Family Medicine Shelf (USPSTF +
Blueprints + AAFP Questions)
Screening for AAA - verified answer Men 65-75 who have ever smoked (A)
Test used to screen for AAA - verified answer Abdominal duplex ultrasonography
Treatment for AAA - verified 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 - verified answer Persons older than 18 years
Screening Tests for Alcohol Misuse - verified 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 - verified answer Behavioral Counseling interventions
Recommendation for Aspirin Usage - verified 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 - verified answer Men
Other NSAID usage
Hx of GI ulcer
Uncontrolled HTN
Anticoagulation
Screening for Asymptomatic Bacteriuria - verified answer Women at 12-16 weeks of pregnancy or
first prenatal visit if farther along
,Screening Test for Asymptomatic Bacteriuria - verified answer Urine culture
Dipstick and microscopy have poor PPV and NPV
Treatment for Asymptomatic Bacteriuria - verified answer Nitrofurantoin
Prophylactic Aspirin for the Prevention of Colon Cancer - verified answer The USPSTF DOES NOT
recommend this due to risk of GI hemorrhage
Bacterial Vaginosis Screening in Pregnant Women - verified answer The USPSTF DOES NOT
recommend this due to lack of evidence that it reduces mortality or morbidity
Amsel Criteria - verified 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 - verified answer Oral Metronidazole or oral Clindamycin
or
Vaginal Metronidazole or Vaginal Clindamycin creams
Screening for Bladder Cancer - verified answer The USPSTF DOES NOT recommend this due to lack
of accurate screening methods
Screening for HTN - verified answer Adults > 18 years
Diagnosis of HTN - verified answer >140 systolic or >90 diastolic
Must have 2 different BP readings that are elevated over a period of 1-several weeks
,Categories of BP - verified answer Normal = <120/<80
PreHTN = 120-129/80-89
Stage 1 HTN = 140-159/90-99
Stage 2 HTN = 160+/100+
Major CV Risk Factors - verified answer HTN
Obesity
Dyslipidemia
DM
Cigarette smoking
Inactivity
Age >55 (men) or >65 (women
Family History of premature CVD: <55 (men) and <65 (women)
Causes of HTN - verified answer Sleep Apnea
Drug-induced (diuretics, cyclosporine, glucocorticoids, amiodarone)
Chronic kidney disease
Primary Aldosteronism (Conn's Syndrome)
Cushing's Syndrome
Pheochromocytoma (MEN II and III)
Coarctation of aorta (Turner's)
Thyroid/Parathyroid disease
Goal BPs for Treatment (JNC8) - verified answer <140/90 for adults <60 years without CKD
<150/90 for adults >60 years without CKD
<140/90 for all ages with DM, but no CKD
<140/90 for all ages with CKD +/- DM
Treatment of HTN for Non-Black without CKD - verified answer Thiazide Diuretic
ACE-I
ARB
, CCB
Treatment of HTN for Black without CKD - verified answer Thiazide Diuretic
CCB
Treatment of HTN for All Races with CKD +/- DM - verified answer ACE-I
ARB
BRCA-Related Cancer Screening - verified answer All women with family members who had breast,
ovarian, tubal, and/or peritoneal cancers
Medications for Breast Cancer Risk Reduction - verified answer Offer tamoxifen or raloxifene to
women at high risk with low risk for adverse side effects
Mammography Screening - verified answer Women 50-74: biennial (every other year)
Women under 50: Take the patient's factors into context and weigh benefits and risks
Women >75: not recommended to get screening
Breastfeeding recommendations - verified answer Interventions to educate and encourage women
during pregnancy and postnatal period to breastfeed
Carotid Artery Stenosis Screening - verified answer USPSTF DOES NOT recommend screening for
the general population for asymptomatic carotid stenosis
Diagnostic Test for Carotid Artery Stenosis - verified answer Ultrasonography of Carotid Artery with
Doppler flow
High Intensity Statin - verified answer Lowers LDL-C by >/=50%
Atorvostatin 40-80 mg
