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

The USPSTF recommends exercise interventions to prevent falls in community-dwelling adults aged 65 and older who are at increased fall risk.

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

CDC recommends PrEP for adults who are HIV-negative and at substantial risk for HIV, including those with an HIV-positive partner, recent STI, or inconsistent condom use with unknown-status partners.

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

The CDC Diabetes Prevention Program showed that intensive lifestyle intervention targeting 7% weight loss and 150 minutes of weekly exercise reduced diabetes incidence by ~58% in high-risk individuals.

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

USPSTF recommends counseling children, adolescents, and young adults with fair skin (aged 6 months to 24 years) to minimize UV exposure to reduce skin cancer risk.

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

The USPSTF concludes the current evidence is insufficient (Grade I) to assess the balance of benefits and harms of screening for oral cancer in asymptomatic adults.

(ABFM) American Board of Family Medicine Practice Test

(ABFM) American Board of Family Medicine Practice Test

ABFM Preventive Medicine and Health Maintenance 3