ABFM ABFM Patient Care Management 1

Question 1

According to ABFM guidelines, at what age should average-risk adults begin colorectal cancer screening with colonoscopy?

Accepted Answer

45 years

Answer

Updated guidelines from the USPSTF and ACG recommend beginning colorectal cancer screening for average-risk adults at age 45.

Question 2

A 65-year-old male with hypertension, diabetes, and CKD stage 3 requires antihypertensive therapy. Which drug class is most appropriate as first-line treatment?

Accepted Answer

ACE inhibitor or ARB

Answer

ACE inhibitors or ARBs are the preferred antihypertensive agents for patients with diabetes and CKD due to their renoprotective effects.

Question 3

Which immunization is recommended annually for all adults in the US according to ABFM preventive care guidelines?

Accepted Answer

Influenza vaccine

Answer

Annual influenza vaccination is recommended for all persons aged 6 months and older in the United States, regardless of health status.

Question 4

A 30-year-old female presents for preconception counseling. Which supplement is most important to recommend to reduce neural tube defect risk?

Accepted Answer

Folic acid

Answer

Daily folic acid supplementation (400-800 mcg) starting at least one month before conception significantly reduces the risk of neural tube defects.

Question 5

When managing acute low back pain in a primary care patient, which initial treatment approach is most appropriate?

Accepted Answer

Reassurance, activity as tolerated, and NSAIDs if needed

Answer

Most acute low back pain is self-limiting and managed conservatively with reassurance, continued activity, and NSAIDs for pain relief if needed.

(ABFM) American Board of Family Medicine Practice Test

(ABFM) American Board of Family Medicine Practice Test

ABFM ABFM Patient Care Management 1