AAFP BOARD REVIEW -
PREVENTATIVE/STAT EXAM
QUESTIONS WITH 100% CORRECT
ANSWERS | LATEST VERSION 2025/2026.
A local dentist contacts you for a prescription for the appropriate antibiotic dosage for one of
your patients who has an appointment for dental cleaning to eliminate a significant plaque
buildup. The patient is a 55-year-old male who has controlled hypertension and mitral valve
prolapse with mitral regurgitation. He is allergic to sulfonamides.
Which one of the following would be the most appropriate prophylaxis for this patient?
(check one)
A. Amoxicillin, 2 g orally 1 hour prior to the procedure
B. Amoxicillin, 3 g orally 1 hour prior to the procedure and 1.5 g orally 6 hours after the
procedure
C. Ceftriaxone (Rocephin), 1 g intramuscularly 1 hour prior to the procedure
D. Clindamycin (Cleocin), 600 mg orally 1 hour prior to the procedure
E. No antibiotic prophylaxis - ANS E. No antibiotic prophylaxis
American Heart Association's 2007 guidelines, prophylaxis to prevent bacterial endocarditis
associated with dental, gastrointestinal, or genitourinary procedures is now indicated only for
1. high-risk patients with prosthetic valves
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,2. a previous history of endocarditis
3. unrepaired cyanotic congenital
heart disease (CHD)
4. CHD repaired with prosthetic material
5. cardiac transplant recipients who develop valvular disease; also increase in adverse event
A 21-year old female comes to her family physician's office with an unintended pregnancy and
states that she wishes to have a medical abortion. Elective abortion is against the physician's
personally held moral principles.
According to the American Academy of Family Physicians, which one of the following would be
the most appropriate course of action for the physician in this situation? (check one)
A. Explaining the rationale for morally opposing medical abortions
B. Providing no further assistance at this visit
C. Offering to match the patient with prospective adoptive parents
D. Advising the patient that it would be safer for her to continue the pregnancy
E. Providing resources that explain how to access a safe and legal medical abortion - ANS E.
Providing resources that explain how to access a safe and legal medical abortion
You are a member of a committee at your local hospital that has been asked to develop
measures to reduce the incidence of postoperative methicillin-resistant Staphylococcus aureus
(MRSA) infections. Which one of the following would be most effective for preventing these
infections? (check one)
A. Give preoperative antibiotics to all surgical patients to eradicate bacteria
B. Screen all admitted patients for MRSA and use antibiotics pre- and postoperatively in
positive cases
C. Culture the nares of all hospital employees upon hiring and on a routine basis thereafter
D. Institute an intensive program of good hand washing for all employees - ANS D. always
hand-washing
A healthy 18-year-old female sees you for a preparticipation evaluation and well care visit prior
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,to soccer season. She has no significant previous medical history and no current problems. She
says she is not sexually active. She has completed the HPV vaccine series.
Which one of the following would be most appropriate for cervical cancer screening for this
patient? (check one)
A. No screening at this visit
B. Annual Papanicolaou tests
C. Papanicolaou testing alone every 3 years
D. Erythema toxicum neonatorum
E. Papanicolaou testing and HPV testing every 3 years - ANS A. No screening at this visit
The U.S. Preventive Services Task Force recommends against screening for cervical cancer for
women younger than 21, for women over the age of 65 who have had adequate screening in
the recent past and are not at high risk, and for women who have had a hysterectomy with
removal of the cervix and no history of CIN 2 or 3 or cervical cancer (USPSTF D
recommendation).
Routine vaccination against which one of the following organisms has significantly reduced the
risk of bacterial meningitis among young children?
(check one)
A. Borrelia burgdorferi
B. Escherichia coli
C. Haemophilus influenzae
D. Listeria monocytogenes - ANS C. Haemophilus influenzae
Pay-for-performance (P4P) programs provide financial incentives for meeting predetermined
quality targets. Contracts with major payors often include these programs.
When considering P4P programs in such contracts, physicians should negotiate for which one of
the following? (check one)
A. Guidelines developed by academic medicine researchers
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, B. Guidelines based on consensus opinions
C. Mandatory physician participation
D. Reporting of negative performance results to licensure boards
E. Taking patient compliance into account when performing the evaluation - ANS E. Taking
patient compliance into account when performing the evaluation
The AAFP has seven main principles in its support for pay-for-performance programs:
(1) the focus should be on improved quality of care;
(2) physician-patient relationships should be supported;
(3) evidence-based clinical guidelines should be utilized;
(4) practicing physicians should be involved with the program design;
(5) reliable, accurate, and scientifically valid data should be used;
(6) physicians should be provided with positive incentives; and
(7) physician participation should be voluntary. Ensuring that patient adherence is included
helps prevent conflicts between patients and their physicians.
- A pay-for-performance program should not result in a reduction of fees paid to the physician
as a result of implementing a program.
- Negative results should not penalize the physician with regard to health plan credentialing,
verification, or licensure.
A study finds that the positive predictive value of a new test for breast cancer is 75%, which
means that (check one)
A. among patients with known breast cancer who had the test, 75% had a positive test
B. among patients with no breast cancer who had the test, 75% had a negative test
C. 75% of patients who tested positive actually had breast cancer
D. 75% of patients who tested negative did not have breast cancer - ANS C. 75% of patients
who tested positive actually had breast cancer
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
PREVENTATIVE/STAT EXAM
QUESTIONS WITH 100% CORRECT
ANSWERS | LATEST VERSION 2025/2026.
