1|Page
AAFP BOARD REVIEW FINALEXAM || 2025
QUESTIONS AND 100% CORRECT ANSWERS
ALREADY GRADED A+|| LATEST AND
COMPLETE UPDATE 2025 WITH VERIFIED
SOLUTIONS|| GUARANTEED A+
Which one of the following statements is TRUE regarding the use of
antidepressants for smoking cessation? ANSWER- Bupropion is contraindicated
in a patient with an eating disorder
79 yo F with mild dementia s/p right hip arthroplasty who screams when told to get
out of bed. Picks at sheets and speaks nonsensically. The appropriate next step is
ANSWER- review her outpatient medications
76 yo F with failing memory, unable to pay bills, and unable to knit which she
liked to do before, and word finding. What is her diagnosis? ANSWER-
dementia
What is the most common type of dementia? ANSWER- Alzheimer's What is
the greatest risk factor for developing dementia? ANSWER- aging
76 yo M with memory not good as it used to be. Difficulty remember discussions
from earlier, but still paying bills and doing puzzles. What is your diagnosis?
ANSWER- mild neurocognitive disorder
80 yo M with unsteady gait, 2 falls. Uses walker. Speech diminished in volume,
less distinct. Flat affect. Hypertensive, diabetic, smoker. Asymmetric reflexes, 1/5
on Mini- Cog Test, right group weak, muscle tone increased. This patient most
likely has which type of dementia? ANSWER- vascular
Which of the following is proven to be protective against Dementia? ANSWER-
educational attainment
,2|Page
81 yo F with advanced dementia who is hoarding food, making sexual
inappropriate remarks, walking out of room in underwear only. What can you do to
help? ANSWER- offer to help the staff find ways to manage the behaviors non-
pharmacologically
A 14-day-old infant is brought to your office for a routine visit. The rectal
temperature is 100.8ºF. The infant appears well and parents have zero concerns.
What should you do? ANSWER- admit and do inpatient sepsis workup
A 3-year-old girl presents with 4-day history of fever without other symptoms.
Ears, throat, lungs and abdominal exams are normal, but she appears lethargic.
What should be your next step? ANSWER- order
urinalysis with cultures
A 16-year-old female patient is evaluated for a 4-day history of sore throat,
nonproductive cough and rhinorrhea. She is afebrile, and exam reveals enlarged
erythematous tonsils without exudate, and no lymphadenopathy.
What is the next step?
- ANSWER-supportive care
A 2-year-old child is brought to the emergency department with a barking cough,
stridor that worsened tonight, and a temperature of 101º F. What is the treatment?
ANSWER- nebulized epinephrine and dexamethasone
A 9-month-old child is admitted in Jan. for cough, wheezing, feeding, and fever of
38ºC. CXR shows mild peribronchial cuffing. Which treatment is indicated?
ANSWER- supplemental O2 and fluids
A 2-year-old boy has very red cheeks and a fine rash but does not appear ill. He
had a fever a couple of days ago. When can he return to day care? ANSWER-
today
,3|Page
A 5-year-old male has 7 days of spiking high fevers and a diffuse erythematous
rash. His tongue and lips are red, dry, and cracked, and he has large cervical lymph
nodes. In addition to rehydration, what are the next treatment steps? ANSWER-
inpatient immune globulin and high- dose aspirin
3 yo M walking home with mom and cries of pain when elbow is moved and
keeping it to left side. Negative x-rays. Using an evidence-based approach to your
patient, what would be the best treatment? ANSWER- hyperpronation of the
forearm
A 44 yo female tripped and fell on the ice on an outstretched left hand [FOOSH].
She presents with this radiograph showing distal radial fracture. What is the most
commonly injured nerve in this injury? ANSWER- median nerve
A 36 yo female presents to your office and reports that she fell on an
outstretched left hand [FOOSH] 3 days ago and presents with left wrist pain, minor
swelling, and this radiograph showing a scaphoid fracture. What is the best
treatment option? ANSWER- thumb spica cast for 8 weeks
Football player injured ring finger after grabbing the jersey of another place and
feeling pain in the distal aspect of the affected finger. Can't flex DIP joint and
small bony fragment seen at solar surface of the proximal distal phalanx. Which
one of the following would be the most appropriate management? ANSWER-
referral to hand surgeon
The number 1 cause of preventable morbidity and mortality in the US today is
which of the following? ANSWER- Tobacco
Which of the following statements is true regarding alcohol abuse counseling?
ANSWER- The USPSTF recommends screening and counseling adults the risks
of alcohol misuse
, 4|Page
Which immunization would be considered safe to administer during pregnancy?
