3/11/25, 2:30 PM AAFP Family Medicine Questions
AAFP Family Medicine Questions
AAFP FAMILY MEDICINE BOARD REVIEW ACTUAL EXAM 2024
2025 COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+\BRAND NEW 2025
Terms in this set (533)
A 75-year-old male presents Dx: aortic dissection
to the emergency next step: Intravenous labetalol (Normodyne, Trandate)
department with a several-
hour history of back pain in Initial management should reduce the systolic blood
the interscapular region. His pressure to 100-120 mm Hg or to the lowest level
medical history includes a tolerated. The use of a β-blocker such as propranolol or
previous myocardial labetalol to get the heart rate below 60 beats/min
infarction (MI) several years should be first-line therapy. If the systolic blood
ago, a history of cigarette pressure remains over 100 mm Hg, intravenous
smoking until the time of the nitroprusside should be added. Without prior beta-
MI, and hypertension that is blocade, vasodilation from the nitroprusside will induce
well controlled with reflex activation of the sympathetic nervous system,
hydrochlorothiazide and causing increased ventricular contraction and increased
lisinopril (Prinivil, Zestril). shear stress on the aorta.
The patient appears anxious,
but all pulses are intact. His
blood pressure is 170/110
mm Hg and his pulse rate is
110 beats/min. An EKG
shows evidence of an old
inferior wall MI but no acute
changes. A chest radiograph
shows a widened
mediastinum and a normal
aortic arch, and CT of the
1/334
,3/11/25, 2:30 PM AAFP Family Medicine Questions
chest shows a dissecting
aneurysm of the descending
aorta that is distal to the
proximal abdominal aorta but
does not involve the renal
arteries. Which one of the
following would be the most
appropriate next step in the
management of this patient?
2/334
,3/11/25, 2:30 PM AAFP Family Medicine Questions
The guideline recommends one-time screening with
According to the U.S.
ultrasonography for AAA in men 65-75 years of age
Preventive Services Task
who have ever smoked. No recommendation was
Force, what are the
made for or against screening women. Men with a
screening
strong family history of AAA should be counseled about
recommendations for an
the risks and benefits of screening as they approach
abdominal aortic
65 years of
aneurysm?
age.
A 36-year-old white female verapamil (Calan)
presents to the emergency
department with If supraventricular tachycardia is refractory to
palpitations. Her pulse rate adenosine or rapidly recurs, the tachycardia can usually
is 180 beats/min. An EKG be terminated by the administration of intravenous
reveals a regular tachycardia verapamil or a β-blocker. If that fails, intravenous
with a narrow complex QRS propafenone or flecainide may be necessary. It is also
and no apparent P waves. important to look for and treat possible contributing
The patient fails to causes such as hypovolemia, hypoxia, or electrolyte
respond to carotid disturbances. Electrical cardioversion may be necessary
massage or to two doses if these measures fail to terminate the tachyarrhythmia.
of intravenous 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
Aggressive control of blood pressure to <135/85 mm Hg
a patient who has
in hypertensive patients and to <130/80 mm Hg in
uncomplicated diabetes
diabetic patients is recommended. Lowering blood
mellitus is
pressure may reduce stroke rates by 40%-52% and
cardiovascular morbidity by 18%-20%
3/334
, 3/11/25, 2:30 PM AAFP Family Medicine Questions
A 60-year-old African- Diltiazem (Cardizem)
American female has a
history of hypertension that Monotherapy for hypertension in African-American
has been well controlled with patients is more likely to consist of diuretics or calcium
hydrochlorothiazide. channel blockers than β-blockers or ACE inhibitors. It
However, she has developed has been suggested that hypertension in African-
an allergy to the medication. Americans is not as angiotensin II- dependent as it
Successful monotherapy for appears to be in 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)
An asymptomatic 3-year-old Still's murmur
male presents for a routine
check-up. On examination There are several benign murmurs of childhood that have
you notice a systolic heart no association with physiologic or anatomic abnormalities.
murmur. It is heard best in Of these, Still's murmur best fits the murmur described.
the lower precordium and The cause of Still's murmur is unknown, but it may be
has a low, short tone similar due to vibrations in the chordae tendinae, semilunar
to a plucked string or kazoo. valves, or ventricular wall.
