Practice and Application 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 Practice and Application flashcards as text
A 58-year-old man with type 2 diabetes presents with a blood pressure of 148/92 mmHg on three separate visits. Which antihypertensive class is preferred as first-line therapy in this patient?
Answer: ACE inhibitor
ACE inhibitors (or ARBs) are preferred in diabetic patients with hypertension due to their nephroprotective effects.
A family physician is reviewing quality metrics and notices 40% of eligible patients are overdue for colorectal cancer screening. Which practice improvement strategy is most effective for population-level screening gaps?
Answer: Implementing a proactive recall system with standing orders
Proactive recall systems with standing orders allow staff to identify and contact overdue patients without requiring a physician visit.
A 72-year-old woman on warfarin for atrial fibrillation presents with an INR of 5.8 but no active bleeding. What is the most appropriate management?
Answer: Hold warfarin and give oral vitamin K 1–2.5 mg
For supratherapeutic INR without bleeding, holding warfarin and giving low-dose oral vitamin K is recommended to lower INR safely.
Which of the following best describes the role of the patient-centered medical home (PCMH) model in family medicine practice?
Answer: Coordinating comprehensive, continuous, accessible, and patient-centered care
The PCMH model emphasizes team-based, coordinated, continuous, and accessible care centered on the whole patient across the lifespan.
A 45-year-old woman presents with a 6-month history of fatigue, weight gain, cold intolerance, and constipation. TSH is 12 mIU/L with low free T4. What is the first-line treatment?
Answer: Levothyroxine (T4) replacement
Levothyroxine is the standard first-line treatment for primary hypothyroidism due to its long half-life and predictable conversion to T3.
A physician implements a point-of-care A1C testing device in the office. Which principle of practice improvement does this best represent?
Answer: Improving care through technology to enhance efficiency and same-visit decision-making
Point-of-care testing enables same-visit treatment adjustments, improving efficiency and care coordination.
A 35-year-old pregnant woman at 28 weeks gestation screens positive on the 1-hour glucose challenge test (GCT) with a value of 155 mg/dL. What is the next step?
Answer: Perform a 3-hour 100g oral glucose tolerance test (OGTT)
A positive 1-hour GCT requires a 3-hour OGTT to confirm or rule out gestational diabetes mellitus.