Adult
Screening
and Prevention
Screening
and Prevention
Per USPSTF, screening for AAA.
What is one time U/S in men age 65-76 who have ever smoked?
Recommended age for first Tdap
What is 11-12 years old?
Per USPSTF, breast cancer screening for women 50-74 years of age.
What is mammography every 2 years?
Age recommended for Shingles vaccine
What is 50 years old?
Preferred drug for treating patients with HTN and DM.
What are ACE inhibitors?
Colorectal screening in adults 45-75 years old.
Bonus: name all forms
What is:
FOBT or FIT q1yr
stool DNA FIT q1-3yr
CT colonography or flexible sigmoidoscopy q5yr
Flexible sigmoidoscopy + FIT q10yrs
Colonoscopy q10yrs
Age to start screening for depression
What is 11 years old?
Per USPSTF, cervical cancer screening in women 21-29 years old.
Bonus: per USPSTF, cervical cancer screening in women 30-65 years old.
What is cervical cytology alone q3yrs?
Bonus: What is q3yr with cervical cytology alone, q5yr with HPV testing alone, or q5yr with HPV and cytology cotesting?
Score on DEXA correlating with osteoporosis
What is -2.5 SD or more?
Most beneficial treatment or intervention for peripheral vascular disease patients?
Smoking cessation
When cholesterol screening begins
What is 35 years old in men and 45 years old in women?
Per USPTSF, earliest age for HIV screening.
Bonus: method of screening
What is 15 years old?
Recommended screening from 15-65 years old. CDC recommends age 13.
Bonus: Ag/Ab or Ab test that detects HIV-1 and HIV-2 Ab and HIV-1 p24 Ag
Screening for gestational diabetes in asymptomatic pregnant patients.
What is oral glucose tolerance test (OGTT) at 24-28 weeks gestation?
Screening for cognitive impairment or dementia
What is MMSE?
Score of <23 = dementia
ASCD risk % to place patient on statin.
Population and age for hepatitis C screening.
What is one time screening in adults age 18-79 years old?
anti-HCV antibody testing followed by confirmatory PCR testing
Components of HEADSS history
What is Home, Education, Activities, Drugs, Sexuality, and Suicide?
Preventive medication for high risk pre-eclampsia patients.
Bonus: at __ weeks of gestation.
What is low-dose aspirin?
Bonus: at 12 weeks of gestation
Signed legal document authorizing another person to make medical decision on patient's behalf in the event patient loses decisional capacity.
AKA Health care proxy or health care power of attorney
Type II DM medication class associated with weight loss
GLP-1 receptor agonists
ex: exenatide (Byetta, Bydureon), liraglutide (Saxenda, Victoza), semaglutide (Ozempic, Rybelsus)
Has cardiorenal benefit (along with SGLT2 inhibitors)
Patients age 19-64 with these conditions should receive pneumovax.
Hint: 5 conditions
What is heart disease, lung disease, DM, liver disease, or tobacco abuse?
Pediatric weight classification
What is:
underweight = <5th percentile
normal = 5th - 85th percentile
overweight = 85th - 95th percentile
obese = >95th percentile
Contraindications to oral combination estrogen-progestin contraceptives.
Hint: 5
What is uncontrolled HTN, breast cancer, VTE, liver disease, migraine with aura (>35 years old)?
Risk stratification for community acquired pneumonia.
Bonus: list components
What is CURB-65?
Confusion
BUN >19 mg/dL;>7mmol/L
RR >30
SBP <90mm Hg, DBP <60mm Hg
>65 y/o
HTN medication that can contribute to elevated calcium
Hydrochlorothiazide