ABFM Preventive Medicine and Health Maintenance 3

Question 1

According to USPSTF guidelines, which intervention is recommended to prevent falls in community-dwelling adults aged 65 and older at increased fall risk?

Accepted Answer

Exercise interventions

Answer

Vitamin D supplementation alone

Answer

Calcium plus vitamin D supplementation

Answer

Hip protector pads

Question 2

Which patients qualify for pre-exposure prophylaxis (PrEP) for HIV prevention according to CDC guidelines?

Accepted Answer

Adults at substantial risk for HIV acquisition

Answer

All adults regardless of risk

Answer

Adults over 50 with multiple partners only

Answer

Only IV drug users

Question 3

A family physician is counseling a 45-year-old patient about diabetes prevention. According to the CDC Diabetes Prevention Program, which intervention is most effective?

Accepted Answer

Intensive lifestyle modification with 7% weight loss and 150 minutes of physical activity per week

Answer

Metformin 500 mg twice daily for all prediabetics

Answer

Low-carbohydrate diet alone without exercise

Answer

Annual HbA1c monitoring without lifestyle changes

Question 4

Which of the following is a primary prevention strategy for skin cancer recommended for high-risk patients?

Accepted Answer

Counseling on sun-protective behaviors for fair-skinned individuals aged 6 months to 24 years

Answer

Annual full-body skin biopsy

Answer

USPSTF-recommended universal skin cancer screening

Answer

Annual dermoscopy for all adults over 40

Question 5

A 55-year-old male smoker asks about oral cancer screening. What does the USPSTF recommend?

Accepted Answer

The USPSTF concludes the current evidence is insufficient to assess the benefits of oral cancer screening

Answer

Annual oral cancer screening for all adults

Answer

Screening for oral cancer in asymptomatic adults using visual or palpation exam is recommended (Grade B)

Answer

Screening only with adjunctive tests like VELscope

Question 6

Which USPSTF-recommended screening strategy is used for prediabetes and type 2 diabetes in asymptomatic adults?

Accepted Answer

Screening adults aged 35–70 who are overweight or obese

Answer

Fasting glucose annually for all adults over 40

Answer

Screening all adults aged 45 and older regardless of weight

Answer

Screening only adults with a family history of diabetes

Question 7

According to USPSTF guidelines, which of the following is recommended for the prevention of preeclampsia in high-risk pregnancies?

Accepted Answer

Low-dose aspirin starting after 12 weeks gestation

Answer

Low-dose aspirin starting at 28 weeks gestation

Answer

Calcium supplementation throughout pregnancy

Answer

Heparin prophylaxis throughout the third trimester