Preventative Medicine

Question 1

Recommended breast CA screening?

Answer 1

Females > 50 yo; Every 1-2 years

Question 2

Recommended cervical CA screening?

Answer 2

Females 21-65 yo; Every 3 years in low-risk patients (after 3 consecutive NML pap smears)

Question 3

Contraindication to Pap smear?

Answer 3

HX of hysterectomy

Question 4

Routine screening for ovarian CA?

Answer 4

Not recommended

Question 5

Recommended prostate CA screening?

Answer 5

Men > 50 yo

Question 6

When should prostate CA screening begin before 50 yo?

Answer 6

AA males, 1st degree relative with prostate CA

Question 7

Benefit of monitoring PSA?

Answer 7

Useful in tracking prostate CA

Question 8

Does Digital Rectal Exam reduce mortality from prostate CA?

Answer 8

No

Question 9

Best tool for lung CA screening?

Answer 9

Low-dose CT

Question 10

Who should be screened for lung CA with low-dose CT?

Answer 10

30+ pack-year HX; Smokers within past 15 years

Question 11

When should Medicaid patients be screened for lung CA?

Answer 11

55-77 yo

Question 12

When should Insurance Coverage patients be screened for lung CA?

Answer 12

55-80 yo

Question 13

When should colon CA screening begin?

Answer 13

50 yo

Question 14

How often should fecal occult blood testing for colon CA occur?

Answer 14

Every 1 year

Question 15

How often should flexible sigmoidoscopy for colon CA occur?

Answer 15

Every 5 years

Question 16

How often should colonoscopy for colon CA occur?

Answer 16

Every 10 years

Question 17

Patient with FHX of colon CA – when should colon CA screening begin?

Answer 17

40 yo … colonoscopy

Question 18

Patient with FHX of FAP – when should colon CA screening begin?

Answer 18

12 yo … sigmoidoscopy

Question 19

Patient with PMHX of IBD – when should colon CA screening begin?

Answer 19

8 years after diagnosis … colonoscopy

Question 20

Patient presents after 1st degree family member was diagnosed with colon CA – when should colon CA screening begin?

Answer 20

10 years prior to family member’s diagnosis

Question 21

Which patients should receive the Shingles vaccine?

Answer 21

All patients older > 50 yo, regardless if they had chickenpox or not

Question 22

Will shingles vaccine protect against genital herpes?

Answer 22

No

Question 23

Which type of vaccine is the shingles vaccine?

Answer 23

Live attenuated … avoid in immunocompromised patients

Question 24

Allergy to ___ is a contraindication to receiving shingles vaccine

Answer 24

Neomycin

Question 25

Which type of vaccine is varicella vaccine?

Answer 25

Live attenuated … avoid in immunocompromised patients

Question 26

Contraindication to varicella vaccine?

Answer 26

Pregnancy

Question 27

How long should pregnancy be avoided after varicella dose?

Answer 27

1 month after dose

Question 28

Concerns for TdaP vaccination during pregnancy?

Answer 28

TdaP = safe to give during pregnancy

Question 29

Which 3 vaccinations are contraindicated in patients with egg allergy?

Answer 29

MMR, Influenzae, Yellow fever

Question 30

In patients with Cystic Fibrosis, which vaccination is indicated – PNA or influenza?

Answer 30

Indicated = influenza, Not indicated = PNA

Question 31

Which type of vaccine is MMR vaccine?

Answer 31

Live attenuated

Question 32

BMI that correlates to obesity?

Answer 32

BMI > 30

Question 33

BMI that correlates to morbid obesity?

Answer 33

BMI > 40

Question 34

Weight loss of ___% will effectively reduce complications of obesity-related diseases and overall mortality in obesity

Answer 34

5-15

Question 35

Is low-CHO or low-fat diet more effective in achieving weight loss?

Answer 35

Low-CHO diet

Question 36

MOA of orlistat in achieving weight loss?

Answer 36

Orlistat inhibits lipase, prevents breakdown of triglycerides into absorbable free fatty acids

Question 37

AE of orlistat?

Answer 37

GI upset

Question 38

Indication for bariatric surgery?

Answer 38

Morbid obesity … BMI > 40