Free Practice Questions for Iraqi Board Family Medicine
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Key Facts: Iraqi Board Family Medicine Exam
IBMS / MOHESR
Governing Body & Ministry
Iraqi Board for Medical Specializations
4 Years
Residency Training Duration
IBMS Curriculum 2024-2025
70% / 70%
Pass Mark (Part 1 / Part 2)
IBMS Scientific Council Bylaws
100 MCQs
Practice Bank Study Items
OpenExamPrep
The Iraqi Board of Family Medicine (IBMS/MOHESR) qualification involves a 4-year clinical residency assessed by the Part 1 Written Exam (end of Year 1; 120 MCQs, 70% pass mark), Mid-Study Exam (Year 3; 50 MCQs, 60% pass mark), and Part 2 Final Examination (end of Year 4; two 100-MCQ papers, 15-station OSCE, 10-slide OSPE, oral viva, and thesis defense; 70% pass mark). This independent 100-question MCQ practice bank supports preparation for the theoretical written papers of Part 1 and Part 2 across primary care, epidemiology, chronic diseases, maternal-child health, and geriatrics; it is not a clinical OSCE simulation or a substitute for accredited residency training. Naming note: the curriculum is issued by the Scientific Council for Family and Community Medicine of the Iraqi Board for Medical Specializations, and the council writes the degree it awards as “FIBMC/FM” (Fellowship of the Iraqi Board for Medical Specializations in Family Medicine).
Sample Iraqi Board Family Medicine Practice Questions
Try these sample questions to review concepts for the Iraqi Board Family Medicine exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1A 48-year-old man presents to his family physician for follow-up of hypertension. During the encounter, the physician reviews his chronic medications, checks his glycemic status, asks about recent stressors at his workplace, and discusses his upcoming colorectal cancer screening. Which core defining attribute of family medicine does this consultation best demonstrate?
2A primary healthcare team in Baghdad initiates a community-wide campaign to promote healthy dietary habits, eliminate trans-fats, and increase physical activity among primary school children to prevent the future emergence of obesity and dyslipidemia. Which level of prevention is primarily illustrated by this initiative?
3A 36-year-old woman visits the primary health center complaining of recurrent tension-type headaches. When the physician inquires about her thoughts, she reveals that her maternal aunt recently died of an intracranial glioblastoma, and she is terrified that her headaches indicate a brain tumor. In the Calgary-Cambridge consultation framework, which component of the patient's perspective does this disclosure represent?
4According to the classic Wilson and Jungner criteria adopted by the World Health Organization, which of the following is a mandatory condition for introducing a national screening program for a disease in primary care?
5A family medicine resident is selecting a screening test for a dangerous infectious disease with significant public health consequences. A test with very high sensitivity is preferred because it guarantees which clinical characteristic?
6A researcher conducts a study at five primary healthcare centers in Erbil to determine the proportion of adult attendees who have undiagnosed hypertension at a single point in time in May 2025. What type of epidemiological study design does this represent?
7A screening test has 95% sensitivity and 90% specificity. If this test is applied first in a high-prevalence referral hospital clinic (prevalence = 30%) and subsequently in a low-prevalence general community population (prevalence = 1%), what will happen to the Positive Predictive Value (PPV) and Negative Predictive Value (NPV) in the community setting?
8In an epidemiological case-control study investigating bladder cancer in Basra, 100 cases of bladder cancer and 100 matched healthy controls were enrolled. A history of occupational chemical dye exposure was found in 40 cases and 10 controls. What is the calculated odds ratio (OR) of bladder cancer associated with dye exposure?
9A randomized controlled trial assesses a new lipid-lowering therapy over 5 years. Major cardiovascular events occur in 10% of patients in the control group and in 6% of patients in the active treatment group. What is the absolute risk reduction (ARR) and the Number Needed to Treat (NNT) to prevent one major cardiovascular event over 5 years?
10When designing a clinical trial in primary care, an investigator sets the significance level (alpha) at 0.05 and the statistical power at 80% (0.80). What does a statistical power of 80% specifically mean?
