ABFM Patient Care Management Flashcards
6 cards from real ABFM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 ABFM Patient Care Management flashcards as text
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?
Answer: Initiate statin therapy
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.
Which criterion is part of the USPSTF recommendation for lung cancer screening with low-dose CT in the US?
Answer: Age 50-80, 20 pack-year history, current or former smoker within 15 years
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.
When counseling a patient on weight management, which strategy has the strongest evidence for sustained weight loss?
Answer: Intensive lifestyle intervention combining diet, exercise, and behavioral support
Intensive lifestyle interventions that combine caloric restriction, increased physical activity, and behavioral support are the most evidence-based approach for sustained weight loss.
A 75-year-old patient on warfarin for atrial fibrillation requires a minor dental procedure. What is the most appropriate anticoagulation management?
Answer: Continue warfarin with INR in therapeutic range for most minor dental procedures
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.
Which component of chronic disease management is most important for improving outcomes in patients with heart failure?
Answer: Daily weight monitoring and medication adherence
Daily weight monitoring to detect fluid retention and consistent medication adherence are the cornerstones of outpatient heart failure management and reduce hospitalizations.
A family physician sees a 28-year-old male with a BMI of 32 and no other risk factors. What is the most appropriate preventive intervention?
Answer: Provide counseling on diet, exercise, and lifestyle modification
For overweight and obese adults without comorbidities, intensive behavioral counseling focused on diet and physical activity is the recommended first-line intervention.