American Board of Internal Medicine (ABIM) Certification Practice Exam

What is the recommended frequency of clinical evaluation for patients with moderate aortic stenosis?

1. Every 6-12 months

2. Every year

3. Every 2 years

4. Every 3 years

The correct answer is: Every year

For patients with moderate aortic stenosis, a clinical evaluation every year is recommended. This is important because patients with this condition can experience progressive symptoms and changes in hemodynamics. Regular monitoring allows healthcare providers to assess the severity of the stenosis, evaluate symptoms, and determine the need for surgical intervention or further diagnostics, such as echocardiography. An annual evaluation helps in timely detection of any deterioration in the patient's condition that may necessitate more frequent follow-up or intervention. Mood and quality of life can also be closely monitored, and management strategies can be adjusted as the patient's condition evolves. Given the potential for significant cardiovascular complications associated with aortic stenosis, maintaining a yearly assessment ensures that patients receive appropriate care and intervention when indicated.