Population health

Question 1

Cervical screening interpretation of results

Answer 1

No HPV = routine recall

HPV POS no cell change = Recall in 1 year (if hpv pos with no cell change for total three times in a row (over 2 years) for colposcopy)

HPV + Cell changes = colposcopy

Question 2

CVD Risk

Answer 2

QRSIK - all people <85yo
NOT for T1DM, CKD (gfr <60) - already at increased risk of CVD

Offer primary prevention atorvastatin 20mg OD if no contraindications in QRISK >10%, CKD, T1DM (10 yr after diagnosis)

Question 3

Weight loss Mx

Answer 3

Lifestyle - diet, exercise

Orlistat - only if BMI >30, continue past 3 months only if lost >5% body weight

Bariatric surgery
- BMI >40
- BMI >35 + co morbidities

Question 4

Cervical screening dates

Answer 4

25-49yo = 3 yearly
50-64yo = 5 yearly

Question 5

Bowel Cancer Screening

Answer 5

60-74yo
FIT testing - stool sample - if POS for colonoscopy
Every 2 years

Question 6

Breast Ca screening

Answer 6

50-70yo
3 yearly mammogram

Question 7

Abdominal aortic aneurysm screening

Answer 7

Men aged 65yo