ABFM HEALTH COUNSELING AND PREVENTIVE CARE questions with correct answers

ABFM HEALTH COUNSELING AND PREVENTIVE CARE
questions with correct answers


1. Youarecounselinga45-year-oldmalewithelevatedLDL-cholesterol.When
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discussing dietary changes to promote healthy lipid levels,which one of the
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following would be accurate advice?
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A) He should minimize his consumption of nuts .1 , .1, .1 , .1 , .1, .1,




B) TheDASHdietrecommendedforreducinghypertensionwillhelplowerhis LDL-
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cholesterol level .1,




C) Saturated fats should comprise 15% or less of his caloric intake .1, .1, .1, .1, .1, .1, .1, .1, .1, .1,




D) He should aim for a fiber intake of 25 g daily
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E) Heshouldrecordwhathehaseateninafooddiaryattheendofeachday:
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2. A24-year-oldfemaleseesyouforapreconceptionvisitandremovalofher IUD.
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This will be her first pregnancy and she tells you that she has smoked
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¼-½packofcigarettesadayforthepast5years.Whichoneofthefollowing would be
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appropriate advice regarding the risks from smoking?
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A) Smokingduringpregnancyincreasestheriskofattention-deficit/hyperac- ,
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tivity disorder
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B) Smoking during pregnancy increases the risk of clubfoot .1, .1, .1, .1, .1, .1, .1,




C) Smokingduring pregnancyincreasestheriskofcongenitalatrialseptal .1, .1, .1, .1, .1, .1, .1, .1, .1,




defects
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D) Stoppingsmokingnowwillreducetheincreasedriskoforofacialdefects in .1, .1, .1, .1, .1, .1, .1, .1, .1, .1, .1,




her infant
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E) Reducing smoking now will reduce the risk of preterm delivery: .1, .1, .1, .1, .1, .1, .1, .1, .1,




1/ 7 .1, .1,

, 3. A 55-year-old male expresses concern about his inability to maintain an
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erectionthatallowsforsatisfactorysexualintercoursewithhiswife.Hetakes over-
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the-counter diphenhydramine (Benadryl) at night for sleep and takes a daily .1, .1, .1, .1, .1, .1, .1, .1, .1, .1,




multivitamin.He says he drinks one 12-ounce beer 2-3 times per week. Aphysical
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examinationisnormal,includinghisbloodpressure.Whichoneof the following
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would you tell him?
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A) Most cases of erectile dysfunction (ED) have a psychogenic etiology
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B) Diphenhydramine has little impact on his ED .1 , .1, .1, .1 , .1, .1,




C) Abstainingfrom alcohol use will improve his symptoms .1, .1 , .1 , .1 , .1 , .1 , .1 ,




D) Erectile dysfunction may be anearly indication of vascular disease .1, .1, .1 , .1 , .1, .1 , .1 , .1, .1,




E) About 5% of men his age experience ED: .1, .1, .1, .1, .1, .1, .1,




4. A 42-year-old female sees you for a routine health maintenance visit.Her
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neighbor was just diagnosed with ovarian cancer and has encouraged her to
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have her CA-125 level checked.The patient asks about ovarian cancer risk
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factors,prevention,andscreening.Whichoneofthefollowingwouldbe
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2/ 7
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