Preventive Care New Guidelines
New ESC Heart Failure Guidelines
USPSTF
Misc ABIM
100
All patients require this lipid screening lab once in their lifetime to ascertain ASCVD risk attributed to genetics.
Lp(a)
100
The 2026 ESC guidelines now define HFrEF as below what EF?
< 50 %
100
Name the USPSTF recommendation for who gets screened for diabetes. ADA is also acceptable.
USPSTF = 35-70 if overweight or obese
ADA = Under 35 if obese, All patients over 35.
100
A left atrial cardiac myxoma will mimic which cardiac murmur
mitral stenosis
200
Order this lipid screening lab to determine if patients are truly at their lipid goal despite an LDL level at goal
ApoB
200
This class of medications is a class 2a indication for patients with HFpEF and concomitant T2DM with BMI >/= 30.
GLP-1 Agonists, semaglutide and tirzapetide.
200
Routine colorectal cancer screening is contraindicated above THIS age
85
200
21 y College student with meningitis. CSF gram stain reveals the above. What king of hospital precautions are needed?
Droplet - Neisseria meningitis
300
Patients above this 10 year ASCVD Prevent score qualify for statin therapy outright
> 5%
300
This is the MRA with the most data and is preferred in patients with HFpEF
Finerenone
300
Name the USPSTF guidelines for prostate cancer screening
55-69, shared decision making, do not screen 70 and above routinely.
300
Name the type of obstruction in C, and give one example
Variable intrathoracic airway obstruction
Tracheomalacia
400
Amongst patients aged 40-75, name the new two comorbidities that automatically qualify for statin therapy, excluding diabetes.
CKD 3+
HIV
400
Use this medication for patients with EF </= 35 on maximally tolerated BB, sinus rhythm, HR > 70 to reduce HF hospitalizations.
Ivabradine
400
Name the USPSTF guidelines for HTN screening for the average risk patient. Include both age ranges.
18-39 - q3-5y
>/=40 - annually.
400
Name a treatment specific for this type of kidney stone.
Uric acid - low purine diet, reduce alcohol consumption
500
In patients with a prevent ASCVD score 3-5%, you may order a CAC score to help ascertain whether statin is appropriate. A CAC score above this value argues in favor of statin initiation.
Anything above 0.
• CAC 0 = reasonable to defer, with repeat CAC in 3–7 years (in a patient with no other CV comorbidity)
• Any CAC >0 Class I to initiate lipid-lowering therapy — don't read 1–99 as a soft call
• CAC ‡100 or ‡75th percentile fi strongest indication to treat
500
The term "GDMT" has now been retired per ESC guidelines. Name the term that has replaced "GDMT" for both HFrEF and HFpEF.
FMT
FMT is no longer an HFrEF-only concept. Under the old GDMT framing, “four pillars” meant HFrEF. FMT is everything with a Class I recommendation for the general HF population (meaning both HFrEF and HFpEF).
500
Name the USPSTF Guidelines for cervical cancer screening in patients with HIV
- Age 21–29: Pap (cytology) annually
- After 3 consecutive normal annual Paps → every 3 years
- Age ≥30: Either:
- Cytology alone annually, or
- Cytology + hrHPV co-testing annually
- After 3 consecutive normal annual screens (with negative HPV if co-testing) → every 3 years
500
27 y F with a "whooshing" sound in her ears. Headaches. BMI 42.
Name first step in diagnosis.
IIH
MRI/MRV to exclude mass lesions. NOT LP.