GP (med/amb/surg + redbook)

Question 1

How often should Pap smears be performed?

When do you repeat smears?

Answer 1

• Screening from 18 y/o OR 1-2 yrs after first sexual intercourse.
• Cease at 70 if 2 normal smears in prev. 5 years.
• If LSIL repeat in 12 months if prev. smear neg. BUT if over 30 then repeat in 6m OR refer for colposcopy
• If HSIL OR adenocarcinoma refer to GYN for colposcopy

Question 2

How often should mammogram be performed?

Answer 2

• If no confirmed FHx of CA - every 2 years from 50 y/o

- Annual mammogram from 40 if first degree relative Dx

Question 3

Which women are at high risk for breast CA?

Answer 3

• Genetic mutation in FHx
• Prev ovarian CA
• Breast CA in a male nerve
• bilateral breast CA Dx less than 40 y/o
• Ashkenazi Jewish ancestry
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Question 4

What are the 5 A’s of SNAP?

Answer 4

ASK - identify pt risk factors
ASSESS - level of risk, readiness to change, health literacy
ADIVISE - brief advice & motivational interviewing
ASSIST - develop Mx plan, lifestyle change, drugs
ARRANGE - follow up, prevent relapse, refer to allied health programs

Question 5

Which immunisations are given at birth?

Answer 5

Hep B

BCG for ATSI

Question 6

What immunisations are given at 2, 4, and 6 months? (ATSI additions?)

Answer 6

(2 needles, one oral)
DTPa, Polio, Hib, Hep B
Pneumococcal 13v
Rotavirus
(Add influenza at 6m in ATSI kids)

Question 7

What immunisations are given at 12 months?

Answer 7

MMR
Men C
Hib
(Hep A for ATSI)

Question 8

What immunisations are given at 4 years?

Answer 8

DTPa

Polio

Question 9

What immunisations are given at 12-13 years?

Answer 9

Gardasil (HPV - 3 doses over 6m)

VZV

Question 10

What immunisations are given at 15 years?

Answer 10

DTPa

Question 11

What immunisations are given between 15-49? (ATSI & at risk populations)

Answer 11

Influenza
23v PPV
DTPa

Question 12

What immunisations are given annually from 50?

Answer 12

Influenza
23v PPV (5 years)

Question 13

What immunisations are given at 18 months

Answer 13

MMR

VZV

Question 14

Screening tests for CKD

Answer 14

BP
ACR
UEC (eGFR)