | 2026\2027 Version
Nutrition route for severe acute pancreatitis
-Correct Answer-Continuous enteral feeding (esp. in first 48h)
- Help prevent infectious complications, such as infected necrosis, by maintaining the
gut mucosal barrier and preventing translocation of bacteria that may seed pancreatic
necrosis.
Bedbug bites
-Correct Answer-Having multiple exposures on skin often not covered by clothing would
be typical of household fleas or bedbugs.
Chiggers
-Correct Answer-A chigger is the larval form of a mite, which is an eight-legged
arthropod. The larval form has only six legs, and tends to crawl into spaces near
constricted clothing and cause welts from their bite along the neckline, waistline, sock
line, or more rarely on the genitals.
Chronic kidney disease is defined as an estimated glomerular filtration rate (eGFR) <60
mL/min/1.73 m2 for at least 3 months, or other evidence of kidney damage such as
albuminuria, abnormal imaging, or an abnormal biopsy.
-Correct Answer-Current guidelines recommend referral to a nephrologist if a patient's
renal disease is either of unknown aetiology, is deteriorating quickly (eGFR decreasing
by >5 mL/min/1.73 m2 per year), or is severe.
Thresholds used to define severe chronic kidney disease include an eGFR <30
mL/min/1.73 m2, a urine albumin to creatinine ratio >300 g/mg, persistent acidosis or
potassium imbalance, non-iron deficiency anaemia with a haemoglobin level <10 g/dL,
and evidence of secondary hyperparathyroidism.
Stage I sarcoidosis
-Correct Answer-An asymptomatic patient with stage I sarcoidosis (bilateral hilar
lymphadenopathy on chest radiography) without suspected infection or malignancy
does not require an invasive tissue biopsy because the results would not affect the
,recommended management, which is monitoring only. Treatment is not indicated
because spontaneous resolution of stage I sarcoidosis is common.
Annual failure rate of a combined oral contraceptive pill
is
-Correct Answer-9%
Cognitive assessment test for delirium
-Correct Answer-Confusion Assessment Method (CAM)
Benefits of Directly Observed Therapy
-Correct Answer-Decrease both the acquisition and transmission of drug-resistant
tuberculosis and to increase treatment success in HIV-positive patients.
- The use of DOT does not guarantee the ingestion of all doses of every medication, as
patients may miss appointments, may not actually swallow the pills, or may regurgitate
the medication, sometimes deliberately. Due to these limitations, the use of DOT does
not remove the need to monitor patients for signs of treatment failure.
Beyond short-term pain relief, local corticosteroid injection provides the best long-term
improvement for
-Correct Answer-Trigger finger
The American Academy of Paediatrics recommends screening children 9-11yo for
-Correct Answer-Dyslipidaemia
If patient deemed at high risk of iron deficiency anaemia, universal screening should be
conducted at
-Correct Answer-12 months of age and again at 15-30 months of age
At what age is HIV screening recommended in adolescents
-Correct Answer-16-18 years of age
Cervical cancer screening in women 21-65yo
-Correct Answer-The USPSTF recommends screening for cervical cancer every 3 years
with cervical cytology alone in women aged 21 to 29 years. For women aged 30 to 65
years, the USPSTF recommends screening every 3 years with cervical cytology alone,
every 5 years with high-risk human papillomavirus (hrHPV) testing alone, or every 5
years with hrHPV testing in combination with cytology (cotesting).
Initial management of stable, regular, monomorphic
wide-complex tachycardia
,-Correct Answer-Adenosine
Screening for hepatitis C virus (HCV) with an anti-HCV antibody test is recommended
for all adults at high risk of infection, and one-time screening is recommended in adults
born between 1945 and 1965.
-Correct Answer-If the anti-HCV antibody test result is positive, current infection should
be confirmed with a qualitative HCV RNA test.
Diagnosing ADHD in adults
-Correct Answer-Requires symptoms that interfere with social, academic, or
occupational functioning and are present in more than one setting. DSM-5 states that a
history of symptoms before age 12 is required for the diagnosis.
Calcium levels in Di George syndrome
-Correct Answer-Low (hypocalcaemia)
GORD in infants
-Correct Answer-Features of gastroesophageal reflux include a history of recurrent
pneumonia, a low growth curve, a family history of sudden infant death syndrome, and
normocytic anaemia.
Which treatments for cough has evidence of efficacy and safety when used for children
from 1 to 2 years of age?
-Correct Answer-Honey
Acute chest syndrome in Sickle Cell Disease
-Correct Answer-Atypical pathogens predominates (Mycoplasma and Chlamydophila).
Viral infections are also common, especially in children with ACS.
Other possible pathogens include Staphylococcus aureus, Streptococcus pneumoniae,
and Haemophilus influenzae.
Therefore, the use of a third-generation cephalosporin along with azithromycin is the
recommended antibiotic coverage.
Also include supportive care with supplemental oxygen, intravenous fluids, pain control,
and incentive spirometry.
Absorption of levothyroxine is impaired by several gastrointestinal conditions
, -Correct Answer-Includes atrophic gastritis, chronic PPI use, and Helicobacter pylori
infection.
Acute uncomplicated cystitis antibiotic choice
-Correct Answer-Bactrim/Co-trimoxazole, Nitrofurantoin, Fosfomycin
- Increasing resistance to fluoroquinolones has been seen and they are therefore less
likely to be
successful. Because of the association with tendon rupture they are also not considered
first-line treatment.
One of your patients recently went into atrial fibrillation and you order an
echocardiogram. The diameter of which structures best predicts the likelihood that sinus
rhythm will be maintained after successful cardioversion?
-Correct Answer-Left atrium
Non-displaced mid-clavicular fracture
-Correct Answer-Treated with just a sling for 2-6 weeks. A sling is more comfortable and
less irritating than a figure-of-eight bandage.
Passive range of motion of the shoulder is indicated as soon as the pain allows.
Physical therapy may be started at 4 weeks after the injury.
Treating reflux in infants
-Correct Answer-Implementing body position changes while awake (on side or prone),
lower volume feedings if they are overfed, thickening agents, and antiregurgitant
formula.
It is recommended to avoid the use of medication in infants that have regurgitation that
is effortless, painless, and not affecting growth. When the infant is not growing well or
appears to be in pain, it would be appropriate to initiate pharmacotherapy with an acid
suppressing medication (4-week trial).
Justifiable breach of patient confidentiality
-Correct Answer-1. Abuse of a vulnerable person (child
or elderly)
2. A public health risk (communicable disease)
3. Substantial danger to the patient or others
Most appropriate maximum blood glucose goal in sepsis
