Family Medicine Shelf (USPSTF + Blueprints + AAFP Questions & Answers)
72 views 0 purchase
Course
Family Medicine Shelf (USPSTF + Blueprints + AAFP
Institution
Family Medicine Shelf (USPSTF + Blueprints + AAFP
Screening for AAA Correct Ans - Men 65-75 who have ever smoked (A)
Test used to screen for AAA Correct Ans - Abdominal duplex ultrasonography
Treatment for AAA Correct Ans - >5.5 cm --> surgery
3.0-5.4 cm --> repeated surveillance Q3-12 m...
Family Medicine Shelf (USPSTF + Blueprints + AAFP Questions & Answers)
Screening for AAA Correct Ans - Men 65-75 who have ever smoked (A)
Test used to screen for AAA Correct Ans - Abdominal duplex ultrasonography
Treatment for AAA Correct Ans - >5.5 cm --> surgery
3.0-5.4 cm --> repeated surveillance Q3-12 months
Growth >1.0 cm/yr --> surgery
Screening for Alcohol Misuse Correct Ans - Persons older than 18 years
Screening Tests for Alcohol Misuse Correct Ans - AUDIT, AUDIT-C, or number of times person drank >5 (4 if woman or older than 65) drinks in the past year
Treatment for Alcohol Misuse Correct Ans - Behavioral Counseling interventions
Recommendation for Aspirin Usage Correct Ans - Men 45-79 years old (MI protection)
Women 55-79 (Stroke protection)
*Benefit of MI reduction must outweigh the risk of GI hemorrhage
Risk Factors For GI Hemorrhage Correct Ans - Men
Other NSAID usage
Hx of GI ulcer
Uncontrolled HTN
Anticoagulation
Screening for Asymptomatic Bacteriuria Correct Ans - Women at 12-
16 weeks of pregnancy or first prenatal visit if farther along Screening Test for Asymptomatic Bacteriuria Correct Ans - Urine culture
Dipstick and microscopy have poor PPV and NPV
Treatment for Asymptomatic Bacteriuria Correct Ans - Nitrofurantoin
Prophylactic Aspirin for the Prevention of Colon Cancer Correct Ans - The USPSTF DOES NOT recommend this due to risk of GI hemorrhage
Bacterial Vaginosis Screening in Pregnant Women Correct Ans - The USPSTF DOES NOT recommend this due to lack of evidence that it reduces mortality or morbidity
Amsel Criteria Correct Ans - Need 3/4:
1. Fishy odor with addition of KOH
2. Vaginal pH >4.7
3. Clue cells on wet mount
4. Thin, homogenous discharge
Treatment of BV Correct Ans - Oral Metronidazole or oral Clindamycin
or
Vaginal Metronidazole or Vaginal Clindamycin creams
Screening for Bladder Cancer Correct Ans - The USPSTF DOES NOT recommend this due to lack of accurate screening methods
Screening for HTN Correct Ans - Adults > 18 years
Diagnosis of HTN Correct Ans - >140 systolic or >90 diastolic
Must have 2 different BP readings that are elevated over a period of 1-several weeks
Categories of BP Correct Ans - Normal = <120/<80
PreHTN = 120-129/80-89
Stage 1 HTN = 140-159/90-99
Stage 2 HTN = 160+/100+
Major CV Risk Factors Correct Ans - HTN Obesity
Dyslipidemia
DM
Cigarette smoking
Inactivity
Age >55 (men) or >65 (women
Family History of premature CVD: <55 (men) and <65 (women)
Causes of HTN Correct Ans - Sleep Apnea
Drug-induced (diuretics, cyclosporine, glucocorticoids, amiodarone)
Chronic kidney disease
Primary Aldosteronism (Conn's Syndrome)
Cushing's Syndrome
Pheochromocytoma (MEN II and III)
Coarctation of aorta (Turner's)
Thyroid/Parathyroid disease
Goal BPs for Treatment (JNC8) Correct Ans - <140/90 for adults <60 years without CKD
<150/90 for adults >60 years without CKD
<140/90 for all ages with DM, but no CKD
<140/90 for all ages with CKD +/- DM
Treatment of HTN for Non-Black without CKD Correct Ans - Thiazide Diuretic
ACE-I
ARB
CCB
Treatment of HTN for Black without CKD Correct Ans - Thiazide Diuretic
CCB
Treatment of HTN for All Races with CKD +/- DM Correct Ans - ACE-I
ARB
BRCA-Related Cancer Screening Correct Ans - All women with family members who had breast, ovarian, tubal, and/or peritoneal cancers Medications for Breast Cancer Risk Reduction Correct Ans - Offer tamoxifen or raloxifene to women at high risk with low risk for adverse side effects
Mammography Screening Correct Ans - Women 50-74: biennial (every
other year)
Women under 50: Take the patient's factors into context and weigh benefits and risks
Women >75: not recommended to get screening
Breastfeeding recommendations Correct Ans - Interventions to educate and encourage women during pregnancy and postnatal period to breastfeed
Carotid Artery Stenosis Screening Correct Ans - USPSTF DOES NOT recommend screening for the general population for asymptomatic carotid stenosis
Diagnostic Test for Carotid Artery Stenosis Correct Ans - Ultrasonography of Carotid Artery with Doppler flow
High Intensity Statin Correct Ans - Lowers LDL-C by >/=50%
Atorvostatin 40-80 mg
Rosuvostatin 20-40 mg
Medium Intensity Statin Correct Ans - Lowers LDL-C by 30-50%
Atorvostatin 10-20 mg
Rosuvostatin 5-10 mg
Simvastatin 20-40 mg
Provastatin 40-80 mg
Lovastatin 40 mg
Fluvastatin 40 mg BID
Low Intensity Statin Correct Ans - Lowers LDL-C by </=30%
Pravastatin 10-20 mg
Lovastatin 20 mg
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Studyhall. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $18.99. You're not tied to anything after your purchase.
