UWORLD

Question 0

Management of peripheral arterial disease?

Answer 0

# most useful – supervised graded exercise program
#Antiplatelet agent (aspirin)
#statin
#Smoking cessation
#keep HbA1c under 7
#Blood pressure control

Question 1

Indications for statin therapy?

Answer 1

#ACS, MI, stable/unstable angina
# TIA, stroke
#peripheral arterial disease
#LDL over 190
#Over age 40 with diabetes
#Estimated 10 year ASCVD over 7.5%

Question 2

When should Rh antibody testing be done in pregnant women?

If needed, when should anti-Rh immune glob in be given?

Answer 2

# 12 weeks
#Between 24-28 weeks

28 weeks again at delivery

Question 3

Should Pregnant women be given influenza vaccine? Pneumococcal vaccine?

Answer 3

Yes; no

Question 4

Recommended vaccines for HIV-infected patients?

Answer 4

# influenza
#Hepatitis B
#Pneumococcal

Question 5

Tests all pregnant patients should receive?

Answer 5

FRIED (flu, Rh/type and screen/CBC, infection, exam, down syndrome screening)

1. Cervical psychology
2. Rh type and antibody screen
3. Hematocrit, hemoglobin, MCV
4. Rubella, varicella, hepatitis B screening
5. STI – syphilis, HIV (only GC/Chlamydia if at high risk)
6. Flu vaccine during flu season
7. Screening for down syndrome, cystic fibrosis

Question 6

Pt with ASC-US - management?

Answer 6

#21-24 years – repeat Pap smear one year
#Over 25 years – HPV testing. If positive, colposcopy. If negative, repeat psychology and HPV testing three years

Question 7

Contraindications to rotavirus vaccine?

Answer 7

# history of intussusception
#Anaphylaxis to vaccine ingredients
#Meckel's diverticulum or uncorrected congenital malformation of G.I. tract
#SCID

Question 8

Triad of congenital rubella?

Answer 8

Can also see growth retardation and Purpera

#Cataracts
#PDA
#Sensorineural hearing loss

Question 9

When is HPV vaccine given?

Answer 9

Starting at age 11 (or for unvaccinated, up to age 26)

Question 10

How does cervical screening change with age?

Answer 10

At age 30, can either get 
#Pap smear every three years or 
#combination Pap smear and HPV testing every five years (if both tests are initially negative)

Question 11

Child diagnosed with Bordetella – best way to limit risk of infection?

Answer 11

Prophylactic macrolide for all home close contacts (regardless of immunization status)

Question 12

How often do patients get mammograms?

Answer 12

Every 2 years

Question 13

When to screen for lipid disorders?

Answer 13

#Men over 35, women over 45
#can screen at age 20 in patients with diabetes, premature coronary artery disease,

Question 14

Who should receive the pneumococcal vaccine?

Answer 14

#All adults over 65
#Anyone under 65 with a chronic disease

Question 15

MMR and Varcella vaccines can be used in HIV patients if?

Answer 15

CD4 count >200 and no history of AIDS-defining illness

Question 16

Who should get AAA screening?

Answer 16

Smoker between 65 and 75

Question 17

Contraindications for continuing with TDaP series?

Answer 17

#anaphylaxis
#unstable neurological disorders
#encephalopathy