1|Page
ABFM HEALTH COUNSELING AND PREVENTIVE
CARE EXAM ||VERIFIED EXAM!!|| MOST RECENT
EXAM ACTUAL COMPLETE REAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ | GUARANTEED SUCCESS!!
NEWEST EXAM!!!
A 55-year-old male expresses concern about his inability
to maintain an erection that allows for satisfactory sexual
intercourse with his wife. He takes over-the-counter
diphenhydramine (Benadryl) at night for sleep and takes a
daily multivitamin. He says he drinks one 12-ounce beer 2-
3 times per week. A physical examination is normal,
including his blood pressure. Which one of the following
would you tell him?
Most cases of erectile dysfunction (ED) have a
psychogenic etiology
Diphenhydramine has little impact on his ED
Abstaining from alcohol use will improve his symptoms
Erectile dysfunction may be an early indication of vascular
disease
About 5% of men his age experience ED - Answer-D
,2|Page
Erectile dysfunction (ED) is common, affecting an
estimated 30 million men in the United States, and
becomes more common with advancing age. The Health
Professionals Follow-up Study reported moderate to
severe ED in 12% of men younger than 59, 22% of men
ages 60-69, and 30% of men older than 69.It was
previously thought that the majority of cases of ED were
caused by psychogenic factors such as family or
occupational stress. However, evidence suggests that
approximately 80% of ED is due to organic disease, which
can be divided into hormonal, vasculogenic, and
neurogenic causes. Vasculogenic etiologies are the most
common, with arterial or "inflow" disorders accounting for
more problems than venous disorders. The patient should
be advised that their ED is a risk factor for underlying
cardiovascular disease and that further evaluation may be
appropriate. It is important to remember, however, that
even though the primary etiology of ED is most often
organic, psychological factors frequently coexist and play
a role in the dysfunction.Many medications can cause or
contribute to ED. It is estimated that as many as 25% of
ED cases are due to medication side effects. This
highlights the crucial role of the primary care physician in
reviewing medication lists and modifying treatment
regimens as part of addressing ED. Common offenders
include antihistamines, antihypertensives and diuretics
such as hydrochlorothiazide and spironolactone,
,3|Page
psychoactive medications including SSRIs, and anti-
epilepsy medications. It is not clear whether low amounts
of alcohol cause erectile dysfunction.
A 42-year-old female sees you for a routine health
maintenance visit. Her neighbor was just diagnosed with
ovarian cancer and has encouraged her to have her CA-
125 level checked. The patient asks about ovarian cancer
risk factors, prevention, and screening. Which one of the
following would be appropriate advice?
A past history of oral contraceptive use increases the risk
for ovarian cancer
Hormone replacement therapy after menopause
decreases the risk for subsequent ovarian cancer
CA-125 has a false-positive rate of 98% when used to
screen for ovarian cancer
Bimanual examinations are recommended to screen for
ovarian cancer
Transvaginal ultrasonography is recommended to screen
for ovarian cancer - Answer-C
, 4|Page
Ovarian cancer is the fifth leading cause of cancer death
among women in the United States. Risk factors
associated with ovarian cancer include a positive family
history and having the BRCA1 or BRCA2 gene mutation. A
first or second degree relative with ovarian cancer
increases the risk by about threefold. The use of oral
contraceptives during the reproductive years, and
pregnancy, especially after age 35, reduce the risk of
ovarian cancer, but postmenopausal estrogen use may
increase the risk.The U.S. Preventive Services Task Force
does not currently recommend screening for ovarian
cancer, as it is likely to have a relatively low yield (D
recommendation). Almost all women with a positive
screening test for CA-125 will not have ovarian cancer. In
women at average risk, the positive predictive value of an
abnormal CA-125 is approximately 2%, so 98% of women
with positive test results will not have ovarian cancer.
There are no current recommendations for ovarian cancer
screening by either transvaginal ultrasonography or pelvic
examination.
A male who was born in 1970 comes to your office for a
preoperative examination for an orthopedic procedure on
his knee. He is otherwise healthy and does not take any
medications, but he has not seen a physician for 6 years.
