Health maintenance

Question 1

Pneumonia vaccine guidelines

Answer 1

if 65 or older: 1 dose of PCV 20 OR 1 dose of PCV 15 followed by 1 dose of PCV 23 one year later

if under age 65: Must have qualifying condition (lung disease, immunocompromise, heart disease, renal disease, cochlear implant).
-If unvaccinated or unknown previous status: Same as 65 or older
-if previously received one vaccine????????

Question 2

hyperlipidemia definition

Answer 2

total cholesterol > 200
LDL > 100
triglycerides >150

Question 3

target HDL levels

Answer 3

> 60 for women
50 for men

Question 4

hyperlipidemia screening guidelines

Answer 4

if cardiovascular risk factors: start at age 20
if no risk factors: start at age 35 for men and 45 for women
UPSTF has no firm recommendation on screening interval

Question 5

DEXA scan T-scores

Answer 5

between -1 and -2.5: osteopenia
-2.5 and below: osteoporosis