Preventative

Question 1

PAP and HPV Screening

Answer 1

Screening for cervical cancer every 3 years by cytology alone of every 5 years by PAP and HPV co-testing

Question 2

HIV Screening

Answer 2

Age 15-65
Older/Younger if in at-risk group

Antigen/Antibody immunoessay

Question 3

Colorectal Cancer

Answer 3

Age 50-75
Age 40 or 10 years younger than diagnosis of a family member who had it
Repeat every 3 years if high risk, 5 for low risk, 10 for no risk

Colonoscopy - every 10 years
CT Angio every 5 years
Sigmoidoscopy every 5 years
Fecal/FIT test every year

Question 4

HTN Screening

Answer 4

Annual for patients with risks
Every 3-5 years for no risks

Goal is less than 150/90 for 60+
Goal is less than 140/90 for younger than 60

Question 5

Breast Cancer

Answer 5

Age 50-74
Every other year
Sooner (40+) if family history

Breast self-exam not recommended

Question 6

Cervical Cancer

Answer 6

Age 21-20 - Cytology every 3 years
Age 30-65 - Cytology every 5 years

NEVER TEST BEFORE 21 YEARS OLD

Question 7

AAA Screening

Answer 7

Only screen if history of ever having smoked (100+ cigarettes)
Age 65-75, one time ultrasound

Question 8

Lung Cancer

Answer 8

Age 50-80
Low dose CT
History of 30-pack year smoking and still smoking or less than 15 years since quitting

Question 9

OB Screening

Answer 9

Asymptomatic bacteruremia
Gestational Diabetes at 24 weeks
Chlamydia and Gonorrhea
Pre-ecclampsia (if at risk)
Hep B (1st pregnancy)
Rh Typing
TdaP every pregnancy

Question 10

Diabetes Screening

Answer 10

Screen all 40-70 year olds that are overweight (BMI 25+)

Question 11

Diabetes / Pre-Diabetes

Answer 11

Diabetes = HbA1C 6.5+ OR Fasting Glucose 126+ OR GTT 200+

Pre-diabetes = HbA1C 5.7 - 6.4 OR Fasting Glucose 100-125 OR GTT 140-199

Question 12

Hep B Screening

Answer 12

Adolescents / Adults at risk
All women in first pregnancy

Question 13

Preeclampsia Screening

Answer 13

Previous adverse pregnancy outcome
Maternal comorbid disease
Obesity
Null parity
African-American
Advanced Maternal Age
Low socioeconomic

Question 14

Depression Screening

Answer 14

All adults
Teens 12-18
Post-partum / pregnant women

Question 15

Rh Screening

Answer 15

Rh typing / antibody for all pregnant women in first visit

Rh testing at 24-28 weeks for Rh negative women

Question 16

Cardiovascular Disease Screening

Answer 16

Screen all 40-75 year olds
Prescribe statins if: 1+ risk factors and 10 year risk is 10%+

Question 17

Aspirin Prophylaxis Screening

Answer 17

10% or more cardiovascular disease risk
No bleeding risks
10+ year life expectancy

Question 18

Zoster Vaccine

Answer 18

Age 50+ even if they had chickenpox

2 doses if less than 50 or immunocompromised
1 dose if 50+

Question 19

TdaP / Td intervals

Answer 19

1 TdaP every pregnancy

Td every 10 years, may do every 5 years

Question 20

Pregnant patients cannot get these vaccines:

Answer 20

MMR
Varicella
HPV
Live viruses

Question 21

HPV Vaccine

Answer 21

All genders 12-26 (may finish it after that age though but not re-start it)

2 doses 6 months apart

3 doses for ages 15+ with second dose at 1-2 months, third dose at 6 months

Question 22

Vaccines for College Students

Answer 22

Meningococcal (MenAcwy,B)

Question 23

Recommended Vaccines for Adults

Answer 23

Hep B
HPV
Influenze (yearly)
MMR
Varicella
TdaP

Question 24

Osteoporosis Screening

Answer 24

The USPSTF recommends screening for osteoporosis with bone measurement testing to prevent osteoporotic fractures in women 65 years and older, or younger if they have higher risks (such as early onset menopause)