PCM 3 EXAM 3 ACTUAL QUESTIONS AND ANSWERS
What is the goal of health maintenance? - CORRECT ANSWER✅✅prevent illness
maintain maximum function
promote health
What is primary prevention? - CORRECT ANSWER✅✅preventing illness before it starts--identifying and
managing risk factors for a disease
Seatbelts, vaccines are examples of what kind of prevention? - CORRECT ANSWER✅✅primary
What is secondary prevention? - CORRECT ANSWER✅✅screening to identify diseases in the earliest
stages before the onset of signs and symptoms
BP readings, diabetes screening, mammograms, colonoscopy--these are examples of what kind of
prevention? - CORRECT ANSWER✅✅secondary
What is tertiary prevention? - CORRECT ANSWER✅✅done in established disease--prevent further
progression, complications and disability
Diabetic eye and foot exam--this is an example of what type of prevention? - CORRECT
ANSWER✅✅tertiary
What kind of prevention does the USPTF focus on? - CORRECT ANSWER✅✅primary and secondary
prevention recommendations
What is function/how is it measured? - CORRECT ANSWER✅✅ability of the patient to function
optimally--measured via physical, emotional and cognitive functioning
What is health promotion focused on? - CORRECT ANSWER✅✅identifying ways to improve overall well
being
requires collaboration with the patient
,requires encouraging the patient to take necessary steps
What are examples of health promotion? - CORRECT ANSWER✅✅healthy diet
exercise
safe alcohol intake
wearing seatbelts
What is the US Preventive Service Task Force (USPSTF)? - CORRECT ANSWER✅✅independent volunteer
panel of national experts in preventive medicine, evidence-based medicine and primary care
What is the goal of the USPSTF/how does it make its recommendations? - CORRECT ANSWER✅✅review
peer-reviewed literature to assess evidence-based interventions
preventive recs include: screening tests, counseling services, preventive medications
Who do the USPSTF recommendations apply to?
*red in Rose PPT - CORRECT ANSWER✅✅those who have no signs or symptoms of the specific disease
or condition under evaluation
What setting do the USPSTF recommendations apply to?
* red in Rose PPT - CORRECT ANSWER✅✅only addresses services offered in the primary care setting or
services referred by a PCP
*also, does not consider cost of a service
T/F: the USPSTF considers the cost of the service in their recommendation - CORRECT ANSWER✅✅No--
does not consider cost!
What are the disease-specific requirements screening tests must meet to be effective? - CORRECT
ANSWER✅✅disease must have:
, -high prevalence in the population
-has a significant effect on quality or length of life
-treatment methods are available
-asymptomatic period during which detection and tx significantly reduces morb/mortality
-tx in the asymptomatic phase yields a better result than tx delayed until symptoms appear
What are the characteristics of a screening test necessary for a guideline to be made? - CORRECT
ANSWER✅✅test needs to be sensitive and specific
acceptable to patients
What is required of the population screened for a guideline to be made? - CORRECT ANSWER✅✅high
disease prevalence in the population
accessibility
compliance with tests and necessary therapy
Who do USPSTF A/B guidelines apply to? - CORRECT ANSWER✅✅everyone should get these
What is a USPSTF C guideline? - CORRECT ANSWER✅✅evidence is low--more of an individual decision
might recommend based on FHx
What is a USPSTF D guideline? - CORRECT ANSWER✅✅no benefit, not worth recommending?
What is a USPSTF I guideline? - CORRECT ANSWER✅✅not enough data, no recommendation has been
made
What is the AAA screening recommendation? - CORRECT ANSWER✅✅for men age 65-75yo who have
ever smoked, should be screened once (grade B)
What is the goal of health maintenance? - CORRECT ANSWER✅✅prevent illness
maintain maximum function
promote health
What is primary prevention? - CORRECT ANSWER✅✅preventing illness before it starts--identifying and
managing risk factors for a disease
Seatbelts, vaccines are examples of what kind of prevention? - CORRECT ANSWER✅✅primary
What is secondary prevention? - CORRECT ANSWER✅✅screening to identify diseases in the earliest
stages before the onset of signs and symptoms
BP readings, diabetes screening, mammograms, colonoscopy--these are examples of what kind of
prevention? - CORRECT ANSWER✅✅secondary
What is tertiary prevention? - CORRECT ANSWER✅✅done in established disease--prevent further
progression, complications and disability
Diabetic eye and foot exam--this is an example of what type of prevention? - CORRECT
ANSWER✅✅tertiary
What kind of prevention does the USPTF focus on? - CORRECT ANSWER✅✅primary and secondary
prevention recommendations
What is function/how is it measured? - CORRECT ANSWER✅✅ability of the patient to function
optimally--measured via physical, emotional and cognitive functioning
What is health promotion focused on? - CORRECT ANSWER✅✅identifying ways to improve overall well
being
requires collaboration with the patient
,requires encouraging the patient to take necessary steps
What are examples of health promotion? - CORRECT ANSWER✅✅healthy diet
exercise
safe alcohol intake
wearing seatbelts
What is the US Preventive Service Task Force (USPSTF)? - CORRECT ANSWER✅✅independent volunteer
panel of national experts in preventive medicine, evidence-based medicine and primary care
What is the goal of the USPSTF/how does it make its recommendations? - CORRECT ANSWER✅✅review
peer-reviewed literature to assess evidence-based interventions
preventive recs include: screening tests, counseling services, preventive medications
Who do the USPSTF recommendations apply to?
*red in Rose PPT - CORRECT ANSWER✅✅those who have no signs or symptoms of the specific disease
or condition under evaluation
What setting do the USPSTF recommendations apply to?
* red in Rose PPT - CORRECT ANSWER✅✅only addresses services offered in the primary care setting or
services referred by a PCP
*also, does not consider cost of a service
T/F: the USPSTF considers the cost of the service in their recommendation - CORRECT ANSWER✅✅No--
does not consider cost!
What are the disease-specific requirements screening tests must meet to be effective? - CORRECT
ANSWER✅✅disease must have:
, -high prevalence in the population
-has a significant effect on quality or length of life
-treatment methods are available
-asymptomatic period during which detection and tx significantly reduces morb/mortality
-tx in the asymptomatic phase yields a better result than tx delayed until symptoms appear
What are the characteristics of a screening test necessary for a guideline to be made? - CORRECT
ANSWER✅✅test needs to be sensitive and specific
acceptable to patients
What is required of the population screened for a guideline to be made? - CORRECT ANSWER✅✅high
disease prevalence in the population
accessibility
compliance with tests and necessary therapy
Who do USPSTF A/B guidelines apply to? - CORRECT ANSWER✅✅everyone should get these
What is a USPSTF C guideline? - CORRECT ANSWER✅✅evidence is low--more of an individual decision
might recommend based on FHx
What is a USPSTF D guideline? - CORRECT ANSWER✅✅no benefit, not worth recommending?
What is a USPSTF I guideline? - CORRECT ANSWER✅✅not enough data, no recommendation has been
made
What is the AAA screening recommendation? - CORRECT ANSWER✅✅for men age 65-75yo who have
ever smoked, should be screened once (grade B)
