Chronic Disease
Preventive Care
USPSTF
Vaccines
Its 4:49 PM
100
First-line medical treatment for type 2 diabetes.
What is metformin?
100
The most effective lifestyle intervention to reduce cardiovascular risk across nearly all patients.
What is smoking cessation?
100
Recommended age to begin colorectal cancer screening in average-risk adults.
What is age 45?
100
This vaccine is recommended annually for nearly all patients.
What is influenza vaccine?
100
Patient asks for antibiotics for viral URI. Your response.
What is educate and avoid unnecessary antibiotics?
200
Target A1c for most adults with diabetes.
What is ~7%?
200
This 10-year risk calculator is used to determine need for statins in adults age 40–75 without known cardiovascular disease.
What is ASCVD risk? (save on MD Calc, or on EPIC)
200
This infection should be screened ONCE in all adults age 18–79 regardless of risk.
What is hepatitis C?
200
This vaccine is recommended during every pregnancy between 27–36 weeks.
What is Tdap?
200
You’re behind and patient adds 5 complaints. Strategy.
What is set an agenda and address top priorities?
300
A diabetic patient with chronic kidney disease and albuminuria should be started on this medication class to slow progression.
What is an ACE inhibitor or ARB?
300
Lifestyle modification that can significantly lower blood pressure without medication.
What is weight loss, reduced sodium intake (DASH diet), or regular exercise?
300
Population that should receive one-time abdominal aortic aneurysm screening.
What are men age 65–75 who have ever smoked?
300
This HSV vaccine is given as a 2-dose series starting at age 50.
What is Shingrix? (Carried in clinic, Medicare needs to go to pharmacy)
300
At the end of the day, a patient requests a quick refill for a medication you’re unfamiliar with. The safest next step is:
What is review the chart/medication history before prescribing?
400
Medication classes (4) proven to reduce mortality in HFrEF.
What are GDMT: ACE inhibitors/ARBs/ARNIs, beta blockers, or SGLT2 inhibitors?
400
This class of medications is recommended for secondary prevention in patients with known cardiovascular disease, along with lifestyle changes.
What are antiplatelet agents (e.g., aspirin)?
400
Screenings like PSA testing or statin use in intermediate-risk patients are not universally recommended and instead rely on this patient-centered approach balancing risks and benefits.
What is shared decision-making?
400
Adults ≥65 should receive this pneumococcal vaccine (current simplified regimen).
What is PCV20 (or PCV15 followed by PPSV23)?
400
Patient with vague chest pain right before close.
What is rule out ACS / send to ER if concerning?
500
In patients with CKD and diabetes, this newer medication class both slows kidney disease progression and reduces heart failure risk, even beyond glucose control.
What are SGLT2 inhibitors?
500
A patient with diabetes age 40–75 is not started on this medication despite normal LDL, missing a key preventive guideline.
What is a statin?
500
Screening recommended for lung cancer in patients with this risk profile.
What is age 50–80 with ≥20 pack-years and current or recent smoker (quit within 15 years)?
500
This vaccine is recommended up to age 26 routinely, and up to 45 based on shared decision-making.
What is HPV vaccine? (Carried in clinic, some insurances do not cover)
500
Refill request for a controlled substance with no follow-up.
What is review PDMP and require visit/appropriate evaluation?