About the Iraqi Board Family Medicine Exam
The Fellowship of the Iraqi Board for Medical Specializations in Family Medicine (F.I.B.M.S.) is the premier postgraduate medical qualification for primary care physicians in Iraq, awarded by the Iraqi Board for Medical Specializations (IBMS) under the Ministry of Higher Education and Scientific Research (MOHESR). The four-year curriculum equips family physicians to provide comprehensive, continuous, coordinated, and person-centered healthcare across the entire human lifespan. Clinical training integrates rigorous hospital rotations across internal medicine, obstetrics and gynecology, pediatrics, general surgery, orthopedics, emergency medicine, psychiatry, dermatology, ENT, ophthalmology, and geriatrics, alongside longitudinal practice in accredited primary healthcare centers (PHCCs). Emphasis is placed on the epidemiology and control of communicable and non-communicable diseases in Iraq, national child health programs including the Expanded Programme on Immunization (EPI) and Integrated Management of Childhood Illness (IMCI), maternal and reproductive health, and community-based health promotion. Important disclosure: The complete FIBMS qualification requires structured 4-year clinical residency training, logbook verification, an approved research dissertation, OSPE slides, and a multi-station clinical OSCE with simulated patient consultations, which cannot be duplicated by multiple-choice practice tests. This 100-question multiple-choice practice bank is an independent English-language educational study resource designed to reinforce theoretical knowledge and clinical decision-making for the Part 1 and Part 2 written examinations. It is not an official IBMS examination, does not provide OSCE stations, and is not a substitute for accredited clinical residency training.
Exam sponsor: Scientific Council of Family and Community Medicine, Iraqi Board for Medical Specializations (المجلس العراقي للاختصاصات الطبية — المجلس العلمي لطب الأسرة والمجتمع). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.
Assessment
The Iraqi Board in Family Medicine follows a four-year structured postgraduate medical residency program governed by the Scientific Council of Family and Community Medicine under the Iraqi Board for Medical Specializations (IBMS) and the Ministry of Higher Education and Scientific Research (MOHESR). The formal assessment framework comprises three primary milestones: 1) The Part 1 (Primary) Examination, held at the end of Year 1, consisting of a 120-MCQ written examination covering family medicine principles, epidemiology, biostatistics, evidence-based medicine, communicable and non-communicable disease epidemiology, and public health informatics (passing score: 70%; maximum 4 attempts). 2) The Mid-Study Examination, conducted during Year 3, consisting of a 50-MCQ written examination in family medicine principles (60% passing score) alongside defense of the candidate's scientific research dissertation protocol. 3) The Part 2 (Final) Examination, administered at the conclusion of Year 4, comprising two distinct assessment components: a theoretical written examination (50% of the final score) consisting of Paper 1 (100 clinical MCQs on common medical and surgical conditions, 16% cardiovascular, 15% respiratory, 15% GIT, 12% renal/urologic, 12% CNS/psychiatry, 12% hematology, 10% endocrine, 8% family medicine principles) and Paper 2 (100 clinical MCQs on pediatrics, gynecology, and subspecialties, 26% women's health, 26% pediatrics, 12% musculoskeletal, 8% dermatology, 8% ENT, 8% ophthalmology, 6% emergency medicine, 6% elderly care); and a clinical examination (50% of the final score) consisting of a 15-station Objective Structured Clinical Examination (OSCE), a 10-station slide-based Objective Structured Practical Examination (OSPE), an oral viva voce, and defense of the approved scientific dissertation. Passing both the written and clinical examinations requires a minimum score of 70%.
Time Limit
Part 1 Written: 2.5 hours (150 minutes); Part 2 Written: 2 hours per paper (4 hours total across two 100-MCQ papers)
Passing Score
70% minimum score for Part 1 written examination; 70% minimum score for Part 2 written papers and clinical examination
Exam / Certification Fees
Prescribed by Iraqi Board for Medical Specializations / MOHESR regulatory bylaws
Exam sponsor websiteReported exam pass rate: Minimum 70% passing score on written and clinical examinations. Candidates must achieve at least 70% on the Part 1 written examination to advance past Year 1, 60% on the Year 3 Mid-Study examination, and 70% on both the Part 2 written papers and the clinical OSCE examination. This describes exam candidates, not OpenExamPrep users or results from using our resources. Exam sponsor website
Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.
Our practice resources: topics covered
We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.
