Practice Test Geeks(ABFM) American Board of Family Medicine Practice Test
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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

  1. A 68-year-old man with COPD continues to smoke 1 pack per day. Which intervention has the strongest evidence for improving long-term quit rates?

    Answer: Combination of pharmacotherapy and behavioral counseling

    Combining pharmacotherapy (such as varenicline or NRT) with behavioral counseling produces the highest long-term smoking cessation rates.

  2. A family practice uses a registry to identify patients with uncontrolled hypertension. This approach is an example of which care model component?

    Answer: Population health management

    Using a patient registry to identify and proactively manage high-risk patients is a core population health management strategy.

  3. A 52-year-old woman presents with postmenopausal bleeding. What is the most appropriate initial evaluation?

    Answer: Transvaginal ultrasound and/or endometrial biopsy

    Postmenopausal bleeding must be evaluated for endometrial cancer with transvaginal ultrasound and/or endometrial sampling.

  4. A 28-year-old woman requests contraception. She has migraines with aura. Which contraceptive method is contraindicated?

    Answer: Combined oral contraceptive pills

    Combined oral contraceptives containing estrogen are contraindicated in women with migraines with aura due to increased stroke risk.

  5. Which of the following best describes 'pay-for-performance' (P4P) in value-based care models relevant to family medicine?

    Answer: Reimbursing practices based on achieving quality metrics and patient outcomes

    Pay-for-performance ties reimbursement to achieving specific quality metrics and outcome benchmarks rather than volume of services.

  6. A 10-year-old boy is brought in by his mother because of academic difficulties and hyperactivity reported by teachers for over 6 months. Assessment confirms ADHD. What is the first-line treatment for a child this age?

    Answer: Stimulant medication combined with behavioral therapy

    For school-age children with ADHD, the combination of stimulant medication and behavioral therapy is the most effective first-line treatment.

  7. A 40-year-old man has a fasting LDL of 195 mg/dL with no other cardiovascular risk factors. What is the most appropriate next step per ACC/AHA guidelines?

    Answer: Initiate lifestyle modification and reassess in 3–6 months before considering statin

    For primary prevention with elevated LDL but no high-risk features, a trial of lifestyle modification is appropriate before initiating statin therapy.