USPTF
Medical Forms
Medical Assessment Time Limits
Hodge Podge
Questions to difficult for Dr. Johnson to answer
100

Current mammogram screening for the PHA is?

What is BASELINE @ 50, q 2 YRS till 74

100

Assess Service Members’ state of health before possible deployment (form number & name)

What is DD 2795, Pre-Deployment Heath Assessment 

100

What time limit are you considered "red" for the PHA

What is after 15 months

100

Prior to appointment a SM must complete the online PHA questionnaire appropriate for their branch of service. The AF starts with?

What is the Air Force-Aeromedical Services Information Management System (ASIMS) Web-based Health Assessment (Web HA)

100

These two dental readiness codes mean a SM can deploy. 

What are DRC 1 and DRC 2

200

Sexually active women age 24 years and younger and in older women who are at increased risk for infection

What is Gonorrhea and Chlamydia testing

200

The preventative screening assessment tool designed to improve reporting and visibility of Individual Medical Readiness

What is DD 3204, the DoD PHA

200

What range of time can a PDHRA be completed?

What is 90-180 post deployment date

200

Prior to appointment a SM must complete the online PHA questionnaire appropriate for their branch of service, the Navy and Marines start with?

Navy, Marine Corps, and Coast Guard-Electronic Deployment Health Assessment (eDHA) platform: https://data.nmcphc.med.navy.mil/edha/

200

These four labs tests are obtained one time and on file?

What is Sickle Cell, G6PD,DNA, blood type (one time on file)

300
USPSTF is an acronym for this.  

What is United States Preventive Services Task Force. 

300

Assess Service Members’ state of health after deployment

What is DD 2796, Post Deployme Health Assessment

300

When your unit need to complete a Pre-Deployment Health Assessment

What is within 120 days prior to deployment date

300

Double Jeopardy Question! The three female specific health screenings for the DoD PHA are?

What are screening for Cervical Cancer, Chlamydia Screening, Mammography

300

The unique DOD identifier for the PHA in ICD 10?

What is DOD 00225

400

Co-testing for the Pap smear consists of women in what age group and testing length?

What is women age 30 to 65 years every 5 years with co-testing

400

Double Jeopardy Question!!! The information collected on this form is used to assist DoD providers in making determinations as to acceptability of applicants for military service and verifies disqualifying medical condition(s).

What is DD form 2807-1, Report of Medical History 

400

When a Post DHA can be completed ?

What is 30 days prior to redeployment or within 30 days of redeployment

400

Prior to appointment the SM must complete the online PHA questionnaire appropriate for their branch of service, the Army starts with.

What is the Medical Operational Data System (MODS)/MEDPROS

400

A pregnant SM will be this MRC code. 

What is MRC3B

500

These four methods can be used to screen for colon cancer according to the USPTF

What is fecal occult blood testing, sigmoidoscopy, CT colonoscopy, or colonoscopy

500

The form used for Mental Health Assessment is the?

What is DD 2798

500

A reservist must complete this assessment before coming off of active duty orders from an OCONUS deployment? 

What is a Post-Deployment Health Re-Assessment 

500

This Medical Readiness code means that a SM has an individual medical readiness need that can be resolved in 30 days. 

MRC 3A

500

This DoDI guides the deployment health assessments. 

What is DoDI 6490.03

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