ABFM HEALTH COUNSELING AND PREVENTIVE
CARE Questions and Correct Detailed Answers
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Quiz: You are counseling a 45-year-old male with elevated LDL-cholesterol.
When discussing dietary changes to promote healthy lipid levels, which one of
the following would be accurate advice?
He should minimize his consumption of nuts
The Dietary Approaches to Stop Hypertension (DASH) diet recommended for
reducing hypertension will help lower his LDL-cholesterol level
Saturated fats should comprise 15% or less of his caloric intake
He should aim for a fiber intake of 25 g daily
He should record what he has eaten in a food diary at the end of each day
o
o
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, Ans: B
In 2013, the American Heart Association (AHA) issued lifestyle management
guidelines designed to reduce cardiovascular risk. For adult patients with
elevated LDL-cholesterol levels the AHA advises following diet plans such as the
Dietary Approaches to Stop Hypertension (DASH) diet, the AHA diet, or the
USDA Food Pattern. The AHA specifically recommends reducing the percentage
of calories from saturated fat, aiming for a goal of 6%-7% of calories from this
source. The AHA also recommends a diet that emphasizes the consumption of
fruits, vegetables, and whole grains, and which includes fish, poultry, low-fat
dairy products, legumes, nontropical vegetable oils, and nuts. Consumption of
red meat, sweets, and sugar-sweetened beverages should be
discouraged.Although dietary fiber has been shown to have several beneficial
health effects, the average daily intake for most Americans is 15 g daily, which
is much lower than the recommended amount. The recommended daily fiber
intake for males age 14-50 is 38 g daily. For other populations the
recommended amount is lower, and varies according to age and sex. Several
randomized, controlled trials have shown a reduction of LDL-cholesterol with
higher fiber consumption. A food diary is an important aspect of dietary
behavior change but it is most accurate if entries are made immediately after
food is consumed.
Quiz: A 24-year-old female sees you for a preconception visit and removal of
her IUD. This will be her first pregnancy and she tells you that she has smoked
o
o
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, ¼-½ pack of cigarettes a day for the past 5 years.Which one of the following
would be appropriate advice regarding the risks from smoking?
Smoking during pregnancy increases the risk of attention-deficit/hyperactivity
disorder
Smoking during pregnancy increases the risk of clubfoot
Smoking during pregnancy increases the risk of congenital atrial septal defects
Stopping smoking now will reduce the increased risk of orofacial defects in her
infant
Reducing smoking now will reduce the risk of preterm delivery
o
o
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, Ans: D
There are many reproductive problems related to smoking, including
conception delay and both primary and secondary infertility; an increased risk
of ectopic pregnancy and spontaneous abortion; an increased risk of abruption,
preterm rupture of membranes, placenta previa, and premature delivery; and
increased perinatal morbidity and mortality, including stillbirth, low birth
weight, and SIDS-related deaths. The 2001 Surgeon General's Report on
women and smoking makes it clear that stopping smoking during pregnancy
reduces and sometimes eliminates many of these consequences.Small for
gestational age (SGA) infants are a dose-dependent outcome of maternal
smoking, with an odds ratio (OR) of 2.11 when women smoke throughout
pregnancy. Risks for prematurity (OR 1.15) and fetal death (OR 1.15) are also
increased. The risk of having an SGA infant is avoided if smoking is reduced, but
the risks for prematurity and increased fetal death are not.In 2014 the U.S.
Surgeon General issued a new report on the health consequences of smoking
that noted that the evidence was strong enough to infer a causal link between
maternal smoking and orofacial clefts. This was still true when the Surgeon
General issued a report on smoking cessation in 2020. No link could be
inferred, however, between smoking and other congenital defects, including
clubfoot, gastroschisis, and atrial septal defects. There is no evidence that
maternal smoking leads to increased rates of childhood attention-
deficit/hyperactivity disorder.
o
o
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[+254707240657]
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me in the number given.
CARE Questions and Correct Detailed Answers
(Verified Answers) ||Already Graded A+||Newest
Version
Quiz: You are counseling a 45-year-old male with elevated LDL-cholesterol.
