Preventive Care

Question 1

When should apgars be taken?

Answer 1

1-minute and 5-minute

Question 2

What is the 1-minute apgar indicative of?

Answer 2

The intrauterine environment and the birth process

Question 3

What is the 5-minute apgar indicative of?

Answer 3

The neonate’s success at transitioning

Question 4

What are 3 common birth traumas?

Answer 4

1. Cephalohematoma
2. Caput succadaneum
3. Fractured clavicle

Question 5

What immunization should be administered prior to hospital discharge for newborns?

Answer 5

Hepatitis B

Question 6

At what weeks/months of age are the intervals of infant checkups?

Answer 6

1, 2 weeks

1, 2, 4, 6, 9 months

Question 7

When do head circumference measurements cease?

Answer 7

Age 2

Question 8

When does BMI assessment start?

Answer 8

Age 2

Question 9

When is routine visual acuity testing performed?

Answer 9

Ages 3, 4, 5, 6, 8, 10 years

Question 10

When should hearing screening occur?

Answer 10

Newborn, 4, 5, 6, 8, 10 years

Question 11

When does autism screening occur?

Answer 11

18, 24 months

Question 12

At what age does BP screening start?

Answer 12

Age 3 years

Question 13

When does anemia screening occur for kids?

Answer 13

At age 12 months

Question 14

When does lead screening occur for kids?

Answer 14

At age 12 months

Question 15

When can fluoride supplementation begin?

Answer 15

Age 6 months

Question 16

Is TB screening always necessary at 12 months?

Answer 16

No, only if at high risk

Question 17

At what adolescent ages should eyes be tested?

Answer 17

Ages 12, 15, 18

Question 18

Do adolescents need hearing screens?

Answer 18

Only if risk assessment indicates

Question 19

When should adolescents get their first lipid screening?

Answer 19

Between ages 18-21

Question 20

T/F: all adolescents should be confidentially screened once for HIV between ages 16-18?

Answer 20

True

Question 21

When should sexually active adolescents be screened for chlamydia and gonorrhea?

Answer 21

Annually

Question 22

How frequently should Td be given?

Answer 22

Every 10 years

Question 23

How frequently should Tdap be given?

Answer 23

Replace one adult Td with a Tdap booster

Question 24

When should the 23-valent (Pneumovax) be given?

Answer 24

Age 65+

Question 25

When should the 13-valent conjugate (Prevnar) be given?

Answer 25

Age 65+ (this one goes first; separate from the Pneumovax by 1 year)

Question 26

When should the shingles (Zostavax) vaccine be given?

Answer 26

Age 60+

Question 27

When should AAA screening occur?

Answer 27

Once by US for men aged 65-75 years who have ever smoked

Question 28

When should mammograms occur?

Answer 28

Age 50-74 every 2 years

Question 29

When should aspirin be given for cardiovascular disease prevention?

Answer 29

Age 50-59 years and a 10-year CVD risk 10%+

Question 30

When should statin therapy be given?

Answer 30

One or more CVD risk factors; usually starting age 40

Question 31

Is carotid artery stenosis screening recommended for asymptomatic individuals?

Answer 31

No

Question 32

Is carotid artery stenosis screening recommended for asymptomatic individuals?

Answer 32

No

Question 33

When is pap smear recommended?

Answer 33

Age 21-65, with cytology every 3 years

Question 34

How often can women age 30-65 push pap smears?

Answer 34

Every 5 years with both cytology and HPV testing

Question 35

When should chlamydia screening occur?

Answer 35

All sexually active nonpregnant women age 24 and younger

Question 36

When should pregnant women be screened for chlamydia?

Answer 36

Age 24 and younger, or if at high risk

Question 37

Should men be tested for chlamydia?

Answer 37

Insufficient evidence

Question 38

When should FOBT occur?

Answer 38

Yearly age 50-75

Question 39

When should sigmoidoscopy occur?

Answer 39

Every 5 years age 50-75

Question 40

When should colonoscopy occur?

Answer 40

Every 10 years age 50-75 (every 5 if polyps found)

Question 41

When should T2DM screening occur?

Answer 41

Adults with BP higher than 135/80 if age 40-70 and overweight, or overweight/obese adults (ADA)

Question 42

When should exercise/PT and vitamin D supplementation occur?

Answer 42

Adults age 65+ at risk of falls

Question 43

When should exercise/PT and vitamin D supplementation occur?

Answer 43

Adults age 65+ at risk of falls

Question 44

When should gonorrhea screening occur?

Answer 44

All sexually active women deemed high risk

Question 45

When should HIV testing occur?

Answer 45

Ages 18-45

Question 46

When should lipid screening occur?

Answer 46

Age 40-75 with 1 or more CVD risk factors such as dyslipidemia, DM, HTN, or smoking

Question 47

When does CT for lung cancer occur?

Answer 47

Adults age 55-80 with a 30+ pack year history or if they quit within the past 15 years

Question 48

When should osteoporosis screening occur?

Answer 48

Women age 65+ or younger women with risks

Question 49

What's the most important part of the preparticipation physical?

Answer 49

The history

Question 50

HOCM murmur is ______ when standing and ______ when squatting?

Answer 50

Louder when standing | Softer when squatting

Question 51

What risk category are the following surgeries: - breast - dental - endocrine - eye - gynecologic - minor orthopedic - minor urologic

Answer 51

Low risk (<1%)

Question 52

What risk categories are the following surgeries: - abdominal - carotid - peripheral arterial angioplasty - endovascular aneurysm repair - head and neck - hip and spine repair

Answer 52

Intermediate risk (1-5%)

Question 53

What risk categories are the following surgeries: - aortic and major vascular - peripheral vascular

Answer 53

High risk (>5%)

Question 54

When is the first dose of varicella recommended?

Answer 54

12 months