Risk Assessment

Question 1

Colorectal screening in patients with first-degree relatives with a history of colon cancer

Answer 1

10 years prior to when the relative was diagnosed with colon cancer, or at age 40 (whichever comes first)
Repeat in 5 years

Question 2

possible side effects of hormone replacement therapy for women

Answer 2

stroke
gallstones
blood clots

Question 3

Does hormone replacement therapy prevent or cause osteoporosis?

Answer 3

HRT helps prevent osteoporosis

Question 4

How often should adolescents have a complete physical exam?

Answer 4

Three visits: 11-14, 15-17, 18-21

Question 5

When should adolescents and young adults (11-39) receive the HPV vaccine?

Answer 5

Ages 9-14: Series of two 6 months apart
Ages 15-26: Series of three at 0, 2, and 6 months
Ages 31-39: Series of three at 0, 2, and 6 months after shared decision making

Question 6

HBV triple panel test

Answer 6

HBsAg
Anti-HBs
Total Anti-HBc

Question 7

When should adolescents and adults (11-59) screen for HBV?

Answer 7

Starting at age 18, at least once in a lifetime.
Susceptible people should be tested periodically (e.g. Hx of STI or HCV)

Question 8

How often should people receive Td/Tdap booster?

Answer 8

As early as age 7, every 10 years

Question 8

Tdap: active or passive immunity?

Answer 8

active

Question 9

How often should adolescents and adults (11-59) receive PPD screening?

Answer 9

Once during adolescence
Every 2 years if at risk or with any exposure to TB

Question 10

How often should young/middle aged adults (20-59) have a complete physical exam?

Answer 10

every 5-6 years

Question 11

How often should young/middle aged (20-59) women get a Pap smear and HPV co-test?

Answer 11

every 3 years
HPV co-test every 5 years

Question 12

How often should adults undergo total cholesterol and HDL screening?

Answer 12

Starting at age 20, every 5 years unless cholesterol >200 mg/dl

Question 13

Pneumococcal vaccine schedule for ages 19-64 with certain underlying conditions AND ages >65

Answer 13

PCV15 followed by PPSV23 >1 year

OR

PCV20

Question 14

Mammogram schedule

Answer 14

Ages 45-54: every year
Age >55: every 2 years

Question 15

When to start screening for prostate cancer

Answer 15

Family history of prostate cancer or African American:
- Age 40: digital prostate exam, PSA

Everyone else: age 50

Question 16

When should middle aged adults (40-59) receive the HPV vaccine?

Answer 16

Series of three at 0, 2, and 6 months after shared clinical decision making

Question 17

When to start screening for colorectal cancer?

Answer 17

age 45

Stool-based (annual fecal immunochemical test or multi target stool DNA test every 3 years)

OR

colonoscopy every 10 years

Question 18

How often should middle aged adults (40-59) undergo glaucoma screening

Answer 18

annually

Question 19

herpes zoster (Shingrix) vaccine schedule

Answer 19

age 50
series of two, second dose 2-6 months later

Question 20

How often should older adults (>60) have a complete physical exam?

Answer 20

every 2 years

Question 21

Major causes of death in adolescents

Answer 21

Accidents
Homicide
Suicide
Malignancy
Cardiovascular disease

Question 22

Major causes of death in young adults

Answer 22

Accidents
Homicide
Suicide
Liver disease
Heart disease
Malignancy
Covid-19

Question 23

Major causes of death in middle aged adults

Answer 23

Heart disease
Accidents
Malignancy
Liver disease
Suicide
DM
Covid-19

Question 24

Major causes of death in elderly adults

Answer 24

Heart disease CVA COPD Alzheimer's disease Malignancy

Question 25

Top killers of adults in the US

Answer 25

Heart disease (CAD, HF, MI, cardiomyopathy) cancer covid-19 accidents CVA

Question 26

Cancer with the highest mortality rate in men and women

Answer 26

lung cancer

Question 27

Leading GYN-associated cancer killer in women

Answer 27

ovarian cancer (no screening exam) followed by breast cancer

Question 28

Pneumococcal vaccine is indicated for..

Answer 28

Ages 65 or older Ages 19-64 who smoke or have asthma Hx of lung, heart, liver, or kidney disease Hx of chronic diseases or conditions (e.g. DM, cirrhosis, sickle cell disease, CSF leak, cochlear implant, alcoholism) Weakened immune system d/t conditions, diseases, or medications

Question 29

Who should be considered for Hepatitis A vaccine?

Answer 29

military personnel travelers to endemic areas men who have sex with men

Question 30

Who should be considered for the Hepatitis B vaccine?

Answer 30

health care workers high risk patients

Question 31

Mumps vaccine: how many doses?

Answer 31

If born before 1957: Consider 1 dose of vaccine unless evidence of immunity (clinically diagnosed mumps or positive serology) If born after 1957: 2 doses of vaccine unless evidence of immunity

Question 32

Who should be considered for the meningococcal vaccine?

Answer 32

adolescents ages 11-12 "catch up" for college students, military personnel, immunocompromised, travelers (Africa)

Question 33

Routine vaccines for adults 65 and older

Answer 33

Tdap Influenza Pneumococcal Shingles

Question 34

PCV: contradindications

Answer 34

Hx of severe allergic reaction to either pneumococcal vaccine or diphtheria toxoid

Question 35

contraindications for live attenuated influenza vaccine

Answer 35

age >49 or <2 allergy immunocompromised transplant recipient inactivated influenza vaccine should be received annually for prophylaxis