Epidemiology/Ethics

Question 1

greatest mortality benefit for Breast CA screening age

Answer 1

50 years old. incidence of Br.CA is greater above age 50.

Question 2

What will benefit asymptomatic pt with multiple first degree relatives with Br.CA

Answer 2

SERMs, Tamoxifen, raloxifene - 50%-60% reduction in Br. CA rates compared to placebo.
aromatase inhib - prevent mets in proven CA cases

Question 3

HPV + Pap changes testing interval to?

Answer 3

5 years

Question 4

Meningococcal vaccine indications

Answer 4

• age 11 routine visit
• asplenia, terminal complement deficiency, military recruits, college dorm residents, travelers to mecca or medina in saudi arabia for the Hajj (pilgrimage)

Question 5

osteoporosis screening

Answer 5

age 65 with DEXA scan. use bisphosphonates to prevent fracture by increasing bone density. in the elderly hip fracture is more deadly than MI

Question 6

AAA

Answer 6

screen in all men > 65 y/o & smoker or age 65-75 with family hx, using US. repair if >5cm.

Question 7

When can you stop life sustaining measures/ treatment without consent

Answer 7

Brain Death!. brain death is death in our legal system.