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
What is the recommended first-line treatment for uncomplicated urinary tract infections in non-pregnant adult women in the US?
Answer: Nitrofurantoin for 5 days or trimethoprim-sulfamethoxazole for 3 days
Nitrofurantoin (5 days) or TMP-SMX (3 days) are the preferred first-line agents for uncomplicated UTIs due to efficacy and antibiotic stewardship considerations.
Which patient education strategy is most effective for improving medication adherence in chronic disease management?
Answer: Teach-back method with ongoing reinforcement
The teach-back method—having patients explain information back in their own words with ongoing reinforcement—is the most evidence-based strategy for improving medication adherence.
According to ABFM preventive care guidelines, how often should Pap smear screening be performed in a 30-year-old woman with no prior abnormal results?
Answer: Every 3 years alone or every 5 years with co-testing
Women aged 30-65 should have a Pap smear every 3 years alone or every 5 years with HPV co-testing, per USPSTF cervical cancer screening guidelines.
A 68-year-old male is found to have an abdominal aortic aneurysm of 4.2 cm on screening ultrasound. What is the most appropriate management?
Answer: Surveillance ultrasound every 6-12 months
AAAs between 3.0-5.4 cm in diameter are managed with surveillance ultrasound (every 6-12 months for 4-5 cm) until they reach the threshold for repair.
Which element of the PCMH (Patient-Centered Medical Home) model most directly improves chronic disease management outcomes?
Answer: Care coordination with a designated care team
Coordinated care delivered by a dedicated, multidisciplinary care team is the central feature of PCMH that drives improved chronic disease outcomes.
A family physician is managing a 58-year-old with osteoporosis. Which medication is considered first-line pharmacotherapy in the US?
Answer: Bisphosphonate (e.g., alendronate)
Bisphosphonates such as alendronate are the first-line pharmacotherapy for osteoporosis due to their proven efficacy in reducing fracture risk and favorable safety profile.