When discussing dietary changes to promote healthy lipid levels, which one of
the following would be accurate advice?
He should minimize his consumption of nuts
The Dietary Approaches to Stop Hypertension (DASH) diet recommended for
reducing hypertension will help lower his LDL-cholesterol level
Saturated fats should comprise 15% or less of his caloric intake
He should aim for a fiber intake of 25 g daily
He should record what he has eaten in a food diary at the end of each day
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
o Your Success is Our Mission!
[+254707240657]
o For online exams and tutor expert, please whatsapp
me in the number given.
, Ans: B
In 2013, the American Heart Association (AHA) issued lifestyle management
guidelines designed to reduce cardiovascular risk. For adult patients with
elevated LDL-cholesterol levels the AHA advises following diet plans such as the
Dietary Approaches to Stop Hypertension (DASH) diet, the AHA diet, or the
USDA Food Pattern. The AHA specifically recommends reducing the percentage
of calories from saturated fat, aiming for a goal of 6%-7% of calories from this
source. The AHA also recommends a diet that emphasizes the consumption of
fruits, vegetables, and whole grains, and which includes fish, poultry, low-fat
dairy products, legumes, nontropical vegetable oils, and nuts. Consumption of
red meat, sweets, and sugar-sweetened beverages should be
discouraged.Although dietary fiber has been shown to have several beneficial
health effects, the average daily intake for most Americans is 15 g daily, which
is much lower than the recommended amount. The recommended daily fiber
intake for males age 14-50 is 38 g daily. For other populations the
recommended amount is lower, and varies according to age and sex. Several
randomized, controlled trials have shown a reduction of LDL-cholesterol with
higher fiber consumption. A food diary is an important aspect of dietary
behavior change but it is most accurate if entries are made immediately after
food is consumed.
Quiz: A 24-year-old female sees you for a preconception visit and removal of
her IUD. This will be her first pregnancy and she tells you that she has smoked
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
o Your Success is Our Mission!
[+254707240657]
o For online exams and tutor expert, please whatsapp
me in the number given.
, ¼-½ pack of cigarettes a day for the past 5 years.Which one of the following
would be appropriate advice regarding the risks from smoking?
Smoking during pregnancy increases the risk of attention-deficit/hyperactivity
disorder
Smoking during pregnancy increases the risk of clubfoot
Smoking during pregnancy increases the risk of congenital atrial septal defects
Stopping smoking now will reduce the increased risk of orofacial defects in her
infant
Reducing smoking now will reduce the risk of preterm delivery
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
o Your Success is Our Mission!
[+254707240657]
o For online exams and tutor expert, please whatsapp
me in the number given.
, Ans: D
There are many reproductive problems related to smoking, including
conception delay and both primary and secondary infertility; an increased risk
of ectopic pregnancy and spontaneous abortion; an increased risk of abruption,
preterm rupture of membranes, placenta previa, and premature delivery; and
increased perinatal morbidity and mortality, including stillbirth, low birth
weight, and SIDS-related deaths. The 2001 Surgeon General's Report on
women and smoking makes it clear that stopping smoking during pregnancy
reduces and sometimes eliminates many of these consequences.Small for
gestational age (SGA) infants are a dose-dependent outcome of maternal
smoking, with an odds ratio (OR) of 2.11 when women smoke throughout
pregnancy. Risks for prematurity (OR 1.15) and fetal death (OR 1.15) are also
increased. The risk of having an SGA infant is avoided if smoking is reduced, but
the risks for prematurity and increased fetal death are not.In 2014 the U.S.
Surgeon General issued a new report on the health consequences of smoking
that noted that the evidence was strong enough to infer a causal link between
maternal smoking and orofacial clefts. This was still true when the Surgeon
General issued a report on smoking cessation in 2020. No link could be
inferred, however, between smoking and other congenital defects, including
clubfoot, gastroschisis, and atrial septal defects. There is no evidence that
maternal smoking leads to increased rates of childhood attention-
deficit/hyperactivity disorder.
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
o Your Success is Our Mission!
[+254707240657]
o For online exams and tutor expert, please whatsapp
me in the number given.
