FAMILY MEDICINE AOBFP EXAM
QUESTIONS WITH 100% CORRECT
ANSWERS | LATEST VERSION 2025/2026.
Abdominal obesity - ANS waist circumference - men >102 cm /40 inches ; women >89 cm or
35 inch
Metabolic syndrome criteria - ANS need at least 3 +
1. abdominal obesity
2. trigs > 150
3. HDL -men <40, woman <50
4. bp > 130/85
5. Fasting glucose > 110
Guidelines for breast self exa and clinical breast exam - ANS upstf - no BSES, no evidence for
CBE >40
ACS - optona for 20s, CBE every 3 yrs from 20-30, every year for >40
Breast mammogram guidelines - ANS acs - every yr startig at 40
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,usptf - before 50 up to individua, 50-74 eveyr 2 yrs
cervical cancer screening - ANS every 3 yrs 21-29
30-65 every 3 yrs or every 5 yrs + hpv
stop at 65 if 3 mormal paps or 3 normal with hpv
-none if hysterectomy
-risk groups need more frequent screening
Gardasil vs cervarix - ANS gardasil - 6,11,18,16 for both genders
cervarix 18,18,31,45 for females
lung cancer screening - ANS 55-80 w 30 pk yr history and currently smoke or have quit within
the past 15 years for annual CT scan
osteoprosis prevention - ANS upstf - don't recommend Ca and vitamin D supplementation ,
increase diary and weight exercises
osteoporsis screening - ANS women > 65 w DExa or women < 65 w WhO risk assessemnt of
frx is greater than women 65 yo
Prostate screening - ANS upstf - against PSA
ACS - discuss w patient
how often should lipid panel be done? - ANS ACA - every 4-6 years in adults over 20-79 yo
without CV disease to assess HDL UPSTF - strongly recommend men>35, women >45 w
increased CV risk, recommend 20-35 men/women if at increased risk
exercise guidelines - ANS 20-40 min/day; CV fitness 40 min/3 days a wk or 150 min a wek
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,research supported treatment for primary insomina
Safest drugs? - ANS sleep restriction/compression therapy and CBTI
ambien (zolpidem) and melatonin
Suicide Severity Assessment - ANS SAD PERSONS
4-6 = outpatinet
7-10 hospitalized
age <14, >45
depression vs bereavement - ANS depressoin - 5/9 symptoms for at least 2 wks
be - within 2 months after loss
antidepressant for pregnant or breastfeeding woman
-side effects? - ANS sertraline or zoloft
Gi issues
antidepressant for kids
-side effects? - ANS fluoxetine (Prozac) - weight gain, impotence, sedation
antidepressants that treat OCD or anxiety - ANS ocd - fluvoxamine
anxiety - escitalopram 9lexapro)
crossed leg test for ankle injury - ANS syndesmotic injury between tibia and fibula
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, Ottawa ankle rules - ANS pain in malleolar and either bony tenderness along distal 6 cm or
either malleoouls
or
unable to bear 4 steps of injury
Ottawa foot rules - ANS pain in midfoot region and : tenderness at 5th metacarpal base,
can't walk 4 steps
Thyrotropin receptor antibody, thyroid peroxidase AB and TSH receptor - ANS graves disease
- hyperthyroidism
treatment of grave's disease; treatent of hypothyroidism - ANS 1. methimazole - SE
agranulocytosis - takes 3 months to fix, symptom improvement in 1 month, stay on for several
years
2. radioactive iodine - hypohtyroidism (don't be near pregers and kids) - cthen check 1/2x a
year, check 2-3 months after iniaition
Hypothyroidism
-thyroxine - check 2-3 months after, then check 1-2x/yr, 1.5-1.8 mcg, repeat TSH in 6 weeks
Thyroid nodules
-only 4-5% are cancerous. Majority are asymptomatic.
-older ppl have multinodular
-younger ppl have solitary nodues
-best inital test is ultrasound - ANS
Screening recommendations for DM - ANS ADA - overweight or obese with 1+ RF; screen at
45 yo and every 3 yrs if no risk factors
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
QUESTIONS WITH 100% CORRECT
ANSWERS | LATEST VERSION 2025/2026.
