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100+ Free FC Fam Med(SA) Part I Practice Questions

Prepare for the CMSA FC Fam Med(SA) Part I — College of Family Physicians of South Africa exam with instant access — no signup required.

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Key Facts: FC Fam Med(SA) Part I Exam

SBA MCQs

Exam Format

CMSA Regulations

Overall 50%

Passing Score

CMSA Regulations

R15 500

Exam Fee

CMSA Regulations

SA STGs

Guideline Basis

NDoH PHC EML & STGs

The FC Fam Med(SA) Part I is a written single best answer examination standard-set at overall 50% with an examination fee of R15 500. This practice bank provides 100 high-yield, clinically accurate MCQs mapped to the syllabus as an English-language study aid.

Sample FC Fam Med(SA) Part I Practice Questions

Try these sample questions to test your FC Fam Med(SA) Part I exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1In Pendleton's model of consultation, which task specifically requires the doctor and patient to agree on the nature of the problem and the management plan?
A.Achieving a shared understanding of the problem between doctor and patient
B.Defining the reason for the patient's attendance
C.Establishing or maintaining a relationship with the patient
D.Using time and resources efficiently in the consultation
Explanation: Pendleton's consultation framework comprises 7 tasks. Task 3 explicitly focuses on achieving a shared understanding of the problem by incorporating the patient's perspective (ideas, concerns, expectations) into the diagnosis and agreed management plan.
2A family physician using the Calgary-Cambridge guide performs internal summaries during a consultation. Under which core function is this communication skill categorized?
A.Gathering Information
B.Structuring the Consultation
C.Building the Relationship
D.Explanation and Planning
Explanation: In the Calgary-Cambridge guide, 'Structuring the Consultation' includes signposting transitions and using internal summaries to keep the consultation focused and organized.
3According to Stott and Davis, which of the following is one of the four key potential management areas to consider during any primary care consultation?
A.Assessment of economic status and insurance eligibility
B.Modification of help-seeking behavior
C.Completion of statutory disability grant documentation
D.Routine referral to tertiary subspecialty care
Explanation: The Stott and Davis consultation model identifies four potential management areas: (A) management of presenting problems, (B) management of continuing problems, (C) opportunistic health promotion, and (D) modification of help-seeking behavior.
4Which component of the bio-psycho-social model is best illustrated by exploring how a patient's cultural beliefs about illness affect their medication adherence?
A.Biomedical disease subtyping
B.Psychological coping mechanism
C.Social and cultural context
D.Systemic organ dysfunction
Explanation: Exploring cultural beliefs, community support, health literacy, and family values directly addresses the social and cultural context within the bio-psycho-social model of care.
5In a family genogram, what standard symbol is used to represent a male family member who has died?
A.A circle with a central dot
B.A square with an 'X' drawn inside
C.A shaded triangle
D.A double square border
Explanation: In standard genogram notation, males are denoted by squares and females by circles. Deceased individuals are marked with an 'X' drawn inside the shape.
6Under HPCSA ethical guidelines, in which situation is a medical practitioner legally permitted to breach patient confidentiality without explicit consent?
A.When requested orally by an employer seeking sickness verification
B.When an adult family member requests information regarding a competent patient's diagnosis
C.When required by statutory obligation under the Older Persons Act to report suspected elder abuse
D.When a private medical insurance company requests complete clinical notes for claims audit
Explanation: Confidentiality may be breached without consent when mandated by law (e.g., Older Persons Act 13 of 2006 for elder abuse, Child Care Act for child abuse, or court order) or in compelling public interest.
7A 45-year-old asymptomatic woman undergoes routine cervical Papanicolaou (Pap) smear screening at a primary healthcare clinic. Which level of disease prevention does this represent?
A.Primary prevention
B.Secondary prevention
C.Tertiary prevention
D.Quaternary prevention
Explanation: Secondary prevention aims to detect disease in its early, asymptomatic or pre-invasive stage to allow early intervention and cure (e.g., Pap smears screening for cervical intraepithelial neoplasia).
8What is the primary objective of quaternary prevention in family medicine practice?
A.Vaccinating high-risk populations against emerging viral pathogens
B.Screening asymptomatic individuals for early-stage malignancy
C.Protecting patients from unnecessary medical procedures, over-diagnosis, and iatrogenic harm
D.Rehabilitating patients after major surgical procedures or stroke
Explanation: Quaternary prevention identifies patients at risk of over-medicalization, protecting them from invasive procedures, over-diagnosis, polypharmacy, and iatrogenic harm.
9In evidence-based medicine, which study design provides the highest level of primary evidence for evaluating the efficacy of a therapeutic drug intervention?
A.Case-control study
B.Prospective observational cohort study
C.Double-blind randomized controlled trial (RCT)
D.Cross-sectional survey
Explanation: Among individual primary research studies, a well-designed double-blind randomized controlled trial (RCT) minimizes selection bias and confounding, providing the highest level of therapeutic evidence.
10A clinical trial demonstrates that a new anti-hypertensive medication reduces 5-year stroke risk from 10% to 5%. What is the Number Needed to Treat (NNT) to prevent one stroke over 5 years?
A.5
B.10
C.20
D.50
Explanation: Absolute Risk Reduction (ARR) = 10% - 5% = 5% (0.05). Number Needed to Treat (NNT) = 1 / ARR = 1 / 0.05 = 20.

