Well Patient Visit

Question 1

What is the Tdap vaccine?

Answer 1

Td  = tetanus diphtheria
ap = acellular pertussis

Question 2

What is the schedule for Tdap doses?

Answer 2

Give one dose, then every 10 years thereafter give Td booster

Question 3

Pt arrives to ED with a laceration and does not remember or does he have record of his last Tdap. what should the physician do?

Answer 3

Give the patient a Tdap booster.

Question 4

Around what week should pregnant women be given a Tdap vaccine?

Answer 4

32-36 weeks

Question 5

What are the doses and age group for HPV?

Answer 5

3 doses up to age 26 for women, up to age 21 for most men, up to age 26 for men who have sex with men or who have other risk factors

Question 6

What is the starting age recommended to start HPV vaccine?

Answer 6

All boys and girls starting at age 11

Question 7

What are the indication and doses for Varicella vaccine?

Answer 7

2 doses for anyone who has no documentation of varicell vaccine or who hasnt had chicken pox

Question 8

Should adults who have had the shingles get the varicella vaccine?

Answer 8

Yes, if they have not had it before

Question 9

What age group and risk group are pneumococoal vaccine recommended for?

Answer 9

All adults age 65 or older
All adults who smoke
Resident of nursing homes
All adults who are diabetic, have chronic lung disease (including astham), Chronic CV disease, chronic renal disease, nephrotic syndrome, chronic liver disease, alcoholism, functional or anatomic asplenia

Question 10

When should you give pneumococal re-dose to someone with chronic renal failure, nephrotic syndrome, functional or anatomic asplenia?

Answer 10

5 years after first dose.

Question 11

Mr. Joe, who is in good health, got this first Pneumococcal vaccine at age 63. Does he still need another dose now that he’s 65?

Answer 11

Yes. everyone who has had a dose before 65 needs another dose at 65 or after.

Question 12

Starting what age is Varicella Zoster needed for adults, whether or not they have had a previous case of shingles?

Answer 12

60

Question 13

What is the main goal with administering Varicella zoster?

Answer 13

To prevent not just painful rash, but hte postherpetic neurophaty, which is debilitating

Question 14

What is the recommended starting age for annual flu vaccine?

Answer 14

Starting at age 6

Question 15

What is a contraindication for flu vaccine?

Answer 15

egg allergies

Question 16

Starting at what age is high dose of flu vaccine available for?

Answer 16

65 or older

Question 17

what is the difference between screening and testing?

Answer 17

Screening: testing an asymtomatic patient for specific disease just becuase he or she is at a certain age and it is recommonded by national recommending body
Testing: testing a symptomatic patient for a specific disease because physician thinks his symptoms may point to a specific cause

Question 18

What is the starting age and what is the schedule thereafter for pap smear?

Answer 18

Starting at age 21 and then every 3 years until age 65.

Question 19

Pap plus HPV screening every 5 years can be done in woman ages _

Answer 19

30+

Question 20

What is USPSTF/AAFP recommendation for screening for HPV, alone or in combination with cytology, before age 30?

Answer 20

They do not recommend to be done.

Question 21

What is the starting age and schedule thereafter for mammograms as recommended by AAFP?

Answer 21

Starting at 50 then every 2 years until age 75.

Question 22

What is American Cancer Association’s recommendation for mammogram?

Answer 22

Start at age 40 and then yearly

Question 23

Screening for gonorrhea and chlamydia is recommended in women age _ and younger and in older woman at increased risk.

Answer 23

24

Question 24

What is the recommendation for colon cancer screening?

Answer 24

Recommend screening for colorectal cancer using fecal occult blood testing, sigmoidoscopy, or colonsocpy in adutls beginning at age 50 and continue until age 75.

Question 25

At what age is colon cancer screening NOT recommended?

Answer 25

age 76 to 85

Question 26

What is the USPSTF/AAFP recommendation for PSA?

Answer 26

recommends against screening of PSA for prostate cancer.

Question 27

What is american cancer society’s recommendation for prostate cancer screening?

Answer 27

Recommends discussion with each man and evaluation of his risk factors and for men who have a primary relative with prostate cancer, may consider testing at age 45, other man age 50, with or without digital rectal exam.