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

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

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

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

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

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

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

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

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

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

(ABFM) American Board of Family Medicine Practice Test