Try Answering These 6 Family Medicine Sample Questions

Family Medicine

Here are 6 highly rated ABFM Family Medicine sample questions taken directly from the BoardVitals Family Medicine Board Review. We’re giving you just a taste of what you might expect on your actual board exam. Good luck!

A 50-year-old male presents to urgent care with left ear pain for a week. What is the appropriate treatment for this patient?

He is a type 2 diabetic and is not always compliant with his medications. He says the ear bothered him a little bit at first, and he scratched the inside with a q-tip for relief. Over the last 2 days, the ear pain has worsened, is swollen, and he has a bad headache and low grade fever. His vitals are BP 130/90, HR 100, RR 18, Sat 99% on RA, and Temp 100.1°F. His ear has the following appearance.

A 14-year-old male is admitted to the primary care clinic for a rash that occurred during the last few days. What is the most likely diagnosis?

He states that he is a wrestler for his high school and that the rash started a few days after one of his wrestling competitions. There’s no PMH. He notes that the rash is found locally on his left arm and left leg, and he denies any fever, nausea, vomiting, and runny nose. The patient’s temperature = 98.5°F, HR = 90, RR = 20, and BP = 110/80. Physical exam shows the rash pictured below:

A 23-year-old black female presents to urgent care with approximately 3 weeks of body and joint aches. What workup is required for this patient?

Past medical history is significant for a kidney stone. She also reports fatigue, hoarse voice, and waxing and waning cough. She does not smoke and denies fever or sputum. She has a family history of hypertension and diabetes. Her vitals upon arrival are BP 130/80, HR 90, RR 20, Temp 99.1, and O2 Sat 99% on RA.

A 45-year-old male comes to urgent care for an extremely painful thumb. What treatment should be offered to this patient?

He thinks he could have pinched it when he was dressing a few days back, although he never had sudden pain. For the past 2 days, the thumb around the nail is swollen, painful, red, and draining liquid. He is vitals are BP 150/80, HR 95, RR 18, and Temp 98.9.

An 81 year old male presents by ambulance to the emergency room for evaluation of new onset confusion. Which of the following is appropriate?

He has a history of hypertension, type 2 diabetes mellitus, hyperlipidemia, and congestive heart failure. He takes metformin, lisinopril, and pravastatin. He lives in a nursing home. He appears acutely ill and confused about the date and place. His blood pressure is 90/60 mmHg. His heart rate is 92 beats per minute, and his respiratory rate is 22/minute. His temperature is 35 degrees C. SaO2 is 92%. He has crackles in his lung bases. Auscultation of the heart reveals a regular rhythm without murmur, rub, or gallop.

A 25-year-old female presents with 2 weeks of a “cold sore” on her upper lip that will not heal. What is the next step in treatment?

She has tried OTC cold sore cream, bacitracin ointment, and warm compresses to no avail. She denies fever, headache, rash, or other symptoms. She is sexually active with a new partner but denies any symptoms besides the sore. She takes no medications. The sore does not hurt, but she occasionally feels the urge to scratch it. Her vitals upon arrival are BP 100/70, HR 65, RR 16, Temp 98.8, and Sat 99% on RA. On exam, the sore pictured below is evident.

There’s Room For Improvement

Don’t beat yourself up, we’re here to help. Study anywhere, any time with BoardVitals. 100% pass guarantee. Go to www.boardvitals.com today!

You’re Almost Ready

But there’s always room for improvement. Study anywhere, any time with BoardVitals. 100% pass guarantee. Share your result with friends and go to www.boardvitals.com today!

You’re Ready

But there’s always room for improvement. Study anywhere, any time with BoardVitals. 100% pass guarantee. Share your result with friends and go to www.boardvitals.com today!