ABFM Family Medicine Certification
Examination Questions and Correct
Answers (Verified Answers) || GRADED
A+|| LATEST UPDATE 2026
A 30-year-old male comes to your office for evaluation of hand weakness. On
examination you
detect weakness when he tries to bring his thumb and index finger together. For
confirmation
you ask him to try to hold on to a piece of paper between his thumb and index finger
while you
try to pull it away. He is unable to resist when you pull on the paper.
The most likely explanation for these findings is an injury to the -CORRECTANSWER e
- ulnar nerve
Initial general neurovascular assessment of an upper extremity injury includes
evaluating for radial pulse
and digit movement and sensation. Weakness of the thumb and index finger pincer
mechanism is indicative
of an ulnar nerve injury. Weakness in the shoulder or upper arm would indicate a
potential brachial plexus
injury. Symptoms related to the median nerve generally include paresthesia of the
thumb, index finger,
,and long finger. Weakness of supination of the forearm would indicate a potential
musculocutaneous nerve
injury. Weakness of active wrist extension would indicate a potential radial nerve injury.
Weakness of the thumb and index finger pincer mechanism is indicative
of an _________ nerve injury. -CORRECTANSWER Weakness of the thumb and index
finger pincer mechanism is indicative
of an *ulnar* nerve injury.
Symptoms related to the __________ nerve generally include paresthesia of the thumb,
index finger, and long finger. -CORRECTANSWER Symptoms related to the *median*
nerve generally include paresthesia of the thumb, index finger,
and long finger.
Weakness of supination of the forearm would indicate a potential ________ nerve
injury. -CORRECTANSWER Weakness of supination of the forearm would indicate a
potential * musculocutaneous* nerve
injury.
Weakness of active wrist extension would indicate a potential ________ nerve injury. -
CORRECTANSWER Weakness of active wrist extension would indicate a potential
*radial* nerve injury.
,A 30-year-old male is diagnosed with hereditary hemochromatosis. Periodic therapeutic
phlebotomy may be appropriate to prevent
A) chronic liver disease B) chronic renal disease C) encephalopathy D) myelofibrosis E)
Wilson disease -CORRECTANSWER A) chronic liver disease
Hereditary hemochromatosis is a common inherited disorder of iron metabolism. Iron
deposits in the liver
may lead to chronic liver disease and hepatocellular cancer. Screening for hereditary
hemochromatosis
includes serum ferritin levels, a family history, and genetic testing. Chronic renal
disease, encephalopathy,
myelofibrosis, and Wilson disease (disorder of copper transport) do not result from iron
overload.
A 70-year-old female sees you for a Medicare annual wellness visit. Her past medical
history includes hypertension treated with enalapril (Vasotec). She states that she
"couldn't be better" and says that she has no new symptoms or health concerns. She
has a blood pressure of 159/90 mm Hg, a temperature of 36.7°C (98.1°F), a heart rate
of 76 beats/min, a respiratory rate of 17/min, and an oxygen saturation of 98% on room
air. On examination you note a new harsh systolic murmur that is heard best at the
second right intercostal space and can also be heard over the right carotid artery. A
transthoracic echocardiogram reveals severe aortic stenosis. Which one of the following
, should you recommend for this patient? A) Antibiotic prophylaxis for dental procedures
B) Transesophageal echocardiography C) Repeat echocardiography in 6 months D)
Referral for aortic valve replacement -CORRECTANSWER CORRECTANSWER: C
This patient has severe aortic stenosis that is asymptomatic. Watchful waiting is
recommended for most
asymptomatic patients. In asymptomatic patients with severe aortic stenosis, monitoring
with serial
echocardiography is recommended every 6-12 months. Antibiotic prophylaxis is not
indicated unless the
patient has undergone aortic valve replacement or has a history of endocarditis.
Transesophageal
echocardiography is not indicated in this situation. Aortic valve replacement is indicated
to decrease
mortality in patients with symptomatic aortic stenosis.
After a thorough history and examination you determine that a 30-year-old male has an
upper respiratory infection with a persistent cough. He is afebrile and is otherwise
healthy. The best treatment for symptomatic relief of his persistent cough would be
intranasal A) antibiotics B) antihistamines C) corticosteroids D) ipratropium (Atrovent) E)
saline -CORRECTANSWER CORRECTANSWER: D - ipratropium (Atrovent)
Upper respiratory tract infections are the most common acute illness in the United
States. Symptoms are
Examination Questions and Correct
Answers (Verified Answers) || GRADED
A+|| LATEST UPDATE 2026
A 30-year-old male comes to your office for evaluation of hand weakness. On
examination you
detect weakness when he tries to bring his thumb and index finger together. For
confirmation
you ask him to try to hold on to a piece of paper between his thumb and index finger
while you
try to pull it away. He is unable to resist when you pull on the paper.
