Page 1 of 100
Lifestyle Medicine Certification EXAM QUESTIONS AND
CORRECT VERIFIED SOLUTIONS LATEST UPDATE THIS YEAR –
JUST RELEASED
Lifestyle Medicine Certification Exam
EXAM COVERAGE OVERVIEW (10 Key Points)
1. Certifying Bodies: The American Board of Lifestyle Medicine (ABLM) administers the
exam for physicians (DipABLM), while the American College of Lifestyle Medicine
(ACLM) manages certification for other health professionals (DipACLM) .
2. Eligibility: Physicians must hold a primary board certification for at least two years .
Health professionals must hold a Master's or Doctorate in a health discipline .
3. Exam Format & Time: The physician exam has 150 questions; the professional exam
has 120 questions . Both are 4-hour exams administered via Prometric testing centers .
4. Key Prerequisites: Candidates must complete 30 hours of online CME/CE and 20 hours
of live event CME/CE within the 36 months before the exam . Physicians must also
submit a case study detailing a personal or patient experience with lifestyle medicine .
5. Exam Weighting: The largest content areas are Nutrition Science, Assessment and
Prescription (26%) and Physical Activity Science and Prescription (14%) .
6. Exam Registration: Registration closes annually on September 30 at 6:00 PM PST . The
exam window is typically in late November/early December .
7. Core Pillars: The exam covers the six pillars of lifestyle medicine: nutrition, physical
activity, sleep, stress management, avoidance of risky substances, and social
connections .
8. Professional's Personal Health: The exam emphasizes the importance of practitioners
modeling healthy behaviors as it improves patient counseling and outcomes .
9. Clinical Processes: Candidates must know how to integrate "lifestyle vital signs" into
clinical practice and use evidence-based guidelines for chronic disease prevention and
treatment .
10. Maintenance of Certification (MOC): Diplomates must enroll in the Lifestyle Medicine
Maintenance of Certification (LMMOC) pathway and submit an annual payment
by March 31 to maintain their credential .
SECTION 1: INTRODUCTION TO LIFESTYLE MEDICINE (Approx. 4% of Exam)
, Page 2 of 100
1. Which of the following best defines lifestyle medicine according to the core competencies?
A) A subspecialty of cardiology focused on diet and exercise
B) An evidence-based medical specialty using therapeutic lifestyle interventions as the primary
approach to treat, reverse, and prevent chronic conditions
C) A public health initiative to increase physical activity in communities
D) A wellness program designed for healthcare professionals to prevent burnout
Answer: B) An evidence-based medical specialty using therapeutic lifestyle interventions as
the primary approach to treat, reverse, and prevent chronic conditions
Rationale: Lifestyle medicine is an evidence-based medical specialty that uses therapeutic
lifestyle interventions as the primary approach to treat, reverse, and prevent chronic conditions
such as type 2 diabetes, cardiovascular disease, and obesity .
2. According to the core competencies, which of the following is NOT a pillar of lifestyle
medicine?
A) Whole-food, plant-predominant eating patterns
B) Pharmacotherapy for chronic disease management
C) Restorative sleep
D) Avoidance of risky substances
Answer: B) Pharmacotherapy for chronic disease management
, Page 3 of 100
Rationale: The six pillars of lifestyle medicine are: whole-food, plant-based eating patterns;
physical activity; restorative sleep; stress management; avoidance of risky substances; and
positive social connections .
3. Which of the following statements best describes the role of lifestyle medicine in the
treatment of chronic disease?
A) It is an alternative to pharmacotherapy that should replace all medications
B) It should be prioritized in the spectrum of treatment algorithms for chronic, lifestyle-related
diseases
C) It is only effective for primary prevention, not disease treatment
D) It should be used only when patients fail to respond to medication
Answer: B) It should be prioritized in the spectrum of treatment algorithms for chronic,
lifestyle-related diseases
Rationale: The core competencies indicate that lifestyle medicine should have priority in the
spectrum of treatment algorithms for chronic, lifestyle-related diseases across the lifespan .
4. The prevalence and cost burden of which of the following diseases are included in the
lifestyle medicine core competencies?
A) Infectious diseases
B) Genetic disorders
C) Hyperlipidemia, cardiovascular disease, diabetes, hypertension, obesity, and cancer
D) Acute injuries
, Page 4 of 100
Answer: C) Hyperlipidemia, cardiovascular disease, diabetes, hypertension, obesity, and
cancer
Rationale: The lifestyle medicine core competencies specifically address the prevalence and
associated cost burden of lifestyle-related diseases such as hyperlipidemia, cardiovascular
disease, prediabetes, diabetes, hypertension, obesity, and cancer .
5. According to the core competencies, what is the relationship between lifestyle medicine
and planetary health?
A) Lifestyle medicine has no impact on planetary health
B) Lifestyle choices impact planetary health and sustainable living
C) Only plant-based diets impact planetary health
D) Planetary health is outside the scope of lifestyle medicine
Answer: B) Lifestyle choices impact planetary health and sustainable living
Rationale: The core competencies require candidates to explain the impact of lifestyle choices
on planetary health and sustainable living, recognizing the connection between human health
and environmental sustainability .
