PracticeVideosBlogFlashcardsEspañol
All Practice Exams

Free Practice Questions for CMCMF Medicina Familiar

Exam-style questions and explanations by OpenExamPrep.

✓ No registration✓ No credit card
100+ Questions
100% Free

Loading practice questions...

Same family resources

Explore More CONACEM Medical Specialty Board Certification Examinations (Mexico)

Continue into nearby exams from the same family. Each card keeps practice questions, study guides, flashcards, videos, and articles in one place.

Consejo Mexicano de Certificación en Pediatría — Certificación en Pediatría (Mexico)

Practice Questions

Consejo Mexicano de Medicina de Urgencias — Certificación en Medicina de Urgencias (Mexico)

Practice Questions

Consejo Mexicano de Psiquiatría — Certificación en Psiquiatría (Mexico)

Practice Questions

Consejo Mexicano de Radiología e Imagen — Certificación en Radiología e Imagen (Mexico)

Practice Questions

Consejo Mexicano de Cirugía General — Certificación en Cirugía General (Mexico)

Practice Questions

Consejo Mexicano de Dermatología — Certificación en Dermatología (Mexico)

Practice Questions
Exam Review

Key Facts: CMCMF Medicina Familiar Exam

8 Aug 2026

Fase 1 online theoretical exam

CMCMF 70° examen

29 Aug – 19 Sep 2026

Fase 2 online ECOE

CMCMF 70° examen

Fase 1 → Fase 2

Passing Fase 1 is required to sit the ECOE

CMCMF 70° examen

MXN 4,500 / 6,000

Member / non-member fee

CMCMF 70° examen

5 years

Certification validity

CONACEM

The CMCMF certification exam is the CONACEM-recognized family medicine board exam in Mexico: an online theoretical exam (Fase 1) that must be passed before an online ECOE (Fase 2).

