American Board of Internal Medicine (ABIM) Certification Practice Exam

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Which of the following is NOT one of the 5 A's for smoking cessation?

  1. Ask

  2. Assist

  3. Accumulate

  4. Advise

The correct answer is: Accumulate

The correct answer is C, as "Accumulate" is not one of the 5 A's for smoking cessation. The 5 A's are a structured approach to helping patients quit smoking, which include "Ask," "Advise," "Assess," "Assist," and "Arrange." Each of these components plays a critical role in supporting patients through the quitting process. "Ask" refers to inquiring about the patient's tobacco use, "Advise" involves providing clear and strong recommendations for quitting, "Assess" gauges the patient's readiness to quit, "Assist" offers practical help and resources, and "Arrange" refers to follow-up support to ensure the patient stays on track. The term "Accumulate" does not relate to any of the established steps in this framework, making it clear that it does not belong in the list of effective strategies for smoking cessation. Understanding this framework is essential for healthcare providers in effectively addressing smoking cessation with their patients.