Health Maintenance and Counseling

Question 1

prioritize preventative service by which pt factors

Answer 1

age, gender, risk factors

Question 2

harms of screening

Answer 2

cost, anxiety, decrease benefit as patient age or if patient has other comorbid conditions

Question 3

rule of thumb for <49 y/o w/o chronic medical problems

Answer 3

every 3 years

Question 4

rule of thumb for >50 y/o adults w/o chronic medical problems

Answer 4

every 1 year

Question 5

Colon cancer screening

Answer 5

women and men age 50 to 75

Question 6

lung cancer screening

Answer 6

low dose lung CT for ages 55 to 74 w/ at least 30 pack years of smoking

Question 7

cervical cancer screen

Answer 7

pap smear age 21 to 65 y/o

Question 8

breast cancer screen

Answer 8

mammogram age 50 to 65 y/o (can start as early as 40)

Question 9

how often should you screen for CVS risk?

Answer 9

pts age >20 y/o should every 3-5 years

Question 10

what do you include in a CVS risk assessment?

Answer 10

diet, smoking, physical activity, hypertension, dyslipidemia, diabetes mellitus, obesity

Question 11

Td/Tdap frequency

Answer 11

every 10 years

Question 12

HPV

Answer 12

up to age 26

Question 13

Zoster vaccine

Answer 13

50 years and older

Question 14

Pneumococcal vaccine

Answer 14

19-64 y/o at increased risk, all 65 y/o and older

Question 15

Hepatitis B vaccine

Answer 15

65 y/o and older with diabetes, anyone at increased risk

Question 16

Counseling/motivation interview acronym

Answer 16

OARS
O - open questions that encourage further elaboration and consideration
A - affirmations that foster positive feelings
R - reflections that indicate clinician has heard and accurately understood the patient
S - summaries that extend basic reflections to include a sense of momentum or build interest in changing direction