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2026 Statistics

Key Facts: Título de Especialista em Medicina Física e Reabilitação (ABMFR) Exam

80 MCQs + Practical

Official Exam Structure

Edital Oficial ABMFR / AMB

70% (7.0 / 10.0)

Minimum Passing Grade

Regulamento de Concurso ABMFR

R$ 1.500 / R$ 2.300

Registration fee for an ABMFR associate in good standing versus a non-associate or non-quite associate

Edital TEMFR 2026 — ABMFR

3 Years Residency or 6 Yrs Practice

Eligibility Prerequisite

Normas AMB / CNRM / CFM

RQE em Medicina Física e Reabilitação

Professional Designation

Conselho Federal de Medicina (CFM)

6 Core Physiatric Domains

Curricular Blueprint

Matriz de Competências ABMFR

100 Verified Questions

Practice Bank Size

English Study Bank Adaptation

Annual Certame

Exam Frequency

ABMFR / AMB

The Título de Especialista em Medicina Física e Reabilitação (ABMFR / AMB) qualifies Brazilian physicians for specialist RQE registration in Physiatry. Administered as a two-stage examination (80-item theoretical MCQ + practical stations) requiring a 70% passing threshold, this English-language study bank provides 100 verified questions spanning neurorehabilitation, musculoskeletal pain, spasticity, prosthetics/orthotics, and electrodiagnosis.

Sample Título de Especialista em Medicina Física e Reabilitação (ABMFR) Practice Questions

Try these sample questions to test your Título de Especialista em Medicina Física e Reabilitação (ABMFR) exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1The World Health Organization International Classification of Functioning, Disability and Health (CIF / OMS) represents the foundational biopsychosocial framework in Physical Medicine and Rehabilitation. Which of the following correctly pairs an ICF component with its standard clinical definition?

A.Activities — Execution of a task or action by an individual in a personal or daily living context.

B.Body Functions — Anatomical parts of the body such as organs, limbs, and their structural components.

C.Participation — Physiological and psychological functions of body systems.

D.Environmental Factors — Internal attributes of the individual such as age, gender, coping style, and education.

Explanation: Under the WHO ICF / CIF framework, 'Activities' refers to the execution of a task or action by an individual (e.g., walking, self-care, dressing), whereas 'Participation' represents involvement in life situations and social roles. 'Body Functions' are physiological functions of body systems, 'Body Structures' are anatomical parts, and 'Environmental Factors' constitute the external physical, social, and attitudinal environment.

2In the CIF / OMS alphanumeric coding system, letters identify domains and numeric qualifiers quantify the extent of impairment or restriction. How is a complete problem/impairment quantified, and what domain does the letter 'd' represent?

A.Qualifier 4 (96–100% problem); 'd' represents Activities and Participation (Desempenho / Atividades e Participação).

B.Qualifier 0 (0–4% problem); 'd' represents Body Structures (Deficiências Estruturais).

C.Qualifier 3 (50–95% problem); 'd' represents Environmental Factors (Dimensões Ambientais).

D.Qualifier 1 (5–24% problem); 'd' represents Body Functions (Disfunções Orgânicas).

Explanation: The ICF generic qualifier scale ranges from 0 to 4: 0 = NO problem (0–4%), 1 = MILD problem (5–24%), 2 = MODERATE problem (25–49%), 3 = SEVERE problem (50–95%), and 4 = COMPLETE problem (96–100%). The domain letter prefixes are 'b' for Body Functions (funções do corpo), 's' for Body Structures (estruturas do corpo), 'd' for Activities and Participation (atividades e participação), and 'e' for Environmental Factors (fatores ambientais).

3In Physical Medicine and Rehabilitation, specialized team models organize multiprofessional care. What defining characteristic distinguishes an Interdisciplinary Team (Equipe Interdisciplinar) from a Multidisciplinary Team (Equipe Multidisciplinar)?

A.Collaborative integration with shared functional goals, joint goal-setting, and regular structured team conferences under physiatric leadership.

B.Parallel individual evaluations where each discipline sets isolated treatment goals without formal cross-communication.

C.Complete role dissolution where non-physician therapists independently diagnose medical pathology and prescribe pharmacological therapy.

D.Exclusive restriction of clinical care to medical physiatrists without the inclusion of allied health professionals.