Sample CMCMF Medicina Familiar Practice Questions

Try these sample questions to review concepts for the CMCMF Medicina Familiar exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1A 26-year-old primiparous woman and her 28-year-old husband attend the family medicine clinic with their healthy 4-month-old infant for routine well-child surveillance. According to Evelyn Duvall's 8-stage family life cycle model, which stage best characterizes this family system?
A.Stage II: Childbearing families (birth of oldest child up to 30 months)
B.Stage I: Beginning families (married couple establishing relationship)
C.Stage III: Families with preschool children (oldest child 30 months to 6 years)
D.Stage IV: Families with school-age children (oldest child 6 to 13 years)
Explanation: According to Evelyn Duvall's family life cycle framework, Stage II (Childbearing families) begins with the birth of the first child and extends until that child reaches 30 months of age. The critical developmental tasks of this stage include integrating an infant into the marital dyad, adjusting relationship boundaries, renegotiating household roles, and establishing parental identities.
2In John Geyman's 5-stage family life cycle classification frequently utilized in Latin American family medicine, what is the defining developmental period of the 'Fase de Expansión' (Expansion Phase)?
A.The interval between marriage and pregnancy confirmation
B.From birth of the first child until the eldest child leaves home
C.From the departure of the first child until all children leave
D.From retirement from active workforce until spousal bereavement
Explanation: In John Geyman's 5-stage family life cycle framework (Matrimonio, Expansión, Dispersión, Independencia, Retiro/Muerte), the Expansion phase (Fase de Expansión) extends from the birth of the first child until the eldest child achieves adulthood and begins independence. It encompasses childbearing, preschool, school-age, and adolescent developmental demands.
3When constructing a standardized clinical genogram (familiograma) using the McGoldrick-Gerson conventions, what standardized symbol represents the identified patient (index patient or proband)?
A.A solid black square or circle with an internal question mark
B.A geometric shape surrounded by an equilateral dotted triangle
C.A square or circle drawn with a double perimeter line
D.A square or circle marked with a diagonal upward arrow
Explanation: In standardized family genograms (McGoldrick-Gerson conventions), the identified patient (index patient, probando, or caso índice) is designated by a double outline (double perimeter square for males, double perimeter circle for females). This immediately distinguishes the consulting patient within the multi-generational pedigree.
4On a clinical genogram, which relational line convention correctly depicts a severely conflicted (conflictive) interpersonal relationship between two family members?
A.Two solid parallel horizontal lines between the individuals
B.A single dashed horizontal line with two vertical tick marks
C.Three solid parallel horizontal lines with a central crossbar
D.A jagged zig-zag (sawtooth) line between the individuals
Explanation: A jagged zig-zag (sawtooth) line between two figures in a genogram universally denotes a conflictive or hostile relationship. If the relationship is simultaneously close and conflictive (close-hostile), three solid parallel lines with an overlaid zig-zag are drawn.
5A 42-year-old patient completes Gabriel Smilkstein's Family APGAR questionnaire during an outpatient family assessment consultation. The patient scores 8 points out of a maximum possible score of 10. How should the family physician interpret this result?
A.Highly functional family (familia funcional)
B.Moderate family dysfunction (disfunción moderada)
C.Severe family dysfunction (disfunción severa)
D.Mild family dysfunction (disfunción leve)
Explanation: Smilkstein's Family APGAR evaluates 5 dimensions (Adaptation, Partnership, Growth, Affection, Resolve) scored 0 (never), 1 (sometimes), or 2 (almost always), yielding a total from 0 to 10. The validated clinical cutoff scores are: 7 to 10 points = Functional family (buena función familiar); 4 to 6 points = Moderate family dysfunction; 0 to 3 points = Severe family dysfunction. A score of 8 reflects good family functionality.
6What five fundamental family dimensions are evaluated by the acronym APGAR in Gabriel Smilkstein's Family APGAR instrument?
A.Autonomy, Parenting, Generativity, Altruism, and Resilience
B.Adaptability, Partnership, Growth, Affection, and Resolve
C.Affective bonding, Problem solving, Alliances, and Roles
D.Attachment, Psychosocial health, Authority, and Renewal
Explanation: Smilkstein's Family APGAR stands for: Adaptability (Adaptación/Adaptabilidad - utilizing intra- and extra-familial resources to solve crises), Partnership (Participación/Sociedad - sharing decision making and responsibilities), Growth (Gradiente de crecimiento - physical and emotional maturation and self-fulfillment), Affection (Afecto - emotional caring and loving relationships), and Resolve (Resolución/Recursos - commitment to spend time and resources with family members).
7David Olson's Circumplex Model of Marital and Family Systems, evaluated through the FACES III instrument, assesses family functioning across which two core systemic dimensions?
A.Hierarchy and Permeability
B.Expressiveness and Conflict
C.Cohesion and Adaptability
D.Alliances and Coalitions
Explanation: David Olson's Circumplex Model posits that family dynamics are primarily organized along two curvilinear dimensions: Cohesion (the emotional bonding and closeness that family members have toward one another) and Adaptability/Flexibility (the ability of a marital or family system to change its power structure, role relationships, and relationship rules in response to stress). Balanced levels on both dimensions correlate with optimal family functioning.
8A family physician asks a patient with chronic unexplained somatic symptoms to perform Thrower's Family Circle (Círculo Familiar). What is the primary purpose and administration method of this clinical tool?
A.A 50-item objective questionnaire scored on a Likert scale
B.A computerized pedigree software tracing monogenic traits
C.A validated motor checklist assessing infant gross reflexes
D.A projective graphic tool drawing circles to show relationships
Explanation: The Family Circle (Círculo Familiar), introduced by Thrower, is a rapid, non-threatening graphic and projective tool. The patient is presented with a large pre-drawn circle representing their family or life, and instructed to draw circles representing themselves and important family members. The relative size, placement, distance, overlap, and boundaries of the circles illustrate perceived emotional proximity, power dynamics, coalitions, and subsystem boundaries.
9In family medicine systemic theory, family crises are categorized into normative (developmental) and paranormative (non-normative or accidental) crises. Which of the following events represents a classic normative crisis?
A.Departure of the eldest adolescent from home to attend university
B.Traumatic paraplegia of the household primary income earner
C.Sudden bankruptcy and foreclosure of the family business
D.Unexpected diagnosis of acute leukemia in a young child
Explanation: Normative (evolutionary or developmental) crises are predictable transitional events that occur naturally as the family progresses through the stages of the family life cycle (e.g., marriage, birth of first child, children entering school, adolescence, launching of young adults, retirement). The departure of a child for university is a classic normative transition. In contrast, sudden disability, bankruptcy, and pediatric leukemia are paranormative (accidental, unpredictable) crises.
10According to the Mexican family medicine classification of families by kinship (Consenso Académico en Medicina Familiar, used in UNAM family medicine teaching), what defines a 'Familia Nuclear Simple'?
A.A single parent living with one dependent child
B.A man and a woman living without children
C.A father and mother living with one to three children
D.A couple living with children and one elderly relative
Explanation: In the Mexican classification of families by kinship: 'Nuclear' is a man and a woman without children; 'Nuclear simple' is a father and mother with 1 to 3 children; 'Nuclear numerosa' is a father and mother with 4 or more children. A parent with children is 'Monoparental' ('Monoparental extendida' when other relatives live with them). Parents and children living with other relatives form an 'Extensa' family ('Extensa compuesta' if non-relatives also live there).