Principles of Family Medicine, Communication, Biostatistics & Epidemiology
Core philosophy and defining attributes of family practice (comprehensiveness, continuity, coordination, person-centered care), the bio-psycho-social model, consultation models (Calgary-Cambridge, Pendleton, Stott and Davis), patient communication and breaking bad news (SPIKES), medical ethics and patient autonomy, epidemiological study designs (cross-sectional, case-control, cohort, randomized controlled trials), measures of disease frequency and association (odds ratios, relative risk, NNT, NNH), screening test evaluation (sensitivity, specificity, positive and negative predictive values, likelihood ratios), and biostatistical hypothesis testing.
Chronic Disease Management in Primary Care
Evidence-based primary care management of non-communicable diseases (NCDs) prevalent in Iraq: essential hypertension screening, staging, lifestyle interventions, and pharmacological regimens; type 2 diabetes mellitus diagnosis, glycemic targets, oral hypoglycemic agents, insulin initiation, and microvascular/macrovascular surveillance; dyslipidemia assessment, cardiovascular risk stratification, and statin therapy; bronchial asthma diagnosis, GINA step-wise management, and inhaler technique; COPD assessment, GOLD spirometric staging, and exacerbation management; chronic kidney disease staging, albuminuria monitoring, and nephroprotective strategies; and common thyroid conditions including primary hypothyroidism and hyperthyroidism.
Maternal, Reproductive & Child Health
Maternal health and prenatal care protocols in primary healthcare centers, preconception counseling, folic acid supplementation, screening for gestational diabetes and pre-eclampsia, postpartum care, lactation support, and family planning methods (barrier, oral contraceptives, injectable progestins, intrauterine devices, lactational amenorrhea); child health promotion, developmental milestones, infant and young child nutrition, the Iraqi national Expanded Programme on Immunization (EPI) schedule (BCG, OPV, pentavalent, rotavirus, PCV, MMR, vitamin A), and Integrated Management of Childhood Illness (IMCI) algorithms for acute respiratory infections, diarrhea, dehydration assessment, and malnutrition.
Common Acute Illnesses, Infectious Diseases & Preventive Health
Assessment and evidence-based outpatient management of common acute presentations: acute upper and lower respiratory tract infections (pharyngitis, otitis media, rhinosinusitis, bronchitis, community-acquired pneumonia), urinary tract infections in women, men, and children, acute gastroenteritis and foodborne illnesses; epidemiology, clinical features, and management of endemic and regional infections in Iraq including brucellosis, cutaneous leishmaniasis (Baghdad boil), hydatid disease (echinococcosis), Crimean-Congo hemorrhagic fever, typhoid fever, tuberculosis (DOTS strategy), and viral hepatitis; and preventive adult health maintenance including cancer screening (colorectal, cervical, breast).
Mental Health, Geriatrics & Palliative Care in the Community
Common psychiatric and behavioral presentations in primary healthcare: screening and first-line treatment for major depressive disorder (PHQ-9, SSRIs), generalized anxiety disorder (GAD-7), panic disorder, and somatization; comprehensive geriatric assessment (CGA), cognitive assessment and dementia differentiation (Alzheimer's, vascular), fall risk evaluation and prevention strategies; safe prescribing in the elderly, polypharmacy mitigation, Beers Criteria and STOPP/START criteria; and community-based palliative care, chronic non-malignant and cancer pain management using the WHO analgesic ladder, and end-of-life symptom control.
Preparing for the Iraqi Board Family Medicine Exam
What You Need to Know
- Passing score: 70% minimum score for Part 1 written examination; 70% minimum score for Part 2 written papers and clinical examination
- Assessment: The Iraqi Board in Family Medicine follows a four-year structured postgraduate medical residency program governed by the Scientific Council of Family and Community Medicine under the Iraqi Board for Medical Specializations (IBMS) and the Ministry of Higher Education and Scientific Research (MOHESR). The formal assessment framework comprises three primary milestones: 1) The Part 1 (Primary) Examination, held at the end of Year 1, consisting of a 120-MCQ written examination covering family medicine principles, epidemiology, biostatistics, evidence-based medicine, communicable and non-communicable disease epidemiology, and public health informatics (passing score: 70%; maximum 4 attempts). 2) The Mid-Study Examination, conducted during Year 3, consisting of a 50-MCQ written examination in family medicine principles (60% passing score) alongside defense of the candidate's scientific research dissertation protocol. 3) The Part 2 (Final) Examination, administered at the conclusion of Year 4, comprising two distinct assessment components: a theoretical written examination (50% of the final score) consisting of Paper 1 (100 clinical MCQs on common medical and surgical conditions, 16% cardiovascular, 15% respiratory, 15% GIT, 12% renal/urologic, 12% CNS/psychiatry, 12% hematology, 10% endocrine, 8% family medicine principles) and Paper 2 (100 clinical MCQs on pediatrics, gynecology, and subspecialties, 26% women's health, 26% pediatrics, 12% musculoskeletal, 8% dermatology, 8% ENT, 8% ophthalmology, 6% emergency medicine, 6% elderly care); and a clinical examination (50% of the final score) consisting of a 15-station Objective Structured Clinical Examination (OSCE), a 10-station slide-based Objective Structured Practical Examination (OSPE), an oral viva voce, and defense of the approved scientific dissertation. Passing both the written and clinical examinations requires a minimum score of 70%.
