Week One

Question 1

Primary Prevention

Answer 1

screening for risk factors, vaccination

Question 2

Secondary Prevention

Answer 2

Once risk factors are identified, tests ordered to

Question 3

Tertiary Prevention

Answer 3

Treatment of a known dx to prevent further complications from the disease

Question 4

Risk Factors for sleep apnea

Answer 4

STOP BANG snoring, tired, obstructive breathing, pressure (HTN), bmi >30, age >50, neck size, gender male
3/8 positive is considered high risk

Question 5

Acanthosis Nigricans

Answer 5

Darkened skin back of neck, skin folds, under arms. Sign of insulin resistence

Question 6

Acanthosis Nigracans

Answer 6

Darkened skin back of neck, skin folds, under arms. Sign of insulin resistance.

Question 7

Diagnostics for Obesity

Answer 7

UA, glucose, Uric acid, BUN, Creat, CBC, Thyroid studies, lipid profile, CMP, 2 hour glucose tolerance test, sleep study if + stop bang

Question 8

DD for the causes of obesity

Answer 8

hyperinsulinemia, hypothyroid, PCOS, hypothalmic disorder, depression

Question 9

Obesity treatment

Answer 9

goal of physical activity 30 min per day moderate intensity or 20 min per day vigorous exercise.
increase energy expenditure with intake deficit (lean proteins, fruits, green leafy veggies, CHO reduction)

Question 10

Diagnostics of Addiction

Answer 10

based on clinical presentation, toxicology, CBC, LFTs

Question 11

Addiction Management

Answer 11

Referral to IOP, inpatient tx, make a plan, be empathetic, counsel on safety

Question 12

Smoking Cessation

Answer 12

smoking is the number one preventable cause of premature death. Long term use causes cancer, HTN, CVD, GI and reproductive disorders, OSA. Nicotine receptors triple after 3-6 weeks and is not reversible.

Question 13

Primary Care provider role smoking cessation

Answer 13

Ask about use
Advise to quit
Assess willingness
Assist to quit
Arrange follow up and support

Question 14

Motivating tobacco users to quit

Answer 14

Relevance-personal
Risks-acute, long term, environmental
Rewards-save money, better food taste
Road Blocks-help problem solve
Repetition- at EVERY office visit

Question 15

Six Processes of Change

Answer 15

Precontemplation-not considering change, intervention strategy educate, increase knowledge of risk
Contemplation- awareness of problem, intervention discuss reasons to change and risks of not changing
Determination- I’ve got to do something, intervention assist in making a plan
Action- Patient stops smoking, intervention assist with change
Maintenance- Remains smoke free , intervention relapse prevention
Relapse- slips occur, intervention avoid discouragement to avoid going back to contemplation

Question 16

Pre surgical DX

Answer 16

directed by age, comorbidities, anesthesia, surgeons preference, pregnancy test if applicable

Question 17

Mallampati Classification

Answer 17

appearance of the oropharynx is assessed using this classification. Class 3 or 4 correlates with OSA.