USPSTF
Who should be screened for abdominal aortic aneurysms?
Men aged 65 to 75 years who have ever smoked
What labs are done at 24-28 weeks gestation?
Glucola testing (gestational diabetes)
Anemia labs (CBC, ferritin)
Syphilis
Name the 11-year-old vaccines
TDaP, meningococcal, HPV
In a study evaluating the impact of the national HPV vaccination program in England, how many deaths were there due to cervical cancer among females who were aged 20 to 24 years between 2020 and 2024?
You have recently acquired several patients from a retiring colleague. These patients have been using topical corticosteroids over a prolonged period of time.
Which one of the following patient groups is at the highest risk for adverse systemic reactions to prolonged topical corticosteroid use? (check one)
A) Children
B) Young adults
C) Middle-aged adults
D) Pregnant women
E) Breastfeeding women
A) Children
All patients using topical corticosteroids chronically should be monitored for adverse systemic effects, such as adrenal suppression, cataracts, decreased growth rate, and hypertension. Patients at highest risk for adverse systemic reactions to prolonged topical corticosteroid use are children and the elderly. There has been no evidence that maternal use of topical corticosteroids causes adverse pregnancy outcomes or that their use while breastfeeding is problematic.
Who should get breast cancer screening?
Women aged 40-74 years old
What is the ideal window for TDAP in pregancy?
27-36 weeks
What is the total amount of DTaP vaccines a child will get?
5
DOUBLE BONUS:
a) at what ages are these 5 given?
b) what is the catch-up schedule? (600 points!)
The latest American College of Cardiology/American Heart Association (ACC/AHA) guidelines recommends a goal blood pressure of <______ mmHg for patients with hypertension.
130/80
A previously healthy 58-year-old female sees you for evaluation of increased hair growth on her face and a weight gain of 18 kg (40 lb) over the past year. An examination is significant for a blood pressure of 155/98 mm Hg, a BMI of 34 kg/m2 with a truncal obesity pattern, striae on the sides of the torso and lower abdomen, marked hirsutism, and a rounded, swollen facial appearance. A urine pregnancy test is negative. Liver and renal function tests are normal, as are TSH, electrolyte, testosterone, and DHEA levels. A hemoglobin A1c is 6.2%.
Which one of the following would be most useful to diagnose the condition suggested by this patient’s presentation? (check one)
A) 24-hour urinary free cortisol level
B) 24-hour urinary metanephrines
C) ACTH stimulation testing
D) FSH and LH levels
E) Plasma renin activity testing and an aldosterone level
A) A 24-hour urinary free cortisol level
This patient presents with clinical findings strongly suggestive of Cushing disease, which is defined as the excessive production of adrenal cortical hormones. Options for confirmatory testing include 24-hour urinary free cortisol and overnight salivary cortisol levels. Metanephrines are used to diagnose pheochromocytoma. ACTH stimulation testing is used to diagnose adrenal insufficiency. FSH and LH levels test the hypothalamic-pituitary-gonadal axis. Plasma renin activity testing and an aldosterone level are useful in the workup of secondary hypertension to help diagnose hyperaldosteronism.
Who should get screened for osteoporosis?
BONUS: Name 3 of these risk factors
Who is RhoGam given to and when is it given?
Pregnant people who are Rh(-)
At 28 weeks
within 72 hours of birth IF infant is Rh(+)
According to the CDC, infants born between which months qualify for receiving the RSV m-Ab?
October - March
BONUS: at what age should it be given?
What is the name of the AHA calculator tool that replaced the ACSVD calculator?
Predicting Risk of cardiovascular disease EVENTs (PREVENT) calculator
BONUS: how does it differ?
A 56-year-old female with type 2 diabetes is hospitalized with acute epigastric pain, nausea, and vomiting. She reports that several of her diabetes medications were recently changed. Findings on physical examination and laboratory studies are consistent with acute pancreatitis.
Which one of the following classes of medications is the most likely cause? (check one)
A) Biguanides
B) GLP-1 receptor agonists
C) Insulin
D) SGLT2 inhibitors
B) GLP-1 receptor agonist
GLP-1 receptor agonists should be discontinued in patients suspected to have pancreatitis. Additionally, therapy with GLP-1 receptor agonists should not be restarted once the pancreatitis has resolved. Although pancreatitis has been reported in clinical trials, the causality between GLP-1 receptor agonists and pancreatitis has not been established. Other medication classes such as DPP-4 inhibitors can also cause pancreatitis. Biguanides, insulin, and SGLT2 inhibitors do not cause pancreatitis (SOR C).