- Time limit: Part 1 Written: 2.5 hours (150 minutes); Part 2 Written: 2 hours per paper (4 hours total across two 100-MCQ papers)
- Exam / certification fees: Prescribed by Iraqi Board for Medical Specializations / MOHESR regulatory bylaws Official sources
Using Our Practice Resources
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Iraqi Board Family Medicine: Suggested Study Strategy
Frequently Asked Questions
What is the governing authority and official qualification for family medicine in Iraq?
The Iraqi Board in Family Medicine is governed by the Scientific Council of Family and Community Medicine under the Iraqi Board for Medical Specializations (IBMS / المجلس العراقي للاختصاصات الطبية), which operates under the Ministry of Higher Education and Scientific Research (MOHESR). Successful graduates are awarded the Fellowship of the Iraqi Board for Medical Specializations (F.I.B.M.S.) in Family Medicine, which is recognized by the Iraqi Ministry of Health and the Syndicate of Iraqi Physicians as the highest specialist qualification in primary care.
What is the assessment structure across the four-year family medicine residency?
The curriculum includes three formal examination milestones: 1) Part 1 (Primary) Written Examination at the end of Year 1, comprising 120 MCQs covering family medicine principles, epidemiology, biostatistics, and basic internal medicine (passing score: 70%; maximum 4 attempts). 2) Mid-Study Examination during Year 3, comprising 50 MCQs in family medicine principles (60% passing score) and defense of the scientific research dissertation protocol. 3) Part 2 (Final) Examination at the end of Year 4, consisting of a theoretical written component (Paper 1: 100 MCQs on medical and surgical conditions; Paper 2: 100 MCQs on pediatrics, gynecology, and subspecialties; 70% passing score) and a clinical component (15-station OSCE, 10-slide OSPE, oral viva voce, and formal dissertation defense; 70% passing score). Passing the written papers is mandatory before sitting the clinical OSCE.
What are the passing scores and retake policies for the Iraqi Board examinations?
Candidates must achieve a minimum passing mark of 70% on the Part 1 written examination, 60% on the Year 3 Mid-Study examination, and 70% on both the Part 2 written papers and the clinical OSCE examination. Each candidate is permitted a maximum of 4 attempts to pass the Part 1 examination and 4 attempts for the Part 2 exit examination. Failure to pass within 4 attempts results in dismissal from the residency program according to IBMS academic bylaws.
In what language are the Iraqi Board Family Medicine examinations conducted?
The Iraqi Board for Medical Specializations publishes this council's curriculum, syllabus and reference list in English, and English-language proficiency appears among the admission requirements set by the Ministry. The council's published curriculum does not, however, contain any statement of the language in which the examination papers themselves are set, so no language of assessment is asserted here. Clinical stations inevitably involve communication with Arabic-speaking patients, but the council does not publish how language is handled in those stations. This site is an independent English-language study resource and is not affiliated with, endorsed by, or connected to the Iraqi Board for Medical Specializations; candidates should confirm the language of their sitting directly with their Scientific Council.
Does this 100-question practice bank simulate the clinical OSCE or replace residency training?
No. The Iraqi Board qualification is an intensive four-year clinical residency requiring hands-on clinical care in hospitals and primary health centers, verified logbook procedures, an approved scientific research dissertation, and a multi-station clinical OSCE and OSPE examination. This independent 100-question multiple-choice practice bank is strictly an educational tool designed to reinforce theoretical clinical knowledge, epidemiology, chronic disease management, and child/maternal health guidelines for the Part 1 and Part 2 written papers; it is not an OSCE simulation or a substitute for accredited clinical training.