ARIZONA FAMILY MEDICINE BOARD EXAM
QUESTIONS WITH CORRECT ANSWERS AND
RATIONALES LATEST 2025-2026 UPDATE
Question 1
A 52-year-old man has blood pressure readings averaging 148/92 mmHg
on three visits. What is the most appropriate initial management?
A. Repeat BP in 1 year
B. Lifestyle modification only
C. Start antihypertensive medication plus lifestyle modification
D. No treatment needed
Answer: C
Rationale: Stage 2 hypertension generally warrants pharmacologic
therapy plus lifestyle modification to reduce cardiovascular risk.
Question 2
Which screening test is recommended for average-risk adults aged 45–
75 years?
A. PSA annually
B. Colon cancer screening
C. Chest CT annually
D. Echocardiography
Answer: B
Rationale: Colorectal cancer screening is recommended beginning at
age 45 for average-risk adults.
, Question 3
A patient with type 2 diabetes has an HbA1c of 9.2% despite metformin
therapy. The next best step is:
A. Stop metformin
B. Add another glucose-lowering agent
C. Observe for 6 months
D. Begin antibiotics
Answer: B
Rationale: Additional pharmacologic therapy is indicated when
glycemic targets are not met with metformin alone.
Question 4
A smoker aged 60 years with a 35-pack-year history should receive:
A. Annual chest X-ray
B. Annual low-dose CT screening
C. MRI chest annually
D. PET scan
Answer: B
Rationale: Low-dose CT screening reduces lung cancer mortality in
eligible high-risk smokers.
Question 5
QUESTIONS WITH CORRECT ANSWERS AND
RATIONALES LATEST 2025-2026 UPDATE
Question 1
A 52-year-old man has blood pressure readings averaging 148/92 mmHg
on three visits. What is the most appropriate initial management?
A. Repeat BP in 1 year
B. Lifestyle modification only
C. Start antihypertensive medication plus lifestyle modification
D. No treatment needed
Answer: C
Rationale: Stage 2 hypertension generally warrants pharmacologic
therapy plus lifestyle modification to reduce cardiovascular risk.
Question 2
Which screening test is recommended for average-risk adults aged 45–
75 years?
A. PSA annually
B. Colon cancer screening
C. Chest CT annually
D. Echocardiography
Answer: B
Rationale: Colorectal cancer screening is recommended beginning at
age 45 for average-risk adults.
, Question 3
A patient with type 2 diabetes has an HbA1c of 9.2% despite metformin
therapy. The next best step is:
A. Stop metformin
B. Add another glucose-lowering agent
C. Observe for 6 months
D. Begin antibiotics
Answer: B
Rationale: Additional pharmacologic therapy is indicated when
glycemic targets are not met with metformin alone.
Question 4
A smoker aged 60 years with a 35-pack-year history should receive:
A. Annual chest X-ray
B. Annual low-dose CT screening
C. MRI chest annually
D. PET scan
Answer: B
Rationale: Low-dose CT screening reduces lung cancer mortality in
eligible high-risk smokers.
Question 5
