ABFM Sports Medicine Practice Questions - American Board of Family Medicine Sports Medicine Certificate of Added Qualifications Exam - ABFM Sports Medicine Practice Questions - American Board of Family Medicine Sports Medicine Certificate of Added Qualifications Exam

Question 1

A 22-year-old female collegiate soccer player sustains a non-contact pivot injury with an audible pop, immediate effusion within 2 hours, and a positive Lachman exam. MRI confirms a complete ACL tear with no meniscal or cartilage injury. As the primary care sports medicine physician, what is the most appropriate initial recommendation regarding surgical versus non-operative management?

Mandatory immediate ACL reconstruction within 2 weeks to prevent secondary injury Shared decision-making — ACL reconstruction is typically recommended for a young, highly active pivoting-sport athlete wishing to return to cutting sports Non-operative management with bracing and PT is equally effective in all patients regardless of activity level Delay surgery for at least 12 months to allow ligamentous healing

Correct Answer:

Shared decision-making — ACL reconstruction is typically recommended for a young, highly active pivoting-sport athlete wishing to return to cutting sports

Question 2

A 16-year-old female gymnast presents for pre-participation physical. She reports menarche at age 15, currently has 6 cycles per year, trains 25 hours/week, and restricts calories. BMI 17.8 kg/m². She has had two metatarsal stress fractures in 18 months. Which triad best describes her condition?

Overtraining syndrome, disordered eating, and iron deficiency Low energy availability, menstrual dysfunction, and low bone mineral density Osteoporosis, amenorrhea, and hypothyroidism Rhabdomyolysis, dehydration, and hyponatremia

Correct Answer:

Low energy availability, menstrual dysfunction, and low bone mineral density

Question 3

A 58-year-old recreational tennis player has chronic right shoulder pain for 6 months. MRI shows a partial-thickness articular-sided supraspinatus tear (~30%). Physical exam reveals full passive ROM, pain with Neer/Hawkins, Jobe's weakness, but no drop-arm sign. What is the most appropriate first-line treatment?

Immediate arthroscopic rotator cuff repair Structured physical therapy focused on scapular stabilization and posterior cuff strengthening ± subacromial corticosteroid injection 6-week immobilization in abduction pillow Reverse total shoulder arthroplasty

Correct Answer:

Structured physical therapy focused on scapular stabilization and posterior cuff strengthening ± subacromial corticosteroid injection

Question 4

A 35-year-old runner has 6 months of midportion Achilles tendinopathy unresponsive to RICE and NSAIDs. Which evidence-based treatment has the strongest support as first-line rehabilitation?

Corticosteroid injection into the Achilles tendon Alfredson eccentric heel-drop protocol (3 sets of 15 reps, twice daily, for 12 weeks) Surgical tenotomy and debridement Extended immobilization in a walking boot for 8 weeks

Correct Answer:

Alfredson eccentric heel-drop protocol (3 sets of 15 reps, twice daily, for 12 weeks)

Question 5

A 60-year-old patient with Kellgren-Lawrence grade 3 knee osteoarthritis presents for office-based treatment. Regarding intra-articular corticosteroid injections for knee OA, which of the following is most accurate?

No limit exists on the frequency of injections — monthly injections are encouraged Injections provide short-term pain relief (typically 4-8 weeks); total exposure is generally limited to ≤3-4 per year due to cartilage toxicity concerns Corticosteroid injections are curative for knee OA and delay need for arthroplasty There is strong evidence that hyaluronic acid outperforms corticosteroid at 12 months

Correct Answer:

Injections provide short-term pain relief (typically 4-8 weeks); total exposure is generally limited to ≤3-4 per year due to cartilage toxicity concerns

Question 1

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Prepare with the ABFM Sports Medicine Practice Questions - American Board of Family Medicine Sports Medicine Certificate of Added Qualifications Exam practice quiz. This question bank includes 100 questions covering year-old, pain, shows, presents, and player. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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ABFM Sports Medicine Practice Questions - American Board of Family Medicine Sports Medicine Certificate of Added Qualifications Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, pain, shows, presents, and player. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

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ABFM Sports Medicine Practice Questions - American Board of Family Medicine Sports Medicine Certificate of Added Qualifications Exam

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