The most likely explanation for these findings is an injury to the -CORRECTANSWER e
- ulnar nerve
Initial general neurovascular assessment of an upper extremity injury includes
evaluating for radial pulse
and digit movement and sensation. Weakness of the thumb and index finger pincer
mechanism is indicative
of an ulnar nerve injury. Weakness in the shoulder or upper arm would indicate a
potential brachial plexus
injury. Symptoms related to the median nerve generally include paresthesia of the
thumb, index finger,
,and long finger. Weakness of supination of the forearm would indicate a potential
musculocutaneous nerve
injury. Weakness of active wrist extension would indicate a potential radial nerve injury.
Weakness of the thumb and index finger pincer mechanism is indicative
of an _________ nerve injury. -CORRECTANSWER Weakness of the thumb and index
finger pincer mechanism is indicative
of an *ulnar* nerve injury.
Symptoms related to the __________ nerve generally include paresthesia of the thumb,
index finger, and long finger. -CORRECTANSWER Symptoms related to the *median*
nerve generally include paresthesia of the thumb, index finger,
and long finger.
Weakness of supination of the forearm would indicate a potential ________ nerve
injury. -CORRECTANSWER Weakness of supination of the forearm would indicate a
potential * musculocutaneous* nerve
injury.
Weakness of active wrist extension would indicate a potential ________ nerve injury. -
CORRECTANSWER Weakness of active wrist extension would indicate a potential
*radial* nerve injury.
,A 30-year-old male is diagnosed with hereditary hemochromatosis. Periodic therapeutic
phlebotomy may be appropriate to prevent
A) chronic liver disease B) chronic renal disease C) encephalopathy D) myelofibrosis E)
Wilson disease -CORRECTANSWER A) chronic liver disease
Hereditary hemochromatosis is a common inherited disorder of iron metabolism. Iron
deposits in the liver
may lead to chronic liver disease and hepatocellular cancer. Screening for hereditary
hemochromatosis
includes serum ferritin levels, a family history, and genetic testing. Chronic renal
disease, encephalopathy,
myelofibrosis, and Wilson disease (disorder of copper transport) do not result from iron
overload.
A 70-year-old female sees you for a Medicare annual wellness visit. Her past medical
history includes hypertension treated with enalapril (Vasotec). She states that she
"couldn't be better" and says that she has no new symptoms or health concerns. She
has a blood pressure of 159/90 mm Hg, a temperature of 36.7°C (98.1°F), a heart rate
of 76 beats/min, a respiratory rate of 17/min, and an oxygen saturation of 98% on room
air. On examination you note a new harsh systolic murmur that is heard best at the
second right intercostal space and can also be heard over the right carotid artery. A
transthoracic echocardiogram reveals severe aortic stenosis. Which one of the following
, should you recommend for this patient? A) Antibiotic prophylaxis for dental procedures
B) Transesophageal echocardiography C) Repeat echocardiography in 6 months D)
Referral for aortic valve replacement -CORRECTANSWER CORRECTANSWER: C
This patient has severe aortic stenosis that is asymptomatic. Watchful waiting is
recommended for most
asymptomatic patients. In asymptomatic patients with severe aortic stenosis, monitoring
with serial
echocardiography is recommended every 6-12 months. Antibiotic prophylaxis is not
indicated unless the
patient has undergone aortic valve replacement or has a history of endocarditis.
Transesophageal
echocardiography is not indicated in this situation. Aortic valve replacement is indicated
to decrease
mortality in patients with symptomatic aortic stenosis.
After a thorough history and examination you determine that a 30-year-old male has an
upper respiratory infection with a persistent cough. He is afebrile and is otherwise
healthy. The best treatment for symptomatic relief of his persistent cough would be
intranasal A) antibiotics B) antihistamines C) corticosteroids D) ipratropium (Atrovent) E)
saline -CORRECTANSWER CORRECTANSWER: D - ipratropium (Atrovent)
Upper respiratory tract infections are the most common acute illness in the United
States. Symptoms are
