USPSTF Guidelines/ UVA Questions Flashcards
(156 cards)
1
Q
Who gets screened for AAA
A
Men ages 65-75 who have ever smoked get one time screening with ultrasound
2
Q
Men 65-75 who have never smoked…. screen for AAA?
A
No recommendation for or against
3
Q
Who gets alcohol misuse screening?
A
All adults
?teenagers– not for or against
4
Q
Who gets ASA for prevention of CAD?
A
Men 45-79
Women 55-79
5
Q
At what % risk in men does the risk of CAD outweigh the risk of potential GI bleed caused by ASA use?
A
45-59: 4%
60-69: 9%
70-79: 12%
6
Q
At what % risk in women does the risk of CAD outweigh the risk of potential GI bleed caused by ASA use?
A
55-59: 3%
60-69: 8%
70-79: 11%
7
Q
Aspirin– under 45 and above 80?
A
NO
8
Q
ASA/NSAIDs for the prevention of colon cancer?
A
NO
9
Q
Bacterial vaginosis diagnosis/screening?
A
Dont screen unless symptomatic
If symptomatic…
pH above 4.7; clue cells; fishy odor
10
Q
Treatment for BV
A
metro or clinda
11
Q
When to screen for asymptomatic bacteruria?
A
All pregnant women
12
Q
Principal treatment of bladder cancer?
A
Transurethral resection
13
Q
Clues to screen for BRCA
A
history in fam of:
- before age 50
- bilateral
- breast + ovarian
- male
- fam w/ 2+ BRCA cancers
- Ashenkazi
14
Q
How to intervene in BRCA+ patients?
A
- more frequent screening
- meds (tam/raloxifene)
- surgery (mastectomy, salpingo-oophorectomy)
15
Q
Tamoxifen/Raloxifen:
Which to use in postmenopausal
A
raloxifene- postmenopausal
16
Q
How gets mammograms?
A
50-74 q2 years
**Stop at 75
17
Q
Mammo-Screen ages 40-49?
A
individualized decision
18
Q
Benefits of breast feeding for momma
A
decreased breast/ovarian cancer rates
19
Q
Benefits of breast feeding for infant
A
-less ear infections, LRTI, GI infections
20
Q
Benefits of breast feeding in young children
A
less asthma, DMII, obesity
21
Q
In what circumstances is breast feeding not reccomended?
A
galactosemia
HIV
22
Q
When to screen for carotid artery stenosis?
A
Dont– screen for HTN, HLP, smoking etc.
23
Q
What populations do not get pap smears
A
younger than 21, older than 65 (if prior were normal)
24
Q
At what age can HPV co-testing be done with paps?
A
30+
25
How often should paps be done in ages 21-65
q3 years
| q5 if co-testing negative
26
Who gets screened for chlamydia when asx?
patients 24 and younger that are sexually active
27
When to screen asx pts age 25+ for chlamydia
if at increased risk
| sex workers, history STDs, other STD, etc
28
When to screen pregnant women for chlamydia?
1st trimester if younger/equal to 24 or at increased risk.
3rd trimester if at continuing risk
29
How to screen for CKD?
| Should we?
GFR/microalbumin/creatinine
No reccomendation for or against
30
Risks for COPD
smoking, pollutant exposure, older than 40
31
Diagnostic test for COPD
spirometry, but dont screen if asx
32
How to prevent pulm illness?
| 3
smoking cessation
annual flu shot 50+
one time pnuemo at 65+
33
Drug treatments for memory
acetylcholinesterase inhibitors
| memantine
34
What age group gets screened for colorectal cancer?
50-75
35
Methods of colorectal screening
- q1 FOBT
- q5 sigmoidoscopy w/ q3 FOBT
- q10 colonoscopy
36
Screening for CAD?
no... no stress, EKG, etc.
| Just calculate risk to decide upon preventative treatment
37
When to screen for depression in adults
always if care supports are in place
38
When to screen for DM
asx adults with BP greater than 135/80
39
Reccomended DM screening
FPG, positive if greater than 126x2
40
Falls prevention
exercise
| vitamin D
41
Folic acid dose for preggos
0.4-0.8 ug daily
start 1 month before pregnancy, continue through first trimester
**Dose may be higher with history of NTD, antiepileptics etc.
42
Dose of folic acid if momma has prior pregnancy with NTD
4mg/d
43
When to screen for HSV in pregnancy?
