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ABFM HEALTH COUNSELING AND PREVENTIVE CARE EXAM comprehensive questions and verified accurate solution (detailed & elaborated) 2025 TEST!!

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ABFM HEALTH COUNSELING AND PREVENTIVE CARE EXAM comprehensive questions and verified accurate solution (detailed & elaborated) 2025 TEST!!

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06/08/2025, 10:21 ABFM HEALTH COUNSELING AND PREVENTIVE CARE EXAM comprehensive questions and verified accurate solution (detaile…




ABFM HEALTH COUNSELING AND PREVENTIVE
CARE EXAM comprehensive questions and
verified accurate solution (detailed & elaborated)
2025 TEST!!

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Terms in this set (60)




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,06/08/2025, 10:21 ABFM HEALTH COUNSELING AND PREVENTIVE CARE EXAM comprehensive questions and verified accurate solution (detaile…



B
You are counseling a 45-
year-old male with In 2013, the American Heart Association (AHA) issued
elevated LDL-cholesterol. lifestyle management guidelines designed to reduce
When discussing dietary cardiovascular risk. For adult patients with elevated
changes to promote LDL-cholesterol levels the AHA advises following diet
healthy lipid levels, which plans such as the Dietary Approaches to Stop
one of the following Hypertension (DASH) diet, the AHA diet, or the USDA
would be accurate Food Pattern. The AHA specifically recommends
advice? reducing the percentage of calories from saturated
fat, aiming for a goal of 6%-7% of calories from this
He should minimize his source. The AHA also recommends a diet that
consumption of nuts emphasizes the consumption of fruits, vegetables, and
The Dietary Approaches whole grains, and which includes fish, poultry, low-fat
to Stop Hypertension dairy products, legumes, nontropical vegetable oils,
(DASH) diet and nuts. Consumption of red meat, sweets, and
recommended for sugar-sweetened beverages should be
reducing hypertension will discouraged.Although dietary fiber has been shown
help lower his LDL- to have several beneficial health effects, the average
cholesterol level daily intake for most Americans is 15 g daily, which is
Saturated fats should much lower than the recommended amount. The
comprise 15% or less of his recommended daily fiber intake for males age 14-50 is
caloric intake 38 g daily. For other populations the recommended
He should aim for a fiber amount is lower, and varies according to age and sex.
intake of 25 g daily Several randomized, controlled trials have shown a
He should record what he reduction of LDL-cholesterol with higher fiber
has eaten in a food diary consumption. A food diary is an important aspect of
at the end of each day dietary behavior change but it is most accurate if
entries are made immediately after food is consumed.




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,06/08/2025, 10:21 ABFM HEALTH COUNSELING AND PREVENTIVE CARE EXAM comprehensive questions and verified accurate solution (detaile…


A 24-year-old female sees D
you for a preconception
visit and removal of her There are many reproductive problems related to
IUD. This will be her first smoking, including conception delay and both
pregnancy and she tells primary and secondary infertility; an increased risk of
you that she has smoked ectopic pregnancy and spontaneous abortion; an
¼-½ pack of cigarettes a increased risk of abruption, preterm rupture of
day for the past 5 membranes, placenta previa, and premature delivery;
years.Which one of the and increased perinatal morbidity and mortality,
following would be including stillbirth, low birth weight, and SIDS-related
appropriate advice deaths. The 2001 Surgeon General's Report on women
regarding the risks from and smoking makes it clear that stopping smoking
smoking? during pregnancy reduces and sometimes eliminates
many of these consequences.Small for gestational
Smoking during age (SGA) infants are a dose-dependent outcome of
pregnancy increases the maternal smoking, with an odds ratio (OR) of 2.11 when
risk of attention- women smoke throughout pregnancy. Risks for
deficit/hyperactivity prematurity (OR 1.15) and fetal death (OR 1.15) are also
disorder increased. The risk of having an SGA infant is avoided
Smoking during if smoking is reduced, but the risks for prematurity and
pregnancy increases the increased fetal death are not.In 2014 the U.S. Surgeon
risk of clubfoot General issued a new report on the health
Smoking during consequences of smoking that noted that the
pregnancy increases the evidence was strong enough to infer a causal link
risk of congenital atrial between maternal smoking and orofacial clefts. This
septal defects was still true when the Surgeon General issued a
Stopping smoking now report on smoking cessation in 2020. No link could be
will reduce the increased inferred, however, between smoking and other
risk of orofacial defects in congenital defects, including clubfoot, gastroschisis,
her infant and atrial septal defects. There is no evidence that
Reducing smoking now maternal smoking leads to increased rates of
will reduce the risk of childhood attention-deficit/hyperactivity disorder.
preterm delivery




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, 06/08/2025, 10:21 ABFM HEALTH COUNSELING AND PREVENTIVE CARE EXAM comprehensive questions and verified accurate solution (detaile…


D
A 55-year-old male
expresses concern about Erectile dysfunction (ED) is common, affecting an
his inability to maintain an estimated 30 million men in the United States, and
erection that allows for becomes more common with advancing age. The
satisfactory sexual Health Professionals Follow-up Study reported
intercourse with his wife. moderate to severe ED in 12% of men younger than
He takes over-the-counter 59, 22% of men ages 60-69, and 30% of men older
diphenhydramine than 69.It was previously thought that the majority of
(Benadryl) at night for cases of ED were caused by psychogenic factors such
sleep and takes a daily as family or occupational stress. However, evidence
multivitamin. He says he suggests that approximately 80% of ED is due to
drinks one 12-ounce beer organic disease, which can be divided into hormonal,
2-3 times per week. A vasculogenic, and neurogenic causes. Vasculogenic
physical examination is etiologies are the most common, with arterial or
normal, including his "inflow" disorders accounting for more problems than
blood pressure.Which one venous disorders. The patient should be advised that
of the following would their ED is a risk factor for underlying cardiovascular
you tell him? disease and that further evaluation may be
appropriate. It is important to remember, however,
Most cases of erectile that even though the primary etiology of ED is most
dysfunction (ED) have a often organic, psychological factors frequently
psychogenic etiology coexist and play a role in the dysfunction.Many
Diphenhydramine has little medications can cause or contribute to ED. It is
impact on his ED estimated that as many as 25% of ED cases are due to
Abstaining from alcohol medication side effects. This highlights the crucial role
use will improve his of the primary care physician in reviewing medication
symptoms lists and modifying treatment regimens as part of
Erectile dysfunction may addressing ED. Common offenders include
be an early indication of antihistamines, antihypertensives and diuretics such as
vascular disease hydrochlorothiazide and spironolactone,
About 5% of men his age psychoactive medications including SSRIs, and anti-
experience ED epilepsy medications. It is not clear whether low
amounts of alcohol cause erectile dysfunction.




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