ABFM Assessment and Evaluation 4

Question 1

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?

Accepted Answer

Normal cognition (≥26)

Answer

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.

Question 2

Which validated scale is used to assess severity of alcohol withdrawal and guide management decisions in the inpatient setting?

Accepted Answer

CIWA-Ar (Clinical Institute Withdrawal Assessment for Alcohol)

Answer

The CIWA-Ar is the standard tool for quantifying alcohol withdrawal severity and guiding benzodiazepine dosing.

Question 3

A 50-year-old woman undergoes a screening mammogram that returns as BI-RADS 4. What does this result indicate?

Accepted Answer

Suspicious — biopsy recommended

Answer

BI-RADS 4 indicates a suspicious finding with malignancy risk ranging from 2–95%, and tissue biopsy is recommended.

Question 4

Which laboratory finding is most specific for systemic lupus erythematosus (SLE) in a patient presenting with polyarthritis, malar rash, and fatigue?

Accepted Answer

Anti-double-stranded DNA (anti-dsDNA) antibody

Answer

Anti-dsDNA antibodies are highly specific for SLE and correlate with disease activity and lupus nephritis risk.

Question 5

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?

Accepted Answer

Cumulative incidence

Answer

Cumulative incidence measures the proportion of a disease-free population that develops the disease over a defined period.

(ABFM) American Board of Family Medicine Practice Test

(ABFM) American Board of Family Medicine Practice Test

ABFM Assessment and Evaluation 4