ABFM Preventive Medicine and Health Maintenance

Question 1

According to the USPSTF, at what age should average-risk adults begin colorectal cancer screening?

Accepted Answer

45 years

Answer

40 years

Answer

50 years

Answer

55 years

Question 2

Which vaccine is recommended for all adults aged 65 and older to prevent pneumococcal disease?

Accepted Answer

PCV15 or PCV20 followed by PPSV23 if PCV15 is used

Answer

PCV13 only

Answer

PPSV23 only

Answer

Neither; only high-risk adults need pneumococcal vaccine

Question 3

Which screening test does the USPSTF recommend for abdominal aortic aneurysm (AAA) in men aged 65–75?

Accepted Answer

One-time abdominal ultrasound for ever-smokers

Answer

CT angiography for all men

Answer

Annual abdominal ultrasound for all men

Answer

Serum D-dimer measurement

Question 4

A 35-year-old woman has a BMI of 32 kg/m². According to USPSTF guidelines, which intervention should the family physician offer?

Accepted Answer

Intensive multicomponent behavioral interventions

Answer

Prescription weight-loss medication only

Answer

Referral for bariatric surgery

Answer

Annual lipid panel and lifestyle advice

Question 5

Which of the following best describes the USPSTF recommendation for lung cancer screening?

Accepted Answer

Annual low-dose CT for adults aged 50–80 with a 20 pack-year history who currently smoke or quit within 15 years

Answer

Annual chest X-ray for all smokers aged 50+

Answer

Biennial low-dose CT for adults over 60 who currently smoke

Answer

Sputum cytology every 3 years for heavy smokers

Question 6

At what interval does the USPSTF recommend Pap smear screening for cervical cancer in women aged 21–65 who choose cytology alone?

Accepted Answer

Every 3 years

Answer

Annually

Answer

Every 2 years

Answer

Every 5 years

Question 7

Which of the following is a Grade B USPSTF recommendation for preventive care in adults?

Accepted Answer

Screening for depression in the general adult population

Answer

Screening for thyroid cancer in asymptomatic adults

Answer

Screening for testicular cancer in asymptomatic males

Answer

Routine vitamin D supplementation for adults without deficiency