3/11/25, 1:55 PM AAFP Family Medicine Board Questions
AAFP Family Medicine Board Questions
AAFP FAMILY MEDICINE BOARD QUESTIONS \ACTUAL EXAM 2024-
2025 COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+\BRAND NEW 2025
Terms in this set (489)
A 70yo M with h/o HTN and Pioglitzaone
DM presents with a 2-mo h/o
increasing paroxysmal thiazolidinediones (TZDs) are associated with fluid retention,
nocturnal dyspnea and SOB and their use can be complicated by the development of
with minimal exertion. An heart failure. Caution is necessary when prescribing TZDs in
echocardiogram shows an patients with known heart failure or other heart diseases,
ejection fraction of 25%. Which those with preexisting edema, and those on concurrent
one of the patients current insulin therapy
medications should be
discontinued?
A. Lisinopril (Zestril)
B. Pioglitazone (Actos)
C. Glipizide (Glucotrol)
D. Metoprolol (Toprol-XL)
The guideline recommends one-time screening with
According to the U.S.
ultrasonography for AAA in men 65-75 years of age who
Preventive Services Task
have ever smoked. No recommendation was made for or
Force, what are the screening
against screening women. Men with a strong family history
recommendations for an
of AAA should be counseled about the risks and benefits of
abdominal aortic aneurysm?
screening as they approach 65 years of
age.
1/259
,3/11/25, 1:55 PM AAFP Family Medicine Board Questions
A 36-year-old white female verapamil (Calan)
presents to the emergency
department with palpitations. If supraventricular tachycardia is refractory to adenosine or
Her pulse rate is 180 rapidly recurs, the tachycardia can usually be terminated by
beats/min. An EKG reveals a the administration of intravenous verapamil or a β-blocker. If
regular tachycardia with a that fails, intravenous propafenone or flecainide may be
narrow complex QRS and no necessary. It is also important to look for and treat possible
apparent P waves. contributing causes such as hypovolemia, hypoxia, or
The patient fails to respond electrolyte disturbances. Electrical cardioversion may be
to carotid massage or to two necessary if these measures fail to terminate the
doses of intravenous tachyarrhythmia.
adenosine (Adenocard), 6 mg
and 12 mg. The most
appropriate next step would
be to administer intravenous
BP goal: 130/80mmHg
The blood pressure goal for a
Aggressive control of blood pressure to <135/85 mm Hg in
patient who has uncomplicated
hypertensive patients and to <130/80 mm Hg in diabetic
diabetes mellitus is
patients is recommended. Lowering blood pressure may
reduce stroke rates by 40%-52% and cardiovascular
morbidity by 18%-20%
A 60-year-old African-American Diltiazem (Cardizem)
female has a history of
hypertension that has been well Monotherapy for hypertension in African-American patients
controlled with is more likely to consist of diuretics or calcium channel
hydrochlorothiazide. blockers than β-blockers or ACE inhibitors. It has been
However, she has developed suggested that hypertension in African-Americans is not as
an allergy to the medication. angiotensin II- dependent as it appears to be in
Successful monotherapy for Caucasians.
her hypertension would be
most likely with which one of
the following?
A. Lisinopril (Prinivil, Zestril)
B. Hydralazine (Apresoline)
C. Clonidine (Catapres)
D. Atenolol (Tenormin)
E. Diltiazem (Cardizem)
2/259
,3/11/25, 1:55 PM AAFP Family Medicine Board Questions
An asymptomatic 3-year-old Still's murmur
male presents for a routine
check-up. On examination you There are several benign murmurs of childhood that have no
notice a systolic heart murmur. association with physiologic or anatomic abnormalities. Of
It is heard best in the lower these, Still's murmur best fits the murmur described. The
precordium and has a low, cause of Still's murmur is unknown, but it may be due to
short tone similar to a plucked vibrations in the chordae tendinae, semilunar valves, or
string or kazoo. It does not ventricular wall.
radiate to the axillae or the
back and seems to decrease
with inspiration. The
remainder of the examination
is normal. What is the most
likely diagnosis?
A 57-year-old male with Enoxaparin
severe renal disease
presents with acute coronary Enoxaparin is eliminated mostly by the kidneys. When it is
syndrome. Which one of the used in patients with severe renal impairment the dosage
following would most likely must be significantly reduced. For some indications the dose
require a significant dosage normally given every 12 hours is given only every 24 hours.
adjustment from the standard Although some β-blockers require a dosage adjustment,
protocol? metoprolol and carvedilol are metabolized by the liver and do
A. Enoxaparin (Lovenox) not require dosage adjustment in patients with renal failure.
B. Metoprolol (Lopressor, Toprol) Clopidogrel is currently recommended at the standard
C. Carvedilol (Coreg) dosage for patients with renal failure and acute coronary
D. Clopidogrel (Plavix)
syndrome. Thrombolytics like tPA are given at the standard
E. Tissue plasminogen activator
dosage in renal failure, although hemorrhagic complications
(tPA)
are increased.