Abdominal obesity - ANS waist circumference - men >102 cm /40 inches ; women >89 cm or
35 inch
Metabolic syndrome criteria - ANS need at least 3 +
1. abdominal obesity
2. trigs > 150
3. HDL -men <40, woman <50
4. bp > 130/85
5. Fasting glucose > 110
Guidelines for breast self exa and clinical breast exam - ANS upstf - no BSES, no evidence for
CBE >40
ACS - optona for 20s, CBE every 3 yrs from 20-30, every year for >40
Breast mammogram guidelines - ANS acs - every yr startig at 40
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,usptf - before 50 up to individua, 50-74 eveyr 2 yrs
cervical cancer screening - ANS every 3 yrs 21-29
30-65 every 3 yrs or every 5 yrs + hpv
stop at 65 if 3 mormal paps or 3 normal with hpv
-none if hysterectomy
-risk groups need more frequent screening
Gardasil vs cervarix - ANS gardasil - 6,11,18,16 for both genders
cervarix 18,18,31,45 for females
lung cancer screening - ANS 55-80 w 30 pk yr history and currently smoke or have quit within
the past 15 years for annual CT scan
osteoprosis prevention - ANS upstf - don't recommend Ca and vitamin D supplementation ,
increase diary and weight exercises
osteoporsis screening - ANS women > 65 w DExa or women < 65 w WhO risk assessemnt of
frx is greater than women 65 yo
Prostate screening - ANS upstf - against PSA
ACS - discuss w patient
how often should lipid panel be done? - ANS ACA - every 4-6 years in adults over 20-79 yo
without CV disease to assess HDL UPSTF - strongly recommend men>35, women >45 w
increased CV risk, recommend 20-35 men/women if at increased risk
exercise guidelines - ANS 20-40 min/day; CV fitness 40 min/3 days a wk or 150 min a wek
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,research supported treatment for primary insomina
Safest drugs? - ANS sleep restriction/compression therapy and CBTI
ambien (zolpidem) and melatonin
Suicide Severity Assessment - ANS SAD PERSONS
4-6 = outpatinet
7-10 hospitalized
age <14, >45
depression vs bereavement - ANS depressoin - 5/9 symptoms for at least 2 wks
be - within 2 months after loss
antidepressant for pregnant or breastfeeding woman
-side effects? - ANS sertraline or zoloft
Gi issues
antidepressant for kids
-side effects? - ANS fluoxetine (Prozac) - weight gain, impotence, sedation
antidepressants that treat OCD or anxiety - ANS ocd - fluvoxamine
anxiety - escitalopram 9lexapro)
crossed leg test for ankle injury - ANS syndesmotic injury between tibia and fibula
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, Ottawa ankle rules - ANS pain in malleolar and either bony tenderness along distal 6 cm or
either malleoouls
or
unable to bear 4 steps of injury
Ottawa foot rules - ANS pain in midfoot region and : tenderness at 5th metacarpal base,
can't walk 4 steps
Thyrotropin receptor antibody, thyroid peroxidase AB and TSH receptor - ANS graves disease
- hyperthyroidism
treatment of grave's disease; treatent of hypothyroidism - ANS 1. methimazole - SE
agranulocytosis - takes 3 months to fix, symptom improvement in 1 month, stay on for several
years
2. radioactive iodine - hypohtyroidism (don't be near pregers and kids) - cthen check 1/2x a
year, check 2-3 months after iniaition
Hypothyroidism
-thyroxine - check 2-3 months after, then check 1-2x/yr, 1.5-1.8 mcg, repeat TSH in 6 weeks
Thyroid nodules
-only 4-5% are cancerous. Majority are asymptomatic.
-older ppl have multinodular
-younger ppl have solitary nodues
-best inital test is ultrasound - ANS
Screening recommendations for DM - ANS ADA - overweight or obese with 1+ RF; screen at
45 yo and every 3 yrs if no risk factors
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
