ABFM HEALTH COUNSELING AND PREVENTIVE CARE
questions with correct answers
1. Youarecounselinga45-year-oldmalewithelevatedLDL-cholesterol.When
n n n n n n n n n
ndiscussing dietary changes to promote healthy lipid levels,which one of the
n n n n n n n n n n n
nfollowing would be accurate advice? n n n n
A) He should minimize his consumption of nuts
n n n n n n
B) TheDASHdiet recommendedforreducinghypertensionwillhelplowerhis
n n n n n n n n n n
LDL-cholesterol level
n n
C) Saturated fats should comprise 15% or less of his caloric intake n n n n n n n n n n
D) He should aim for a fiber intake of 25 g daily
n n n n n n n n n n
E) He should record what he has eaten in a food diary at the end of each day:
n n n n n n n n n n n n n n n n
2. A 24-year-old female sees you for a preconception visit and removal of her IUD.
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This will be her first pregnancy and she tells you that she has smoked
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¼-½ pack of cigarettes a day for the past 5 years.Which one of the following would
n n n n n n n n n n n n n n n n
be appropriate advice regarding the risks from smoking?
n n n n n n n n
A) Smoking during pregnancy increases the risk of attention-deficit/hyperac-
n n n n n n n
tivity disorder
n n
B) Smoking during pregnancy increases the risk of clubfoot n n n n n n n
C) Smoking during pregnancy increases the risk of congenital atrial septal
n n n n n n n n n
defects
n
D) Stopping smoking now will reduce the increased risk of orofacial defects in
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her infant
n n
E) Reducing smoking now will reduce the risk of preterm delivery: n n n n n n n n n
1/ 7n n
, 3. A 55-year-old male expresses concern about his inability to maintain an
n n n n n n n n n n
erectionthatallows forsatisfactorysexualintercoursewith his wife.Hetakes
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over-the-counter diphenhydramine (Benadryl) at night for sleep and takes a
n n n n n n n n n n
daily multivitamin. He says he drinks one 12-ounce beer 2-3 times per week. A
n n n n n n n n n n n n n n
physicalexaminationis normal,including his bloodpressure.Which one of the
n n n n n n n n n n n n
following would you tell him?
n n n n n
A) Most cases of erectile dysfunction (ED) have a psychogenic etiology
n n n n n n n n n
B) Diphenhydramine has little impact on his ED n n n n n n
C) Abstaining from alcohol use will improve his symptoms
n n n n n n n
D) Erectile dysfunction may be an early indication of vascular disease
n n n n n n n n n
E) About 5% of men his age experience ED:
n n n n n n n
4. A 42-year-old female sees you for a routine health maintenance visit. Her
n n n n n n n n n n n
neighbor was just diagnosed with ovarian cancer and has encouraged her to
n n n n n n n n n n n n
have her CA-125 level checked.The patient asks about ovarian cancer risk
n n n n n n n n n n n n
factors,prevention,and screening.Which one of the following would be
n n n n n n n n n n n
2/ 7n n
questions with correct answers
1. Youarecounselinga45-year-oldmalewithelevatedLDL-cholesterol.When
n n n n n n n n n
ndiscussing dietary changes to promote healthy lipid levels,which one of the
n n n n n n n n n n n
nfollowing would be accurate advice? n n n n
A) He should minimize his consumption of nuts
n n n n n n
B) TheDASHdiet recommendedforreducinghypertensionwillhelplowerhis
n n n n n n n n n n
LDL-cholesterol level
n n
C) Saturated fats should comprise 15% or less of his caloric intake n n n n n n n n n n
D) He should aim for a fiber intake of 25 g daily
n n n n n n n n n n
E) He should record what he has eaten in a food diary at the end of each day:
n n n n n n n n n n n n n n n n
2. A 24-year-old female sees you for a preconception visit and removal of her IUD.
n n n n n n n n n n n n n
This will be her first pregnancy and she tells you that she has smoked
n n n n n n n n n n n n n n
¼-½ pack of cigarettes a day for the past 5 years.Which one of the following would
n n n n n n n n n n n n n n n n
be appropriate advice regarding the risks from smoking?
n n n n n n n n
A) Smoking during pregnancy increases the risk of attention-deficit/hyperac-
n n n n n n n
tivity disorder
n n
B) Smoking during pregnancy increases the risk of clubfoot n n n n n n n
C) Smoking during pregnancy increases the risk of congenital atrial septal
n n n n n n n n n
defects
n
D) Stopping smoking now will reduce the increased risk of orofacial defects in
n n n n n n n n n n n
her infant
n n
E) Reducing smoking now will reduce the risk of preterm delivery: n n n n n n n n n
1/ 7n n
, 3. A 55-year-old male expresses concern about his inability to maintain an
n n n n n n n n n n
erectionthatallows forsatisfactorysexualintercoursewith his wife.Hetakes
n n n n n n n n n n n n
over-the-counter diphenhydramine (Benadryl) at night for sleep and takes a
n n n n n n n n n n
daily multivitamin. He says he drinks one 12-ounce beer 2-3 times per week. A
n n n n n n n n n n n n n n
physicalexaminationis normal,including his bloodpressure.Which one of the
n n n n n n n n n n n n
following would you tell him?
n n n n n
A) Most cases of erectile dysfunction (ED) have a psychogenic etiology
n n n n n n n n n
B) Diphenhydramine has little impact on his ED n n n n n n
C) Abstaining from alcohol use will improve his symptoms
n n n n n n n
D) Erectile dysfunction may be an early indication of vascular disease
n n n n n n n n n
E) About 5% of men his age experience ED:
n n n n n n n
4. A 42-year-old female sees you for a routine health maintenance visit. Her
n n n n n n n n n n n
neighbor was just diagnosed with ovarian cancer and has encouraged her to
n n n n n n n n n n n n
have her CA-125 level checked.The patient asks about ovarian cancer risk
n n n n n n n n n n n n
factors,prevention,and screening.Which one of the following would be
n n n n n n n n n n n
2/ 7n n