3/259
, 3/11/25, 1:55 PM AAFP Family Medicine Board Questions
2-dimensional echocardiography with Doppler
A 55-year-old male who has a
long history of marginally-
The most useful diagnostic tool for evaluating patients with
controlled hypertension
heart failure is two- dimensional echocardiography with
presents with gradually
Doppler to assess left ventricular ejection fraction (LVEF),
increasing shortness of breath
left ventricular size, ventricular compliance, wall thickness, and
and reduced exercise
valve function. The test should be performed during the initial
tolerance. His physical
evaluation. Radionuclide ventriculography can be used to
examination is normal except
assess LVEF and volumes, and MRI or CT also may provide
for a blood pressure of 140/90
information in selected patients. Chest radiography
mm Hg, bilateral basilar rales,
(posteroanterior and lateral) and 12-lead
and trace pitting edema. What
electrocardiography should be performed in all patients
study would be the preferred
presenting with heart failure, but should not be used as the
diagnostic tool for evaluating
primary basis for determining which abnormalities are
this patient?
responsible for the heart failure.
A 23-year-old female sees EKG
you with a complaint of
intermittent irregular The symptom of an increased or abnormal sensation of one's
heartbeats that occur once heartbeat is referred to as palpitations. This condition is
every week or two, but do common to primary care, but is often benign.
not cause her to feel Commonly, these sensations have their basis in anxiety or
lightheaded or fatigued. They panic. However, about 50% of those who complain of
last only a few seconds and palpitations will be found to have a diagnosable cardiac
resolve spontaneously. She condition. It is recommended to start the evaluation for
has never passed out, had cardiac causes with an EKG, which will assess the baseline
chest pain, or had difficulty rhythm and screen for signs of chamber enlargement,
with exertion. She is previous myocardial infarction, conduction disturbances,
otherwise healthy, and a and a prolonged QT interval.
physical examination is
normal. What cardiac study
should be ordered initially?
regular exercise
Claudication is exercise-induced lower-extremity pain that is
caused by ischemia and relieved by rest. It affects 10% of
What is most appropriate for
persons over 70 years of age. However, up to 90% of
the initial treatment of
patients with peripheral vascular disease are asymptomatic.
claudication?
Initial treatment should consist of vigorous risk factor
modification and exercise. Patients who follow an exercise
regimen can increase their walking time by 150%. A
4/259
AAFP Family Medicine Board Questions
AAFP FAMILY MEDICINE BOARD QUESTIONS \ACTUAL EXAM 2024-
2025 COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+\BRAND NEW 2025
Terms in this set (489)
A 70yo M with h/o HTN and Pioglitzaone
DM presents with a 2-mo h/o
increasing paroxysmal thiazolidinediones (TZDs) are associated with fluid retention,
nocturnal dyspnea and SOB and their use can be complicated by the development of
with minimal exertion. An heart failure. Caution is necessary when prescribing TZDs in
echocardiogram shows an patients with known heart failure or other heart diseases,
ejection fraction of 25%. Which those with preexisting edema, and those on concurrent
one of the patients current insulin therapy
medications should be
discontinued?
A. Lisinopril (Zestril)
B. Pioglitazone (Actos)
C. Glipizide (Glucotrol)
D. Metoprolol (Toprol-XL)
The guideline recommends one-time screening with
According to the U.S.
ultrasonography for AAA in men 65-75 years of age who
Preventive Services Task
have ever smoked. No recommendation was made for or
Force, what are the screening
against screening women. Men with a strong family history
recommendations for an
of AAA should be counseled about the risks and benefits of
abdominal aortic aneurysm?
screening as they approach 65 years of
age.
1/259
,3/11/25, 1:55 PM AAFP Family Medicine Board Questions
A 36-year-old white female verapamil (Calan)
presents to the emergency
department with palpitations. If supraventricular tachycardia is refractory to adenosine or
Her pulse rate is 180 rapidly recurs, the tachycardia can usually be terminated by
beats/min. An EKG reveals a the administration of intravenous verapamil or a β-blocker. If
regular tachycardia with a that fails, intravenous propafenone or flecainide may be
narrow complex QRS and no necessary. It is also important to look for and treat possible
apparent P waves. contributing causes such as hypovolemia, hypoxia, or
The patient fails to respond electrolyte disturbances. Electrical cardioversion may be
to carotid massage or to two necessary if these measures fail to terminate the
doses of intravenous tachyarrhythmia.
adenosine (Adenocard), 6 mg
and 12 mg. The most
appropriate next step would
be to administer intravenous
BP goal: 130/80mmHg
The blood pressure goal for a
Aggressive control of blood pressure to <135/85 mm Hg in
patient who has uncomplicated
hypertensive patients and to <130/80 mm Hg in diabetic
diabetes mellitus is
patients is recommended. Lowering blood pressure may
reduce stroke rates by 40%-52% and cardiovascular
morbidity by 18%-20%
A 60-year-old African-American Diltiazem (Cardizem)
female has a history of
hypertension that has been well Monotherapy for hypertension in African-American patients
controlled with is more likely to consist of diuretics or calcium channel
hydrochlorothiazide. blockers than β-blockers or ACE inhibitors. It has been
However, she has developed suggested that hypertension in African-Americans is not as
an allergy to the medication. angiotensin II- dependent as it appears to be in
Successful monotherapy for Caucasians.
her hypertension would be
most likely with which one of
the following?
