02 - 55 yo M annual exam

Question 1

what is the RISE mnemonic for preventative visits?

Answer 1

• Risk factors
• Immunizations
• Screening tests
• Education

Question 2

what are the ACC/AHA recommendations for assessing ASCVD risk factors?

Answer 2

every 4-6 years in adults 20-79 who are free of ASCVD

Question 3

when is zoster vaccine recommended?

Answer 3

when patients turn 60

Question 4

what are the USPSTF recommendations for colon cancer screening?

Answer 4

• age 50-75

- FOBT, sigmoidoscopy / colonoscopy

Question 5

what are the recommendations for lipid panel screening?

Answer 5

check fasting lipids in all adults over 21 every 4-6 years

Question 6

what are the ECG changes associated with cardiac ischemia?

Answer 6

• horizontal ST segment depression

- downsloping ST segment

Question 7

what are the ECG changes associated with myocardial injury?

Answer 7

convex ST elevation

Question 8

what are the ECG changes associated with infarction?

Answer 8

• Q waves greater than 25% of succeeding R wave and greater than 0.04 seconds

Question 9

when are U waves abnormal? what are they associated with?

Answer 9

• abnormal when greater than 1.5 mm in any lead
• associated with bradycardia, electrolyte imbalance (hypokalemia, hypercalcemia, hypomagnesemia), drugs (digitalis, quinidine, procainamide), CNS disease, hyperthyroidism, LVH, MVP

Question 10

what is the effectiveness of oral anti-smoking medications?

Answer 10

12-month quit rates 1.5-3x the placebo

Question 11

what is the target heart rate calculation?

Answer 11

(220 - age) x 0.7-0.8