Explanation: An Interdisciplinary Team operates through close collaboration, shared clinical decision-making, cohesive goal-setting (e.g., SMART functional goals), and regular multiprofessional team rounds led by the physiatrist. In contrast, a Multidisciplinary Team functions in parallel with separate discipline-specific goals and limited formal cross-communication, while a Transdisciplinary Team involves cross-training and role-release across disciplinary boundaries.

4The structured Rehabilitation Cycle (Ciclo de Reabilitação) guides longitudinal patient care in specialized rehabilitation centers. What is the standard chronological sequence of its four primary iterative phases?

A.Assessment (Avaliação) → Assignment / Goal Setting (Atribuição e Metas) → Intervention (Intervenção) → Evaluation (Reavaliação).

B.Intervention → Assessment → Discharge Planning → Outcome Evaluation.

C.Goal Setting → Discharge → Diagnostic Workup → Maintenance Therapy.

D.Evaluation → Maintenance → Triage → Interprofessional Intervention.

Explanation: The Rehabilitation Cycle is an iterative, problem-solving clinical management framework comprising four core steps: (1) Assessment (comprehensive biopsychosocial evaluation of impairments and participation restrictions); (2) Assignment & Goal Setting (defining realistic short- and long-term functional goals); (3) Intervention (delivering targeted multimodal physiatric therapies); and (4) Evaluation (re-assessing functional progress and adjusting goals or planning discharge).

5Goal Attainment Scaling (GAS) is a validated psychometric technique widely used in neurorehabilitation to measure individualized functional progress. How is the 'expected outcome' (metas esperadas) scored on the standardized 5-point GAS scale?

A.Score 0 (Achievement of expected level of success).

B.Score +2 (Much better than expected outcome).

C.Score -2 (Baseline status / most unfavorable outcome).

D.Score -1 (Less than expected success / minimal improvement).

Explanation: Goal Attainment Scaling (GAS) uses a standardized 5-point scale: 0 corresponds to the achievement of the predicted/expected level of success; -1 represents a less than expected outcome (partial progress); -2 represents the baseline or most unfavorable outcome; +1 represents a better than expected outcome; and +2 represents a much better than expected outcome.

6Surgical Prehabilitation (Pré-habilitação Cirúrgica) is increasingly utilized in major oncological and orthopedic surgery. What is the primary clinical objective and composition of a multimodal prehabilitation program?

A.Enhancing baseline functional physiological reserve prior to surgical stress through structured aerobic/resistance exercise, nutritional optimization, and psychological support.

B.Restricting physical activity to complete bed rest for 4 weeks before surgery to conserve metabolic energy.

C.Solely administering high-dose oral corticosteroids and analgesics to eliminate preoperative inflammatory markers.

D.Replacing post-operative inpatient rehabilitation with passive modalities applied only before hospital admission.

Explanation: Prehabilitation aims to expand the patient's baseline physiological reserve before major elective surgery to buffer the catabolic stress of surgery, accelerate postoperative functional recovery, reduce complication rates, and shorten hospital length of stay. Multimodal prehabilitation integrates structured exercise (aerobic and resistance training), targeted nutritional support (protein supplementation), and psychological interventions (anxiety reduction).

7In Brazil, the Lei Brasileira de Inclusão da Pessoa com Deficiência (Estatuto da Pessoa com Deficiência - Lei Federal nº 13.146/2015) mandates a biopsychosocial assessment of disability. Which validated Brazilian instrument was specifically developed based on the ICF/CIF to operationalize this legal evaluation?

A.Índice de Funcionalidade Brasileiro (IF-BrA).

B.Escala Visual Analógica (EVA).

C.Índice de Comorbidade de Charlson.

D.Mini-Exame do Estado Mental (MEEM).

Explanation: The Índice de Funcionalidade Brasileiro (IF-Br / IF-BrA) was created by Brazilian inter-ministerial working groups in accordance with Lei nº 13.146/2015 and the WHO ICF model. It evaluates 41 activities across 7 functional domains and environmental barriers using a multiprofessional biopsychosocial scoring matrix to determine disability eligibility and severity.

8A 58-year-old patient with severe expressive aphasia and right hemiplegia retains full auditory comprehension. What ethical and clinical communication approach should the physiatrist implement during goal setting?

A.Engage the patient directly using augmentative and alternative communication (AAC) strategies to respect personal autonomy and facilitate shared decision-making.

B.Bypass the patient completely and establish rehabilitation goals exclusively with distant relatives without patient consent.

C.Declare the patient legally incapacitated due to aphasia and transfer all decision-making authority to hospital social services.

