Common Clinic Dx
Dx of Diabetes
a1c x2 or fasting 6.5, fasting 100-125, oral GTT >200 2 hrs after
Dx of Osteoporosis
T score >-2.5
Whats that mean?
First line treatments?
26 y.o F here for physical - what cancer screening does she need?
Pap
When do you screen for HPV?
Patient G2P1 GA 24weeks today... what screening test does she need?
Diabetes screening via...
She comes in 4 weeks later what vaccine is she due for?
Preconception counseling - what labs and recommendations do you want?
CBC,CMP,A1c, lipid
STD (Hep B& C) panel, MMR and varicella immunity, TB screening, Genetic screening
PNV- Folic acid
ASCVD score of what means they need a statin?
7.5% - def statin
5% consider
POLST stands for? What is ACP?
physician orders for life sustaining treatment, Advance care planning
Goal LDL for patients with hx of CVA/MI or DM
70
60 y.o M with T2DM a1c 8%, what screening does he need and how often?
Eyes
Kidneys
Feet
26 y.o F with new gestational DM and HTN
treatment options ...
32 y.o F with no pmhx here with 1 week Vaginal Discharge ...
Ddx,Dx,Tx
BV,yeast,STD
Dx:
Tx:
BONUS PEDS
Name the ADLs/IADLs
ADLS:continence
transferring, toileting
bathing, dressing
feeding
IADLs: phone, shopping, food prep, cleaning, laundry, transportation, meds, finances
50 y.o M here for HTN f/u. What vaccines should you offer?
Shingles
17 y.o here for pap ... what do you tell her?
not until 21, then every 3 years then after 30 every 5 years
CRC screening cancer starts at what age?
45
bonus when do you screen for AAA?
16 y.o with heavy periods ...
most common cause
workup, tx
IDA
Reversible dementia workup?
B12
TSH
HIV
RPR
*screening for depression
Dosing schedule for Polio?
2,4,6 months and 4-6 years
Hep B?
MMR?
Patient with new dx of HTN ... what his first line tx and Side effects?
First line treatments - ACEI, ARB, CCB
30 y.o with no pmhx here for dysuria - tests and treatment?
UA/UCx - what shows up?
Tx:
Worsening cough and SOB was dx with COPD a year ago is not on any treatment. Feeling more OSB and coughing. What inhaler would you start?
What other lifestyle changes you recommend?
LAMA-LABA
Ipratropium-Formoterol
Glycopyrrolate - Indacaterol
Tiotropium- Olodaterol
Umeclidium - vilanterol
Patient here for physical she is 78 y.o pmhx of DM and HTN and HLD well controlled. What HCM or labs does she need?
None
Flu shot can be offered starting at what age?
6 months
67 y.o M new to clinic with hx of smoking .. 1ppd for 20 years quit 3 years ago? What screening does he need? Think all screening ..
CRC
A1c
Lipid
Low Dose non con CT of lungs
AAA screening
.... list 3 different options, SE,