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- Gets you ready with a deep QBank with 3000+ practice questions in board format
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Nearly 1 in 3 Failed the FM Recert
In 2022, 573 of 1847 takers of the Family Medicine Recertification exam missed the mark. Don’t risk another retake without a proper prearation resource!
Exam Prep Works
American Board of Family Medicine recognizes “Exam Prep” as the primary step toward certification. Their Study of Studying infographic reminds us of the acute benefits of using board exam prep as a review and assessment tool.
The #1 Guarantee in Board Prep for Physicians! The Triple Trust Guarantee from American Physician Institute has your back. As you see from our clients’ board results above, investing in a comprehensive review course pays off.
What do I do if I fail the Family Medicine board exam?
The first thing you should do is just take it easy, sleep on it. Give yourself a few days, a week or two to come to terms with what has happened. Your next exam is six months to a year away. Dr. Jack has more advice in this video, What Do You Do If You Fail Your Medical Board Exam?
Family Medicine Examination Scoring
It takes approximately 6-8 weeks from the last date in the examination window for candidates
to receive their final and official examination results, which may be accessed in the MyABFM Portfolio when available.
The minimum passing score for the Family Medicine Certification Examination is set by the ABFM
Board of Directors Examination Committee and reviewed on a regular basis. A standard setting study is
conducted every three years with ABFM diplomates who have recently passed the examination to
continuously analyze the passing standard through the review of examination questions.
Family Medicine Examination Format
The Family Medicine Certification Exam consists of four 95-minute sections (75 questions each) and 100 minutes of pooled break time available between sections. All questions are single best answer, multiple-choice format.
Example of a single-best-answer multiple-choice question format:
A 43-year-old 16-week pregnant woman presents for an initial prenatal visit. She has no acute complaints or concerns. Her pregnancy has been unremarkable up to this point. She is up to date on her vaccinations. A urinalysis obtained reveals moderate leukocyte esterase and positive nitrite. Her fetal heart rate is 143 beats per minute and her fundal height measurement is 16.5 cm. She takes folic acid daily. Her vitals are within normal limits and her physical exam is unremarkable. Which of the following is the next step?
◯ A. Initiate nitrofurantoin 100 mg BID for 7 days
◯ B. Screen for group B streptococcus
◯ C. Perform a two-hour oral glucose tolerance test
◯ D. Initiate aspirin 81 mg daily
◯ E. Follow up in 4 weeks for a prenatal visit
The correct answer is:
The correct answer is, D. Initiate nitrofurantoin 100 mg BID for 7 days. The patient has been diagnosed with asymptomatic bacteriuria as evidenced by the elevated leukocyte esterase on screening urinalysis along with the positive nitrites. Pregnant patients require an initial urinalysis and culture at initial assessment and regularly in the third trimester. USPTF recommends a urine culture be obtained between 12 and 16 weeks as well. E. coli is the leading cause of UTIs. At 6 weeks and peaking at 24 weeks the majority of women develop ureteral dilation which is due to hydronephrosis of pregnancy. Frequently women also develop glycosuria as well throughout pregnancy.
Screen for group B streptococcus is incorrect as GBS should be screened at 35-37 weeks duration.
Perform a two-hour oral glucose tolerance test is incorrect as diabetes is screened for at 24-28 weeks gestation.
Initiate aspirin 81 mg daily is incorrect as aspirin is offered to women at risk of pre-eclampsia. Calcium can also be offered for such patients as well.
Follow up in 4 weeks for a prenatal visit is incorrect as the patient requires treatment for her bacteriuria.
Zolotor Adam J. et. al. Update on prenatal care. Am Fam Physician. 2014 Feb 1;89(3):199-208.
Delzell John E. et al. Urinary Tract Infections during Pregnancy. Am Fam Physician 2000 Feb 1;61(3):713-720.