ABFM Practice and Application 4

Question 1

A 65-year-old woman with osteoporosis has a T-score of -2.7 at the spine. She has no prior fractures. In addition to calcium and vitamin D, which medication is first-line for fracture prevention?

Accepted Answer

Alendronate (bisphosphonate)

Answer

Raloxifene

Answer

Teriparatide

Answer

Denosumab

Question 2

A physician notices a pattern of frequent ED visits among her diabetic patients. She forms a care team to conduct monthly phone check-ins and medication reconciliation. This is an example of:

Accepted Answer

Proactive chronic disease management using team-based care

Answer

Reactive urgent care management

Answer

Delegating care without physician oversight

Answer

Cost-shifting to reduce practice expenses

Question 3

A 55-year-old man with no prior cardiac history develops new-onset heart failure with EF of 35%. Which medication class has been shown to reduce mortality in this setting?

Accepted Answer

Beta-blockers (e.g., carvedilol, metoprolol succinate)

Answer

Digoxin

Answer

Calcium channel blockers

Answer

Loop diuretics alone

Question 4

Which of the following elements is essential when documenting informed consent in a family medicine practice?

Accepted Answer

Discussion of diagnosis, proposed treatment, risks, benefits, and alternatives

Answer

Patient's insurance information

Answer

Witness signature from office staff

Answer

Physician's license number on the consent form

Question 5

A 22-year-old sexually active woman presents for her annual visit. She has never had a Pap smear. Per current USPSTF guidelines, when should her first cervical cancer screening occur?

Accepted Answer

At age 21, so she is already overdue and should be screened today

Answer

Now, because she is sexually active

Answer

At age 25 with HPV co-testing

Answer

Only after she has had 3 or more sexual partners

Question 6

A family physician is implementing a quality improvement project using the PDSA cycle. Which phase involves assessing whether the change achieved the desired outcome?

Accepted Answer

Study

Answer

Plan

Answer

Do

Answer

Act

Question 7

A 50-year-old man is found to have hepatitis C infection on routine screening. He is asymptomatic. What is the recommended treatment approach?

Accepted Answer

Direct-acting antiviral (DAA) therapy regardless of fibrosis stage

Answer

Watchful waiting until symptoms develop

Answer

Pegylated interferon and ribavirin combination therapy

Answer

Liver transplant evaluation