D.Limit all therapy goals to passive range of motion because motor speech deficits preclude active rehabilitation engagement.

Explanation: Under medical ethics and the principles of patient autonomy, intact cognitive comprehension allows the patient to participate meaningfully in their care. The physiatric team should use augmentative and alternative communication (AAC / Comunicação Suplementar e Alternativa - CSA) methods (communication boards, pictorial scales, digital tablets) to enable the patient to express preferences and formulate shared rehabilitation goals.

9According to the Conselho Federal de Medicina (CFM Resolução nº 2.314/2022) and international physiatric guidelines on Telerehabilitation (Tele-reabilitação), what is a mandatory prerequisite for remote physiatric care?

A.Prior in-person clinical assessment (consulta presencial) to establish diagnostic baseline and functional safety parameters, except in emergency or geographically isolated contexts.

B.Exclusive reliance on unencrypted social media messaging platforms without electronic medical record documentation.

C.Prohibition of all remote exercise monitoring regardless of patient clinical stability or technological infrastructure.

D.Replacement of all hands-on interventional procedures with automated artificial intelligence chatbots.

Explanation: CFM regulations and ABMFR guidelines stipulate that telemedicine and telerehabilitation require an initial in-person consultation (or comprehensive in-person baseline assessment) to establish diagnostic accuracy, evaluate fall/cardiovascular risks, and determine suitability for tele-monitoring. Synchronous platforms must ensure data privacy (LGPD compliance) and clear emergency escalation protocols.

10Which of the following clinical factors is recognized as the strongest positive prognostic indicator for achieving independent community ambulation following an acute ischemic stroke?

A.Early active motor recovery of hip extension and independent sitting balance within the first 72 hours to 2 weeks post-stroke.

B.Presence of severe unilateral spatial neglect and dense anosognosia.

C.High initial NIHSS score (> 22) with bilateral corticospinal tract infarction on MRI.

D.Severe baseline post-stroke depression untreated during acute hospitalization.

Explanation: Early recovery of trunk control, independent sitting balance, and early active lower extremity motor recruitment (specifically hip extension and knee control assessed within the first 72 hours to 2 weeks, as captured in the TWIST algorithm) are the most robust positive predictors for regaining independent community ambulation post-stroke.

About the Título de Especialista em Medicina Física e Reabilitação (ABMFR) Exam

The Título de Especialista em Medicina Física e Reabilitação (TEMFR) is the official medical board certification for physiatrists in Brazil, conferred by the Associação Brasileira de Medicina Física e Reabilitação (ABMFR) in partnership with the Associação Médica Brasileira (AMB) and recognized by the Conselho Federal de Medicina (CFM). Physical Medicine and Rehabilitation (Fisiatria) is the medical specialty dedicated to diagnosing, treating, and maximizing the functional capacity and quality of life of individuals with physical impairments, disabling neurological or musculoskeletal conditions, amputations, chronic pain, and cardiopulmonary restrictions. The qualification certame consists of two rigorous stages: a comprehensive theoretical multiple-choice examination (Prova Teórica) covering the WHO ICF/CIF framework, clinical functional scales, neurorehabilitation, musculoskeletal medicine, spasticity interventions, prosthetics/orthotics, physical modalities, and electrodiagnosis; followed by a practical examination (Prova Prática / Teórico-Prática) assessing clinical decision-making, botulinum toxin injection planning, gait kinematics, and electrodiagnostic tracing interpretation. This practice bank translates the full official scope into 100 high-yield multiple-choice questions in English, maintaining authentic Brazilian statutory terminology and clinical guideline references.

Assessment

Two-phase examination run by the Associação Brasileira de Medicina Física e Reabilitação with the AMB — the 2026 cycle was the 56º TEMFR. 1ª Fase: Prova Teórica/Objetiva applied online. 2ª Fase: Prova Teórico-Prática applied presencialmente (in the 2026 cycle at the Lucy Montoro institute in Santos/SP). MCQ study can prepare the knowledge, sequencing and rubric behind the second phase but cannot certify the clinical performance it assesses.

