Preventive medicine

Question 1

lung cancer screening

Answer 1

long-term smokers with 30-pack years of smoking should be screened ANNUALLY via CHEST CT starting at AGE 55

Question 2

lipid screening

Answer 2

men above age 35, women above age 45

Question 3

diabetes screening

Answer 3

screening with fasting blood glucose levels (2 measurements over 125 or HbA1c greater than 6.5%) is done when pt has HTN or hyperlipidemia

Question 4

indications for pneumococcal vaccine and revaccination. how is it given?

Answer 4

everyone above age 65, alcoholics, and smokers. revaccination after 5 years is only needed if pt is immunocompromised or the first injection was prior to age 65. 13 polyvalent vaccine first, then the 23 polyvalent vaccine in 6-12 months

Question 5

indications for VZV vaccine

Answer 5

all children and pts over 60

Question 6

tetanus vaccine

Answer 6

Td (toxoid) every 10 years, one Tdap as one of the boosters, tetanus immune globulin in those never vaccinated. dirty wound = booster after 5 years, clean wound = booster after 10 years

Question 7

indications for meningococcal vaccine

Answer 7

at age 11 visit and adults with asplenia, terminal complement deficiency, military recruits, residents of college dormitories, travelers to Saudi Arabia for the Hajj (pilgrimmage)

Question 8

prostate screening

Answer 8

digital rectal exam ANNUALLY starting at AGE 40

Question 9

breast cancer screening

Answer 9

mammography every 2 years starting at AGE 50, stop at age 75