ABFM Safety and Compliance 2

Question 1

A patient is prescribed warfarin and a new antibiotic. Which antibiotic class most commonly requires INR monitoring due to drug interaction?

Accepted Answer

Macrolides

Answer

Macrolides inhibit CYP2C9 and can significantly increase warfarin levels, requiring close INR monitoring.

Question 2

Under HIPAA, which of the following is considered a permissible disclosure of protected health information (PHI) without patient authorization?

Accepted Answer

Reporting a gunshot wound to law enforcement

Answer

HIPAA permits disclosure to law enforcement for reporting certain injuries like gunshot wounds as required by law.

Question 3

A physician discovers a medication error that reached the patient but caused no harm. What is the most appropriate next step?

Accepted Answer

File an incident report and disclose the error to the patient

Answer

Transparency requires disclosing errors to patients even when no harm occurred, and incident reporting supports system safety improvement.

Question 4

Which federal law primarily governs workplace safety standards in medical offices?

Accepted Answer

OSHA

Answer

OSHA (Occupational Safety and Health Administration) sets and enforces workplace safety standards, including bloodborne pathogen regulations in medical settings.

Question 5

A physician prescribes opioids for chronic pain. Which practice best reduces diversion risk while maintaining patient care?

Accepted Answer

Checking the PDMP before each opioid prescription

Answer

Checking the Prescription Drug Monitoring Program (PDMP) before prescribing opioids helps identify patients obtaining controlled substances from multiple providers.

(ABFM) American Board of Family Medicine Practice Test

(ABFM) American Board of Family Medicine Practice Test

ABFM Safety and Compliance 2