Dont.
44
When to screen preggos for GDM
24+ weeks
| GTT 24-28 weeks
45
Glaucoma screening in primary care:
dont
46
When to screen for gonorrhea
```
sexually active under 25;
pregnant women (at risk) at first visit-- again in 3rd trimester if still at risk
```
47
Treatment for gonorrhea
ceftriaxone (or other 3rd gen cephalosporin)
48
When to screen for hearing
Not really reccomended but can easily ask/do finger rub test/do watch tick test
49
Treatment for hemachromatosis
therapeutic phlebotomy
50
When/how to screen for HBV in pregnancy?
first trimester-- HBsAg
51
How to handle infant exposed to HBV
give HBV IVIG and vaccine immediately, breast feeding is ok
52
Who gets screened for HCV?
- risky behaviors/prison
- transfusion before 1992
- birth between 1945-1965
- hemodialysis
- HCV infected mother
53
Treatment of HCV
interferon and ribavirin
54
Adults with HTN should also be screened for ___, ___.
HLP, DM
55
Who gets screened for HIV?
15-65, older or younger with risk. Anyone pregnant
56
White race is risk for ____ eye condition. Black race is risk for ______ eye condition.
white- ARMD
| black- cataracts
57
Screen all adult women for ____
Intimate Partner Violence
58
Lipid Screening- who gets it?
men 35+
women 45+ 4
if have risks
59
Reasonable interval for lipid screening?
q5 years
60
Screening for lung cancer
55-80 smokers (unless quit more than 15 years ago). Annually until 80 or have stopped smoking for more than 15 years.
61
UPSTSF recs for HRT
dont do it.
62
When to refer obesity to multicomponent behavioral interventions
BMI 30 or more
63
Who gets DEXAs
65 and up or younger with risk equal to 65 year old
64
How to test for ovarian cancer?
TVUS + CA125 (but not if asx)
65
How to test for PAD?
ABIs but not if asx
66
USPSTF rec on PSA
Dont
67
When to screen pregnant women for Syphilis
first visit with VDRL/RPR
| confirm with FTA-ABS
68
When to screen blood lead levels in kids
only if symptomatic
69
When to screen for congenital hypothyroidism
All 50 states; between days 2-4 of life.
If earlier, will be falsely elevated
70
Pavlik harness forces hip in what position?
abduction
71
How to prevent ocular gonococcus
all newborn infants erythromycin in eyes w/in 24 hours of birth
72
When to get hearing screen for babies?
All should get within first month of life (usually in hospital)
73
Treatment of childhood hypertension
lifestyle if stage 1, meds not recommended
74
In what group is IDA screening recommended
pregnant women
75
Who should get iron supplements
babies 6-12 mos at risk of IDA
76
When to screen lipids in kiddos
dont
77
When kids to screen for depression
12-18 when there are supports in place; may consider SSRI if can follow
78
Which peds age groups get screened for obesity
6+
79
When and how to screen for PKU
all newborns; Guth Bacterial Inhibition Assay
80
When and how to screen for SCA
Thin layer isoelectric focusing (IEF); high performance liquid chromatography (HPLC)
All newborns
81
Newborn conditions that must be screened in all 50 states
PKU; SCA; Hypothyroid
82
How to handle infant with SCA
penicillin by age 2 months
| pneumococcal immunizations as scheduled
83
When to start screening kids' vision
ages 3-5
84
Vaccine given at birth
Hep B
85
Vaccines given at 2 months
DR HIP + Hep B
| DTaP, Rota, Hib, IPV, PCV13
86
Vaccines given at 4 months
DR HIP
87
Vaccines given at 6 months
DIP + flu PRN, 2 doses first season
88
12-15 month vaccines
```
MMRV
DTaP
Hep A (x2)
PCV13
Hib
```
89
4-5 year vaccines
DIM
DTaP
IPV
MMRV
90
11-12 year vaccines
meningococcal
TDaP
start HPV series
91
16 year old vaccines
meningococcal
92
Age to give zostavax
60, 1 dose
93
Adult age to give PPSV23
65 x 1 dose
94
Which vaccine is given q10
Td
95
Appropriate screening for thyroid
starting at 35, then q5
96
Suspect SAH but get no CT findings next step
LP
97
Workup for breast lump age 35 and under? over?
under- ultrasound
| over- mammogram
98
Pinworms name
enterobious
99
How to confirm myasthenia diagnosis
trial of edrophonium IV
100
Cocktail for COPDE
corticosteroids
antibiotics
bronchodilators
101
IDA in male must rule out
colon cancer
102
What are the microcytic anemias?