Time Limit

Set by each annual edital; the two phases are sat on separate dates roughly a week apart

Passing Score

Set by each annual edital

Exam Fee

R$ 1.500,00 (associado ABMFR quite com a anuidade do ano vigente) / R$ 2.300,00 (não associado ou associado não quite) (Associação Brasileira de Medicina Física e Reabilitação (ABMFR) — Associação Médica Brasileira (AMB))

Título de Especialista em Medicina Física e Reabilitação (ABMFR) Exam Content Outline

15%

Fundamentos da Reabilitação, Modelo CIF/OMS & Avaliação Funcional

Biopsychosocial conceptualization of disability, World Health Organization International Classification of Functioning, Disability and Health (CIF / OMS) components (Body Functions, Body Structures, Activities and Participation, Environmental and Personal Factors), physiatric team leadership models (multidisciplinary, interdisciplinary, transdisciplinary), Goal Attainment Scaling (GAS), Brazilian disability evaluation instruments (IF-BrA, Lei Brasileira de Inclusão nº 13.146/2015), and standardized functional assessment instruments including the Functional Independence Measure (FIM / MIF), Barthel Index, Berg Balance Scale, Fugl-Meyer Assessment, GMFCS, MACS, and EDSS.

25%

Reabilitação Neurológica (AVC, TCE, TRM, Paralisia Cerebral & Doenças Desmielinizantes/Degenerativas)

Comprehensive neurorehabilitation of central and peripheral nervous system disorders: Stroke recovery kinetics (Brunnstrom motor stages, Constraint-Induced Movement Therapy - CIMT, pusher syndrome/contraversive pushing, hemispatial neglect, post-stroke shoulder pain, dysphagia protocols); Traumatic Brain Injury (Rancho Los Amigos cognitive scale, cognitive agitation, paroxysmal sympathetic hyperactivity); Spinal Cord Injury (ASIA/ISNCSCI motor/sensory scoring, AIS completeness criteria, spinal cord syndromes, autonomic dysreflexia crisis management, central neuropathic pain); Cerebral Palsy; Multiple Sclerosis (fatigue, Uhthoff phenomenon); Parkinson's disease (LSVT BIG, auditory cueing); and Amyotrophic Lateral Sclerosis.

20%

Reabilitação Musculoesquelética, Dor Crônica & Síndromes de Descondicionamento

Physiatric evaluation and evidence-based non-surgical management of axial and peripheral musculoskeletal conditions: Low back pain and cervicalgia red/yellow flags, neurogenic claudication vs. lumbar radiculopathy, cervical radiculopathy clinical tests, myofascial pain syndrome trigger point pathophysiology, fibromyalgia central sensitization, Complex Regional Pain Syndrome (CRPS) Budapest criteria and graded motor imagery, shoulder rotator cuff tendinopathy and adhesive capsulitis capsular patterns, knee/hip osteoarthritis management, tendinopathy loading regimens (eccentric, heavy slow resistance), and geriatric sarcopenia/frailty syndrome (EWGSOP2, Fried phenotype).

15%

Manejo da Espasticidade & Fisiatria Intervencionista

Spasticity pathophysiology (upper motor neuron syndrome, velocity-dependent resistance), clinical quantification (Modified Ashworth Scale, Tardieu Scale dynamic catch angle R1/R2), oral antispasticity agents (baclofen, tizanidine, dantrolene, diazepam), Botulinum Toxin Type A (mechanism of action, SNAP-25 cleavage, dosage guidelines, dilution, EMG/ultrasound/electrical stimulation localization, safety intervals), chemical neurolysis (phenol and ethyl alcohol motor nerve blocks), and Intrathecal Baclofen (ITB) pump screening trials, programming, catheter troubleshooting, and overdose/withdrawal emergency recognition.

15%

Amputações, Próteses, Órteses & Tecnologia Assistiva

Surgical levels of upper and lower limb amputations (Syme, transtibial, transfemoral, hip disarticulation), metabolic energy expenditure of amputee gait, prosthetic socket design (Patellar-Tendon-Bearing vs. Total Surface Bearing), prosthetic suspension mechanisms (pin-lock, vacuum-assisted suction), prosthetic foot and knee biomechanics, transfemoral prosthetic gait deviations, upper extremity body-powered and myoelectric prostheses, lower limb orthoses (solid AFO, articulated AFO, ground reaction AFO, KAFO), upper limb splinting, and wheelchair seating and pressure-redistributing cushions.

