Preventive Medicine

Question 1

Lung/Breast/Cancer Screening ages

Answer 1

breast 40-75colon 50-75Lung 55-80

Question 2

Lung Cancer Screening

Answer 2

age 55-8030 pack year, smoking in last 15 years

Question 3

Influenza Vaccine, who needs higher dose?

Answer 3

adults older than 65

Question 4

Influenza and egg allergy

Answer 4

if mild (rash) can still givecannot give liverecombinant for those with allergies

Question 5

Pneumococcal Vaccines for healthy ppl over age 65

Answer 5

PCV 13. Wait one year.PPSV23.

Question 6

Pneumococcal vaccine for someone age 65 who already received PPSV23 after the age of 65

Answer 6

wait at least one year and give PCV13

Question 7

Pneumococcal vaccine for 65+ who received PPSV23 before 65

Answer 7

Wait one year and give PCV13. Wait one year and give PPSV23 with total of 5 years in between two PPSV23s

Question 8

Pneumococcal vaccines if less than 65 - schedule

Answer 8

PCV13. Wait 8 weeks. PPSV23. Revaccinate in 5 years and age 65.

Question 9

Do not give PCV13 with…

Answer 9

zoster (decreases zoster immunogenicity)

Question 10

Tetanus, give with wound if

Answer 10

last shot more than 5 years ago

Question 11

Use Tdap for…

Answer 11

single dose for adultseach pregnancy (3rd trimester)close contacts of infants less than 12m and healthcare peeps

Question 12

Meningococcal Vaccine Indications

Answer 12

College, Military, TravelAspleenia, HIV, Complement Def

Question 13

Meningococcal Vaccine serogroups

Answer 13

A, C, Y, Wno B

Question 14

Dosing for Meningococcal Vaccines

Answer 14

health issues, 2 doses 2 months apart, q5 yearsotherwise q5y as long as risk persists

Question 15

Zoster - who to vaccinate

Answer 15

60+ and not immunosuppressed

Question 16

MMR - who NOT to vaccinate

Answer 16

adults before 1957pregnant womencancer ptshigh doses of steroids (20mg+ prednisone)

Question 17

AAP Toothpaste

Answer 17

Smear of toothpaste until 3, then pea sized

Question 18

When to treat subclinical hyperthyroidism

Answer 18

over 65under 65 w heart disease, osteoporosis, symptoms

Question 19

Risk of subclinical hyperthyroidism

Answer 19

A fibbone loss

Question 20

When to treat subclinical hypothyroidism

Answer 20

TSH 10+positive TPOsymptoms, HF, risk factors for CVD (chol 240+)

Question 21

a1c to glucose

Answer 21

subtract 2, multiple by 30

Question 22

BP in kids under 12, systolic =

Answer 22

70 + 2*age

Question 23

Prostate Cancer, ACS screening for average risk

Answer 23

age 50-75 + 10 year life expectacny

Question 24

Prostate Cancer: ACS screening for very high risk

Answer 24

relative diagnosed at early ageage 40-75

Question 25

Cervical Cancer Screening

Answer 25

age 21-65

Question 26

Breast Cancer Risk Factors

Answer 26

AGE!!nulliparity, early menarche, late menopauseovarian or endometrial cancer

Question 27

Colon Cancer screening in IBD

Answer 27

8 yr after pancoloitis12-15y after left sided colitis

Question 28

Colon Cancer Screening

Answer 28

age 50-75

Question 29

Colon Cancer Screening, increased risk

Answer 29

first degree relative, less than 60 or 2 1st degree relatives —>age 40 or 10 years before, q5yor age 40 for 1st degree relative 60+ OR two or more 2nd degree

Question 30

Breast Cancer Screening

Answer 30

ages 50-74, biennial vs annualconsider in 40-49

Question 31

Abdominal Aorta Aneurysm Screening

Answer 31

men 65-75 who have smoked

Question 32

ASA for CVD and CRC risk

Answer 32

50-59 w/ 10-year risk of 10% or moreage 60-69 individual risk

Question 33

HPV two dose regimen

Answer 33

adolescents 9-140 and 6-12 months

Question 34

HPV three dose regimen

Answer 34

ages 15-26