PreTest Family Medicine: "Preventive Medicine"

Question 1

How many doses of HBV-immunoglobulin should be given to an infant of an infected mother?

Answer 1

One within twelve hours of birth

Question 2

What kind of pulmonary evaluation is necessary for preoperative assessment in asymptomatic individuals?

Answer 2

None

Do PFTs in someone with asthma or COPD.

Question 3

How long should elective surgery be deferred after an MI?

Answer 3

6 months

Question 4

What is true regarding the state of evidence around prostate cancer screening?

Answer 4

Currently, there is no evidence to suggest either way whether prostate cancer screening can prevent cancer deaths.

Question 5

Regarding self examination of breasts, ________________.

Answer 5

the AAFP recommends against breast self-exam due to the increased rate of biopsies and procedures

Question 6

The AAFP recommends that lipid screening in those without risk factors should begin __________.

Answer 6

at 35

Question 7

The first influenza vaccine is what kind?

Answer 7

Inactivated (two doses for the first time regardless of age)

Question 8

An adult hasn’t gotten a tetanus booster in more than ten years. What kind of booster should they get?

Answer 8

TDaP

Increasing rates of pertussis necessitate booster shots in adults.

Question 9

HAV vaccine is indicated in what populations?

Answer 9

MSM

Question 10

True or false: varicella vaccination can lead to primary infection.

Answer 10

True, but is a milder form of illness and does not lead to contagious transmission.

Question 11

When traveling to other countries, what is the only immunization that is required?

Answer 11

Yellow fever (and only for some countries)

Question 12

Describe the management of hormone-induced hypertension (i.e., COC-induced hypertension).

Answer 12

Discontinue the COC.

COCs cause mild hypertension in some women. The risk usually increases with age. Discontinuing COCs usually resolves the HTN in 3 months.

Question 13

List the side effects of COCs.

Answer 13

• Irregular bleeding
• Nausea
• Breast tenderness
• Fluid retention

Note: It used to be thought that COCs cause weight gain, but studies have failed to demonstrate a significant effect.

Question 14

Review the recommendations for missed COC pills.

Answer 14

• If one active pill is missed and the woman has not had intercourse in the last 5 days, then she should take two active pills immediately and use a backup method of contraception for 7 days.
• If one active pill is missed and the woman has had intercourse in the last 5 days, then she should take emergency contraception, use a backup for 5 days, and resume the pill the day after emergency contraception.

Question 15

Remember, the most effective form of contraception is _______________.

Answer 15

injected progestin

Question 16

Hereditary hemochromatosis has what inheritance pattern?

Answer 16

Trick question: types 1, 2, and 3 are autosomal recessive, while type 4 is autosomal dominant.