Rosuvostatin 20-40 mg
Blueprints + AAFP Questions)
Screening for AAA - verified answer Men 65-75 who have ever smoked (A)
Test used to screen for AAA - verified answer Abdominal duplex ultrasonography
Treatment for AAA - verified 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 - verified answer Persons older than 18 years
Screening Tests for Alcohol Misuse - verified 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 - verified answer Behavioral Counseling interventions
Recommendation for Aspirin Usage - verified 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 - verified answer Men
Other NSAID usage
Hx of GI ulcer
Uncontrolled HTN
Anticoagulation
Screening for Asymptomatic Bacteriuria - verified answer Women at 12-16 weeks of pregnancy or
first prenatal visit if farther along
,Screening Test for Asymptomatic Bacteriuria - verified answer Urine culture
Dipstick and microscopy have poor PPV and NPV
Treatment for Asymptomatic Bacteriuria - verified answer Nitrofurantoin
Prophylactic Aspirin for the Prevention of Colon Cancer - verified answer The USPSTF DOES NOT
recommend this due to risk of GI hemorrhage
Bacterial Vaginosis Screening in Pregnant Women - verified answer The USPSTF DOES NOT
recommend this due to lack of evidence that it reduces mortality or morbidity
Amsel Criteria - verified 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 - verified answer Oral Metronidazole or oral Clindamycin
or
Vaginal Metronidazole or Vaginal Clindamycin creams
Screening for Bladder Cancer - verified answer The USPSTF DOES NOT recommend this due to lack
of accurate screening methods
Screening for HTN - verified answer Adults > 18 years
Diagnosis of HTN - verified answer >140 systolic or >90 diastolic
Must have 2 different BP readings that are elevated over a period of 1-several weeks
,Categories of BP - verified answer Normal = <120/<80
PreHTN = 120-129/80-89
Stage 1 HTN = 140-159/90-99
Stage 2 HTN = 160+/100+
Major CV Risk Factors - verified answer HTN
Obesity
Dyslipidemia
DM
Cigarette smoking
Inactivity
Age >55 (men) or >65 (women
Family History of premature CVD: <55 (men) and <65 (women)
Causes of HTN - verified answer Sleep Apnea
Drug-induced (diuretics, cyclosporine, glucocorticoids, amiodarone)
Chronic kidney disease
Primary Aldosteronism (Conn's Syndrome)
Cushing's Syndrome
Pheochromocytoma (MEN II and III)
Coarctation of aorta (Turner's)
Thyroid/Parathyroid disease
Goal BPs for Treatment (JNC8) - verified answer <140/90 for adults <60 years without CKD
<150/90 for adults >60 years without CKD
<140/90 for all ages with DM, but no CKD
<140/90 for all ages with CKD +/- DM
Treatment of HTN for Non-Black without CKD - verified answer Thiazide Diuretic
ACE-I
ARB
, CCB
Treatment of HTN for Black without CKD - verified answer Thiazide Diuretic
CCB
Treatment of HTN for All Races with CKD +/- DM - verified answer ACE-I
ARB
BRCA-Related Cancer Screening - verified answer All women with family members who had breast,
ovarian, tubal, and/or peritoneal cancers
Medications for Breast Cancer Risk Reduction - verified answer Offer tamoxifen or raloxifene to
women at high risk with low risk for adverse side effects
Mammography Screening - verified answer Women 50-74: biennial (every other year)
Women under 50: Take the patient's factors into context and weigh benefits and risks
Women >75: not recommended to get screening
Breastfeeding recommendations - verified answer Interventions to educate and encourage women
during pregnancy and postnatal period to breastfeed
Carotid Artery Stenosis Screening - verified answer USPSTF DOES NOT recommend screening for
the general population for asymptomatic carotid stenosis
Diagnostic Test for Carotid Artery Stenosis - verified answer Ultrasonography of Carotid Artery with
Doppler flow
High Intensity Statin - verified answer Lowers LDL-C by >/=50%
Atorvostatin 40-80 mg
Rosuvostatin 20-40 mg
