Preventive Medicine

Question 1

breast cancer screening test that lower mortality the MOST

Answer 1

mammogram

Question 2

breast self-examination

Answer 2

has NO proven benefit

Question 3

breast cancer screening

Answer 3

• start at age 50

- every 1-2 years

Question 4

cervical cancer screening

Answer 4

• start at age 21
• regardless of sexual activity
• every 3 years
• until age 65

Question 5

if Pap smear shows ASCUS

Answer 5

HPV testing

Question 6

if ASCUS is HPV positive

Answer 6

COLPoscopy

Question 7

colon cancer screening

Answer 7

• start at age 50

- every 10 years

Question 8

colon cancer screening if close family member had colon cancer

Answer 8

• start at age 40, or 10 years earlier than when family member was diagnosed, whichever comes first

Question 9

hereditary nonpolyposis colon cancer syndrome (HNPCC) definition

Answer 9

• 3 family members
• 2 generations
• 1 premature (colon cancer before age 50)

Question 10

hereditary nonpolyposis colon cancer syndrome (HNPCC) colon cancer screening

Answer 10

• start at age 25

- every 1-2 years

Question 11

prostate cancer screening

Answer 11

NO recommendation to do routine screening

Question 12

influenza vaccine greatest benefit

Answer 12

• everyone older than 50
• pregnant women
• health care workers

Question 13

indications for influenza and pneumococcal vaccines

Answer 13

• patient with chronic lung, heart, liver, kidney, and cancer conditions
• HIV positive patients
• patients on steroids
• DM patients

Question 14

influenza vaccine should be given

Answer 14

annually

Question 15

pneumococcal vaccine should be given to

Answer 15

all patients greater than 65 yoa

Question 16

pneumococcal vaccine should be given

Answer 16

once (single injection)

Question 17

meningococcal vaccination

Answer 17

• age 11

Question 18

children at high risk of meningitis

Answer 18

• functional/anatomic asplenia

- terminal complement deficiency

Question 19

HPV vaccination

Answer 19

• ALL females between ages 13-26

Question 20

varicella-zoster vaccination for shingles

Answer 20

• everyone above 60 yoa

Question 21

most effective method of achieving smoking cessation

Answer 21

oral medication = bupropion, or varenicline

Question 22

osteoporosis screening

Answer 22

• bone densitometry (DEXA)

- age 65

Question 23

abdominal aortic aneurysm (AAA) screening

Answer 23

• age 65
• EVER smokers
• screen ONCE with US

Question 24

diabetes screening

Answer 24

only in those with HTN

Question 25

HTN screening

Answer 25

ALL patients above age 18 at EVERY office visit

Question 26

hyperlipidemia screening

Answer 26

• men greater than 35 yoa

- women greater than 45 yoa