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Question 1

Bottom line for afib screening

Answer 1

DONT DO IT

Question 2

Explain 4 key points about AAA screening

Answer 2

1. Screen men with smoking history age 65 to 75
2. After 75 decision is an individual one
3. Insufficient evidence to screen women with smoking history
4. Do not screen women who never smoked

Question 3

What are the complications of AAA treatment?

Answer 3

Smaller diameter or benign AAAs when diagnosed leads to increased number of elective surgeries, women are at higher risk of dying from AAA corrective surgeries

Question 4

Cut off for women and men in lipid screening

Answer 4

35 for men, 45 for women, high risk for both should be screened starting age 20

Question 5

Screening for diabetes 3 facts

Answer 5

1. Start at age 40
2. Stop at 70
3. If at increased risk (for example positive for family history) should be screened earlier, need only 1 risk factor in order to screen them earlier

Question 6

What are the 4 facts about indications for aspirin?

Answer 6

1. Started at 50 to 59 for those that have an > 10% risk of CVD and at the same time are not at increased risk of bleeding, used for primary prevention of CVD and CRC
2. Individual decision for people 60 to 69

3 & 4: Insufficient evidence for younger or older

Question 7

What are the GI risk factors that puts a person at increased risk of bleed?

Answer 7

GI ulcers, GI pain, male sex, older age, concurrent use of NSAIDs and uncontrolled HTN

Question 8

Bacterial vaginosis screening in pregnancy to prevent preterm delivery

Answer 8

DO NOT SCREEN

Question 9

Screening for primary HTN in children and adolescents

Answer 9

DO NOT SCREEN

Question 10

BRACA related screening

Answer 10

Women who have family members with breast, ovarian or endometrial cancer should be screened for increased risk for BRACA genes, however they should receive genetic counseling before getting genetically tested

Question 11

When should tamoxifen and raloxifen should not be used

Answer 11

In women that have a history of DVTs

Question 12

Breast cancer screening age limits

Answer 12

40 to 75, before or after then there is insufficiency evidence, even starting at age 40 there is not such good evidence

Question 13

Most important risk factor for breast cancer? 2nd?

Answer 13

Age, 2nd is having a first degree relative

Question 14

Adjunctive screening in woman with dense breast?

Answer 14

Insufficient evidence, follow the usual guidelines

Question 15

What does adjunctive screening mean for women with dense breast

Answer 15

The concept is for women with dense breast they are more likely to have a false negative with conventional mammography so in addition to that they should also get US or MRI, studies have shown this does not work, increases harm

Question 16

Age limits for CRC screening

Answer 16

50 to 75

Question 17

What age should depression screening start?

Answer 17

Age 12

Question 18

What age should obesity screening start?

Answer 18

Age 6

Question 19

What age should HIV screening start

Answer 19

Age 15

Question 20

Gestation age for aspirin use for preeclampsia

Answer 20

Week 12

Question 21

Gestation age for preeclampsia screening

Answer 21

NONE, has to be done throughout the pregnancy

Question 22

Gestation age for asymptomatic bacteriuria screening

Answer 22

Week 12

Question 23

Screening for elevated blood lead levels in children?

Answer 23

Insufficienct evidence for children less than 5 years old and for pregnant woman

Question 24

What age should you start screening or intervening for fall prevention

Answer 24

Age 65 years or older with exercise interventions

Grade C rating is for multifactorial fall prevention intervention

Question 25

Age for screening for GESTATIONAL diabetes

Answer 25

24 weeks

Question 26

Hearing loss in older adults screening?

Answer 26

DO NOT SCREEN

Question 27

Hepatitis B screening in non pregnant individuals?

Answer 27

Only screen in high risk individuals.

Same for Hep C

Question 28

What years is the person supposed to be born in for one time HCV screening?

Answer 28

1945 to 1968

Question 29

Target blood pressure ranges according to age

Answer 29

For 60 years or older systolic < 150 mm Hg and
For younger than 60 BP < 140/90 mm Hg
For diabetics it is systolic <130 mm Hg

Question 30

Intimate partner violence?

Answer 30

Women of reproductive age should be screened for it

Question 31

Screening for lipid disorders in children younger than 20 years old?

Answer 31

Insufficient evidence, not recommended

Question 32

Osteoporosis screening?

Answer 32

Recommended for women at the age of 65, and recommended for women with risk factors younger than 65

Question 33

Facts about prostate cancer screening?

Answer 33

1. Age 55 to 69 the decision is a personal one

2. NOT RECOMMENDED after age 70

Question 34

Rh incompatability screening in pregnant woman timeline?

Answer 34

At first prenatal visit and then at 24 to 28 weeks gestation

Question 35

Normal LDL levels

Answer 35

Less than 100

Question 36

Normal cholesterol levels

Answer 36

Less than 200

Question 37

Primary prevention of CVD using statin therapy age limits

Answer 37

40 to 75

Question 38

Screening for syphilis

Answer 38

Only at increased risk population

Question 39

Thyroid function screening?

Answer 39

Insufficient evidence

Question 40

Vision screening in children?

Answer 40

Recommended from the age of 3 to 5 years to detect amblyopia or its risk factors

Question 41

Vitamin D supplementation in post menopausal women?

Answer 41

DONT DO IT