Short answer... no. A:M does precise industrial design about as readily as AutoCAD does fine character animation.
that Lego block can certainly be made in A:M...
...but the automatic conglomeration of primitives ... box + cylinders x 8 = Lego Block... no.
In A:M those shapes are manually knit together. It's not hard to do but not as automatic as sticking the cylinder into the box and getting a seamless join via a command.
The Primitives wizard does let you input exact dimensions for basic shapes like boxes and spheres but they are very primitive primitives, no bevels.
For the most part, precision sizing is up to the modeler using the rulers in the modeling window to check dimensions.
That said, A:M users like Charles Babbage have made very precise working models in A:M and 3D printed them...
BIfqFAG5olU
Charles also uses A:M in his day job designing elaborate mechanical devices for highly visible clients like the world's most famous theme park.
Why aren't these CAD conveniences in A:M? It is difficult to implement that in an all-spline modeling environment and it is also something rarely needed to carry out A:M's primary mission... character modeling and animation.
Martin said it outright several years ago, A:M is not intended to perform the functionality of industrial design tools like AutoCAD.