AMERICAN BOARD OF LIFESTYLE
MEDICINE EXAM QUESTIONS WITH
CORRECT ANSWERS
\Q\.Lifestyle medicine - ANSWER-✔(1) Evidence-based practice of helping
individuals and families adopt and sustain healthy behaviors that affect health and
quality of life. (2) The use of therapeutic lifestyle changes to treat, prevent and
reverse disease - Lifestyle "in" medicine. When the same lifestyle choices
maximize health and prevent disease, this is lifestyle "is" medicine.
\Q\.Pioneers of Lifestyle Medicine - ANSWER-✔Hippocrates; Thomas Edison;
Nathan Pritikin; John McDougall; Dean Ornish; Caldwell B Esselstyn Jr; Hans Diehl;
WHO Diet, nutrition, and the prevention of chronic diseases; James Rippe
\Q\.ACLM - ANSWER-✔Organized in early 2004 by Dr John Kelly; Physician Core
LM Competencies established in 2009, published in JAMA 2010
\Q\.ABLM - ANSWER-✔Established in 2015, first offering LM2017 conference
\Q\.Value of Lifestyle Medicine - ANSWER-✔A distinguishing feature is that it
actually saves more than it costs.
,\Q\.Lifestyle Medicine Core competencies - ANSWER-✔Leadership: 1) Promote
healthy behaviors as foundational to medical care, disease prevention, and health
promotion - 2) Seek to practice healthy personal behaviors - 3) Create
environments that support healthy behaviors at school, work and home;
Knowledge: 1) Demonstrate a knowledge of the evidence that specific lifestyle
changes can have a positive effect on patients' health outcomes - 2) Describe ways
that physician engagement with patients and families can have a positive effect on
patients' health behaviors; Assessment Skills: 1) Assess the social, psychological
and biological predispositions of patients' behaviors and the resulting health
outcomes - 2) Assess patient and family readiness, willingness, and ability to make
health behavior changes - 3) Perform history and physical exam specific to
lifestyle-related health status including lifestyle 'vital signs'; Management Skills: 1)
Use nationally recognized practice guidelines to assist patients in selfmanaging
their health behaviors and lifestyle - 2) Establish effective relationships with
patients and families to effect and sustain behavioral change - 3) Collaborate with
patients and their families to develop action plans - 4) help patient manage and
sustain health lifestyle practices;
Use of Office and Community: 1) Have the ability to practice in an interdisciplinary
team of HCPs
- 2) Develop and apply office systems and practices to support lifestyle medical
care - 3) Measure processes and outcomes to improve the quality of lifestyle
interventions - 4) Use appropriate community referral resources that support the
implementation of lifestyle medicine
\Q\.Lifestyle change impacts the "cause of the cause" of disease - ANSWER-✔1)
beneficially affecting gene expression (epigenetics); 2) Reducing insulin resistance;
3) reducing chronic systemic inflammation; 4) providing anti-oxidants; 5) more...
\Q\.Health Risk Assessments - ANSWER-✔Described in Sep 2013 AHRQ document;
CDC source
, \Q\.Scientific evidence about unhealthy behaviors - ANSWER-✔1) Tobacco -
Cochrane
Collaboration, AHA and USPSTF; 2) USPSTF; 3) Interheart Study; 4) interSTROKE
study; 5)
Chicago heart Association Detection Project in Industry; 6) Framingham heart
study; 7) Multiple
Risk Factor Intervention Trial Study; 8) Nurses' Health Study; 9) Lyon Diet Heart
Study; 10)
Adventist Health Study 2; 11) Nurses Health Study, NHS2 and Health Professionals
Follow Up
Study; 12) World Cancer Research Fund/American Institute for Cancer Research
\Q\.Tobacco evidence - ANSWER-✔Strong evidence that tobacco cessation,
increased physical activity and making dietary changes decrease mortality,
morbidity, cancer (Cochrane, AHA, USPSTF)
\Q\.USPSTF recommended screening - ANSWER-✔tobacco, alcohol and obesity
\Q\.Interheart study - ANSWER-✔9 significant risk factors: smoking, lipids, HTN,
obesity, diabetes, diet, physical activity, alcohol and psychosocial factors account
for 90% of PAR of AMI in men and 94% in women: 5 risk factors: smoking, lipids,
HTN, diabesity and obesity accounted for 80%
\Q\.InterSTROKE study - ANSWER-✔10 significant risk factors for all strokes: HTN,
current smoking, abdominal obesity, unhealthy diet, physical inactivity, diabetes,
alcohol intake, psychological stress, depression , cardiac causes and abnormal
lipids
MEDICINE EXAM QUESTIONS WITH
CORRECT ANSWERS
\Q\.Lifestyle medicine - ANSWER-✔(1) Evidence-based practice of helping
individuals and families adopt and sustain healthy behaviors that affect health and
quality of life. (2) The use of therapeutic lifestyle changes to treat, prevent and
reverse disease - Lifestyle "in" medicine. When the same lifestyle choices
maximize health and prevent disease, this is lifestyle "is" medicine.
