Female Screening
For sexually active females <25 years old, screening is recommended for which three infections? Must name infectious bugs and how often to screen.
C. trachomatis, annually
N. gonorrhoeae, annually
HIV screening, one time (or with greater frequency for those at high risk of infection)
When should Tdap initially be administered and how often should booster be given?
Initially administered at age 11-12
Then every 10 years thereafter
Dental visits are recommended how often?
6-12 months
Dietary counseling and physical exercise recommendations start at what BMI?
Colorectal screening: when to start, how often, and when to stop?
Grade A: screen for colorectal cancer starting at age 50 years and continuing until age 75 years
Screen every 10 years or more frequently depending on previous screen. May start earlier than 50 depending on family history.
What are the routine screening recommendations for pregnant women at the initial prenatal visit? Name the infections.
Pregnant women are routinely screened at the initial prenatal visit for HIV, HBV, syphilis, and (if <25 years or with risk factors) chlamydia and gonorrhea.
At which age should HPV be administered and how many doses depending on the age?
9-15 years old -- give two doses
> 15 years old -- give three doses
ADA recommendations for frequency of interdental cleaning?
Floss or equivalent daily
Diabetes screening: what age range and what risk factors must be present?
Grade B: screening for abnormal blood glucose as part of cardiovascular risk assessment in adults aged 40 to 70 years who are overweight or obese
What are the breast cancer screening recommendations for the following age groups: < 40, 40-49, 50-75, >75?
< 40: suggest not to screen
40-49: patient preference, every 2 years
50-75: suggest screen every 2 years, or more frequently depending on results of previous
> 75: suggest to offer screening only if life expectancy at least 10 more years, every 2 years. At this time can consider to stop screening.
If indicated, what vaccines can be given DURING pregnancy? Name at least 2. Which are contraindicated? Name at least 2.
If indicated can administer: Hep A, Hep B, Influenza (inactivated), Men ACY, Pneumococcal, Tdap/Td
Contraindicated: MMR, Varicella, Influenza (live), MenB
USPSTF recommendations concerning Fluoride
Grade B recommendations for supplementation if water supply is deficient
BMI screening should begin at what age?
6 and above Grade B recommendation
Abdominal Aorta Aneurysm screening: age range, risk factor, and how to screen?
Grade B: one-time screening for abdominal aortic aneurysm by ultrasonography in men ages 65 to 75 years who have ever smoked.
Name the cervical screening recommendations/testing for the following three age groups: < 21 years of age, 21 - 30 years of age, and > 30 years of age.
< 21: suggest not screening asymptomatic immunocompetent women younger than age 21 years, regardless of sexual activity.
21-30: screen with Pap testing every 3 years, suggest not screen with primary HPV testing or co-testing
>30: Co-testing every 5 years (Pap & HPV); Primary HPV every 5 years; Pap with reflex HPV every 3 years; or Pap alone every 3 years
Name at least 3 vaccines that are not normally scheduled in the USA that may be indicated depending on where the patient is traveling?
Typhoid
Yellow Fever
Cholera
Japanese Encephalitis
Rabies
What is the Age range for fluoride supplementation? both must be correct for points.
6mo to 5 years
Intensive multicomponent behavioral interventions center referrals are recommended after what BMI?
30+ Grade B recommendation
Lung cancer screening: what age range, how frequently will you screen, how will you screen and how does smoking history play in?
Grade B: annual screening for lung cancer with low-dose computed tomography in adults ages 55 to 80 years who have a 30 pack-year smoking history and currently smoke or have quit within the past 15 years. Screening should be discontinued once a person has not smoked for 15 years or develops a health problem that substantially limits life expectancy or the ability or willingness to have curative lung surgery.
Name at least 3 risk factors which are unique to women that increase the risk of cardiovascular disease.
-Early menarche
-Post-menopausal status
-Hysterectomy
-Premenstrual syndrome
-Combined estrogen-progestin oral contraceptives
-Complicated pregnancies - HTN, Eclampsia, DM, spontaneous abortions, preterm birth, placental abruption
When should someone BORN with functional or anatomic asplenia or with a complement deficiency be administered quadrivalent meningococcal conjugate vaccine? At what intervals and how often?
Immunize at 2, 4, 6, and 12-15 months then give booster three years after followed by boosters every five years thereafter.
ADA's recommendations for posterior bite wing X-rays?
If you know either With Cavities or Without?
6-12 months
2-3 years
AAP first steps when child is categorized as obese?
must name 3/4
Provide Prevention Counseling 5 (fruits & vegetables) 2 (hours or less of screen time) 1 (hour or more of physical activity) 0 (sugary drinks) every day!
BRCA screening: who should you screen and how should you initially screen?
Grade B: assess women with a personal or family history of breast, ovarian, tubal, or peritoneal cancer or who have an ancestry associated with breast cancer susceptibility 1 and 2 (BRCA1/2) gene mutations with an appropriate brief familial risk assessment tool. Women with a positive result on the risk assessment tool should receive genetic counseling and, if indicated after counseling, genetic testing.
*Ontario Family History Assessment Tool, Manchester Scoring System, Referral Screening Tool, Pedigree Assessment Tool, 7-Question Family History Screening Tool, International Breast Cancer Intervention Study instrument (Tyrer-Cuzick), and brief versions of BRCAPRO
*Most of these use a scoring system based on family history of breast cancer