ANSWER- Tdap
Self-help measures recommended for patients with NYHA class 2 HF is on
optimal medications include which one of the following? ANSWER- Avoiding
NSAID use
How much daily vitamin D supplementation do infants need during the first month
of life? ANSWER- Breastfed infants should have 400 IU of Vitamin D
Following a scheduled repeat C-section delivery, a term infant has a respiratory
rate
>60. What is the most common cause of this presentation? ANSWER-
Transient tachypnea of the newborn
Breastfeeding jaundice is characterized by ANSWER- insufficient feeds
What advice would you give parents to reduce the risk of death from sudden infant
death syndrome (SIDS) in their infant? ANSWER- Avoid
exposure of the infant to second-hand smoke
The majority of failure to thrive cases in infants is due to ANSWER-
inadequate caloric intake
What will Medicare cover for an elderly couple asks you how they will pay to live
in facility. Which of the following is NOT true? ANSWER- Medicare will pay
once a medical need for services is clearly documented
AAFP BOARD REVIEW FINALEXAM || 2025
QUESTIONS AND 100% CORRECT ANSWERS
ALREADY GRADED A+|| LATEST AND
COMPLETE UPDATE 2025 WITH VERIFIED
SOLUTIONS|| GUARANTEED A+
Which one of the following statements is TRUE regarding the use of
antidepressants for smoking cessation? ANSWER- Bupropion is contraindicated
in a patient with an eating disorder
79 yo F with mild dementia s/p right hip arthroplasty who screams when told to get
out of bed. Picks at sheets and speaks nonsensically. The appropriate next step is
ANSWER- review her outpatient medications
76 yo F with failing memory, unable to pay bills, and unable to knit which she
liked to do before, and word finding. What is her diagnosis? ANSWER-
dementia
What is the most common type of dementia? ANSWER- Alzheimer's What is
the greatest risk factor for developing dementia? ANSWER- aging
76 yo M with memory not good as it used to be. Difficulty remember discussions
from earlier, but still paying bills and doing puzzles. What is your diagnosis?
ANSWER- mild neurocognitive disorder
80 yo M with unsteady gait, 2 falls. Uses walker. Speech diminished in volume,
less distinct. Flat affect. Hypertensive, diabetic, smoker. Asymmetric reflexes, 1/5
on Mini- Cog Test, right group weak, muscle tone increased. This patient most
likely has which type of dementia? ANSWER- vascular
Which of the following is proven to be protective against Dementia? ANSWER-
educational attainment
,2|Page
81 yo F with advanced dementia who is hoarding food, making sexual
inappropriate remarks, walking out of room in underwear only. What can you do to
help? ANSWER- offer to help the staff find ways to manage the behaviors non-
pharmacologically
A 14-day-old infant is brought to your office for a routine visit. The rectal
temperature is 100.8ºF. The infant appears well and parents have zero concerns.
What should you do? ANSWER- admit and do inpatient sepsis workup
A 3-year-old girl presents with 4-day history of fever without other symptoms.
Ears, throat, lungs and abdominal exams are normal, but she appears lethargic.
What should be your next step? ANSWER- order
urinalysis with cultures
A 16-year-old female patient is evaluated for a 4-day history of sore throat,
nonproductive cough and rhinorrhea. She is afebrile, and exam reveals enlarged
erythematous tonsils without exudate, and no lymphadenopathy.
What is the next step?
- ANSWER-supportive care
A 2-year-old child is brought to the emergency department with a barking cough,
stridor that worsened tonight, and a temperature of 101º F. What is the treatment?
ANSWER- nebulized epinephrine and dexamethasone
A 9-month-old child is admitted in Jan. for cough, wheezing, feeding, and fever of
38ºC. CXR shows mild peribronchial cuffing. Which treatment is indicated?
ANSWER- supplemental O2 and fluids
A 2-year-old boy has very red cheeks and a fine rash but does not appear ill. He
had a fever a couple of days ago. When can he return to day care? ANSWER-
today
,3|Page
A 5-year-old male has 7 days of spiking high fevers and a diffuse erythematous
rash. His tongue and lips are red, dry, and cracked, and he has large cervical lymph
nodes. In addition to rehydration, what are the next treatment steps? ANSWER-
inpatient immune globulin and high- dose aspirin
3 yo M walking home with mom and cries of pain when elbow is moved and
keeping it to left side. Negative x-rays. Using an evidence-based approach to your
patient, what would be the best treatment? ANSWER- hyperpronation of the
forearm
A 44 yo female tripped and fell on the ice on an outstretched left hand [FOOSH].
She presents with this radiograph showing distal radial fracture. What is the most
commonly injured nerve in this injury? ANSWER- median nerve
A 36 yo female presents to your office and reports that she fell on an
outstretched left hand [FOOSH] 3 days ago and presents with left wrist pain, minor
swelling, and this radiograph showing a scaphoid fracture. What is the best
treatment option? ANSWER- thumb spica cast for 8 weeks
Football player injured ring finger after grabbing the jersey of another place and
feeling pain in the distal aspect of the affected finger. Can't flex DIP joint and
small bony fragment seen at solar surface of the proximal distal phalanx. Which
one of the following would be the most appropriate management? ANSWER-
referral to hand surgeon
The number 1 cause of preventable morbidity and mortality in the US today is
which of the following? ANSWER- Tobacco
Which of the following statements is true regarding alcohol abuse counseling?
ANSWER- The USPSTF recommends screening and counseling adults the risks
of alcohol misuse
, 4|Page
Which immunization would be considered safe to administer during pregnancy?
ANSWER- Tdap
Self-help measures recommended for patients with NYHA class 2 HF is on
optimal medications include which one of the following? ANSWER- Avoiding
NSAID use
How much daily vitamin D supplementation do infants need during the first month
of life? ANSWER- Breastfed infants should have 400 IU of Vitamin D
Following a scheduled repeat C-section delivery, a term infant has a respiratory
rate
>60. What is the most common cause of this presentation? ANSWER-
Transient tachypnea of the newborn
Breastfeeding jaundice is characterized by ANSWER- insufficient feeds
What advice would you give parents to reduce the risk of death from sudden infant
death syndrome (SIDS) in their infant? ANSWER- Avoid
exposure of the infant to second-hand smoke
The majority of failure to thrive cases in infants is due to ANSWER-
inadequate caloric intake
What will Medicare cover for an elderly couple asks you how they will pay to live
in facility. Which of the following is NOT true? ANSWER- Medicare will pay
once a medical need for services is clearly documented
