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The MC-FP exam has 300 questions and runs 6 hours 20 minutes.
These 10 free MC-FP questions are organized by exam domain, so you can see how each part of the Family Medicine Certification (MC-FP) blueprint is tested. Reveal the answer and explanation under each question.
A 19-year-old man fell onto an outstretched hand while skateboarding 2 days ago. He has tenderness in the anatomic snuffbox and pain with axial loading of the thumb. Radiographs of the wrist, including dedicated scaphoid views, are normal. Which one of the following is the most appropriate next step?
Correct answer: A - Apply a thumb spica splint and repeat radiographs in 10 to 14 days
A 42-year-old woman has 10 days of aching low back pain that began after she helped move furniture. The pain does not radiate below the knee. She has no fever, no unexplained weight loss, no history of malignancy, no bowel or bladder symptoms, and no neurologic deficits on examination. She asks to have an MRI ordered. Which one of the following is the most appropriate management?
Correct answer: C - Advise activity as tolerated and treat with NSAIDs
An 84-year-old woman in long-term care has a urine culture obtained by nursing staff because her urine appeared cloudy and had a strong odor. She is afebrile, has no dysuria, frequency, urgency, suprapubic pain, or flank pain, and her mental status is at baseline. The culture grows more than 100,000 CFU/mL of Escherichia coli. Which one of the following is the most appropriate management?
Correct answer: D - No antimicrobial therapy
An 8-year-old boy has 2 days of sore throat. His temperature is 38.6 C. Examination shows tonsillar exudates and tender anterior cervical lymphadenopathy. He has no cough and no rhinorrhea. A rapid antigen detection test for group A streptococcus is negative. Which one of the following is the most appropriate next step?
Correct answer: A - Obtain a throat culture
A 34-year-old nurse undergoes pre-employment screening. Her hepatitis B panel shows: HBsAg negative, anti-HBs positive, and anti-HBc negative. Which one of the following does this pattern indicate?
Correct answer: C - Immunity from prior vaccination
A 6-year-old girl has a 3-week history of a scaly, boggy patch on the occipital scalp with associated hair loss and tender posterior cervical lymphadenopathy. A KOH preparation of plucked hairs shows fungal elements. Which one of the following is the most appropriate treatment?
Correct answer: D - Oral griseofulvin for 6 to 8 weeks
A 22-year-old woman who wears soft contact lenses and occasionally sleeps in them has 1 day of unilateral eye pain, photophobia, and blurred vision. Examination shows conjunctival injection, a small white corneal infiltrate, and fluorescein uptake overlying the infiltrate. Which one of the following is the most appropriate management?
Correct answer: B - Stop lens wear and arrange same-day ophthalmology evaluation
A 63-year-old man has type 2 diabetes with an A1c of 8.2% and heart failure with reduced ejection fraction (EF 32%, NYHA class II). He takes metformin 1000 mg twice daily along with guideline-directed heart failure therapy. His eGFR is 68 mL/min/1.73 m2. Which one of the following agents should be added?
Correct answer: A - Empagliflozin
A 27-year-old woman with asthma has used her albuterol inhaler 4 to 5 days per week for the past 2 months and wakes with symptoms about twice monthly. She uses no controller medication. Spirometry confirms reversible airflow obstruction, and her inhaler technique is correct. Which one of the following is the most appropriate change in therapy?
Correct answer: C - Start an inhaled corticosteroid-containing regimen
An 86-year-old woman with type 2 diabetes, moderate dementia, and limited life expectancy lives in assisted living. Her A1c is 6.6% on glipizide and metformin. Staff report two episodes of symptomatic hypoglycemia in the past month, one requiring assistance. Which one of the following is the most appropriate management?
Correct answer: B - Discontinue glipizide and accept a higher A1c target
The MC-FP exam also covers these domains. Drill them in the full free practice test:
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