Practice Test Geeks(ABFM) American Board of Family Medicine Practice Test
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Assessment and Evaluation Flashcards

7 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 7 Assessment and Evaluation flashcards as text

  1. A 58-year-old male with hypertension presents for routine follow-up. His office BP is 148/92 mmHg on two readings. Which approach best confirms a diagnosis of sustained hypertension before intensifying therapy?

    Answer: Order ambulatory blood pressure monitoring (ABPM)

    ABPM is the gold standard for confirming sustained hypertension and ruling out white-coat hypertension before escalating therapy.

  2. When using the PHQ-9 to screen for depression, which score indicates moderately severe depression requiring prompt clinical action?

    Answer: 15–19

    PHQ-9 scores of 15–19 indicate moderately severe depression, warranting active treatment initiation such as pharmacotherapy and/or psychotherapy.

  3. A family physician administers a Mini-Cog to an elderly patient. The patient recalls 1 of 3 words and draws a normal clock. How should this result be interpreted?

    Answer: Positive screen — further dementia evaluation warranted

    On the Mini-Cog, recalling 1–2 words with a normal clock is a positive screen (score ≤2 triggers further evaluation).

  4. Which spirometry pattern is most consistent with COPD on pulmonary function testing?

    Answer: FEV1/FVC <0.70 post-bronchodilator with air trapping

    COPD is defined by a post-bronchodilator FEV1/FVC <0.70, and air trapping (elevated RV/TLC) on full PFTs confirms obstructive physiology.

  5. A 45-year-old woman presents with fatigue and weight gain. TSH is 8.2 mIU/L and free T4 is low. Which diagnosis does this pattern confirm?

    Answer: Overt primary hypothyroidism

    Overt primary hypothyroidism is defined by an elevated TSH with a low free T4, indicating inadequate thyroid hormone production.

  6. Which validated tool is recommended by USPSTF for screening alcohol use disorder in primary care adults?

    Answer: AUDIT-C

    The AUDIT-C (Alcohol Use Disorders Identification Test–Concise) is widely recommended for primary care alcohol misuse screening.

  7. A 30-year-old woman has a BMI of 27 kg/m² and a fasting glucose of 112 mg/dL. Her HbA1c is 5.9%. How should she be classified?

    Answer: Prediabetes

    Fasting glucose 100–125 mg/dL and/or HbA1c 5.7–6.4% meets criteria for prediabetes per ADA guidelines.