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

Bisphosphonates such as alendronate are the preferred first-line pharmacologic treatment for osteoporosis to reduce fracture risk.

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

Proactive outreach and team-based monitoring for high-risk chronic disease patients is a core practice improvement strategy to reduce preventable ED use.

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

Beta-blockers such as carvedilol and metoprolol succinate are proven to reduce mortality in heart failure with reduced ejection fraction (HFrEF).

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

Valid informed consent requires documentation of the discussed diagnosis, proposed intervention, material risks, benefits, and available alternatives.

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

USPSTF guidelines recommend cervical cancer screening starting at age 21 with cytology alone every 3 years, regardless of sexual activity.

(ABFM) American Board of Family Medicine Practice Test

(ABFM) American Board of Family Medicine Practice Test

ABFM Practice and Application 4