About the CMCMF Medicina Familiar Exam

Independent CMCMF family medicine certification study practice by OpenExamPrep. The Consejo Mexicano de Certificación en Medicina Familiar, A.C., recognized by CONACEM, certifies family physicians through a two-phase online process: a theoretical exam (Fase 1, 8 August 2026) and, for those who pass it, an online ECOE (Fase 2, 29 August–19 September 2026). The 70th exam fee is MXN 4,500 for association members and MXN 6,000 for non-members. The official exam is in Spanish; this bank is an independent English-language MCQ study adaptation of Fase 1 knowledge, built on the CMCMF bibliography, Mexican NOMs and current guidelines. It is not an official translation or simulation, and the ECOE is not simulated.

Exam sponsor: Consejo Mexicano de Certificación en Medicina Familiar, A.C. (CMCMF). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

Two-phase online process: Fase 1 is an online theoretical exam (8 August 2026, morning or afternoon shift) and Fase 2 is an online Objective Structured Clinical Examination (ECOE en línea, 29 August–19 September 2026, shift assigned by the council). Passing Fase 1 is required to sit Fase 2. The council does not publish the item count or phase weighting. This bank practises Fase 1 knowledge across family assessment, chronic disease, maternal-child health, mental health and epidemiology, and palliative care and bioethics (an OpenExamPrep study grouping).

Time Limit

not-published

Passing Score

not-published

Exam / Certification Fees

MXN 4,500 (members of constituent associations) / MXN 6,000 (non-members)

Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Official sources

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.

Core section (weight not published)

Medicina Familiar, Estudio de Salud Familiar y Herramientas de Evaluación

Family life cycle stages according to Duvall and Geyman, genogram structural and functional symbols, APGAR familiar (Smilkstein), FACES III, Family Circle, normative and paranormative crises, family structural classification, and primary health care principles

Core section (weight not published)

Atención Continua y Manejo de Enfermedades Crónicas no Transmisibles

NOM-015-SSA2-2010 (type 2 diabetes screening, diagnostic criteria, step-therapy, glycemic targets, microvascular prevention), NOM-030-SSA2-2009 (arterial hypertension diagnosis, stratification, first-line dual regimens), dyslipidemia, obesity, chronic kidney disease (KDIGO staging and nephroprotection), Beers criteria for older adults, and PrevenIMSS life-course preventive interventions

Core section (weight not published)

Salud Materno-Infantil y del Adolescente en el Primer Nivel

NOM-007-SSA2-2016 (prenatal control schedule, risk factor stratification, hypertensive disorders of pregnancy, postpartum surveillance), child growth and development assessment (NOM-031-SSA2-1999), Esquema Nacional de Vacunación, and adolescent health (CRAFFT substance use screening, adolescent mental health, confidential contraceptive counselling)

Core section (weight not published)

Salud Mental Comunitaria, Medicina Preventiva y Vigilancia Epidemiológica

Major depressive disorder and anxiety screening (PHQ-9, GAD-7), first-line SSRI titration in primary care, somatization and caregiver burnout, domestic and gender-based violence identification and reporting (NOM-046-SSA2-2005), and epidemiological surveillance protocols (NOM-017-SSA2-2012)

Core section (weight not published)

Cuidados Paliativos y Bioética en Medicina Familiar

Home-based palliative care (NOM-011-SSA3-2014, WHO analgesic ladder, opioid dose titration and equianalgesia), advance directives (Ley de Voluntad Anticipada), core bioethical principles (autonomy, non-maleficence, beneficence, justice), and medical record legal standards (NOM-004-SSA3-2012)