```
TAILS
thal
anemia chronic disease
iron def
lead
sideroblastic
```
103
Which lipid marker is most important to patient outcome
LDL
104
What is goal LDL?
no risks- 160
many risks- 130
known CAD- 100
105
What meds effect HDL? triglycerides?
HDL- niacin
| TRIG- fibrates
106
Whats the target a1c for DMII
7.0
107
Specific ab for scleroderma
anti-centromere
108
Hallmark lab for polymyalgia rheumatic?
| Treatment?
high ESR
| steroids
109
Granulocytopenia (low neutros), splenomegaly, RA =
Feltys
110
Pt with increasing hat size, going deaf, tibial bowing. Dx? Lab?
Pagets-- mosaic bone, high alk phos
111
Which patients cant use IUDs
young ones not also using barrier protection because risk STDs
112
OCPs and ovarian cancer?
decreased risk
113
VWD labs
normal PT/PTT but increased bleeding time
| can sometimes get increased PTT
114
Treatment physiological cyst
6cm or less observe
115
Appearance dermoid/teratomas on ovarian imaging
calcifications
116
Define short stature
2SD below avg --> do bone age
117
Contrast familial and constitutional short stature
familial- bone age is actual age
| constitutional bone lags behind actual
118
How to choose gout prophylaxis
urinary uric acid
if low-- probenecid.
if high-- allopurinol
119
Treatment ITP
high dose steroids
120
Rhabdo first intervention
IVF
121
Causes of cough more than 3 weeks.
post-nasal drip (allergic)
asthma
GERD
122
Heparin affects what lab?
ptt
123
Patient gets PE while anticoagulated what is next step?
IVC filter
124
Nitroprusside caveat
NEED inpatient admission
125
Treatment of cocaine induced HTN
labetolol blocks a and b
126
CHFE most important dx step
echo
| don't need BUN if its obvious theyre in failure
127
New onset enuresis labs
urinalysis
128
AIDS px starts at what CDC count
200
129
AIDs px at 200
Bactrim for PCP
130
AIDs px at 100
Bactrim for toxo
131
AIDs px at 50
Azithro for MAC
132
What is a +PPD in AIDs
5MM
133
Congenital toxo triad
hydrocephalus
intracranial calcifications
retinitis
134
congenital rubella triad
cataracts
blueberry muffin rash
deafness
135
Isolated elevated opening pressure on LP =
cryptococcal meiningitis
136
Anatomical cause of RPL
incompetent cervix
137
Palpable cordlike structure under skin + fever=
thrombophlebitis
138
Thrombophlebitis treatment
NSAIDs rest ice
139
Antimitochondrial antibodies=
PBC (bitches, maternal, mitochondira)
140
Sudden vertigo + peripheral nystagmus prevented by fixating... follows viral illness. DX?
labrynthitis
141
Mild comedonal acne treatment
creams...
| retinoid or salicylic/glycolid acid or benzoyl peroxide
142
Non gap acidosis causes
GI bicarb loss
| RTA
143
Anion gap equation and normal value
Na- (Cl+HCO3) =8-16
144
How to dx menopause
FSH
145
How to determine if asthma exacerbation is worsening
CO2 ^ and less wheeze
146
VCUG management
px until gone
147
Injectible PDEi for patients with ED on nitro
alprostadil
148
Normal pressure hydrocephalus MRI findings
large ventricles normal brain
149
Mastitis management
cover staph, keep breast feeding
150
MCC nephrotic syndrome in peds
minimal change disease
151
Minimal change symptoms and labs
proteinuria
edema
hypoalbuminemia
hyperlipidemia
152
Minimal change histopath
fusion of foot processes
153
Congo red /apple green birefringence= buzz words for?
amyloidsosis
154
MC correct maintenance fluids
5-10 dextrose + 1/4 normal saline + KCL usuallt 20
155
Diverticulitis abx
Cipro + metro
| also good for diabetic foot wounds
156
Prostatitis empiric tx
Bactrim