About the FC Fam Med(SA) Part I Exam

The CMSA FC Fam Med(SA) Part I — College of Family Physicians of South Africa evaluates theoretical knowledge, clinical decision-making, primary care consultation skills, chronic disease care, maternal/child health, infectious disease management, and health systems governance expected of a specialist family physician in South Africa.

Assessment

Single Best Answer (SBA) MCQs across blueprint areas: Principles of Family Medicine, Primary Care Clinical Medicine, Chronic Disease Management/NCDs, Maternal & Child Health, HIV/TB & Infectious Diseases, Emergency Care & Health Systems.

Time Limit

3 hours

Passing Score

Overall 50%

Exam Fee

R12 950 (College of Family Physicians of South Africa (Colleges of Medicine of South Africa))

FC Fam Med(SA) Part I Exam Content Outline

25%

Principles of Family Medicine & Consultation Skills

Patient-centred consultation models (Pendleton, Calgary-Cambridge, Stott & Davis), bio-psycho-social approach, clinical governance, medical ethics (HPCSA), practice management, and district health system context.

25%

Chronic Disease & Adult Medicine

Management of non-communicable diseases (hypertension, diabetes mellitus, asthma, COPD, CKD, heart failure, epilepsy) following South African Primary Health Care EML guidelines.

25%

Maternal, Child & Reproductive Health

Essential Steps in Managing Obstetric Emergencies (ESMOE), antenatal care, pre-eclampsia, post-partum haemorrhage, IMCI guidelines, child malnutrition, neonatal resuscitation, and family planning.

25%

Infectious Diseases & Primary Emergency Care

HIV/ART regimens (TLD), TB/TPT management, acute primary care emergencies, trauma & resuscitation, South African Triage Scale (SATS), outbreak response, and National Health Insurance (NHI) principles.

How to Pass the FC Fam Med(SA) Part I Exam

What You Need to Know

  • Passing score: Overall 50%
  • Assessment: Single Best Answer (SBA) MCQs across blueprint areas: Principles of Family Medicine, Primary Care Clinical Medicine, Chronic Disease Management/NCDs, Maternal & Child Health, HIV/TB & Infectious Diseases, Emergency Care & Health Systems.
  • Time limit: 3 hours
  • Exam fee: R12 950

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

FC Fam Med(SA) Part I Study Tips from Top Performers

1Focus heavily on South African National Department of Health Primary Health Care STGs and EML.
2Master consultation frameworks (Pendleton, Calgary-Cambridge, Stott & Davis) and bio-psycho-social patient care.
3Review ESMOE protocols for obstetric emergencies and IMCI algorithms for paediatric care.

Frequently Asked Questions

What is the format of the FC Fam Med(SA) Part I examination?

The FC Fam Med(SA) Part I is examined via written single best answer MCQs.

What is the passing score for the FC Fam Med(SA) Part I?

The passing score is Overall 50% as specified by CMSA examination regulations.

What is the examination fee for FC Fam Med(SA) Part I?

The examination fee is R15 500.

What primary guidelines and reference materials should candidates study?

Candidates should study South African National Department of Health Primary Health Care STGs and EML, the Handbook of Family Medicine (Bob Mash), ESMOE manuals, WHO/SA IMCI guidelines, and National HIV/TB guidelines.