ABFM ABFM Patient Care Management 2

Question 1

A 50-year-old woman with well-controlled type 2 diabetes on metformin has a new LDL of 135 mg/dL. According to ABFM guidelines, what is the most appropriate next step?

Accepted Answer

Initiate statin therapy

Answer

Adults aged 40-75 with diabetes and LDL ≥70 mg/dL qualify for moderate-intensity statin therapy per ACC/AHA guidelines endorsed in family medicine.

Question 2

Which criterion is part of the USPSTF recommendation for lung cancer screening with low-dose CT in the US?

Accepted Answer

Age 50-80, 20 pack-year history, current or former smoker within 15 years

Answer

USPSTF recommends annual low-dose CT lung cancer screening for adults aged 50-80 with a 20 pack-year history who currently smoke or quit within the past 15 years.

Question 3

When counseling a patient on weight management, which strategy has the strongest evidence for sustained weight loss?

Accepted Answer

Intensive lifestyle intervention combining diet, exercise, and behavioral support

Answer

Intensive lifestyle interventions that combine caloric restriction, increased physical activity, and behavioral support are the most evidence-based approach for sustained weight loss.

Question 4

A 75-year-old patient on warfarin for atrial fibrillation requires a minor dental procedure. What is the most appropriate anticoagulation management?

Accepted Answer

Continue warfarin with INR in therapeutic range for most minor dental procedures

Answer

For most minor dental procedures, current guidelines support continuing warfarin with the INR in the therapeutic range, as bleeding risk is low and thrombotic risk of stopping is higher.

Question 5

Which component of chronic disease management is most important for improving outcomes in patients with heart failure?

Accepted Answer

Daily weight monitoring and medication adherence

Answer

Daily weight monitoring to detect fluid retention and consistent medication adherence are the cornerstones of outpatient heart failure management and reduce hospitalizations.

(ABFM) American Board of Family Medicine Practice Test

(ABFM) American Board of Family Medicine Practice Test

ABFM ABFM Patient Care Management 2