Family medicine — in the LEK question base
Primary care, prevention and screening, practical vaccinology, management of chronic disease.
- Questions in base
- 326
- Share of base
- 10.7%
- Roughly on the paper
- ~15
The "on the paper" figure assumes the 140 questions drawn from the base are distributed in proportion to its composition. CEM does not publish per-field quotas, so treat it as an order of magnitude rather than a promise.
Required reading — family medicine
The list CEM publishes for this field. Questions are written from these titles, so where a lecture and a listed textbook disagree, the textbook decides.
They appear here in Polish, exactly as CEM lists them — these are the specific editions that count, and most have no English translation. That is not an oversight on our part; it is the central practical problem of sitting this exam in English.
- 01 A. Windak, S. Chlabicz, A. Mastalerz-Migas (red.) — Medycyna rodzinna. Podręcznik dla lekarzy i studentów, Termedia, 2015
- 02 A. Oblacińska, M. Jodkowska, P. Sawiec (red.) — ABC bilansów zdrowia dziecka, Medycyna Praktyczna, 2025
- 03 Piotr Ciechanowski, Dorota Mrożek-Budzyn (red.) — Wakcynologia praktyczna, wyd. IX, Alfa-Medica Press, 2025
- 04 A. Windak, S. Chlabicz (red.) — Repozytorium medycyny rodzinnej, ZIZ Centrum Edukacji, 2025
Source: the CEM reading list . As at August 2026 — check before your session in case CEM has revised it.
Sample questions from the base
Ten items from CEM's public listing for this field, in the official English wording used on the exam paper. The correct answer is highlighted. Detailed explanations live in our Polish application (source of preparation).
Which of the following syndromes is the most frequent cause of genetically determined intellectual disability in human population?
- A Patau syndrome.
- B Edwards' syndrome.
- C Klinefelter syndrome.
- D Down syndrome. ✓
- E Turner syndrome.
Which of the following activities are characteristic of six-month-old infants?
- A supporting their body on the extended arms with partly or fully opened hands.
- B bringing a toy from one hand to the other.
- C dropping things on purpose.
- D A,B are correct. ✓
- E A,B,C are correct.
The risk factors of gastroesophageal reflux disease do not include:
- A female gender. ✓
- B elderly age.
- C pregnancy.
- D overweight or obesity.
- E tobacco smoking.
In the case of hyperlipidemia (with an exception for familial hyperlipidemia) pharmacological treatment should be started if the proper diet itself has not led the patient to achieve therapeutic goals for:
- A 2 weeks.
- B 4 weeks.
- C 6 weeks. ✓
- D 8 weeks.
- E 10 weeks.
A doctor, after recognizing or suspecting the occurrence of vaccine adverse event, is obliged to report this fact to the state county sanitary inspector not later than within:
- A 24 hours. ✓
- B 48 hours.
- C 4 days.
- D 1 week.
- E 2 weeks.
Which of the following statements concerning cold water cooling of the patient suffering from burns is true?
- A cooling is more important immediately after the burn.
- B cooling should last 15 minutes or until the patient starts shivering.
- C no more than 10% of the body surface should be cooled down at a given time.
- D A,B are correct.
- E A,B,C are correct. ✓
The signs and symptoms of Conn's syndrome (primary hyperaldosteronism) do not include:
- A decreased thirst. ✓
- B decreased muscle strength.
- C arterial hypertension refractory to pharmacological treatment.
- D polyuria.
- E tetany.
At doctor's office a young male presents with the symptoms of sprained ankle with large hematoma, marked edema and acute pain, suggesting an injury of the joint capsule. The gypsum cast should be applied for:
- A 7 days.
- B 14 days. ✓
- C 21 days.
- D 30 days.
- E 45 days.
The basic diagnostic method of identification of Giardia lamblia is:
- A ELISA test of the stool.
- B stool examination for cysts. ✓
- C stool examination for trophozoites.
- D morphological examination of an excision from the duodenal mucous membrane.
- E examination of the duodenal content.
In the event of a planned surgery in people with diabetes, the surgery should be postponed (if possible) if the HbA1c level exceeds:
- A 7.5%.
- B 8.0%.
- C 8.5%. ✓
- D 9.0%.
- E 9.5%.
Full listing for this field contains 326 questions — these ten are a preview. Detailed rationales, spaced-repetition scheduling and citations are in the Polish app (English coverage is in progress).
How to get through this field
326 questions is a finite, countable set — at twenty a day you are through it in 17 days. The difficulty is not the volume. It is that the CEM listing gives you the questions and nothing else: no answer key, no explanation and no indication which of the books above the answer came from.
In our bank every question in this field carries an explanation and a citation to its source. Instead of memorising a letter you see why the other four options are wrong — and that is the part which transfers to the 60 unpublished questions you cannot prepare for in advance. The English edition is in progress; these pages come first.