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 physician wants to evaluate a new screening test for colorectal cancer. Among 1,000 patients, 100 have cancer; the test is positive in 90 of these and negative in 10. Among the 900 without cancer, 180 test positive. What is the specificity of this test?

    Answer: 80%

    Specificity = true negatives / (true negatives + false positives) = 720 / (720 + 180) = 80%.

  2. Which USPSTF grade indicates that a preventive service has high certainty of substantial net benefit and should be offered?

    Answer: Grade A

    USPSTF Grade A recommendations indicate high certainty of substantial net benefit and should be routinely offered to eligible patients.

  3. A 55-year-old man with a 30 pack-year smoking history asks about lung cancer screening. Which test and criteria meet USPSTF recommendations?

    Answer: Low-dose CT scan for ages 50–80 with ≥20 pack-year history who currently smoke or quit within 15 years

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

  4. When assessing a patient's functional status in geriatric evaluation, which instrument specifically measures basic activities of daily living (ADLs)?

    Answer: Barthel Index

    The Barthel Index assesses basic ADLs including feeding, bathing, dressing, and mobility.

  5. A 62-year-old woman with osteoporosis has a FRAX 10-year major fracture probability of 22% and hip fracture probability of 4%. According to NOF guidelines, what is the appropriate next step?

    Answer: Initiate pharmacological treatment

    NOF guidelines recommend pharmacotherapy when 10-year major osteoporotic fracture probability ≥20% or hip fracture probability ≥3%.

  6. In evaluating a chest pain patient in primary care, which feature of the history most strongly suggests a musculoskeletal etiology rather than cardiac ischemia?

    Answer: Reproducibility with chest wall palpation

    Chest pain that is reproducible with palpation of the chest wall strongly favors a musculoskeletal cause over cardiac ischemia.

  7. A physician is evaluating the performance of a new rapid strep test. Its sensitivity is 86% and specificity is 96%. In a low-prevalence setting (5% strep prevalence), what does a NEGATIVE result most reliably indicate?

    Answer: Strep throat is very unlikely (high negative predictive value)

    At low disease prevalence, a negative test with high sensitivity yields a very high negative predictive value, making disease unlikely.