Community Preventative Medicine

Question 1

Cervical cancer screening in women?

Answer 1

21 q3 till 30 then q 5 if done with HPV testing

Question 2

Patient not previously vaccinated against Tdap. When should they get vaccinated and how many doses/now far apart?

Answer 2

1st dose Tdap now, 2nd dose Td 4 weeks later. Then 3rd dose Td 6 months later.

*Will need booster Td q10 years

Question 3

When can kids get the HPV vaccine?

Answer 3

CDC recommends starting@ 11-12 yo(but may start as early as 9) up until 26 yoa

Question 4

When do u get shingles shot?

Answer 4

Once 60 +

Question 5

Who gets screened for domestic violence?

Answer 5

All women of childbearing age…

Question 6

Who do u check for GC?

Answer 6

ALL Sexually active women <24 yoa and those >25 YOA if at increased risk

Question 7

When do you screen for asymptomatic bacteriuria in pregnancy

Answer 7

12-16 weeks

Question 8

Patients who have roux-en-y bypass will require lifelong vitamin supplementation with…

Answer 8

Multivitamin, B12, Iron, Zinc, Magnesium

**need check levels yearly.

Question 9

Sx of pellagra

Answer 9

Dermatitis, diarrhea and dementia; due to B3 def

Question 10

Side effect of black licorice

Answer 10

HTN

Question 11

Side effect of chromium

Answer 11

Low blood sugar

Question 12

Common shared side effect of: garlic, ginger, gingko, ginseng?

Answer 12

Prolong INR

Question 13

Garlic powder is used to treat…

Answer 13

HLD

Question 14

Dosage of saw palmetto for BPH

Answer 14

160 mg BID or 310 mg once a day

Question 15

Person was exposed to person with known TB. How do u test them for TB?

Answer 15

PPD now and repeat PPD in 6-12 weeks(can take a bit to become positive)

Question 16

What does Medicare part A cover?

Answer 16

Inpatient, SNF HHC and Hospice

Question 17

What does Medicare part B cover?

Answer 17

Outpatient care, Imaging, DME

Question 18

What does Medicare part C cover?

Answer 18

Allows enrollment in Medicare HMOs or PPOs as well as dentures, eyeglasses and drugs

Question 19

What does Medicare part D cover?

Answer 19

RX

Question 20

CRC screening

Answer 20

45-75yoa q 10y

75+ shared decision making

Question 21

Screening for AAA

Answer 21

MEN 65-75 yoa once

Question 22

Lung cancer screening

Answer 22

50-80 yoa w/20 pack year history who still smoke or who have quit within the last 15 years

Question 23

Who gets ASA for preeclampsia?

Answer 23

Women at high risk >12 weeks prego

Question 24

When do u test for Rh antibodies in pregnancy?

Answer 24

At first visit and at again at 24-28 weeks

Question 25

Which patients should be considered for gastric bypass?

Answer 25

BMI >40 or BMI >35 with comorbidities

Question 26

What can you offer to patients as prophylaxis for travelers diarrhea?

Answer 26

Bismuth subsalicylate (active ingredient in pepto bismol)

Question 27

Who is considered positive with PPD of 5mm?

Answer 27

Those with recent contact, HIV infection, chronic steroid use, organ transplant or immunosuppression or those with inactive TB on x-ray. (Basically ppl with shit immune system)

Question 28

What are randomized controlled trial’s?

Answer 28

Subjects are assigned to an exposure, and disease outcomes are observed

Question 29

What are cohort studies?

Answer 29

Exposed to subjects are identified and then followed for disease outcome

Question 30

What are case-control studies?

Answer 30

Cases and non-cases of disease are identified before the defying exposure than investigated.

Question 31

What are cross-sectional studies?

Answer 31

Exposures and disease outcomes are identified at the same time within a specific population of subjects

Question 32

What is a type one statistical error? A.k.a. Alpha error?

Answer 32

False positive. Probability of detecting a difference when none exist and that’s rejecting the null hypothesis.

Question 33

What is a type to statistical air? A.k.a. Beta error?

Answer 33

False negative. Probability of failing to detect a difference when one exist in this failing to reject the no hypothesis.