It does not 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?
4/334
AAFP Family Medicine Questions
AAFP FAMILY MEDICINE BOARD REVIEW ACTUAL EXAM 2024
2025 COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+\BRAND NEW 2025
Terms in this set (533)
A 75-year-old male presents Dx: aortic dissection
to the emergency next step: Intravenous labetalol (Normodyne, Trandate)
department with a several-
hour history of back pain in Initial management should reduce the systolic blood
the interscapular region. His pressure to 100-120 mm Hg or to the lowest level
medical history includes a tolerated. The use of a β-blocker such as propranolol or
previous myocardial labetalol to get the heart rate below 60 beats/min
infarction (MI) several years should be first-line therapy. If the systolic blood
ago, a history of cigarette pressure remains over 100 mm Hg, intravenous
smoking until the time of the nitroprusside should be added. Without prior beta-
MI, and hypertension that is blocade, vasodilation from the nitroprusside will induce
well controlled with reflex activation of the sympathetic nervous system,
hydrochlorothiazide and causing increased ventricular contraction and increased
lisinopril (Prinivil, Zestril). shear stress on the aorta.
The patient appears anxious,
but all pulses are intact. His
blood pressure is 170/110
mm Hg and his pulse rate is
110 beats/min. An EKG
shows evidence of an old
inferior wall MI but no acute
changes. A chest radiograph
shows a widened
mediastinum and a normal
aortic arch, and CT of the
1/334
,3/11/25, 2:30 PM AAFP Family Medicine Questions
chest shows a dissecting
aneurysm of the descending
aorta that is distal to the
proximal abdominal aorta but
does not involve the renal
arteries. Which one of the
following would be the most
appropriate next step in the
management of this patient?
2/334
,3/11/25, 2:30 PM AAFP Family Medicine Questions
The guideline recommends one-time screening with
According to the U.S.
ultrasonography for AAA in men 65-75 years of age
Preventive Services Task
who have ever smoked. No recommendation was
Force, what are the
made for or against screening women. Men with a
screening
strong family history of AAA should be counseled about
recommendations for an
the risks and benefits of screening as they approach
abdominal aortic
65 years of
aneurysm?
age.
A 36-year-old white female verapamil (Calan)
presents to the emergency
department with If supraventricular tachycardia is refractory to
palpitations. Her pulse rate adenosine or rapidly recurs, the tachycardia can usually
is 180 beats/min. An EKG be terminated by the administration of intravenous
reveals a regular tachycardia verapamil or a β-blocker. If that fails, intravenous
with a narrow complex QRS propafenone or flecainide may be necessary. It is also
and no apparent P waves. important to look for and treat possible contributing
The patient fails to causes such as hypovolemia, hypoxia, or electrolyte
respond to carotid disturbances. Electrical cardioversion may be necessary
massage or to two doses if these measures fail to terminate the tachyarrhythmia.
of intravenous 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
Aggressive control of blood pressure to <135/85 mm Hg
a patient who has
in hypertensive patients and to <130/80 mm Hg in
uncomplicated diabetes
diabetic patients is recommended. Lowering blood
mellitus is
pressure may reduce stroke rates by 40%-52% and
cardiovascular morbidity by 18%-20%
3/334
, 3/11/25, 2:30 PM AAFP Family Medicine Questions
A 60-year-old African- Diltiazem (Cardizem)
American female has a
history of hypertension that Monotherapy for hypertension in African-American
has been well controlled with patients is more likely to consist of diuretics or calcium
hydrochlorothiazide. channel blockers than β-blockers or ACE inhibitors. It
However, she has developed has been suggested that hypertension in African-
an allergy to the medication. Americans is not as angiotensin II- dependent as it
Successful monotherapy for appears to be in 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)
An asymptomatic 3-year-old Still's murmur
male presents for a routine
check-up. On examination There are several benign murmurs of childhood that have
you notice a systolic heart no association with physiologic or anatomic abnormalities.
murmur. It is heard best in Of these, Still's murmur best fits the murmur described.
the lower precordium and The cause of Still's murmur is unknown, but it may be
has a low, short tone similar due to vibrations in the chordae tendinae, semilunar
to a plucked string or kazoo. valves, or ventricular wall.
It does not 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?
4/334
