USPSTF IV

Question 1

Which has a bigger benefit:
A) counseling young students, childrens aged 6months-24 years about minimizing exposure to UV radiation OR
B) Offering counseling to adults >24 with fair skin about exposure to UV radiation

Answer 1

A

Question 2

What percentage of melanoma accounts for skin cancer, and skin cancer deaths?

Answer 2

2% of all skin cancers, but 80% of deaths

Question 3

What is the difference between a delay and disorder?

Answer 3

Delay=slower
Disorder-Qualitatively different from typical development

Question 4

What is the B rating for statin use as the primary prevention of cardiovascular disease in adults

Answer 4

Adults 40-75 with No history of CVD >1 CVD risk factors and calc 10 year CVD event risk >10% should start a low to moderate dose statin

Question 5

What is the C rating for statin use for the primary prevention of cardiovascular disease in adults?

Answer 5

Adults aged 40-75 with NO histor of CVD >1 CVD risk factors no calc 10 year CVD event risk of 7.5%-10% should have discussion with PCP

Question 6

What characterizes dyslipdemia?

Answer 6

LDL>130mg/dL
HDL<40mg/dL

Question 7

What are Statins

Answer 7

Lipid lowering medication

Question 8

What is the A rating for screening for syphilis in nonpregnant adults/

Answer 8

Screen for syphilis in all nonpregnant adults and adolescents who are at increased risk for infection

Question 9

What is the initial screening test for syphilis?

Answer 9

Venereal Disease research lab (VDRL)
Rapid Plasma Reagin (RPR)

Question 10

What are the confirmation test for syphilis?

Answer 10

Fluorescent tremponermal antibody detection test (FTA-ABS)
Treponema pallidum particle agglutination (TPPA)

Question 11

What is the treatment for syphilis?

Answer 11

Parenteral benzathine
Penicillin G

Question 12

What is the A rating for screening for syphilis in pregnant women?

Answer 12

Screen all pregnant women for syphilis infection *first prenatal visit

Question 13

What is the screening test and treatment for testicular cancer?

Answer 13

Self exam
Treatment: orchiectomy

Question 14

What is the treatment for thyroid cancer?

Answer 14

Total or partial lymphadenectomy
Radioactive iodine depending on disease status

Question 15

What is the primary screening test for thyroid dysfunction?

Answer 15

TSH level (thyroid stimulating hormone)

Question 16

What is HYPOthyroidism treated with?

Answer 16

Oral T4 or levothyroxine
*Increase of TSH level

Question 17

What is HYPERthyroidism treated with?

Answer 17

Antithyroid medications (methimazole)
Ablation therapy
*Lower TSH level

Question 18

Should pregnant women be allowed to use drugs for the cessation of tobacco smoking?

Answer 18

NO

Question 19

What are the pharmacotherapy for smoking cessation?

Answer 19

NRT, buproprion SR, varencicline (chantix)
*combination works better than NRT alone

Question 20

What are the standard drink levels?

Answer 20

12oz beet (5% alc)
5oZ wine (12% alc)
1.5oZ liquor (40% alc0

Question 21

What is considered risky use when drinking?

Answer 21

> 4 drinks/day or 14 drinks/week men
3 drinks/day or 7 drinks/week women and men 65 and older

Question 22

What is considered hazardous use when drinking?

Answer 22

Alcohol use that increase the risk of future negative health consequences

Question 23

What is the screening test for alcohol?

Answer 23

Cut down, annoyed, guilty, eye opener (CAGE)

Question 24

What are the screening tests for unhealthy drug use/

Answer 24

National institute on Drug Abuse Quick Screen
*+ screens may need to be ordered and referred for diagnostic assessment

Question 25

What is an amblyopia?

Answer 25

Lazy eye

Question 26

What is the B rating to screen for amblyopia in children 6 months to 5 years?

Answer 26

children ages 3-5 provide vision screening to detect amblyopia or its risk factors

Question 27

What are the recommended vision screening tests/

Answer 27

Red reflex
Fundoscopic exam
Ocular alignment to identify strabismus