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100+ Free Family Medicine Board Practice Questions
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Sample Family Medicine Board Practice Questions
Try these sample questions to test your Family Medicine Board exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1According to the Saudi Ministry of Health guidelines, at what age should routine breast cancer screening with screening mammography be initiated for average-risk women, and at what frequency?
A.Age 40, every 1 to 2 years
B.Age 50, every 2 years
C.Age 35, annually
D.Age 45, every 3 years
Explanation: The Saudi Ministry of Health (MOH) breast cancer screening guidelines recommend that routine screening mammography for average-risk women starts at age 40, to be repeated every 1 to 2 years.
2A 48-year-old asymptomatic Saudi man presents to your clinic for a routine check-up. He has no family history of colorectal cancer. Which of the following is the most appropriate recommendation for colorectal cancer screening according to local guidelines?
A.Colonoscopy starting now, repeated every 10 years if normal
B.Annual fecal immunochemical test (FIT) starting at age 50
C.Fecal occult blood test (FOBT) starting at age 60
D.Colonoscopy starting at age 45, repeated every 5 years
Explanation: Saudi national guidelines for colorectal cancer screening recommend starting screening for average-risk asymptomatic individuals at age 45 (or 50 in some older drafts, but updated to 45 in consensus guidelines matching high incidence rates). A screening colonoscopy every 10 years (or annual FIT) starting at age 45 is the standard. Therefore, at age 48, starting screening immediately with colonoscopy every 10 years is correct.
3A 66-year-old male who is a former smoker (smoked 1 pack per day for 15 years, quit 10 years ago) comes for preventive care. He has no symptoms. According to screening guidelines, what screening intervention for abdominal aortic aneurysm (AAA) is indicated?
A.A one-time screening for AAA with abdominal ultrasonography
B.Annual screening for AAA with abdominal ultrasonography
C.Screening for AAA with CT angiography of the abdomen
D.No screening is indicated because he quit smoking more than 5 years ago
Explanation: Guidelines recommend a one-time screening for AAA with abdominal ultrasonography in men aged 65 to 75 who have ever smoked (defined as 100 or more lifetime cigarettes). Since he is 66 and has a history of smoking, a one-time ultrasound is indicated.
4A 32-year-old married woman comes to the clinic asking about cervical cancer screening. She had a normal Pap smear 3 years ago. According to current guidelines, what is the most appropriate next step for screening?
A.Perform a co-test (Pap smear and HPV testing) or high-risk HPV testing alone
B.Perform a Pap smear now, and repeat every year
C.Reassure her and schedule a repeat screening at age 40
D.No screening is required as she is under 35 and has no symptoms
Explanation: For women aged 30 to 65, cervical cancer screening guidelines recommend screening with high-risk HPV testing alone every 5 years, co-testing (HPV + cytology) every 5 years, or cytology (Pap smear) alone every 3 years. Since she is 32 and her last Pap smear was 3 years ago, she is due for screening, and co-testing or HPV testing is preferred.
5A 55-year-old heavy smoker (35 pack-year history) who currently smokes asks about lung cancer screening. He has no cough, hemoptysis, or weight loss. What is the standard screening recommendation for this patient?
A.Annual screening with low-dose computed tomography (LDCT)
B.Screening with chest X-ray and sputum cytology every 2 years
C.One-time screening with high-resolution CT (HRCT)
D.No screening is indicated unless he develops symptoms
Explanation: Annual screening for lung cancer with low-dose computed tomography (LDCT) is recommended for adults aged 50 to 80 years who have a 20 pack-year smoking history and currently smoke or have quit within the past 15 years.
6A 65-year-old postmenopausal woman visits your clinic for a routine checkup. She has no history of fractures and no secondary causes of bone loss. Her BMI is 24. What is the most appropriate osteoporosis screening recommendation?
A.Dual-energy X-ray absorptiometry (DEXA) of the hip and lumbar spine
B.Quantitative ultrasound of the calcaneus
C.Serum calcium, phosphorus, and alkaline phosphatase levels
D.No screening is required unless she has lost height
Explanation: Screening for osteoporosis with dual-energy X-ray absorptiometry (DEXA) of the hip and lumbar spine is recommended for all women aged 65 and older to prevent osteoporotic fractures.