He used illicit drugs for a brief period at age 23 but has not
ABFM HEALTH COUNSELING AND PREVENTIVE
CARE EXAM ||VERIFIED EXAM!!|| MOST RECENT
EXAM ACTUAL COMPLETE REAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ | GUARANTEED SUCCESS!!
NEWEST EXAM!!!
A 55-year-old male expresses concern about his inability
to maintain an erection that allows for satisfactory sexual
intercourse with his wife. He takes over-the-counter
diphenhydramine (Benadryl) at night for sleep and takes a
daily multivitamin. He says he drinks one 12-ounce beer 2-
3 times per week. A physical examination is normal,
including his blood pressure. Which one of the following
would you tell him?
Most cases of erectile dysfunction (ED) have a
psychogenic etiology
Diphenhydramine has little impact on his ED
Abstaining from alcohol use will improve his symptoms
Erectile dysfunction may be an early indication of vascular
disease
About 5% of men his age experience ED - Answer-D
,2|Page
Erectile dysfunction (ED) is common, affecting an
estimated 30 million men in the United States, and
becomes more common with advancing age. The Health
Professionals Follow-up Study reported moderate to
severe ED in 12% of men younger than 59, 22% of men
ages 60-69, and 30% of men older than 69.It was
previously thought that the majority of cases of ED were
caused by psychogenic factors such as family or
occupational stress. However, evidence suggests that
approximately 80% of ED is due to organic disease, which
can be divided into hormonal, vasculogenic, and
neurogenic causes. Vasculogenic etiologies are the most
common, with arterial or "inflow" disorders accounting for
more problems than venous disorders. The patient should
be advised that their ED is a risk factor for underlying
cardiovascular disease and that further evaluation may be
appropriate. It is important to remember, however, that
even though the primary etiology of ED is most often
organic, psychological factors frequently coexist and play
a role in the dysfunction.Many medications can cause or
contribute to ED. It is estimated that as many as 25% of
ED cases are due to medication side effects. This
highlights the crucial role of the primary care physician in
reviewing medication lists and modifying treatment
regimens as part of addressing ED. Common offenders
include antihistamines, antihypertensives and diuretics
such as hydrochlorothiazide and spironolactone,
,3|Page
psychoactive medications including SSRIs, and anti-
epilepsy medications. It is not clear whether low amounts
of alcohol cause erectile dysfunction.
A 42-year-old female sees you for a routine health
maintenance visit. Her neighbor was just diagnosed with
ovarian cancer and has encouraged her to have her CA-
125 level checked. The patient asks about ovarian cancer
risk factors, prevention, and screening. Which one of the
following would be appropriate advice?
A past history of oral contraceptive use increases the risk
for ovarian cancer
Hormone replacement therapy after menopause
decreases the risk for subsequent ovarian cancer
CA-125 has a false-positive rate of 98% when used to
screen for ovarian cancer
Bimanual examinations are recommended to screen for
ovarian cancer
Transvaginal ultrasonography is recommended to screen
for ovarian cancer - Answer-C
, 4|Page
Ovarian cancer is the fifth leading cause of cancer death
among women in the United States. Risk factors
associated with ovarian cancer include a positive family
history and having the BRCA1 or BRCA2 gene mutation. A
first or second degree relative with ovarian cancer
increases the risk by about threefold. The use of oral
contraceptives during the reproductive years, and
pregnancy, especially after age 35, reduce the risk of
ovarian cancer, but postmenopausal estrogen use may
increase the risk.The U.S. Preventive Services Task Force
does not currently recommend screening for ovarian
cancer, as it is likely to have a relatively low yield (D
recommendation). Almost all women with a positive
screening test for CA-125 will not have ovarian cancer. In
women at average risk, the positive predictive value of an
abnormal CA-125 is approximately 2%, so 98% of women
with positive test results will not have ovarian cancer.
There are no current recommendations for ovarian cancer
screening by either transvaginal ultrasonography or pelvic
examination.
A male who was born in 1970 comes to your office for a
preoperative examination for an orthopedic procedure on
his knee. He is otherwise healthy and does not take any
medications, but he has not seen a physician for 6 years.
He used illicit drugs for a brief period at age 23 but has not
