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 40-year-old asymptomatic woman with no family history undergoes colorectal cancer screening. She prefers a non-invasive test. Which option is a USPSTF-recommended non-invasive screening modality?
Answer: Both B and C are recommended options
USPSTF recommends multiple non-invasive options including annual gFOBT, CT colonography every 5 years, and FIT-DNA every 1–3 years for average-risk adults aged 45–75.
A researcher reports a relative risk reduction (RRR) of 50% for a new statin therapy. The control group's event rate is 4%. What is the absolute risk reduction (ARR)?
Answer: 2%
ARR = Control event rate × RRR = 4% × 50% = 2%; understanding ARR avoids overestimating benefit from RRR alone.
Which validated tool is recommended for assessing fall risk in community-dwelling older adults during an annual wellness visit?
Answer: Timed Up and Go (TUG) test
The TUG test is a simple, validated measure of functional mobility and fall risk, with >12 seconds indicating elevated risk.
In a study, the number needed to treat (NNT) for a medication to prevent one myocardial infarction is 50 over 5 years. How should this be communicated to a patient?
Answer: 50 patients must take the drug for 5 years for one to benefit
NNT means that 50 patients must be treated for 5 years for one additional MI to be prevented compared to no treatment.
A 28-year-old woman presents with new-onset headaches. Red flags ('SNOOP' criteria) that warrant urgent neuroimaging include which of the following?
Answer: Headache that wakes the patient from sleep and is the 'worst of life'
A thunderclap 'worst-of-life' headache is a red flag suggesting subarachnoid hemorrhage and mandates immediate imaging.
A physician reviews a study comparing two diagnostic tests using receiver operating characteristic (ROC) curves. Which test is superior?
Answer: The test with the largest area under the curve (AUC)
A larger area under the ROC curve (AUC closer to 1.0) indicates better overall discriminative ability of the diagnostic test.
A 55-year-old man with type 2 diabetes has a BP of 138/86 mmHg on two visits. According to ADA guidelines, what is the BP treatment target to reduce cardiovascular risk?
Answer: <130/80 mmHg
ADA guidelines recommend a BP target of <130/80 mmHg for most adults with diabetes to reduce cardiovascular and renal complications.