7A 23-year-old male medical student is preparing to begin his clinical rotations at a major hospital in Riyadh. He had a documented positive tuberculin skin test (TST) (15 mm induration) two years ago, for which he did not receive treatment. He is currently asymptomatic. What is the most appropriate next step in management?
A.Obtain a chest radiograph to rule out active tuberculosis
B.Repeat the TST to confirm the results
C.Perform an Interferon-Gamma Release Assay (IGRA)
D.Initiate immediate treatment with isoniazid for 9 months without further tests
Explanation: In an asymptomatic patient with a history of a positive TST, the first step is to exclude active tuberculosis using a chest radiograph. If the chest radiograph is normal and he remains asymptomatic, treatment for latent TB infection (LTBI) should be offered.
8A 35-year-old obese Saudi female (BMI 34 kg/m²) presents with fatigue. She has a strong family history of type 2 diabetes. What is the recommended screening strategy for type 2 diabetes in this patient?
A.Screen now with HbA1c or fasting plasma glucose, and repeat every 3 years if normal
B.Screen now with a 2-hour oral glucose tolerance test, and repeat annually
C.Screen starting at age 45; no screening is needed now because she is under 40
D.Screen only if she develops classic symptoms of polyuria and polydipsia
Explanation: Guidelines recommend screening for type 2 diabetes in asymptomatic adults aged 35 to 70 who are overweight or obese (BMI >= 25 kg/m², or lower thresholds for Asian populations). In individuals younger than 35, screening is indicated if they are overweight/obese and have one or more risk factors (such as a first-degree relative with diabetes). HbA1c or fasting plasma glucose are appropriate screening tests, repeated every 3 years if normal.
9A 62-year-old healthy female plans to perform the Hajj pilgrimage this year. She has no chronic diseases and last received her vaccines during childhood. In addition to the mandatory meningococcal vaccine, which vaccine should be strongly recommended to her before travel?
A.Influenza vaccine
B.Yellow fever vaccine
C.Rabies vaccine
D.Hepatitis A vaccine
Explanation: For Hajj pilgrims, the influenza vaccine is highly recommended due to the high density of crowds and the rapid transmission of respiratory pathogens. Furthermore, local Saudi regulations mandate or strongly recommend seasonal influenza immunization for all domestic and international pilgrims.
10A 40-year-old female presents to your clinic for a routine check-up. She has a history of gestational diabetes 5 years ago, but her postpartum glucose tolerance test was normal. She has no current symptoms of diabetes. What is the most appropriate screening recommendation for diabetes for this patient?
A.Screen now with fasting plasma glucose or HbA1c, and repeat every 3 years
B.No screening is needed until she reaches age 45
C.Screen only if her body mass index (BMI) rises above 30 kg/m²
D.Screen with an oral glucose tolerance test every 5 years
Explanation: Women with a history of gestational diabetes mellitus (GDM) have a significantly increased risk of developing type 2 diabetes. Guidelines recommend lifelong screening for diabetes at least every 3 years using fasting plasma glucose, HbA1c, or OGTT.
About the Family Medicine Board Exam
This practice exam covers preventive medicine, chronic disease management, acute illness care, maternal and child health, and mental health counseling.
Assessment
100 multiple-choice questions
Time Limit
3 hours
Passing Score
60%
Exam Fee
Free (Saudi Commission for Health Specialties (SCFHS))
Family Medicine Board Exam Content Outline
20%
Preventive Medicine & Screening
Immunization guidelines, screening recommendations, and health promotion.
20%
Chronic Disease Management
Long-term management of hypertension, diabetes, asthma, and COPD in primary care.
20%
Acute Illness Care
Diagnosis and management of common acute conditions across all age groups.
20%
Maternal & Child Health
Antenatal care, well-baby clinics, developmental milestones, and childhood illnesses.
20%
Mental Health & Counseling
Depression, anxiety, smoking cessation, and psychosocial counseling in family practice.
How to Pass the Family Medicine Board Exam
What You Need to Know
- Passing score: 60%
- Assessment: 100 multiple-choice questions
- Time limit: 3 hours
- Exam fee: Free
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
Frequently Asked Questions
What is the format of the Family Medicine Board exam?
The exam consists of 100 multiple-choice questions covering all five content domains.
What is the passing score for the Family Medicine Board exam?
Candidates must score at least 60% to pass the exam.