1|Page | © copyright 2024/2025 | Grade A+
ABFM HEALTH COUNSELING AND
PREVENTIVE CARE Questions and
Answers (Rated 100%)
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?
He should minimize his consumption of nuts
The Dietary Approaches to Stop Hypertension (DASH) diet recommended for
reducing hypertension will help lower his LDL-cholesterol level
Saturated fats should comprise 15% or less of his caloric intake
He should aim for a fiber intake of 25 g daily
He should record what he has eaten in a food diary at the end of each day
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
✓ B
✓
✓ In 2013, the American Heart Association (AHA) issued lifestyle
management guidelines designed to reduce cardiovascular risk. For
adult patients 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 Pattern. 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
consumption of fruits, vegetables, and whole grains, and which
includes fish, poultry, low-fat dairy products, legumes, nontropical
vegetable oils, and nuts. Consumption 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 populations the recommended
amount is lower, and varies according to age and sex. Several
randomized, controlled trials have shown a reduction of LDL-cholesterol
with higher fiber consumption. A food diary is an important aspect of
dietary behavior change but it is most accurate if entries are made
immediately after food is consumed.
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
A 24-year-old female sees you for a preconception visit and removal of her
IUD. This will be her first pregnancy and she tells you that she has smoked ¼-
½ pack of cigarettes a day for the past 5 years.Which one of the following
would be appropriate advice regarding the risks from smoking?
Smoking during pregnancy increases the risk of attention-
deficit/hyperactivity disorder
Smoking during pregnancy increases the risk of clubfoot
Smoking during pregnancy increases the risk of congenital atrial septal
defects
Stopping smoking now will reduce the increased risk of orofacial defects in
her infant
Reducing smoking now will reduce the risk of preterm delivery
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
✓ D
✓
Master01 | October, 2024/2025 | Latest update
ABFM HEALTH COUNSELING AND
PREVENTIVE CARE Questions and
Answers (Rated 100%)
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?
He should minimize his consumption of nuts
The Dietary Approaches to Stop Hypertension (DASH) diet recommended for
reducing hypertension will help lower his LDL-cholesterol level
Saturated fats should comprise 15% or less of his caloric intake
He should aim for a fiber intake of 25 g daily
He should record what he has eaten in a food diary at the end of each day
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
✓ B
✓
✓ In 2013, the American Heart Association (AHA) issued lifestyle
management guidelines designed to reduce cardiovascular risk. For
adult patients 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 Pattern. 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
consumption of fruits, vegetables, and whole grains, and which
includes fish, poultry, low-fat dairy products, legumes, nontropical
vegetable oils, and nuts. Consumption 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 populations the recommended
amount is lower, and varies according to age and sex. Several
randomized, controlled trials have shown a reduction of LDL-cholesterol
with higher fiber consumption. A food diary is an important aspect of
dietary behavior change but it is most accurate if entries are made
immediately after food is consumed.
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
A 24-year-old female sees you for a preconception visit and removal of her
IUD. This will be her first pregnancy and she tells you that she has smoked ¼-
½ pack of cigarettes a day for the past 5 years.Which one of the following
would be appropriate advice regarding the risks from smoking?
Smoking during pregnancy increases the risk of attention-
deficit/hyperactivity disorder
Smoking during pregnancy increases the risk of clubfoot
Smoking during pregnancy increases the risk of congenital atrial septal
defects
Stopping smoking now will reduce the increased risk of orofacial defects in
her infant
Reducing smoking now will reduce the risk of preterm delivery
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
✓ D
✓
Master01 | October, 2024/2025 | Latest update