Preparing for the CMCMF Medicina Familiar Exam

What You Need to Know

  • Passing score: not-published
  • Assessment: Two-phase online process: Fase 1 is an online theoretical exam (8 August 2026, morning or afternoon shift) and Fase 2 is an online Objective Structured Clinical Examination (ECOE en línea, 29 August–19 September 2026, shift assigned by the council). Passing Fase 1 is required to sit Fase 2. The council does not publish the item count or phase weighting. This bank practises Fase 1 knowledge across family assessment, chronic disease, maternal-child health, mental health and epidemiology, and palliative care and bioethics (an OpenExamPrep study grouping).
  • Time limit: not-published
  • Exam / certification fees: MXN 4,500 (members of constituent associations) / MXN 6,000 (non-members) Official sources

Using Our Practice Resources

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

CMCMF Medicina Familiar: Suggested Study Strategy

1Master the structural and functional evaluation of families: accurately draw and interpret genograms (structural symbols, relational lines, household boundaries), classify family life cycle stages (Duvall 8 stages vs Geyman 5 stages), and interpret Family APGAR scores (7-10 normal, 4-6 moderate dysfunction, 0-3 severe dysfunction).
2Differentiate family crises: master the distinction between normative (developmental transitions like marriage, birth of first child, adolescence, empty nest, retirement) and paranormative (unexpected events like premature death, divorce, sudden unemployment, chronic disability, migration).
3Know the Mexican diagnostic thresholds: NOM-015-SSA2-2010 diagnoses diabetes with fasting glucose ≥ 126 mg/dL, casual glucose ≥ 200 mg/dL with symptoms, or 2-hour OGTT ≥ 200 mg/dL, confirmed on another day (ADA adds HbA1c ≥ 6.5%). NOM-030-SSA2-2009 defines hypertension as ≥ 140/90 mmHg. Also learn KDIGO CKD staging by eGFR and albuminuria.
4Review the Mexican national vaccination schedule: BCG and hepatitis B at birth, hexavalent at 2, 4, 6 and 18 months, rotavirus age limits, pneumococcal conjugate at 2, 4 and 12 months, SRP at 12 and 18 months, and HPV for girls and boys in 5th grade (2025 campaign).
5Understand home-based palliative care protocols (NOM-011-SSA3-2014): WHO analgesic ladder titration, oral morphine starting doses and equianalgesia conversions, management of opioid adverse effects, and the Mexican legal framework for Voluntad Anticipada.

Frequently Asked Questions

What is the CMCMF certification exam?

The Examen de Certificación en Medicina Familiar is administered by the Consejo Mexicano de Certificación en Medicina Familiar, A.C. (CMCMF), the council recognized by CONACEM for the specialty. Certification is valid for 5 years and is renewed through recertification (by exam or curricular points).

How is the 2026 CMCMF 70th certification exam structured?

The 70th certification process has two online phases. Fase 1 is a theoretical exam on 8 August 2026 (morning or afternoon shift), and passing it is required to sit Fase 2. Fase 2 is an online ECOE held between 29 August and 19 September 2026, with the shift assigned by the council. Registration in SIGME ran from 22 June to 12 July 2026, with documents due by 24 July.

What is the fee and passing score for the CMCMF exam?

The 70th exam fee is MXN 4,500 for members of constituent associations (with a proposal letter from the association) and MXN 6,000 for non-members. The council does not publish a raw pass mark, item count or phase weighting.

What core syllabus and guidelines are tested on the exam?

The CMCMF publishes a recommended bibliography by area. Core content includes family study tools (life cycle, genogram, APGAR, typology), chronic disease care under NOM-015-SSA2-2010 and NOM-030-SSA2-2009, maternal-child health (NOM-007-SSA2-2016, NOM-031-SSA2-1999, national vaccination schedule), mental health, violence care (NOM-046-SSA2-2005), epidemiological surveillance (NOM-017-SSA2-2012), palliative care (NOM-011-SSA3-2014) and medical records (NOM-004-SSA3-2012).

Why is this OpenExamPrep practice bank presented in English?

The official CMCMF exam is administered in Spanish. This bank is an independent English-language MCQ study adaptation; Mexican regulatory names (NOMs, Voluntad Anticipada, SUIVE) are kept in their original form. It is not an official translation or simulation.

Does this question bank simulate the practical ECOE exam?

No. This practice bank is strictly designed for Fase 1 (theoretical knowledge examination). The Fase 2 Objective Structured Clinical Examination (ECOE en línea) evaluates live simulated clinical encounters, communication skills, and real-time procedural decision-making, which cannot be simulated through a static multiple-choice question format.