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Clinical Guidelines in Primary Care
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Clinical Guidelines in Primary Care
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Clinical Guidelines in Primary Care 4th Edition Hollier Test Bank (With a New Update) 2024
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Clinical Guidelines in Primary Care 4th Edition Hollier Test Bank (With a New Update) 2024
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Clinical Guidelines in Primary Care
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TEST BANK For Clinical Guidelines in Primary Care 4th EditionBy Hollier
reccomended age for colon cancer screening - ANSWER: A: 50-75
pt aged 76-85: screen for colon CA? - ANSWER: individualize - if no previous screen -
YES, screen
depends on health status and ability to undergo treatment if CA is found
most imporant risk factor for colon cancer - ANSWER: age
rationale for colon cancer screening - ANSWER: some screening is better than none
Stool based colon Ca screenings - ANSWER: Fecal Occult Blood Test, FIT, FIT-DNA
Direct visualization colon CA screenings - ANSWER: CT colonography, flexibile
sigmoidoscopy, colonoscopy
best reccomended colon cancer screening - ANSWER: colonoscopy every 10 years
other options for colon CA screening other than colonoscopy: - ANSWER: annual FIT,
flexible sigmodioscopy every 10 years with annual FIT
or CT colonography ever 5
new plasma biomarker for colon CA - ANSWER: SEPT9
reccomended age for HTN screening - ANSWER: A: adults >18 both in and outside
clinical setting
rationale for HTN screening - ANSWER: asymptomatic, affects 30% population,
increased risk stroke, MI, CHF, CKD
best method to CONFIRM Dx of HTN? - ANSWER: ambulatory BP measurements -
measures every 20-30 min thru day
Office BP measurement - ANSWER: take mean of 2 while patient was seated, 5 min
between each
Ways to screen for HTN - ANSWER: office BP, Ambulatory (ABPM), home (HBPM)
HTN screening every year for: - ANSWER: adults 40+, overweight/obese, AA, 130-
9/80-9
HTN screening every 3-5 years for: - ANSWER: adults 18-39 with BP <130/85 and no
risk factors
, Osteoporosis screening reccomended in: - ANSWER: B: women > 65y/o,
postmenopausal women < 65 who are at increased risk (hx hip fx, smoking, ETOH,
low body weight)
Is exercise intervention in adults > 65 y/o at increased risk of falls recommenced? -
ANSWER: Yes - Grade B
Are mutifactoral interventions to prevent falls (guardrails, diet, lifestyle etc)
recommended? - ANSWER: Grade C - consider benefit / harm
does USPSTF recommend vitD supplements to prevent falls in adults > 65? -
ANSWER: NO - reccomends againt , Grade D
Does USPSTF reccomended exercise intervention in adults > 65 who are at increased
risk for falls? - ANSWER: YES - Grade B
rationale for osteoporosis screening - ANSWER: 21-30% of patients with hip fracture
will die within 1 year
higher mortality rate for osteoporotic fx - men or women? - ANSWER: men -
although fx is more common in women
Most common test used to screen for osteoporosis? Other tests? - ANSWER: Central
DEXA= MC (lumbar spine & hip)
Others:
Peripheral DEXA (radus used)
Quantitative US (calcaneus used)
Increased risk factors for osteoporosis in post menopausal women < 65y - ANSWER:
parenteral hx of hip fracture, smoking, ETOH, low body weight
osteoporosis screening intervals based on - ANSWER: age, basline BMD, caclulated
projection time to transition to osteoprosis
prevention for osteoporosis - ANSWER: 120-300 min moderate intensity exercise per
week
WHO diagnostic definition of osteoporosis - ANSWER: BMD hip or spine =/> 2.5 SD
below reference (T score)
screen men 55-69 for prostate cancer? - ANSWER: C - must individualize - weigh
benefit vs harm based on fam hx, race/ethnicity, comorbidities
screen men > 70y/o for prostate cancer? - ANSWER: D: no, reccomends against
prostate cancer screening test - ANSWER: PSA
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