Who should get screened for lung cancer?
Adults ages 50-80 who have a 20 pack-year smoking history and currently smoke or have quit within the past 15 years
When is cfDNA tested?
After 10 weeks gestation
BONUS: What all is tested in cfDNA?
Name all of the 2 month vaccines
Hep B (if not done at 1 month), rotavirus, DTaP, HiB, pneumococcal (PCV20), polio (IPV)
BONUS: when counseling parents, how many 'pokes' is baby getting at 2 months? (based on what we have at Kaiser)
A study from April 2026 discussed when it may be safe to de-prescribe levothyroxine in older adults. At what age, and what dose of levothyroxine, can this be considered?
Adults >=65
Levothyroxine dose of 50mcg or less
A 55-year-old male with oxygen-dependent COPD plans to visit family 2000 miles away. For the last year, his COPD has been well controlled on medications and oxygen at 2 L/min. He wants to travel by commercial airline.
Which one of the following would be the most appropriate advice for this patient regarding air travel? (check one)
A) Choosing another mode of transit
B) Flying first class only
C) Continuing his oxygen flow rate at 2 L/min during the flight
D) Lowering his oxygen flow rate to 1 L/min during the flight
E) Doubling his oxygen flow rate to 4 L/min during the flight
E) Doubling his oxygen flow rate to 4 L/min during the flight
Commercial airline carriers typically permit Federal Aviation Administration–approved portable oxygen compressors. Patients whose usual oxygen requirements are <4 L/min are advised to double the flow rate during the flight. Conditions such as bullous lung disease, cystic fibrosis, and severe COPD may require the Hypoxia Altitude Simulation Test to determine in-flight oxygen requirements prior to air travel. It would not be appropriate to recommend this patient choose another mode of transit, fly first class only, continue his current oxygen flow rate, or lower his oxygen flow rate.
What are the different USPSTF grades?
A= strongly recommended
B= recommended
C=no recommendation
D= not recommended
I= insufficient evidence
What is included in the 1st trimester prenatal panel?
CBC, rubella Ab, varicella Ab, hepatitis B surface antigen, ABO-RH typing, RBC antibody screen, Hep C virus antibody, HIV, teponema pallidum antibody
Which well child visit has the most vaccines that are due?
6 months
A recent study following childhood consumption of sugary beverages found that drinking how many servings of fruit juice a day was linked to hypertension?
>1.5 servings
Based on the current CDC treatment guidelines, which one of the following is recommended as first-line treatment of urethritis in a 24-year-old male who weighs 152 kg (335 lb), when nucleic acid amplification testing (NAAT) for gonorrhea is positive and Chlamydia testing is negative? (check one)
A) One dose of ceftriaxone, 1 g intramuscularly
B) One dose of ceftriaxone, 500 mg intramuscularly, plus one dose of azithromycin (Zithromax), 1 g orally
C) One dose of ceftriaxone, 500 mg intramuscularly, plus doxycycline, 100 mg orally twice daily for 7 days
D) One dose of gentamicin, 240 mg intramuscularly, plus one dose of azithromycin, 2 g orally
A) one dose of ceftriaxone, 1g IM
In 2020, the CDC updated its treatment guidelines for gonococcal infections. The recommended first-line therapy for patients weighing >150 kg (330 lb) with gonococcal urethritis is one dose of ceftriaxone, 1 g intramuscularly. One dose of ceftriaxone, 500 mg intramuscularly, is recommended for those weighing <150 kg. Patients presenting with an unknown cause of urethritis, such as before urine or urethral nucleic acid amplification test results are known, should be prescribed a combination of one dose of ceftriaxone, 500 mg intramuscularly (1 g if >150 kg), and doxycycline, 100 mg orally for 7 days. Azithromycin, 1 g orally as a single dose, may be used as an alternative to doxycycline for treatment of chlamydial infection, but it is no longer the preferred agent in nonpregnant adults and adolescents. Intramuscular gentamicin is inferior to intramuscular ceftriaxone for the treatment of gonorrhea, even when used in combination with oral azithromycin (SOR B).