10%

Meios Físicos, Eletrodiagnóstico, Reabilitação Cardiopulmonar, Bexiga/Intestino Neurogênicos & Lesões por Pressão

Biophysical agents (superficial vs. deep heat, cryotherapy physiological reflexes and contraindications, TENS conventional vs. acupuncture modes, NMES motor recruitment vs. Henneman size principle, hydrotherapy physics), exercise physiology and aerobic/resistance prescription, cardiac rehabilitation phases I-IV, pulmonary rehabilitation in COPD, post-intensive care syndrome (PICS) and ICU-acquired weakness, needle electromyography and nerve conduction studies (axonal vs. demyelinating, radiculopathy vs. neuropathy), neurogenic bladder/bowel dysfunction (detrusor sphincter dyssynergia, detrusor leak point pressure, clean intermittent catheterization), and pressure injury staging and prevention (NPUAP/ABENDE/SOBEST).

How to Pass the Título de Especialista em Medicina Física e Reabilitação (ABMFR) Exam

What You Need to Know

Passing score: Set by each annual edital
Assessment: Two-phase examination run by the Associação Brasileira de Medicina Física e Reabilitação with the AMB — the 2026 cycle was the 56º TEMFR. 1ª Fase: Prova Teórica/Objetiva applied online. 2ª Fase: Prova Teórico-Prática applied presencialmente (in the 2026 cycle at the Lucy Montoro institute in Santos/SP). MCQ study can prepare the knowledge, sequencing and rubric behind the second phase but cannot certify the clinical performance it assesses.
Time limit: Set by each annual edital; the two phases are sat on separate dates roughly a week apart
Exam fee: R$ 1.500,00 (associado ABMFR quite com a anuidade do ano vigente) / R$ 2.300,00 (não associado ou associado não quite)

Keys to Passing

Work through all 100 available questions
Review every answer and explanation
Track weak areas and revisit them
Use our AI tutor for tough concepts

Frequently Asked Questions

What is the Título de Especialista em Medicina Física e Reabilitação (ABMFR)?

The Título de Especialista em Medicina Física e Reabilitação is the official medical board certification granted by the Associação Brasileira de Medicina Física e Reabilitação (ABMFR) and Associação Médica Brasileira (AMB), recognized by the Conselho Federal de Medicina (CFM). It legally certifies a physician as a specialist in Physiatry (Fisiatra), permitting the registration of the specialist qualification (RQE) with the Regional Medical Council (CRM).

What is the structure of the official ABMFR / AMB specialist title exam?

The TEMFR has two mandatory stages. The 1ª Fase is a Prova Teórica/Objetiva applied online; the 2ª Fase is a Prova Teórico-Prática applied presencialmente — in the 2026 cycle, the 56º TEMFR, these fell on 11/04/2026 and 20/04/2026 respectively, the latter at the Lucy Montoro institute in Santos/SP. The ABMFR does not publish a standing item count or cut score; both are fixed by the edital for that edition. MCQ study can prepare the knowledge, sequencing and rubric behind the second stage but cannot certify the clinical performance it assesses.

Who is eligible to sit for the ABMFR specialist examination?

Eligible candidates include physicians with active CRM registration who have completed a 3-year Medical Residency in Physical Medicine and Rehabilitation accredited by the CNRM/MEC, OR physicians who demonstrate at least 6 years of verified professional practice in Physiatry in accredited institutions fulfilling AMB/ABMFR certification prerequisites.

How does this 100-question practice bank align with the Brazilian examination?

This practice bank adapts the official ABMFR / AMB blueprint into 100 high-yield 4-option multiple-choice questions authored in English. It integrates authentic Brazilian terminology (ABMFR, SUS, CIF, MIF, LBI, RQE), clinical scenarios, and international physiatric standards across all core domains including neurorehabilitation, musculoskeletal medicine, spasticity, prosthetics, orthotics, and electrodiagnosis.

What are the core functional assessment scales tested on the ABMFR exam?

High-yield functional scales include the Functional Independence Measure (FIM / MIF), Barthel Index, Berg Balance Scale, Fugl-Meyer Assessment (motor recovery), Gross Motor Function Classification System (GMFCS), ASIA Impairment Scale (AIS), Modified Ashworth Scale (MAS), and Expanded Disability Status Scale (EDSS).

What is the role of the WHO ICF / CIF in Brazilian physiatric practice?

The International Classification of Functioning, Disability and Health (CIF / OMS) is the foundational biopsychosocial framework endorsed by the ABMFR and the Brazilian Unified Health System (SUS). It conceptualizes functioning and disability as a dynamic interaction between health conditions, body functions/structures, activities, participation, and environmental/personal context, forming the legal basis of the Lei Brasileira de Inclusão (Lei nº 13.146/2015) and IF-BrA.