Preventive Medicine

Question 1

Which cancer screening method has the greatest benefit to patients

Answer 1

Mammography above 50

Question 2

When should mammography be done

Answer 2

Starting Age 40-50 every 2 yrs

Question 3

When can screening mammorgaphy be stopped

Answer 3

Age 75

Question 4

Who gets PPx SERMS

Answer 4

Those w/ 2 first degree relatives with breast CA but ASx

Question 5

What is the role of BRCA testing

Answer 5

While BRCA positive means an increased risk of breast CA, it doesn’t change management of the patient

Question 6

When is PAP done

Answer 6

Every 3 years starting at age 21 until 65

Question 7

When is PAP + HPV testing done

Answer 7

Starting at age 30. Interval increases to 5 years

Question 8

Who gets HPV vaccine

Answer 8

Between ages 11 and 26

Question 9

Who gets chlamydia screening

Answer 9

15-25

Question 10

Best screening test for colon CA

Answer 10

Colonoscopy

Question 11

When is screening colonoscopy performed

Answer 11

Every 10yrs starting at age 50

Question 12

Mortality benefit in prostate CA screening

Answer 12

None, not in PSA or DRE

Question 13

Pt asks for PSA, what to do

Answer 13

Do it

Question 14

Test for Lung CA screening

Answer 14

None

Question 15

Single most beneficial disease preventative method of any type

Answer 15

Smoking cessation

Question 16

When are cholesterol and LDL measurements recommended

Answer 16

Men > 35
Women > 45
DM, CAD, PAD, HTN, Aortic disease, Carotid disease

Question 17

Goal for LDL

Question 18

When is BP testing indicated

Answer 18

Age 18

Question 19

How often should adults be screened

Answer 19

Every 2 years

Question 20

When is screening for DM done

Answer 20

HTN

Hyperlipidemia

Question 21

What are the cutoffs for DM

Answer 21

2 fasting glucose > 125

HbA1c > 6.5

Question 22

2 vaccines most beneficial for adults

Answer 22

Influenza

Pneumococcus

Question 23

Who cannot get live attenuated vaccines

Answer 23

Age >50
Chronic heart, lung, liver, kidney disease
HIV/AIDS
Steroid users
Immunocompromised
DM

Question 24

Indications for influenza vaccine

Answer 24

Everyone yearly
Healthcare workers
Pregnant pts

Question 25

Indications for pneumococcal vaccines

Answer 25

Everyone > 65
Cochlear implant
CSF leaks
Alcoholics

Question 26

Schedule for pneumococcal vaccine in adults

Answer 26

1 dose at 65

1 revaccination after 5yrs if pt is immunocompromised or first injection was before 65

Question 27

Who gets zoster vaccine

Answer 27

All pts above 60 to prevent post-herpetic neuralgia

Question 28

When are Hep A and B vaccines given to adults

Answer 28

Chronic liver disease
MSM, or promiscuous men
Household contacts
Injection drug users

Question 29

Indications for Hep A vaccine

Answer 29

Travelers to endemic countries

Question 30

Indications for Hep B vaccine

Answer 30

ESRD
Healthcare workers
DM

Question 31

Who gets Tetanus vaccine

Answer 31

Td every 10yrs
One Tdap as one of the boosters
IG in those never vaccinated

Question 32

Dirty wound tetanus PPx

Answer 32

Booster after 5yrs

Question 33

Clean wound tetanus PPx

Answer 33

Booster after 10yrs

Question 34

Routine indication for meningococcal vaccine

Answer 34

Age 11

Question 35

Indications for meningococcal vaccine

Answer 35

Asplenia
Terminal complement deficiency
Military recruits
Residents of college dorms
Travellers to Mecca

Question 36

Strongest indication for meningococcal vaccine

Answer 36

Asplenia (will benefit most)

Question 37

Screening for osteoporosis

Answer 37

Every woman at age 65

Prevent Fx w/ bisphosphonates

Question 38

Screening for AAA

Answer 38

All men > 65 w/ Hx smoking screened once

65-75 w/ FHx AAA

Question 39

When should AAA be repaired

Answer 39

> 5cm

Question 40

Screen for alcoholism

Answer 40

CAGE

Question 41

Screening methods that are ALWAYS INCORRECT

Answer 41

CXR
EKG
Stress test