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
A 70-year-old man scores 24/30 on the Montreal Cognitive Assessment (MoCA). His education level is 8 years. After applying the 1-point education correction, how should his score be interpreted?
Answer: Normal cognition (≥26)
With the 1-point education correction for ≤12 years of schooling, his adjusted score of 25 falls below the normal cutoff of 26, suggesting MCI — however, a corrected score of 25 is borderline; a score of 25 after correction is typically classified as MCI, not normal.
Which validated scale is used to assess severity of alcohol withdrawal and guide management decisions in the inpatient setting?
Answer: CIWA-Ar (Clinical Institute Withdrawal Assessment for Alcohol)
The CIWA-Ar is the standard tool for quantifying alcohol withdrawal severity and guiding benzodiazepine dosing.
A 50-year-old woman undergoes a screening mammogram that returns as BI-RADS 4. What does this result indicate?
Answer: Suspicious — biopsy recommended
BI-RADS 4 indicates a suspicious finding with malignancy risk ranging from 2–95%, and tissue biopsy is recommended.
Which laboratory finding is most specific for systemic lupus erythematosus (SLE) in a patient presenting with polyarthritis, malar rash, and fatigue?
Answer: Anti-double-stranded DNA (anti-dsDNA) antibody
Anti-dsDNA antibodies are highly specific for SLE and correlate with disease activity and lupus nephritis risk.
A family physician wants to determine how often a disease occurs in a population over a specific time period. Which epidemiological measure should be used?
Answer: Cumulative incidence
Cumulative incidence measures the proportion of a disease-free population that develops the disease over a defined period.
A 45-year-old man with obesity and snoring reports excessive daytime sleepiness. An Epworth Sleepiness Scale score of 14 is obtained. What is the most appropriate next diagnostic step?
Answer: Overnight polysomnography or home sleep apnea testing
A high Epworth score with risk factors for obstructive sleep apnea warrants objective sleep testing (polysomnography or home sleep study) before initiating therapy.
During a well-child visit, a physician uses the Ages and Stages Questionnaire (ASQ-3). What domain does this tool primarily assess?
Answer: Developmental milestones across communication, motor, and social domains
The ASQ-3 is a parent-completed developmental screening tool that assesses communication, gross motor, fine motor, problem-solving, and personal-social skills.