Risk Assessment

Question 1

What age do you start screening males for syphilis? Females? How often?

Answer 1

Start screening both sexes WHEN THEY BECOME SEXUALLY ACTIVE. Screen them PRN or with Pap smear.

Question 2

What age range would you start administering the HPV vaccine for females? Explain the vaccine’s scheduling.

Answer 2

Age 10-26.

Gardasil: series of 3 doses over 6 months.

Question 3

What age range should a male begin self breast/self-testicular exams? How often?

Answer 3

Adolescence
Monthly
**This monthly throughout the life span

Question 4

What age/range do you start screening for HIV? How would you determine how often? (throughout the life span)

Answer 4

What age: depends on level of sexual activity or IV drug use
How often: must assess knowledge of pt about prevention, contraception, protective barriers, etc.

This goes for ALL age groups

Question 5

Tetanus-diptheria (Td) - must substitute a dose of Tdap for Td beginning how early in a pt’s life? How often do they need this vaccine?

What age group should you NOT give this vaccine?

Answer 5

Early as age 7
Every 10 years
Not indicated for pts over 65 years old

Question 6

What vaccine is NOT routinely administered to adults?

Answer 6

Meningococcal Vaccine

Question 7

What age range would you administer a meningococcal vaccine? How often?

Answer 7

All adolescents 11-18.

Revaccination is controversial; revaccinate only once AFTER 5 YEARS if pt is at high-risk (dorms, e.g.)

Question 8

Who should get the flu vaccine? How often?

Answer 8

Everyone ages 6 months or older.

Annually

Question 9

What 2 age groups do you give the pneumococcal vaccine? (Explain why more than 1 age group could receive it).

Answer 9

1. 65 and older
2. Give it to pts age 19-64 if they are a smoker OR have chronic conditions like DM, asthma, or those who are immunocompromised**

Question 10

In adolescence, how often do you screen for PPD? Why would you repeat it and how often?

Answer 10

Once.

Repeat it every 2 years if at risk or with any exposure to TB

Question 11

What is the second leading cause of cancer deaths?

Answer 11

Colorectal Cancer

Question 12

What age do you start screening for Colorectal cancer? How often (3 answers)?

Answer 12

50

1. Fecal Occult Blood Test - annually
2. Flexible sigmoidoscopy - every 5 years
3. Colonoscopy - every 10 years OR the double contrast barium enema every 5-10 years.

Question 13

What is the leading killer of African Americans under age 40?

Answer 13

AIDS

Question 14

Homicide is the leading killer for what race and what age group?

Answer 14

Men ONLY

Less than 35 years old

Question 15

After adolescence, how often do you screen the young, middle-aged, and older-adult populations for PPD?

Answer 15

It is controversial, but annually for high risk populations.

Question 16

How often do young adults need a complete physical examination?

Answer 16

Every 5-6 years, starting at age 20.

Question 17

How often does the middle-aged adult need a complete physical examination?

Answer 17

Every 5-6 years

Question 18

How often does the older-adult population need a complete physical examination? At what age? Are labs warranted?

Answer 18

Every 2 years
60
Yes

Question 19

When does a person start self-skin exams? How often?

Answer 19

By age 20.

Check skin regularly.

Question 20

When (what age range) does an adolescent need to start getting a complete physical exam? After first visit, how often? (age ranges)

Answer 20

11-14

Every 3 years: (11-14) (15-17) (18-21)

Question 21

1. By at least age ___ should pt have glaucoma screenings?
2. What method is used?
3. How often?

Answer 21

1. 40
2. Tonometry
3. Annually

Question 22

How often should BP be checked in young adults, middle-aged adults, and older adults?

Answer 22

With every healthcare visit or every 2 years.

Question 23

What age do you start screening pts by drawing a total cholesterol panel, HDL (or a full fasting lipid panel)? How often??

Answer 23

Age 20.

Every 5 years unless the total cholesterol is > 200. May be every 2-5 years in the older adult.

Question 24

1. At what age do you start administering Zostavax?
2. What does this vaccine prevent?
3. How many times would a pt need the vaccine?

Answer 24

1. Age 50
2. It is the Herpes Zoster Vaccine. It prevents shingles.
3. Once

Question 25

At what 2 age ranges and how often should a pt receive an ECG?

Answer 25

1. Middle-aged adult (40-59 y/o) should get an ECG for a baseline and/or with cardiac risk factors, repeat PRN if indicated.
2. Elderly adults (> 60 y/o) should get an ECG every 2 years (with cardiac risk factors)

Question 26

Dental cleanings and checkups how often throughout the life span?

Answer 26

Every 6 to 12 months.

Question 27

What age does a female pt start to get Pap smears?

Answer 27

Age 21

Question 28

All female patients should be screened for _________ at or under age 25.

Answer 28

Chlamydia

Question 29

How often should a female receive a Pap Smear? When, if ever, do screenings stop?

Answer 29

Every 3 years.
Discontinue when pt is older than 65-70 ONLY IF they have 3 consecutive normal cytology tests and NO abnormal tests in the past 10 years.

Question 30

At what age and how often should a female perform a self-breast exam?

Answer 30

Starting at age 21, optional, ACOG doesn’t recommend it

Question 31

At what age and how often do females need a Clinical Breast Exam (by a clinician)? How does it differ when the female turns 40?

Answer 31

Adolescence or age 20, every 3 years.

The 40 year old female (and then throughout their lifespan) should have the exam annually

Question 32

Females need a Pap smear with cytology (conventional or liquid-based) every _____ years. For women ages ______.

Answer 32

Every 3 years for women 21-65

Question 33

The Pap Smear HPV co-test (cytology + HPV test administered together) cannot be administered until what age? Then, how often?

Answer 33

Until age 30

Every 5 years until 65

Question 34

When should a woman begin receiving mammograms?

Answer 34

Beginning at age 40!

Question 35

For women ages 40-49, it is recommended that they receive a mammogram every ________ years.
For women ages 50-74 or in good health, they need a mammogram how often?

Answer 35

1-2 years

annually

Question 36

At what age do you start screening for prostate cancer? What method(s)? How often?

Answer 36

Age 40, male should have a digital rectal exam, a PSA ONLY if the pt has a family history of prostate cancer or is african american.

Age 50, all should have DRE and PSA.

Screenings - annually