Guidelines

Question 1

70 y/o Male
Hx of smoking > 30 yrs
Quit 10 yrs ago

USPSTF guidelines for lung cancer for this PT?

Answer 1

Low dose CT non contrast annually

• do if between 55-80 yrs; smoked > 30 pack yrs
  1. current smoker OR
  2. Quit within 15 yrs

Question 2

25 y/o female; no medical care within 5 yrs

USPSTF GUIDELINES ON PAP SMEAR?

Answer 2

21-29 Y/O at average risk- do cytology q3 yrs
No recommendation for HPV so order Reflex

30-65 y/o at average risk –> may be screened with cytology with HPV every 5 yrs or cytology alone every 3 yrs.

Question 3

12 y/o old boy
Up to date with shot at 6 yrs of age
What vaccine to give?

What vaccine not to give?

Answer 3

1. Tdap
2. HPV
3. Flu
4. Meningococcal
5. Varicella - not given after 6
6. DTAP

Question 4

65 y/o healthy female coming in for health maintenance.
No record of Pneumococcal vaccine
What to give?

Answer 4

Give PCV 13 now then PPSV23 after 1 yr!

Question 5

USPSTF guide lines for fluoride supplementation in water supply deficient in fluoride.
What age?

Answer 5

Starting at 6 months

Question 6

70 y/o man
Smoked may yr but quit 10 yrs ago
How to screen for AAA?

Answer 6

One time conventional Abdominal duplex US for men age 65-75 who smoked more than 100 sticks

Question 7

Patient with toenail yellowing, thickening, brittle. Whats nxt?

Answer 7

Do KOH, Culture or PAS stain to confirm Onychomycosis before treatment with Terbinafine per AAD