ABFM Practice Test 2026 — Free ABFM Exam Prep Questions
The ABFM Family Medicine Certification Examination is the one-day board exam that residency graduates take for initial certification and that diplomates may take to continue certification. Our practice set follows the ABFM blueprint by clinical activity: acute care and diagnosis, chronic care management, emergent and urgent care, preventive care and foundations of care, using office, hospital and ED vignettes based on current guidelines.
A 68-year-old man is brought to the emergency department 90 minutes after he was last known well, with right-sided weakness and aphasia. His NIH Stroke Scale score is 12. Noncontrast head CT shows no hemorrhage or early large infarct. Glucose is 132 mg/dL, and he takes no anticoagulants. Blood pressure is 198/106 mm Hg on two readings 5 minutes apart. He has no other contraindications to thrombolysis, and CT angiography is being arranged. Which one of the following is the most appropriate next step?
ABFM format, scoring & key facts
Computer-based at Prometric test centers in the US, Canada and international locations. Four 95-minute sections of 75 questions, with 100 minutes of pooled break time across three optional breaks. The full appointment is 9 hours. Once a section ends you cannot return to it.
| Questions | 300 single-best-answer multiple-choice questions |
|---|---|
| Structure | 4 sections × 75 questions, 95 minutes each |
| Breaks | 100 minutes of pooled break time; 9-hour appointment |
| Blueprint | Five clinical-activity content areas, in use since 2025 |
| Scoring | Scaled 200–800; minimum passing standard 380 in 2024 |
| Results | Preliminary in 3–7 business days; final about 6–8 weeks after the window |
| Fee | $1,300 initial attempt; $650 re-attempt |
| Testing windows | November 9–18, 2026; April 5–26, 2027; November 1–10, 2027 |
| On-screen tools | Mark for review, highlight and strikeout; an erasable note board is provided |
Facts last verified Nov 3, 2026. Source: www.theabfm.org/app/uploads/2025/10/2026-FMCE-Examination-Information-Booklet-v.1.0.pdf. Always confirm details with ABFM before your exam.
When can you take the ABFM?
Offered in April and November testing windows. November 9–18, 2026; April 5–26, 2027 (application opens October 16, 2026; no late fee through January 19, 2027); November 1–10, 2027. Each candidate selects one date for the full-day exam
What the ABFM covers
Every PrepBanq ABFM test mirrors the official domain weights.
Domain distribution
% of the exam| Content domain | Weight | ≈ Questions on exam | Our practice questions |
|---|---|---|---|
Acute Care and DiagnosisAmbulatory clinic scenarios asking for next steps in diagnosis, the correct diagnosis or the initial treatment. | 35% | ~105 | 52 questions → |
Chronic Care ManagementAmbulatory or long-term care scenarios asking for ongoing management of a chronic disease. | 25% | ~75 | 38 questions → |
Emergent and Urgent CareHospital, emergency department, urgent care or ambulatory scenarios needing patient management decisions within hours. | 20% | ~60 | 30 questions → |
Preventive CareIssues in the ambulatory clinic setting where preventive care services are provided. | 15% | ~45 | 22 questions → |
Foundations of CareOther topics important in providing care, including statistics, health policy, legal issues and health equity. | 5% | ~15 | 8 questions → |
How to register for the ABFM
Eligibility
Initial certification requires completion of a 3-year (36-month) ACGME-accredited family medicine residency (or an AOA Training Pathway or reciprocity route), at least 50 self-assessment and performance-improvement activity points, and a full unlimited US or Canadian medical license. Residents may apply and test during residency before licensure
Retake policy
Candidates who fail may take the exam again at a later administration; each attempt needs a new application. Initial-certification candidates pay a reduced $650 exam fee for each re-examination
Score release
Preliminary pass, fail or pending result within 3–7 business days; final official results about 6–8 weeks after the last date of the testing window
Credential renewal
Certification is maintained through ABFM's continuous 5-Year Cycle. The exam requirement can be met by the one-day exam or by the Family Medicine Certification Longitudinal Assessment
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ABFM FAQ
How many questions are on the ABFM?
The ABFM has 300 questions and you have 6 hours 20 minutes to finish. Question types: Clinical scenarios with single-best-answer multiple-choice questions only.
How long is the ABFM exam?
Testing time for the ABFM is 6 hours 20 minutes.
What is the passing score for the ABFM?
ABFM passing standard: Pass/fail against a minimum passing standard set by the ABFM Board of Directors. The standard was a scaled score of 380 in 2024. Score range: 200–800 (scaled).
How much does the ABFM cost?
The ABFM registration fee is $1,300 for an initial attempt; $650 to re-attempt after an unsuccessful attempt. Late registration fee $100; international testing fee $200. Check the official site for current fees before you register.
What is on the ABFM?
The ABFM covers Acute Care and Diagnosis (about 35%), Chronic Care Management (about 25%), Emergent and Urgent Care (about 20%), Preventive Care (about 15%), Foundations of Care (about 5%).
Who administers the ABFM?
The ABFM Family Medicine Certification Exam is administered by ABFM. Delivery: Computer-based at Prometric test centers in the US, Canada and international locations. Four 95-minute sections of 75 questions, with 100 minutes of pooled break time across three optional breaks. The full appointment is 9 hours. Once a section ends you cannot return to it.
Can you retake the ABFM?
Candidates who fail may take the exam again at a later administration; each attempt needs a new application. Initial-certification candidates pay a reduced $650 exam fee for each re-examination
Is there a free ABFM practice test?
Yes. PrepBanq has 15 free ABFM practice tests with 150 exam-style questions in the real ABFM formats, and every answer is explained. No credit card is needed.
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