Family Medicine Shelf (USPSTF + Blueprints + AAFP) Questions with Guaranteed Correct Answers

Screening for AAA - correct answer Men 65-75 who have ever smoked (A) Test used to screen for AAA - correct answer Abdominal duplex ultrasonography Treatment for AAA - correct answer >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 answer Persons older than 18 years Screening Tests for Alcohol Misuse - correct answer 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 answer Behavioral Counseling interventions Recommendation for Aspirin Usage - correct answer 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 answer Men Other NSAID usage Hx of GI ulcer Uncontrolled HTN Anticoagulation Screening for Asymptomatic Bacteriuria - correct answer Women at 12-16 weeks of pregnancy or first prenatal visit if farther along Screening Test for Asymptomatic Bacteriuria - correct answer Urine culture Dipstick and microscopy have poor PPV and NPV Treatment for Asymptomatic Bacteriuria - correct answer Nitrofurantoin Prophylactic Aspirin for the Prevention of Colon Cancer - correct answer The USPSTF DOES NOT recommend this due to risk of GI hemorrhage Bacterial Vaginosis Screening in Pregnant Women - correct answer The USPSTF DOES NOT recommend this due to lack of evidence that it reduces mortality or morbidity Amsel Criteria - correct answer 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 answer Oral Metronidazole or oral Clindamycin or Vaginal Metronidazole or Vaginal Clindamycin creams Screening for Bladder Cancer - correct answer The USPSTF DOES NOT recommend this due to lack of accurate screening methods Screening for HTN - correct answer Adults > 18 years Diagnosis of HTN - correct answer >140 systolic or >90 diastolic Must have 2 different BP readings that are elevated over a period of 1-several weeks