Preventive Care/Guidelines

Question 1

Cancer Screening Ages

Answer 1

Breast 40/50-75

Colon 50-75

Question 2

Breast Cancer Screening

Answer 2

age 40 or 50 to 75

annual or biennial

Question 3

Colon Cancer Screening

Answer 3

50-75 in general population

40 or 10 years prior to diagnosis of first degree family member

Question 4

Cholesterol Screening

Answer 4

Men 20 w/ rf, 35 w/o, q5yWomen 20 w/ rf, 45 w/o

Question 5

STD Screening

Answer 5

women 24 and younger

Question 6

GBS associated with what vaccine

Answer 6

typically flu

not till about 2 weeks after

Question 7

Pneumoccocal Vaccine less than age 65

Answer 7

Heart, lung, liver disease

DM, smokers, alcohol

Question 8

PCV 13, give in 19+ if

Answer 8

cochlear implant
chronic CSF leak
asplenia
CRF or NS
immunocompromised state (HIV, malignancy)

Question 9

PPSV, candidates for revaccination

Answer 9

5 years later if

• functional asplenia
• HIV
• Malignancy
• CKD, NS
• Chemo
• Steroids

Question 10

Diabetes Screening, New Guidelines

Answer 10

ages 40-70,
obese or overweight
earlier if FHx, GDM, PCOS, AA, Asian, Hispanic, etc

Question 11

Hep C Screening

Answer 11

adults born between 1945 and 1965

Question 12

Indication for Statin - LDL

Answer 12

More than 190

Question 13

Indication for Statin - CVD

Answer 13

> 75 years: moderate

<75 years: high

Question 14

Indication for Statin - ASCVD

Answer 14

7.5 or more

Question 15

Indication for Statin - DM

Answer 15

Age 40-76
less than 7.5, mod
more than 7.5 high

Question 16

Fasting Lipids- What is affected

Answer 16

TG and calculated LDL (TG/5)

Question 17

Interval to check lipid profile on patients on statin

Answer 17

recheck can be as early as 4-12 weeks

then 3-12 months following

Question 18

Osteoporosis Screening

Answer 18

women aged 65 and older
maybe men 70 and older?
prednisone use 5mg/d for 3 month