Preventative Medicine

Question 1

What cancer screening test lowers mortality the most?

Answer 1

Mammogram

Question 2

What is the screening guidelines for breast cancer?

Answer 2

Mammogram starting at 50 y/o every 1-2 years

Question 3

What is the screening guidelines for cervical cancer?

Answer 3

Pap smear starting at 21 y/o every 2-3 years until age of 65

Question 4

What is the next best step in management for a pt with a result of ASCUS on Pap smear?

Answer 4

HPV testing

Question 5

What is the next best step in management for a apt who is found to be HPV positive after a result of ASCUS on Pap smear?

Answer 5

Colposcopy

Question 6

What is the screening guideline for colon cancer in the general population?

Answer 6

Colonoscopy starting at 50 y/o every 10 years

Question 7

What is the screening guideline for colon cancer for a pt with a close family member having colon cancer?

Answer 7

Colonoscopy starting at 40 y/o or 10 years before the age that family member was diagnosed

Question 8

What is the screening guideline for colon cancer for pt with family history of hereditary nonpolyplosis colon cancer syndrome (lynch syndrome/ HNPCC)?

Answer 8

Colonoscopy starting at age 25 every 1-2 years

Question 9

A pt with colon cancer in at least 3 family members in 2 generations, with 1 of them having it prematurely (before 50 y/o) most likely suffers from…

Answer 9

Hereditary nonpolposis colon cancer (HNPCC/ lynch syndrome)

Question 10

Should men over the age of 75 y/o be screened for prostate cancer using PSA?

Answer 10

No

Question 11

What are the four major groups of people that influenza vaccination and pneumococcal pneumonia vaccination are indicated for?

Answer 11

1. Chronic lung, heart, liver, kidney or cancer
2. HIV pts
3. Pts on steroids
4. Pts with diabetes

Question 12

What three groups of people benefit the most from the influenza vaccination?

Answer 12

1. Pts over 50 y/o
2. Pregnant women
3. Healthcare workers

Question 13

What is the influenza vaccination guideline for the general population?

Answer 13

Yearly

Question 14

What is the pneumococcal pneumonia vaccination guideline for the general population?

Answer 14

Single injection if over 65y/o

Question 15

What is the meningococcal vaccination guideline for the general population?

Answer 15

Children age 11

Question 16

Who should receive meningococcal vaccination prior to age 11? (2)

Answer 16

1. Functional or anatomically asplenic

2. Terminal complement deficiency

Question 17

What is the HPV (gardisil) vaccination guideline?

Answer 17

All women ages 13-26 years old

Acceptable in boys

Question 18

What is the varicella-zoster vaccination guideline?

Answer 18

Everyone over age 60

Prevent re activation of varicella-zoster/ shingles

Question 19

What is the most effective method of achieving smoking cessation?

Answer 19

Oral medications like bupropion and varenicline

Question 20

What is the screening guideline for osteoporosis?

Answer 20

Bone densitometry starting at age 65 y/o

Question 21

What is the screening guideline for abdominal aortic aneurysm?

Answer 21

All men 65 y/o who have ever smoked should be screened once with ultrasound

Question 22

What is the screening guideline for diabetes?

Answer 22

Pts with hypertension

Question 23

What is the screening guideline for hyperlipidemia?

Answer 23

Men > 35 y/o

Women > 45 y/o