USPSTF Guidelines UPDATED ACTUAL
Exam Questions and CORRECT Answers
AAA men - CORRECT ANSWER - Men btw 65-75 who have smoked should be
screened.
Over 5.5 cm needs EVAR
alcohol misuse screen - CORRECT ANSWER - 18
Pregnant women bacturea screen - CORRECT ANSWER - even if asymptomatic they get
screen by UC at first prenatal visit
BRCA risk assessment - CORRECT ANSWER - any women with family members with
breast ovarian, tubal, or peritoneal cancer
consider offering tamoxofen or raloxofen
BP ranges - CORRECT ANSWER - start screening at 18
normal = 120/80
elev = 120-130
stage 1 = 130-140/90
stage 2 = over 140
HTN urgency = 180/120
,HTN crisis = 180/120 w end organ damage
BP tx - CORRECT ANSWER - if considered stage 1: choice of ACE-I/ARB, CCB, HCTZ
over 75 and blacks dont get ACE-I to start
if CKD, doesn't matter, start with ACE-I/ARB
HIV screening - CORRECT ANSWER - start at 15
Who needs a statin? - CORRECT ANSWER - 1. anyone with a vascular dz
2. anyone w LDL over 190
3. LDL 70-189, over 40 and DM2
4. LDL 70-189, over 40 w 10 year CVD risk of 7.5+
- male, over 40, smoke, htn
give high intensity statin
Statin hepatitis or myositis tx - CORRECT ANSWER - stop and restart at lower dose
Centor criteria is for _____________ - CORRECT ANSWER - for acute onset, less than 4
days pharyngitis
3-14 +1, 45 and older -1
, exudate or swollen tonsils +1
ant cervical LAD +1
temp over 100.4 +1
cough absent +1
0-1 = no further testing or abx
2-3 = rapid strep. Tx is pos. Do throat culture if neg.
over 3 give abx
4+ = abx
viral vs bacterial sinusitis
cold vs sinus inf - CORRECT ANSWER - if not better by 8-10 days or getting worse at 8
days
cough and runny nose more likely URI
Strep pneumo, H flu, moraxella
pna bugs - CORRECT ANSWER - Strep pneumo, H flu, moraxella
Exam Questions and CORRECT Answers
AAA men - CORRECT ANSWER - Men btw 65-75 who have smoked should be
screened.
Over 5.5 cm needs EVAR
alcohol misuse screen - CORRECT ANSWER - 18
Pregnant women bacturea screen - CORRECT ANSWER - even if asymptomatic they get
screen by UC at first prenatal visit
BRCA risk assessment - CORRECT ANSWER - any women with family members with
breast ovarian, tubal, or peritoneal cancer
consider offering tamoxofen or raloxofen
BP ranges - CORRECT ANSWER - start screening at 18
normal = 120/80
elev = 120-130
stage 1 = 130-140/90
stage 2 = over 140
HTN urgency = 180/120
,HTN crisis = 180/120 w end organ damage
BP tx - CORRECT ANSWER - if considered stage 1: choice of ACE-I/ARB, CCB, HCTZ
over 75 and blacks dont get ACE-I to start
if CKD, doesn't matter, start with ACE-I/ARB
HIV screening - CORRECT ANSWER - start at 15
Who needs a statin? - CORRECT ANSWER - 1. anyone with a vascular dz
2. anyone w LDL over 190
3. LDL 70-189, over 40 and DM2
4. LDL 70-189, over 40 w 10 year CVD risk of 7.5+
- male, over 40, smoke, htn
give high intensity statin
Statin hepatitis or myositis tx - CORRECT ANSWER - stop and restart at lower dose
Centor criteria is for _____________ - CORRECT ANSWER - for acute onset, less than 4
days pharyngitis
3-14 +1, 45 and older -1
, exudate or swollen tonsils +1
ant cervical LAD +1
temp over 100.4 +1
cough absent +1
0-1 = no further testing or abx
2-3 = rapid strep. Tx is pos. Do throat culture if neg.
over 3 give abx
4+ = abx
viral vs bacterial sinusitis
cold vs sinus inf - CORRECT ANSWER - if not better by 8-10 days or getting worse at 8
days
cough and runny nose more likely URI
Strep pneumo, H flu, moraxella
pna bugs - CORRECT ANSWER - Strep pneumo, H flu, moraxella