A. Lisinopril (Prinivil, Zestril)
B. Hydralazine (Apresoline)
C. Clonidine (Catapres)
D. Atenolol (Tenormin)
E. Diltiazem (Cardizem)
2/259
,3/11/25, 1:55 PM AAFP Family Medicine Board Questions
An asymptomatic 3-year-old Still's murmur
male presents for a routine
check-up. On examination you There are several benign murmurs of childhood that have no
notice a systolic heart murmur. association with physiologic or anatomic abnormalities. Of
It is heard best in the lower these, Still's murmur best fits the murmur described. The
precordium and has a low, cause of Still's murmur is unknown, but it may be due to
short tone similar to a plucked vibrations in the chordae tendinae, semilunar valves, or
string or kazoo. It does not ventricular wall.
radiate to the axillae or the
back and seems to decrease
with inspiration. The
remainder of the examination
is normal. What is the most
likely diagnosis?
A 57-year-old male with Enoxaparin
severe renal disease
presents with acute coronary Enoxaparin is eliminated mostly by the kidneys. When it is
syndrome. Which one of the used in patients with severe renal impairment the dosage
following would most likely must be significantly reduced. For some indications the dose
require a significant dosage normally given every 12 hours is given only every 24 hours.
adjustment from the standard Although some β-blockers require a dosage adjustment,
protocol? metoprolol and carvedilol are metabolized by the liver and do
A. Enoxaparin (Lovenox) not require dosage adjustment in patients with renal failure.
B. Metoprolol (Lopressor, Toprol) Clopidogrel is currently recommended at the standard
C. Carvedilol (Coreg) dosage for patients with renal failure and acute coronary
D. Clopidogrel (Plavix)
syndrome. Thrombolytics like tPA are given at the standard
E. Tissue plasminogen activator
dosage in renal failure, although hemorrhagic complications
(tPA)
are increased.
3/259
, 3/11/25, 1:55 PM AAFP Family Medicine Board Questions
2-dimensional echocardiography with Doppler
A 55-year-old male who has a
long history of marginally-
The most useful diagnostic tool for evaluating patients with
controlled hypertension
heart failure is two- dimensional echocardiography with
presents with gradually
Doppler to assess left ventricular ejection fraction (LVEF),
increasing shortness of breath
left ventricular size, ventricular compliance, wall thickness, and
and reduced exercise
valve function. The test should be performed during the initial
tolerance. His physical
evaluation. Radionuclide ventriculography can be used to
examination is normal except
assess LVEF and volumes, and MRI or CT also may provide
for a blood pressure of 140/90
information in selected patients. Chest radiography
mm Hg, bilateral basilar rales,
(posteroanterior and lateral) and 12-lead
and trace pitting edema. What
electrocardiography should be performed in all patients
study would be the preferred
presenting with heart failure, but should not be used as the
diagnostic tool for evaluating
primary basis for determining which abnormalities are
this patient?
responsible for the heart failure.
A 23-year-old female sees EKG
you with a complaint of
intermittent irregular The symptom of an increased or abnormal sensation of one's
heartbeats that occur once heartbeat is referred to as palpitations. This condition is
every week or two, but do common to primary care, but is often benign.
not cause her to feel Commonly, these sensations have their basis in anxiety or
lightheaded or fatigued. They panic. However, about 50% of those who complain of
last only a few seconds and palpitations will be found to have a diagnosable cardiac
resolve spontaneously. She condition. It is recommended to start the evaluation for
has never passed out, had cardiac causes with an EKG, which will assess the baseline
chest pain, or had difficulty rhythm and screen for signs of chamber enlargement,
with exertion. She is previous myocardial infarction, conduction disturbances,
otherwise healthy, and a and a prolonged QT interval.
physical examination is
normal. What cardiac study
should be ordered initially?
regular exercise
Claudication is exercise-induced lower-extremity pain that is
caused by ischemia and relieved by rest. It affects 10% of
What is most appropriate for
persons over 70 years of age. However, up to 90% of
the initial treatment of
patients with peripheral vascular disease are asymptomatic.
claudication?
Initial treatment should consist of vigorous risk factor
modification and exercise. Patients who follow an exercise
regimen can increase their walking time by 150%. A
4/259
