Screening

Question 1

clinical screening for breast cancer?

Answer 1

50-74 routine mammography every 2-3 years

Question 2

Is clinical breast exam recommended

Answer 2

No

Question 3

Is breast self exam recommended

Answer 3

No

Question 4

What age does breast screening stop

Answer 4

75

Question 5

When should paps start

Answer 5

Age 21

Question 6

How often for typical Pap screening

Answer 6

3 years

Question 7

When should paps stop

Answer 7

69 if 3 negative in the last 10 years

Question 8

Should a 21 year old virgin get a pap

Answer 8

Not til sexually active

Question 9

Should a woman with hysterectomy get a Pap test

Answer 9

Not if it was total, for benign disease, and no previous high grade Pap result

Question 10

Who should have paps every year

Answer 10

Immunocompromised, HIV+, previous high grade lesions

Question 11

What happens to hpv infections

Answer 11

90% self resolve in 2 years

Question 12

When do you screen an adult for diabetes

Answer 12

Every 3-5 years only if they’re at high risk

Question 13

Colon cancer screening recommendations

Answer 13

50-74, FOBT q2yrs or sigmoidoscopy q10yrs

Question 14

Symptoms that require urgent investigation for colon cancer

Answer 14

Rectal bleeding, persistent changes in bowel habits, abdo pain or unexplained weight loss or anemia

Question 15

Should prostate cancer be screened for

Answer 15

No

Question 16

Should depression be screened for

Answer 16

No

Question 17

When should lung cancer be screened for

Answer 17

55-74 years with 30+ pack year history and currently smoking or quit in the last 15years

Question 18

What diagnostic tools used for lung cancer screening

Answer 18

Low dose ct LDCT

Question 19

Framingham risk score is used for

Answer 19

Estimation of risk for cv disease

Question 20

The probability of being free of a disease if the result is negative is called

Answer 20

Negative predictive value

Question 21

NPV varies with what

Answer 21

The pretest probability of the disease

Question 22

What happens to sensitivity and specificity if you raise the cutoff value of a test? E.g. you need 3/4 criterion instead of 2/4

Answer 22

It will increase specificity and decrease sensitivity

Question 23

Incidence is

Answer 23

The number of new cases

Question 24

Prevalence is

Answer 24

The number of existing cases

Question 25

Incidence x duration of disease =

Answer 25

Prevalence

Question 26

Assessment of hypertension should include what investigations

Answer 26

Serum chemistry panel, hemoglobin, urinalysis

Question 27

When should bladder cancer be screened for?

Answer 27

Never asymptomatically - doesnt provide survival benefit

Question 28

Scan that looks at metabolic processes such as blood flow, regional chemical composition, and absorption

Answer 28

PET (positron emission tomography)

Question 29

For adults of average risk, screening for CRC is recommended beginning at age

Answer 29

45

Question 30

Patients with first degree relative with CRC should begin testing

Answer 30

At age 40, or 10 years before their relative was diagnosed

Question 31

Autism screening is routinely performed at ages

Answer 31

18m and 2y

Question 32

Depression screening starts at age

Answer 32

12

Question 33

Quadrivalent meningococcal vaccination is at age

Answer 33

Grade 6, 11 or 12

Question 34

Rotavirus vaccine is given at age

Answer 34

2-8 months

Question 35

Vision should be screened how often in kids

Answer 35

At every well child visit

Question 36

How often do we check A1C in clinic?

Answer 36

Every 3 months

Question 37

When should diabetes screening start?

Answer 37

40, or sooner with additional risk factors

Question 38

When should lipid screening occur?

Answer 38

40 for men, 50 for women. Earlier if risk factors present.

Question 39

What age do Pap tests stop?

Answer 39

69 it past 3 in last 10 years were clear

Question 40

When would we test for HPV?

Answer 40

30YO+, only used in the case of specific results

Question 41

Mammograms should start at age

Answer 41

50

Question 42

Mammograms should occur how often

Answer 42

Every 2 years

Question 43

How much radiation in mammogram

Answer 43

Low dose, equivalent of 7 weeks background radiation

Question 44

Screening for colon cancer starts at

Answer 44

50, or 10 years before 1st degree relative was diagnosed

Question 45

FOBT occurs how often

Answer 45

Every 2 years

Question 46

When is pneumococcal vaccine indicated early?

Answer 46

Adults with higher risk for pneumonia - diabetes, copd, asthma, CHF, asplenia, liver disease

Question 47

What age is the pneumococcal vaccine indicated in general population?

Answer 47

Age 65

Question 48

Osteoporosis screening is conducted how often

Answer 48

Every 5 years for low risk, 1-3 doe high

Question 49

What age is osteoporosis screening started at

Answer 49

65

Question 50

How often should adults get tetanus booster

Answer 50

Every 10 years

Question 51

When should adults get tdap

Answer 51

Once in adulthood

Question 52

Who is shingles vaccine recommended for?

Answer 52

Adults older than 50 years old

Question 53

What age does colon cancer screening stop for average people?

Answer 53

74

Question 54

How often is lung cancer screened for

Answer 54

Annually - but if three are normal then you stop