ABFM Practice and Application 3

Question 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?

Accepted Answer

Combination of pharmacotherapy and behavioral counseling

Answer

Nicotine replacement therapy alone

Answer

Brief counseling alone

Answer

E-cigarette use as a substitute

Question 2

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

Accepted Answer

Population health management

Answer

Reactive care

Answer

Disease-specific episodic care

Answer

Fee-for-service billing optimization

Question 3

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

Accepted Answer

Transvaginal ultrasound and/or endometrial biopsy

Answer

Reassurance and repeat evaluation in 6 months

Answer

Pap smear alone

Answer

Pelvic MRI as first-line imaging

Question 4

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

Accepted Answer

Combined oral contraceptive pills

Answer

Progestin-only pills (minipill)

Answer

Levonorgestrel IUD

Answer

Copper IUD

Question 5

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

Accepted Answer

Reimbursing practices based on achieving quality metrics and patient outcomes

Answer

Paying physicians more for each visit they schedule

Answer

Eliminating copays for preventive services

Answer

Basing salary on years of experience only

Question 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?

Accepted Answer

Stimulant medication combined with behavioral therapy

Answer

Atomoxetine alone

Answer

Behavioral therapy alone

Answer

Antidepressant medication

Question 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?

Accepted Answer

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

Answer

Start high-intensity statin immediately without further discussion

Answer

Prescribe ezetimibe as first-line therapy

Answer

Refer immediately to cardiology