ABFM + KSA
HEALTH COUNSELING AND
PREVENTIVE CARE
Certification Exam
Actual Questions and Answers
100% Guarantee Pass.
This Exam contains:
100% Guarantee Pass.
Actual Questions and Answers
Multiple choice (single best answer)
Case Studies/Scenario-Based Questions
Verified Rationales
,1. 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?
A. He should minimize his consump on of nuts
B. The Dietary Approaches to Stop Hypertension (DASH) diet recommended for
reducing hypertension will help lower his LDL-cholesterol level
C. Saturated fats should comprise 15% or less of his caloric intake
D. He should aim for a fiber intake of 25 g daily
E. He should record what he has eaten in a food diary at the end of each day
Answer: B
Ra%onale:
In 2013, the American Heart Associa on (AHA) issued lifestyle management
guidelines designed to reduce cardiovascular risk. For adult pa ents 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
Pa3ern. 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 consump on of fruits,
vegetables, and whole grains, and which includes fish, poultry, low-fat dairy
products, legumes, nontropical vegetable oils, and nuts. Consump on 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 popula ons the recommended amount is lower, and varies
according to age and sex. Several randomized, controlled trials have shown a
reduc on of LDL-cholesterol with higher fiber consump on. A food diary is an
important aspect of dietary behavior change but it is most accurate if entries are
made immediately a:er food is consumed.
---
2. A 24-year-old female sees you for a preconcep%on visit and removal of her
IUD. This will be her first pregnancy and she tells you that she has smoked ¼-½
pack of cigare.es a day for the past 5 years. Which one of the following would
be appropriate advice regarding the risks from smoking?
A. Smoking during pregnancy increases the risk of a3en on-deficit/hyperac vity
disorder
B. Smoking during pregnancy increases the risk of clubfoot
C. Smoking during pregnancy increases the risk of congenital atrial septal defects
D. Stopping smoking now will reduce the increased risk of orofacial defects in her
infant
E. Reducing smoking now will reduce the risk of preterm delivery
Answer: D
Ra%onale:
There are many reproduc ve problems related to smoking, including concep on
delay and both primary and secondary infer lity; an increased risk of ectopic
, pregnancy and spontaneous abor on; an increased risk of abrup on, preterm
rupture of membranes, placenta previa, and premature delivery; and increased
perinatal morbidity and mortality, including s llbirth, 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 some mes
eliminates many of these consequences. Small for gesta onal age (SGA) infants
are a dose-dependent outcome of maternal smoking, with an odds ra o (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 cle:s. This was s ll true
when the Surgeon General issued a report on smoking cessa on 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 a3en on-
deficit/hyperac vity disorder.
---
3. A 55-year-old male expresses concern about his inability to maintain an
erec%on that allows for sa%sfactory sexual intercourse with his wife. He takes
over-the-counter diphenhydramine (Benadryl) at night for sleep and takes a
daily mul%vitamin. He says he drinks one 12-ounce beer 2-3 %mes per week. A
physical examina%on is normal, including his blood pressure. Which one of the
following would you tell him?
A. Most cases of erec le dysfunc on (ED) have a psychogenic e ology
B. Diphenhydramine has li3le impact on his ED
HEALTH COUNSELING AND
PREVENTIVE CARE
Certification Exam
Actual Questions and Answers
100% Guarantee Pass.
This Exam contains:
100% Guarantee Pass.
Actual Questions and Answers
Multiple choice (single best answer)
Case Studies/Scenario-Based Questions
Verified Rationales
,1. 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?
A. He should minimize his consump on of nuts
B. The Dietary Approaches to Stop Hypertension (DASH) diet recommended for
reducing hypertension will help lower his LDL-cholesterol level
C. Saturated fats should comprise 15% or less of his caloric intake
D. He should aim for a fiber intake of 25 g daily
E. He should record what he has eaten in a food diary at the end of each day
Answer: B
Ra%onale:
In 2013, the American Heart Associa on (AHA) issued lifestyle management
guidelines designed to reduce cardiovascular risk. For adult pa ents 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
Pa3ern. 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 consump on of fruits,
vegetables, and whole grains, and which includes fish, poultry, low-fat dairy
products, legumes, nontropical vegetable oils, and nuts. Consump on 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 popula ons the recommended amount is lower, and varies
according to age and sex. Several randomized, controlled trials have shown a
reduc on of LDL-cholesterol with higher fiber consump on. A food diary is an
important aspect of dietary behavior change but it is most accurate if entries are
made immediately a:er food is consumed.
---
2. A 24-year-old female sees you for a preconcep%on visit and removal of her
IUD. This will be her first pregnancy and she tells you that she has smoked ¼-½
pack of cigare.es a day for the past 5 years. Which one of the following would
be appropriate advice regarding the risks from smoking?
A. Smoking during pregnancy increases the risk of a3en on-deficit/hyperac vity
disorder
B. Smoking during pregnancy increases the risk of clubfoot
C. Smoking during pregnancy increases the risk of congenital atrial septal defects
D. Stopping smoking now will reduce the increased risk of orofacial defects in her
infant
E. Reducing smoking now will reduce the risk of preterm delivery
Answer: D
Ra%onale:
There are many reproduc ve problems related to smoking, including concep on
delay and both primary and secondary infer lity; an increased risk of ectopic
, pregnancy and spontaneous abor on; an increased risk of abrup on, preterm
rupture of membranes, placenta previa, and premature delivery; and increased
perinatal morbidity and mortality, including s llbirth, 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 some mes
eliminates many of these consequences. Small for gesta onal age (SGA) infants
are a dose-dependent outcome of maternal smoking, with an odds ra o (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 cle:s. This was s ll true
when the Surgeon General issued a report on smoking cessa on 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 a3en on-
deficit/hyperac vity disorder.
---
3. A 55-year-old male expresses concern about his inability to maintain an
erec%on that allows for sa%sfactory sexual intercourse with his wife. He takes
over-the-counter diphenhydramine (Benadryl) at night for sleep and takes a
daily mul%vitamin. He says he drinks one 12-ounce beer 2-3 %mes per week. A
physical examina%on is normal, including his blood pressure. Which one of the
following would you tell him?
A. Most cases of erec le dysfunc on (ED) have a psychogenic e ology
B. Diphenhydramine has li3le impact on his ED
