Preventive Medicine

Question 1

How often should mammography be done?

Answer 1

Every 2 years

Question 2

T/F: SERMs like Raloxifene and Tamoxifen can be used to prevent breast cancer in patients with 2 first-degree relatives with breast cancer?

Answer 2

True

Question 3

If the patient asks mortality benefit for PSA, say __?

Answer 3

No

Question 4

If the patient wants/requests a PSA, say __?

Answer 4

Yes

Question 5

Lung cancer screening (low dose CT) is not needed if the patient quit >__ years ago?

Answer 5

15

Question 6

When are cholesterol and LDL measurements recommended for healthy males and females?

Answer 6

Males: >35
Females: >45

Question 7

When should diabetes be screened?

Answer 7

If the patient is obese, has HTN, or has HLD

Question 8

When do you use the inactivated flu vaccine?

Answer 8

Age 50+ or chronic medical illness

Question 9

Is egg allergy a contraindication to the flu vaccine?

Answer 9

No

Question 10

What are 2 unexpected conditions that indicate the pneumococcal vaccine?

Answer 10

1. Cochlear implant

2. CSF leak

Question 11

When do you give the shingles vaccine?

Answer 11

Age 50

Question 12

Are Hep A and B vaccines indicated in children and in CLD?

Answer 12

Yes

Question 13

When someone gets exposed to Hep B from a needle stick what’s the PEP?

Answer 13

Hep B Ig and Hep B vaccine

Question 14

Is there PEP for Hep C?

Answer 14

No

Question 15

Describe the tetanus vaccine recommendations:

Answer 15

• DTap for children
• Tdap 11-12
• Td for adults every 10 years (toxoid) with one booster as Tdap

Question 16

What if someone has had <3 doses of Td, have never been vaccinated against tetanus, or status unknown and they get a dirty wound?

Answer 16

Give Tetanus immune globulin and Td

Question 17

What unexpected religious indication warrants meningococcal vaccine?

Answer 17

Travelers to Mecca or Medina for the Hajj

Question 18

What condition that rhymes with “gomplement deficiency” requires meningococcal vaccine?

Answer 18

Complement deficiency

Question 19

What if someone had their last Td 6 years ago and gets a dirty wound?

Answer 19

Administer Td but no Tetanus immune globulin

Question 20

Do patients with asplenia need the meningococcal vaccine?

Answer 20

Yes

Question 21

When should women get a DEXA?

Answer 21

Age 65

Question 22

When do you screen for abdominal aortic aneurysm?

Answer 22

All men above age 65 with smoking history, or everyone 65-75 with a family history

Question 23

What’s the most effective medical means of smoking cessation?

Answer 23

Varencicline

Question 24

Are varencicline and buproprion more effective than nicotine patches/gum?

Answer 24

Yes