Male Annual Exam

Question 1

Not so common risks for CAD and ASCVD

Answer 1

EtOH

Low selenium

Question 2

How often should ASCVD be assessed in health 20 to 79 year olds?

Answer 2

4 to 6 years

Question 3

Effects of moderate EtOH

Answer 3

Increase HDL (So can exercise)
Decrease platelet aggregation

Question 4

When should the zoster vaccine be given?

Answer 4

one dose at age 60

Question 5

What does a C rec from USPSTF mean?

Answer 5

Do not do routine screening

Question 6

When do you screen for lung cancer

Answer 6

55 to 80
30 pack year hx
Current smoker or quit within 15 years

Question 7

Hep C

Answer 7

Screen high risk

Offer one time screen for those born between 1945 & 65

Question 8

What two questions should be used to screen for depression?

Answer 8

Feeling down, depressed or hopeless

Little interest in doing things

Question 9

What tests have D recommendations?

Answer 9

Bladder cancer
Pancreatic cancer
Testicular cancer
Spirometry 
Herpes
Gonorrhea
Hep B

Question 10

USPSTF for PSA?

Answer 10

Grade D (Do not do)

Question 11

ACS or AUA on PSA?

Answer 11

55 to 69 should think about it and act based on their own thoughts

Question 12

Colonoscopy
FOCT (X 3 stools) and Sigmoidoscopy
Double-contrast enema
CT colography

Answer 12

10 yrs
Annual and 5 yrs
5 yrs
Experimental

Question 13

Indication for exercise stress test

Answer 13

Asymptomatic male > 45 yrs with 1+ risk factor

Question 14

Which vitamins do no reduce risk of heart attacks or strokes?

Answer 14

C, E and folic acid

Question 15

3 Cs of addiction

Answer 15

Control lacking
Compulsion to use
Continue used with adverse consequensces

Question 16

5 As

Answer 16

Ask about behvaior
Assess willingness to change
Advise
Assist
Arrange

Question 17

What is a normal BMI?

Answer 17

18.5 to 24.9

Question 18

Signs of dyslipidema

Answer 18

Corneal arcus
Xanthelasmas
Acanthosis nigricans

Question 19

What is the diameter of a suspicious skin lesion?

Answer 19

> 6

Question 20

What does the E stand for in ABCDE of skin lesions?

Answer 20

Evolution or change over time

Question 21

At what LDL is a stating recommended?

Answer 21

> 190

Question 22

When is smoking cessation most successful?

Answer 22

Group settings with medications

Bupropion before varenicline

Question 23

How should they take bupropion?

Answer 23

Start 1 week before quit date
1 pill qD for 3 days
1 pill BID for 4 days then quit smoking
Continue 1 pill BID and add gum if needed
Gradually decrease pills after 2 months

Question 24

How long should exercise be done?

Answer 24

40 minute x 3 days for CV health

20 to 40 min qD for weight loss

Question 25

What is the THR?

What is the borg level?

Answer 25

70 to 80% of (220 - age)

12 to 14 or somewhat hard

Question 26

General exercise recommendations by DHHS?

Answer 26

150 min of aerobics

Strength x 2 days

Question 27

What steps should be take to prevent ASCVD event in high risk patients?

Answer 27

Start ASA & moderate to high intensity statin