The Metabolic Syndrome
What is the first action you should take when seeing a patient who's initial blood pressure measures 182/90 in the office?
Check the blood pressure again (preferably in 5 minutes with the patient relaxed)
No (however your usual clerkship day may be taken up by other clinical duties, with protected study time being a little more flexible, depending on the clerkship)
At what age are breast cancer screenings with mammogram indicated and how often are mammogram screenings recommended?
Age 40, every 2 years (USPSTF Grade B recommendation, stop at age 75)
Which symptoms associated with low back pain should prompt immediate evaluation for underlying systemic illness or malignancy?
What medication class is considered first line for the treatment of major depressive disorder and generalized anxiety disorder?
SSRIs
190 mg/dL
125
What supplement is specifically recommended by the USPSTF for all women of reproductive age who plan to become pregnant or are currently pregnant?
What condition presenting in patients 50 and older with no explainable source is assumed to be caused by colon cancer until proven otherwise?
The DSM-5 diagnostic criterion for major depressive disorder requires that the individual experiences five or more symptoms, including depressed mood or loss of interest, for a minimum duration of this number of weeks.
Two weeks
History of pancreatitis
What is the makeup requirement for missed clinic sessions (due to preceptor absence etc)
3 blocks AAFP Board Review CME, post screenshots to canvas to confirm
What grade (A, B, C, D, or I) did the USPSTF assign to its recommendations to provide PreP for patients at risk of acquiring HIV?
Grade A (highest grade possible)
What screening questionnaire is immediately indicated for patient who express suicidal ideation on the PHQ-9?
Columbia Suicide Risk Scale
What are the most common side effects of SSRIs?
What are the most commonly reported side effects of statin medications?
Muscle aches, abdominal pain, GI upset
Where do students receive most of their feedback regarding their performance on the clerkship from
Gonorrhea and Chlamydia
What symptoms in the outpatient clinical setting would prompt you to refer a patient with blood pressure > 180/90 to the Emergency Department? (several right answers)
Focal neurologic symptoms, confusion, nausea and vomiting, chest pain, acute severe back pain, shortness of breath.
Which medication can cause a patient to falsely test positive for benzodiazepines on a urine drug screen?
Sertraline
Which medication class, commonly used for the treatment of hypertension, is also associated with gout flares and hyponatremia?
Thiazide Diuretics
Who should I contact with any clerkship questions or concerns?
The Clerkship Leadership staff (email is best: Dr. Cavin, Dr. Shokar, Dr. Phelps, or Kirsti Alverez-Thomas)
What methods of colon cancer screening are considered acceptable per the USPSTF (There are 6)
- Annual FIT
- Cologuard (stool DNA FIT) every 1-3 years
- CT colonography every 5 years
- Flexible sigmoidoscopy every 5 years
-Flexible sigmoidoscopy every 10 year + ANNUAL FIT
- Colonoscopy every 10 years
What potassium level on a BMP would prompt immediate referral to the emergency department for evaluation and treatment?
> or = 6.5 mEq/L
The CDC recommends that adults should limit their alcohol intake to no more than this number of standard drinks per week to reduce the risk of alcohol-related health issues, with a specific guideline for men and women.
What is 14 drinks per week for men and 7 drinks per week for women?