2. Male annual exam

Question 1

RISE Mnemonic for Preventive Visits

Answer 1

Risk factors - Identify risk factors for serious medical conditions during history and physical exam.

Immunizations - Provide recommended immunizations / chemoprophylaxis.

Screening tests - Order appropriate screening tests.

Education - Educate patients on ways to live healthier while reducing risks for disease.

Question 2

Leg pain with activity

Answer 2

may indicate claudication, a manifestation of peripheral atherosclerotic disease

Question 3

Chest pain with activity

Answer 3

may indicate angina pectoris, a manifestation of coronary artery atherosclerosis

Question 4

Choosing medication to assist with smoking cessation

Answer 4

Many physicians prefer prescribing bupropion to help smokers quit. Due to side effects, varenicline is often reserved for those that have failed bupropion or if a patient specifically requests it.

Question 5

CAGE Questions

Answer 5

felt the need to Cut down your drinking?
felt Annoyed by criticism of your drinking?
had Guilty feelings about drinking?
taken a morning Eye opener?

Question 6

Calculating BMI

Answer 6

weight in kg / height in m2 (meters squared)

Question 7

changes associated with Dyslipidemia

Answer 7

Corneal arcus, xanthelasmas, acanthosis nigricans

Question 8

Changes associated with atherosclerosis

Answer 8

Decreased peripheral pulses, carotid bruit

Question 9

The ABCDE of Suspicious Skin Lesions

Answer 9

Asymmetry
    Border irregularity
    Color non-uniform
    Diameter >6 mm ***
    Evolution or change over time

Question 10

Colon Cancer Screening Options

Answer 10

Screening colonoscopy every 10 years

Annual testing of three stools for blood and a flexible sigmoidoscopy test every 5 years

Double-contrast enemas every five years

CT colography (virtual colonoscopy) is still considered experimental

Note - A rectal exam and test for occult blood are not adequate screening.

Question 11

Approach to EKG Interpretation

Answer 11

Examine rate, PR interval, QRS, duration, and QT interval.
Look for abnormalities in P waves.
Assess axis, R wave progression, presence of Q waves, and level of voltage.
Look for ST depression or elevation and inverted T waves.

Question 12

ECG Changes That Suggest Coronary Artery Disease

Answer 12

Horizontal ST segment depression or downsloping ST segment -> Suggests cardiac ischemia

Convex ST segment elevation -> Suggests acute myocardial injury

Q waves that are greater than 25% of succeeding R wave and greater than 0.04 seconds -> Indicate infarction