SECTION 2: NUTRITION SCIENCE, ASSESSMENT, AND PRESCRIPTION (26% of Exam)
6. Which of the following is NOT a core competency related to nutrition in lifestyle medicine?
A) Assessing food intake patterns and nutrients of deficit and excess
B) Analyzing food labels for the health impacts of ingredients
Lifestyle Medicine Certification EXAM QUESTIONS AND
CORRECT VERIFIED SOLUTIONS LATEST UPDATE THIS YEAR –
JUST RELEASED
Lifestyle Medicine Certification Exam
EXAM COVERAGE OVERVIEW (10 Key Points)
1. Certifying Bodies: The American Board of Lifestyle Medicine (ABLM) administers the
exam for physicians (DipABLM), while the American College of Lifestyle Medicine
(ACLM) manages certification for other health professionals (DipACLM) .
2. Eligibility: Physicians must hold a primary board certification for at least two years .
Health professionals must hold a Master's or Doctorate in a health discipline .
3. Exam Format & Time: The physician exam has 150 questions; the professional exam
has 120 questions . Both are 4-hour exams administered via Prometric testing centers .
4. Key Prerequisites: Candidates must complete 30 hours of online CME/CE and 20 hours
of live event CME/CE within the 36 months before the exam . Physicians must also
submit a case study detailing a personal or patient experience with lifestyle medicine .
5. Exam Weighting: The largest content areas are Nutrition Science, Assessment and
Prescription (26%) and Physical Activity Science and Prescription (14%) .
6. Exam Registration: Registration closes annually on September 30 at 6:00 PM PST . The
exam window is typically in late November/early December .
7. Core Pillars: The exam covers the six pillars of lifestyle medicine: nutrition, physical
activity, sleep, stress management, avoidance of risky substances, and social
connections .
8. Professional's Personal Health: The exam emphasizes the importance of practitioners
modeling healthy behaviors as it improves patient counseling and outcomes .
9. Clinical Processes: Candidates must know how to integrate "lifestyle vital signs" into
clinical practice and use evidence-based guidelines for chronic disease prevention and
treatment .
10. Maintenance of Certification (MOC): Diplomates must enroll in the Lifestyle Medicine
Maintenance of Certification (LMMOC) pathway and submit an annual payment
by March 31 to maintain their credential .
SECTION 1: INTRODUCTION TO LIFESTYLE MEDICINE (Approx. 4% of Exam)
, Page 2 of 100
1. Which of the following best defines lifestyle medicine according to the core competencies?
A) A subspecialty of cardiology focused on diet and exercise
B) An evidence-based medical specialty using therapeutic lifestyle interventions as the primary
approach to treat, reverse, and prevent chronic conditions
C) A public health initiative to increase physical activity in communities
D) A wellness program designed for healthcare professionals to prevent burnout
Answer: B) An evidence-based medical specialty using therapeutic lifestyle interventions as
the primary approach to treat, reverse, and prevent chronic conditions
Rationale: Lifestyle medicine is an evidence-based medical specialty that uses therapeutic
lifestyle interventions as the primary approach to treat, reverse, and prevent chronic conditions
such as type 2 diabetes, cardiovascular disease, and obesity .
2. According to the core competencies, which of the following is NOT a pillar of lifestyle
medicine?
A) Whole-food, plant-predominant eating patterns
B) Pharmacotherapy for chronic disease management
C) Restorative sleep
D) Avoidance of risky substances
Answer: B) Pharmacotherapy for chronic disease management
, Page 3 of 100
Rationale: The six pillars of lifestyle medicine are: whole-food, plant-based eating patterns;
physical activity; restorative sleep; stress management; avoidance of risky substances; and
positive social connections .
3. Which of the following statements best describes the role of lifestyle medicine in the
treatment of chronic disease?
A) It is an alternative to pharmacotherapy that should replace all medications
B) It should be prioritized in the spectrum of treatment algorithms for chronic, lifestyle-related
diseases
C) It is only effective for primary prevention, not disease treatment
D) It should be used only when patients fail to respond to medication
Answer: B) It should be prioritized in the spectrum of treatment algorithms for chronic,
lifestyle-related diseases
Rationale: The core competencies indicate that lifestyle medicine should have priority in the
spectrum of treatment algorithms for chronic, lifestyle-related diseases across the lifespan .
4. The prevalence and cost burden of which of the following diseases are included in the
lifestyle medicine core competencies?
A) Infectious diseases
B) Genetic disorders
C) Hyperlipidemia, cardiovascular disease, diabetes, hypertension, obesity, and cancer
D) Acute injuries
, Page 4 of 100
Answer: C) Hyperlipidemia, cardiovascular disease, diabetes, hypertension, obesity, and
cancer
Rationale: The lifestyle medicine core competencies specifically address the prevalence and
associated cost burden of lifestyle-related diseases such as hyperlipidemia, cardiovascular
disease, prediabetes, diabetes, hypertension, obesity, and cancer .
5. According to the core competencies, what is the relationship between lifestyle medicine
and planetary health?
A) Lifestyle medicine has no impact on planetary health
B) Lifestyle choices impact planetary health and sustainable living
C) Only plant-based diets impact planetary health
D) Planetary health is outside the scope of lifestyle medicine
Answer: B) Lifestyle choices impact planetary health and sustainable living
Rationale: The core competencies require candidates to explain the impact of lifestyle choices
on planetary health and sustainable living, recognizing the connection between human health
and environmental sustainability .
SECTION 2: NUTRITION SCIENCE, ASSESSMENT, AND PRESCRIPTION (26% of Exam)
6. Which of the following is NOT a core competency related to nutrition in lifestyle medicine?
A) Assessing food intake patterns and nutrients of deficit and excess
B) Analyzing food labels for the health impacts of ingredients