A local dentist contacts you for a prescription for the appropriate antibiotic dosage for one of
your patients who has an appointment for dental cleaning to eliminate a significant plaque
buildup. The patient is a 55-year-old male who has controlled hypertension and mitral valve
prolapse with mitral regurgitation. He is allergic to sulfonamides.
Which one of the following would be the most appropriate prophylaxis for this patient?
(check one)
A. Amoxicillin, 2 g orally 1 hour prior to the procedure
B. Amoxicillin, 3 g orally 1 hour prior to the procedure and 1.5 g orally 6 hours after the
procedure
C. Ceftriaxone (Rocephin), 1 g intramuscularly 1 hour prior to the procedure
D. Clindamycin (Cleocin), 600 mg orally 1 hour prior to the procedure
E. No antibiotic prophylaxis - ANS E. No antibiotic prophylaxis
American Heart Association's 2007 guidelines, prophylaxis to prevent bacterial endocarditis
associated with dental, gastrointestinal, or genitourinary procedures is now indicated only for
1. high-risk patients with prosthetic valves
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,2. a previous history of endocarditis
3. unrepaired cyanotic congenital
heart disease (CHD)
4. CHD repaired with prosthetic material
5. cardiac transplant recipients who develop valvular disease; also increase in adverse event
A 21-year old female comes to her family physician's office with an unintended pregnancy and
states that she wishes to have a medical abortion. Elective abortion is against the physician's
personally held moral principles.
According to the American Academy of Family Physicians, which one of the following would be
the most appropriate course of action for the physician in this situation? (check one)
A. Explaining the rationale for morally opposing medical abortions
B. Providing no further assistance at this visit
C. Offering to match the patient with prospective adoptive parents
D. Advising the patient that it would be safer for her to continue the pregnancy
E. Providing resources that explain how to access a safe and legal medical abortion - ANS E.
Providing resources that explain how to access a safe and legal medical abortion
You are a member of a committee at your local hospital that has been asked to develop
measures to reduce the incidence of postoperative methicillin-resistant Staphylococcus aureus
(MRSA) infections. Which one of the following would be most effective for preventing these
infections? (check one)
A. Give preoperative antibiotics to all surgical patients to eradicate bacteria
B. Screen all admitted patients for MRSA and use antibiotics pre- and postoperatively in
positive cases
C. Culture the nares of all hospital employees upon hiring and on a routine basis thereafter
D. Institute an intensive program of good hand washing for all employees - ANS D. always
hand-washing
A healthy 18-year-old female sees you for a preparticipation evaluation and well care visit prior
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,to soccer season. She has no significant previous medical history and no current problems. She
says she is not sexually active. She has completed the HPV vaccine series.
Which one of the following would be most appropriate for cervical cancer screening for this
patient? (check one)
A. No screening at this visit
B. Annual Papanicolaou tests
C. Papanicolaou testing alone every 3 years
D. Erythema toxicum neonatorum
E. Papanicolaou testing and HPV testing every 3 years - ANS A. No screening at this visit
The U.S. Preventive Services Task Force recommends against screening for cervical cancer for
women younger than 21, for women over the age of 65 who have had adequate screening in
the recent past and are not at high risk, and for women who have had a hysterectomy with
removal of the cervix and no history of CIN 2 or 3 or cervical cancer (USPSTF D
recommendation).
Routine vaccination against which one of the following organisms has significantly reduced the
risk of bacterial meningitis among young children?
(check one)
A. Borrelia burgdorferi
B. Escherichia coli
C. Haemophilus influenzae
D. Listeria monocytogenes - ANS C. Haemophilus influenzae
Pay-for-performance (P4P) programs provide financial incentives for meeting predetermined
quality targets. Contracts with major payors often include these programs.
When considering P4P programs in such contracts, physicians should negotiate for which one of
the following? (check one)
A. Guidelines developed by academic medicine researchers
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, B. Guidelines based on consensus opinions
C. Mandatory physician participation
D. Reporting of negative performance results to licensure boards
E. Taking patient compliance into account when performing the evaluation - ANS E. Taking
patient compliance into account when performing the evaluation
The AAFP has seven main principles in its support for pay-for-performance programs:
(1) the focus should be on improved quality of care;
(2) physician-patient relationships should be supported;
(3) evidence-based clinical guidelines should be utilized;
(4) practicing physicians should be involved with the program design;
(5) reliable, accurate, and scientifically valid data should be used;
(6) physicians should be provided with positive incentives; and
(7) physician participation should be voluntary. Ensuring that patient adherence is included
helps prevent conflicts between patients and their physicians.
- A pay-for-performance program should not result in a reduction of fees paid to the physician
as a result of implementing a program.
- Negative results should not penalize the physician with regard to health plan credentialing,
verification, or licensure.
A study finds that the positive predictive value of a new test for breast cancer is 75%, which
means that (check one)
A. among patients with known breast cancer who had the test, 75% had a positive test
B. among patients with no breast cancer who had the test, 75% had a negative test
C. 75% of patients who tested positive actually had breast cancer
D. 75% of patients who tested negative did not have breast cancer - ANS C. 75% of patients
who tested positive actually had breast cancer
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
