ABFM ABFM Clinical Decision Making

Question 1

A 45-year-old male presents with chest pain radiating to the left arm and diaphoresis. Which initial diagnostic test is most critical according to ABFM clinical guidelines?

Accepted Answer

12-lead ECG

Answer

Chest X-ray

Answer

Cardiac troponin

Answer

Complete blood count

Question 2

When applying evidence-based medicine in family practice, which study design provides the highest level of evidence for clinical decision making?

Accepted Answer

Randomized controlled trial

Answer

Case series

Answer

Cohort study

Answer

Cross-sectional study

Question 3

A 60-year-old woman with type 2 diabetes has an HbA1c of 9.2%. According to ABFM guidelines, what is the most appropriate next step?

Accepted Answer

Intensify glycemic management

Answer

Recheck HbA1c in 6 months

Answer

Refer immediately to endocrinology

Answer

Start insulin without further evaluation

Question 4

Which clinical decision support tool is most appropriate for estimating 10-year cardiovascular risk in a primary care patient?

Accepted Answer

Framingham Heart Score

Answer

CHADS2 score

Answer

CURB-65 score

Answer

Wells criteria

Question 5

In shared decision making, which element is MOST essential for family physicians to incorporate with patients?

Accepted Answer

Discussing patient values and preferences

Answer

Providing only physician-recommended options

Answer

Delegating decisions to specialists

Answer

Avoiding discussion of risks

Question 6

A 35-year-old pregnant woman at 28 weeks gestation presents with new-onset headache and blood pressure of 158/102 mmHg. What is the most appropriate clinical decision?

Accepted Answer

Diagnose preeclampsia and manage urgently

Answer

Prescribe analgesics and follow up in one week

Answer

Recommend rest and recheck in 48 hours

Answer

Order an outpatient MRI