MiscFam3

Question 1

Overall, USPSTF ratings A&B:

Answer 1

Do it!
A=benefit substantial
B=benefit moderate

Question 2

Overall USPSTF ratings C&D:

Answer 2

Don’t Do it

C-selectively recommend on individual basis
D-don’t do (no benefit or risk > benefit)

Question 3

What is the breast cancer USPSTF recommendation?

Answer 3

Class A; Biennial mammogram 50-74

Question 4

What is the cervical cancer USPSTF recommendation?

Answer 4

Class A: ages 21-65 pap alone Q3years or cotest with HPV Q5 years

Pelvic exam not recommended unless pap done

Question 5

What is the prostate USPSTF recommendation?

Answer 5

Class C for 55-69; class D for 70+

Question 6

What is the USPSTF recommendation for colon cancer?

Answer 6

B for 45-49; A for 50-75

stool test Q1year
colonoscopy Q10 years
CT and flex sigmoid Q5years

Question 7

True or false, Prevnar (PCV13) has been downgraded compared to Pneumovax (PPSV23).

Answer 7

True. Given at 65 and only if shared decision making with patient.

Question 8

What is the preferred pneumonia vaccine?

a) Prevnar
b) Pneumovax

Answer 8

b) Pneumovax (PPSV23)

Question 9

When is pneumovax given? (choose all that apply)

a) Ages 16+ with chronic lung disease
b) Ages 18+ with chronic lung disease
c) 2nd dose given at age 65+
d) 1st dose at 65+ if no lung disease

Answer 9

Answer: b, c, d

Pneumovax is given at 65+ or at 18+ if chronic lung disease. If patient received dose prior to age 65 they need a second dose at age 65+.

Question 10

What is the preferred shinglex vaccine? When is this given?

a)Zostavax
b) Shingrix

Answer 10

b) Shingrix at age 50+

Question 11

True or false, if born before 1980, no varicella vaccination needed.

Answer 11

True unless immunocompromised, healthcare worker, etc. No antibody testing needed either.

Question 12

Which is not part of the 5 “A’s” of motivational interviewing?

a) ask
b) advise
c) assess
d) assist
e) arrange
f) anticipate

Answer 12

Answer f) anticipate

Question 13

A patient who responds to direct physician advise would be best suited for what type of interview/discussion?

a) motivational interviewing
b) 5 “A’s”

Answer 13

Answer: b) 5 A’s

Question 14

What percentage of Americans are overweight/obese?

a)25
b)40%
c)50%
d)75%

Answer 14

Answer: d) 75%

Question 15

A BMI of what would be appropriate to discuss pharmacologic intervention?

a) BMI 25+
b) BMI 27+ with comorbidity
c) BMI 30+ with comorbidity
d) BMI 35+ with comorbidity

Answer 15

Answer: b) BMI 27+ with comorbidity

at a BMI of 35+ with comorbid we need to discuss possibility of bariatric surgery

BMI of 30 w/o comorbidity can have pharm

Question 16

What is a reasonable amount of weight loss per week?

a) 1-2 lb/week
b) 2-3 lb/week
c) 3-4 lb/week

Answer 16

Answer: a) 1-2 lb/week

Question 17

What percentage of total weight loss is appropriate for an obese patient?

a) 5%
b) 10%
c)15%
d) 20%

Answer 17

Answer 5-10%

Question 18

What percentage of total weight loss is appropriate for an obese patient?

a) 5%
b) 10%
c)15%
d) 20%

Answer 18

Answer 5-10%

Question 19

Per insurance, what percentage of baseline body weight loss should be achieved within 12 weeks of starting RX?

a) 1-2%
b) 4-5%
c) 5-10%

Answer 19

Answer: b) 4-5%

Question 20

An appropriate question to pose to a patient in the contemplation stage of change is:

a) how do you feel about your weight
b) what are barriers you see to losing weight
c) what is your personal goal for weight loss
d) how do you envision my helping you to meet your weight loss goal

Answer 20

Answer: b) what are barriers you see to losing weight

Question 21

Relapse prevention is important (kindling):

50% after 1 episode
70% after 2 episodes
90% after 3 episodes

Answer 21

90% after 3 episodes?

Question 22

Patient is taking Chantix (varenicline) 4 weeks ago, you should ask:

a) how many cigarettes are you smoking per day
b) are you having any changes in mood
c) are you having changes in appetite

Answer 22

Answer: b) are you having changes in mood

Question 23

AAA screening recommendation for USPSTF

Question 24

All of the following patients received