Family med aquifer Test Questions With Answers

Family med aquifer Test Questions With Answers When is a patient at risk for hereditary breast cancer? - ANSWER- 1st relative has it: parent or sibling Recommendations for breast exams: - ANSWER- self: meh. no discernable advantage Clinical: USPTF = Insufficient ACS = every three years if 20-40 and every year if >40 Cervical cancer screening 30-65: - ANSWER- every three years if cytology alone 5 years if cytology plus HPV screening 21-29 year old cervical cancer screening: ` - ANSWER- every 3 years women older than 65 cervical cancer screening: - ANSWER- can opt out if had adequate screening within last 10 years = 3 normal paps or 2 consecutive normal with negative HPV who should get more frequent cervical cancer screening? - ANSWER- compromised immunity, are HIV positive, have a history of cervical intraepithelial neoplasia grade 2, 3 or cancer cancer screening: - ANSWER- annual low dose CT in patients who have smoked more than 30 yrs and and 55-80 years old NOTE: must have been smoking within last 15 years or currently smoking diagnostic tests for found breast masses: - ANSWER- cystic = FNA Solid = mammography NOTE: can use US to determine solid vs cystic. If benign, follow with mammography and exams Advanced sleep phase syndrome: - ANSWER- patient becomes drowsy at 6 or 7 pm, sleep a normal 8 or so hours, then wake around 3-4 am. if they STAY UP, then they still awaken at 3-4, and it can be difficult to distinguish from insomnia When is napping OK? - ANSWER- limit to 30-45 mins and are STILL able to sleep at night WHy does alcohol not help you sleep? - ANSWER- initially has sedative effect followed by stimulant like effect => wakes you up after a couple hours Snacks that may help with sleep when eaten before bed: - ANSWER- warm milk, bananas, light foods that have tryptophan in them risk factors of suicide in elderly: - ANSWER- widowed/alone lack confidante poor health poor sleep stressful events NOTE: 75% of elderly that committed suicide had been to PCP in last month and were not caught Contrast suicide rates by age: - ANSWER- attempts do NOT increase, but completions DO increase Which ethnic group in the US is at highest risk for suicide? - ANSWER- American indian/native alaskan