End-of-Rotation Exam Prep

Family Medicine EOR exam prep

Family Medicine is the broadest EOR — outpatient primary care across every age and organ system. Breadth beats depth: you're tested on recognizing and initially managing common presentations, screening, and health maintenance.

2026 blueprint update

PAEA's updated End of Rotation exams are effective as of July 27, 2026 (legacy versions run through July 2027). The Family Medicine exam adds a Professional Practice task area (6%), leans harder into diagnostic studies and prevention, and drops the standalone Urgent Care topic.

See the full Family Medicine EOR blueprint changes →

What topics does the Family Medicine EOR exam cover?

Health maintenance & screening

Age-appropriate screening (lipids, colon, cervical, mammography, AAA), immunization schedules, and USPSTF-style prevention.

Chronic disease management

Hypertension, type 2 diabetes, hyperlipidemia, COPD/asthma, hypothyroidism, and depression — diagnosis, first-line therapy, and monitoring.

Common acute outpatient complaints

URIs, otitis media, pharyngitis, UTIs, low back pain, conjunctivitis, and skin complaints.

Cardiopulmonary

Stable angina vs ACS triage, heart failure basics, asthma/COPD step-up therapy, and community-acquired pneumonia.

Dermatology & MSK

Common rashes, skin cancer recognition, sprains/strains, osteoarthritis, and the acutely painful joint.

Women's & men's health

Contraception counseling, abnormal uterine bleeding basics, BPH, and prostate screening discussion.

Pediatrics in primary care

Well-child checks, developmental milestones, and common pediatric infections.

Behavioral & geriatrics

Depression/anxiety screening, substance use, dementia screening, and polypharmacy/falls in older adults.

Which topics show up most on the Family Medicine EOR?

  • JNC/ACC-style hypertension targets and first-line agents
  • Diabetes diagnosis criteria and metformin first-line
  • USPSTF screening ages (colon, cervical, lipids, AAA)
  • Otitis media vs otitis externa management
  • Stable angina workup vs ACS red flags
  • Statin indications
  • Contraindications to combined oral contraceptives
  • Pneumonia (CURB-65) outpatient vs inpatient

How should you study for the Family Medicine EOR?

  • Prioritize breadth, not depth — the FM EOR rewards recognizing common outpatient presentations across every system, so don't rabbit-hole on rare zebras.
  • Front-load health maintenance and screening (USPSTF ages, vaccine schedules). They're heavily tested and are easy points many students skip.
  • Drill first-line management of the big chronic diseases — hypertension, type 2 diabetes, hyperlipidemia, asthma/COPD, and depression.
  • Then run it on FirstPassPA. Work the Family Medicine question set by topic, read every explanation, and let spaced repetition resurface your misses as your exam date nears — then simulate with timed, mixed blocks in the final week.

What are common Family Medicine EOR mistakes?

  • Over-ordering imaging for uncomplicated low back pain without red flags
  • Confusing screening intervals between guidelines
  • Missing health-maintenance/vaccination items that are heavily tested
  • Treating viral URIs with antibiotics
  • Forgetting first-line is often lifestyle + a single named drug

Study Family Medicine on FirstPassPA

EOR rotation mode gives you a focused Family Medicine question set with an AI tutor on every answer, spaced repetition, and analytics that show your weak spots. Free to start — no credit card.

Start studying free → Try free Family Medicine questions →

Educational use only. This outline is a study aid for PA students and is not medical advice or a substitute for clinical judgment. FirstPassPA is an independent study tool and is not affiliated with, endorsed by, or sponsored by NCCPA or PAEA. PANCE® and PANRE® are registered trademarks of the National Commission on Certification of Physician Assistants; End of Rotation™ is a program of the Physician Assistant Education Association.