PH&E (CRAM)

Question 1

Breast CA screening in low risk women age 40-49?

Answer 1

Mammography screening is NOT recommended.

Question 2

Breast CA screening in low risk women age 50-75?

Answer 2

Mammography q2-3 years

Question 3

Type 2 DM screening recommendation

Answer 3

Every 3 years in low risk people over 40 years of age.

Question 4

Pre-diabetes

a) Def

Answer 4

FPG < 7
HbA1c < 6.5
Women who delivered macrosomic baby
Lower FPG and A1c, but has >= 1 RF for DM (e.g., HTN, obesity, etc)

Question 5

Pre-diabetes

b) Ix

Answer 5

2hr PG measured in a 75g OGTT (oral glucose tolerance test)

Question 6

Dyslipidemia screening

1) Age to start

Answer 6

1) Men and Women @ 40 yo

Question 7

Dyslipidemia screening

2) Framingham score < VS >= 5%

Answer 7

2) Screen lipid profile q3-5 years VS q1 year.

Question 8

CRC screening

1) Age to start

Answer 8

1) Men and Women @ 50 yo

Question 9

CRC screening

2) FAP

Answer 9

Sigmoidoscopy q1 year

Question 10

Bone mineral density testing

1) Screened group (Osteoporosis Canad 2010 CPG)

Answer 10

1) 
All people at age 65
Post-menopausal women + RF
Men over age 50 + RF (smoking, EtOH, RA, low wt, vertebral frac on XR, etc)
All under age 50 + Significant RF

Question 11

Daily recommendation of Ca & Vit D for postmenopausal women?

Answer 11

Ca 1200mg & Vit D 800 IU