Screening

Question 1

Cervical cancer screening with cytology alone - age and frequency

Answer 1

21-29, every 3 years

Question 2

Age and frequency of cervical cancer screening with hpv testing alone or with cotest (with cytology)

Answer 2

30-65, every 5 years

Question 3

When to screen for chlamydia / gonorrhea

Answer 3

all sexually active women age 24 and younger, or older women at increased risk for infection

Question 4

Age for colorectal screening

Answer 4

45-75

Question 5

6 Screening options for colorectal cancer and frequency

Answer 5

occult or FIT every year, stool DNA fit every 1-3 years, CT or flex sigmoid every 5 years, flex sigmoid every 10 years plus annual FIT, or colonoscopy every 10

Question 6

how to prevent falls in older adult communities +65

Answer 6

exercise interventions

Question 7

Hep C screening, age and frequency

Answer 7

at least once age 18-79

Question 8

HIV screening

Answer 8

at least once 13+

Question 9

lung cancer screening for patients with 20 pack year smoking history who smoke or quit within last 15 years

Answer 9

annual screening with LDCT, age 50-80

Question 10

3 Criteria for Statin use for primary prevention

Answer 10

1) adults 40-75 with no hx CVD; 2) 1 or more CVD risk factors (LDL >130, HDL <40); 3) 10 year calculated risk >10%

Question 11

When to refer obese patients for behavioral interventions?

Answer 11

BMI 30

Question 12

How often to get a physical, starting age

Answer 12

20 years, q 5 years

Question 13

AAA SCREENING

Answer 13

MEN 65-75 who have smoked, once

Question 14

DM screening age and frequency

Answer 14

40-70 years old who are overweight, every 3 years if normal

Question 15

BP screening age and frequency

Answer 15

18+; annually for 40+ or if increased risk for HTN; 3-5 years for 18-39yo with no risk and normal reading

Question 16

Cholesterol screening age and frequency

Answer 16

starting age 20, every 5 years unless CVD risk factors (cholesterol >200)

Question 17

PCV13 age and dose

Answer 17

19-64 if medical conditions, 1 dose - or 65+ given BEFORE PPSV23

Question 18

PPSV23 age and dose

Answer 18

16-64 if medical conditions, 1-2 doses depending - or 65+ at least one year after pcv13 and at least 5 years after PPSV23

Question 19

Contraindications to zoster vaccine

Answer 19

allergy to gelatin, neomycin, weakened immune system (HIV/AIDs, cancer, etc)

Question 20

What is quaternary prevention

Answer 20

prevention of overmedicalization

Question 21

Breast cancer screening with mammography age and frequency

Answer 21

50-74 yo, every two years

Question 22

Initial diagnostic study of choice for AAA

Answer 22

ultrasound

Question 23

the A’s of tobacco cessation

Answer 23

Ask, advise, assess, assist, arrange

Question 24

two of the most important risk factors for GI bleed from stress ulcers

Answer 24

coagulation and RF with need for MV

Question 25

Best tool for assessing fall risk in the hospital, positive score?

Answer 25

Stratify; five factors, 2/5 = increased risk for falls

Question 26

what is diclofenac

Answer 26

NSAID

Question 27

which class of drugs helps with memory in alzheimers

Answer 27

cholinesterase inhibitors

Question 28

antibiotics for community acquired MRSA skin infection

Answer 28

Bactrim, doxy, clindamycin

Question 29

4 types of drug reaction

Answer 29

1. urticarial/angioedema of skin (wheals); 2. petechial rash from antibodies causing lysis to cells (platelets and leukocytes) 3. delayed, can cause urticaria/vasculitis; 4. cell mediated immune reaction ---> SJS

Question 30

When to use hydrocolloid dressings

Answer 30

stage II/III

Question 31

when to use alginate dressings

Answer 31

stage III/IV

Question 32

when not to use hydrogels

Answer 32

wounds with excess exudate, must be used with gauze dressing

Question 33

non pharm tx for states dermatitis

Answer 33

compression stockings with 30-40mmhg gradient

Question 34

CMS quality measures

Answer 34

Centers for medicare/medicaid services: effective, safe, efficient, patient centered, equitable, timely

Question 35

Group of healthcare providers/hospitals that voluntarily come together to give coordinated high quality care to medicare patients

Answer 35

accountable care organizations

Question 36

CPT codes for critical care

Answer 36

99291-99292

Question 37

Inpatient initial visit CPT codes

Answer 37

99221-99223

Question 38

Subsequent hospital visit CPT codes

Answer 38

99231-99233

Question 39

discharge CPT code

Answer 39

99238-99239

Question 40

what is MACRA

Answer 40

Medical access and chip reauthorization; incorporates MIPS, advanced alternative payment models, and quality payment programs -- rewards value over volume

Question 41

at what creatinine clearance should you discontinue Xarelto

Answer 41

<15

Question 42

What GFR should you discontinue spironolactone

Answer 42

<10