\Q\.Pioneers of Lifestyle Medicine - ANSWER-✔Hippocrates; Thomas Edison;
Nathan Pritikin; John McDougall; Dean Ornish; Caldwell B Esselstyn Jr; Hans Diehl;
WHO Diet, nutrition, and the prevention of chronic diseases; James Rippe
\Q\.ACLM - ANSWER-✔Organized in early 2004 by Dr John Kelly; Physician Core
LM Competencies established in 2009, published in JAMA 2010
\Q\.ABLM - ANSWER-✔Established in 2015, first offering LM2017 conference
\Q\.Value of Lifestyle Medicine - ANSWER-✔A distinguishing feature is that it
actually saves more than it costs.
,\Q\.Lifestyle Medicine Core competencies - ANSWER-✔Leadership: 1) Promote
healthy behaviors as foundational to medical care, disease prevention, and health
promotion - 2) Seek to practice healthy personal behaviors - 3) Create
environments that support healthy behaviors at school, work and home;
Knowledge: 1) Demonstrate a knowledge of the evidence that specific lifestyle
changes can have a positive effect on patients' health outcomes - 2) Describe ways
that physician engagement with patients and families can have a positive effect on
patients' health behaviors; Assessment Skills: 1) Assess the social, psychological
and biological predispositions of patients' behaviors and the resulting health
outcomes - 2) Assess patient and family readiness, willingness, and ability to make
health behavior changes - 3) Perform history and physical exam specific to
lifestyle-related health status including lifestyle 'vital signs'; Management Skills: 1)
Use nationally recognized practice guidelines to assist patients in selfmanaging
their health behaviors and lifestyle - 2) Establish effective relationships with
patients and families to effect and sustain behavioral change - 3) Collaborate with
patients and their families to develop action plans - 4) help patient manage and
sustain health lifestyle practices;
Use of Office and Community: 1) Have the ability to practice in an interdisciplinary
team of HCPs
- 2) Develop and apply office systems and practices to support lifestyle medical
care - 3) Measure processes and outcomes to improve the quality of lifestyle
interventions - 4) Use appropriate community referral resources that support the
implementation of lifestyle medicine
\Q\.Lifestyle change impacts the "cause of the cause" of disease - ANSWER-✔1)
beneficially affecting gene expression (epigenetics); 2) Reducing insulin resistance;
3) reducing chronic systemic inflammation; 4) providing anti-oxidants; 5) more...
\Q\.Health Risk Assessments - ANSWER-✔Described in Sep 2013 AHRQ document;
CDC source
, \Q\.Scientific evidence about unhealthy behaviors - ANSWER-✔1) Tobacco -
Cochrane
Collaboration, AHA and USPSTF; 2) USPSTF; 3) Interheart Study; 4) interSTROKE
study; 5)
Chicago heart Association Detection Project in Industry; 6) Framingham heart
study; 7) Multiple
Risk Factor Intervention Trial Study; 8) Nurses' Health Study; 9) Lyon Diet Heart
Study; 10)
Adventist Health Study 2; 11) Nurses Health Study, NHS2 and Health Professionals
Follow Up
Study; 12) World Cancer Research Fund/American Institute for Cancer Research
\Q\.Tobacco evidence - ANSWER-✔Strong evidence that tobacco cessation,
increased physical activity and making dietary changes decrease mortality,
morbidity, cancer (Cochrane, AHA, USPSTF)
\Q\.USPSTF recommended screening - ANSWER-✔tobacco, alcohol and obesity
\Q\.Interheart study - ANSWER-✔9 significant risk factors: smoking, lipids, HTN,
obesity, diabetes, diet, physical activity, alcohol and psychosocial factors account
for 90% of PAR of AMI in men and 94% in women: 5 risk factors: smoking, lipids,
HTN, diabesity and obesity accounted for 80%
\Q\.InterSTROKE study - ANSWER-✔10 significant risk factors for all strokes: HTN,
current smoking, abdominal obesity, unhealthy diet, physical inactivity, diabetes,
alcohol intake, psychological stress, depression , cardiac causes and abnormal
lipids
