American Board of Lifestyle Medicine Questions with
correct answers
Lifestyle medicine Correct 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.
Pioneers of Lifestyle Medicine Correct 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
ACLM Correct Answer-Organized in early 2004 by Dr John Kelly;
Physician Core LM Competencies established in 2009, published in
JAMA 2010
ABLM Correct Answer-Established in 2015, first offering LM2017
conference
Value of Lifestyle Medicine Correct Answer-A distinguishing feature is
that it actually saves more than it costs.
Lifestyle Medicine Core competencies Correct 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 self-managing 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
Lifestyle change impacts the "cause of the cause" of disease Correct
Answer-1) beneficially affecting gene expression (epigenetics); 2)
Reducing insulin resistance; 3) reducing chronic systemic inflammation;
4) providing anti-oxidants; 5) more...
Health Risk Assessments Correct Answer-Described in Sep 2013 AHRQ
document; CDC source
, Scientific evidence about unhealthy behaviors Correct 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
Tobacco evidence Correct Answer-Strong evidence that tobacco
cessation, increased physical activity and making dietary changes
decrease mortality, morbidity, cancer (Cochrane, AHA, USPSTF)
USPSTF recommended screening Correct Answer-tobacco, alcohol and
obesity
Interheart study Correct 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%
InterSTROKE study Correct 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
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