Screening/Depression

Question 1

Lung CA screen?

Answer 1

30 ppy history

age 55-65

Question 2

RF for NON-melanoma Skin CA that are NOT RF for melanoma?

Answer 2

Male
Smoking
HPV
Outdoor work (indoor = melanoma)
NO Family History

Question 3

Osteoporosis Screen?

Answer 3

1. Women >65
2. Women 9.3%
3. Men with Increased Risk

Question 4

RFs for Osteoporosis?

Answer 4

Female
White
Age
Skinny
Sedentary
FH or personal Hx
ETOH, Smoking

Question 5

Who needs lipid panel?

Answer 5

Age 21 every 4-6 yrs

Question 6

Who get Statins? (4)

Answer 6

1. ASCVD (MI, Stroke, PAD)
2. Age 40-74 with DM + elevated LDL
3. Age 40-74 with 10 yr risk >7.5 with LDL 70-149
4. Age 21 w/ LDL >190

Question 7

High Dose Statins?

Answer 7

Atorvastatin 40-80

Rotuvastatin 20-40

Question 8

Who gets High Dose statins?

Answer 8

Active ASCVD 21 + LDL >190

Other very high risk

DM + >7.5% risk

Question 9

Drugs that elevate LDL?

Answer 9

Diuretics
Cyclosporine
Steroids
Amiodarone

Question 10

Drugs that elevate TGs?

Answer 10

Bb
Thiazides
Steroids
Estrogen
Protease inhibitors

Question 11

LFTs on statin guides?

Answer 11

ONCE for Baseline

Repeat if symptoms

Question 12

Exersice Stress test for asymptomatic if:

Answer 12

> 45 yo + 1 of:

• HTN
• Hi lipid
• Smoking
• FH
• Intermediate CAD risk (10-80%)

Question 13

HTN goals for 60?

Answer 13

60 = 150/80

Question 14

HTN Meds in blacks?

Answer 14

CCB

Thiazide

Question 15

HTN meds in CKD?

Answer 15

ACEI/ARB

Question 16

Zooster when?

Answer 16

> 60

Question 17

Major depression vs. Bereavment timeline?

Answer 17

MDD = >2 mo after event

Question 18

Timeline for MDD diagnosis otherwise?

Answer 18

> 2 wks of sx

Question 19

RF for suicide?

Answer 19

Male
Age 45
Previous attempts
Ideation
Drugs/ETOH
Isolation
Depression

Question 20

Fluoxetine SE?

Answer 20

Agitation
Insomnia/Restless
Decreased Libido

Question 21

Sertraline SE?

Answer 21

GI

Question 22

Paroxetine SE?

Answer 22

WEIGHT GAIN
impotence
Constipation

Question 23

Fluvoxetine SE?

Better for which other condition?

Answer 23

More emesis

OCD

Question 24

Citalopram SE?

Answer 24

Nausea
Dry mouth
Tired
Long QT

Question 25

Aspirin Indications:

Answer 25

NO CONTRAINDICATIONS (GI bleed, chronic NSAIDs) ``` MEN 45 - 79 - hx of MI or stroke - 10 yr risk increased WOMEN 55 -79 - hx of stroke ```

Question 26

Age specific Aspirin ASCVD %s for men and women?

Answer 26

``` 45-59 = >4% 60-69 = >9% 70-79 = >12% ``` ONE LESS FOR WOMEN (3,9,11)

Question 27

Contraindications to Exercise stress test?

Answer 27

WPW LBBB >1 mm ST elevation at baseline Other arryhthmia that would obscure results

Question 28

Pneumococcal vaccine starts?

Answer 28

once at age 65 OR Yearly boosters if COPD

Question 29

Diabetes screening criteria?

Answer 29

BP >135/80 OR ``` BMI >25 + 1 of: Sedentary FH Non-white Gave birth to fat baby Gest DM HDL 250 PCOS CVD ```

Question 30

How often DM screen?

Answer 30

3 yrs

Question 31

DM diagnoses (5)?

Answer 31

1. Fasting >126 2. 1x >200 + symptoms 3. 2x >200 4. 2hr 75 mg >200 5. A1C >6.5