ABFM HEALTH COUNSELING AND
PREVENTIVE CARE Exam Questions
with 100% Correct Answers Latest Update
2025 Already Graded A+
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
,Ans: D
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, 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
Ans: C
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.
PREVENTIVE CARE Exam Questions
with 100% Correct Answers Latest Update
2025 Already Graded A+
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
,Ans: D
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, 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
Ans: C
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.
