HPDP Final Exam Questions and Answers Latest Update 2025 Already Passed
USPSTF grade for screening against PSA measurement - Answers D, meaning that it should be
discouraged by clinicians as the harms appear to outweigh the benefits
As of May 2018, it is now a grade C
service should be provided to certain patients based on their individual circumstances, small net benefit
Demographics for PSA screening - Answers males ages 55-69
Does the patient need to be symptomatic to initiate screening for PSA? - Answers No, however certain
symptoms can initiate PSA screening
PSA is a screening tool utilized in diagnosis and treatment of - Answers prostate cancer and related
malities
Recent data reported by the National Cancer Institute stated that an American male has an ****%
chance of developing prostate cancer in his life time - Answers 11.2%
what is currently the 3rd leading cause of cancer death, trailing just behind breast and lung cancer -
Answers prostate cancer
What is the USPSTF recommendation for amblyopia - Answers B, vision screening should be done at
least once in children 3-5 years old to detect amblyopia or its risk factors
What does a grade B recommendation mean? - Answers there is a high certainty that the net benefit is
moderate
What does grade I recommendation mean? - Answers there is insufficient evidence to determine the
benefits vs harms of the service
Children <3 years old, what is the USPSTF recommendation for amblyopia? - Answers I
When should the screening intervention for amblyopia occur? - Answers 3-5 years old
What is the most important way to prevent amblyopia? - Answers detecting its risk factors (strabismus,
anisomentropia, media opacities, refractive errors) early intervention
what is the MC risk factor for developing amblyopia in patients under 3? - Answers Strabismus
Treatment for amblyopia - Answers cause specific, correcting the underlying refractive error
(corrective lenses, eye patching, atropine eye drops or surgical interventions)
USPSTF recommendation for men and women with NO hx of CHD - Answers I
,Concerning CHD, as of January 2018, the USPSTF is currently in the process of - Answers updating the
2009 recommendations possibly resulting in a change of the USPSTF grade for these screening
recommendations
Despite the grade I USPSTF recommendation concerning CHD, some cardiologists will use several of the
nontraditional screening methods such as - Answers elevated CRP levels and coronary calcification as a
way of screening for CHD
USPSTF recommendation for pregnant woman at 12-16 weeks gestation for asymptomatic bacteriuria
(ABU) - Answers A, 12-16 weeks or at their first prenatal visit
USPSTF recommendation for men and non-pregnant woman with ABU - Answers D, recommends
against screening
To be screened for ABU, all pregnant women should provide...? - Answers a clean catch urine specimen
for a screening culture at 12-16 weeks gestation or at their first prenatal visit, if later
What is the ONLY diagnostic procedure indicated for ABU in pregnancy due to the limited range of
treatment options and lack of sensitivity/specificity of other testing modalities - Answers urine culture
Inability to detect and treat ABU in pregnancy can lead to - Answers cystitis/pyelonephritis in the
mother, pre-mature, LBW infants and increased perinatal mortality
USPSTF recommendation for latent TB testing - Answers B, moderate health benefit
Is TB a preventable disease? - Answers YES
whats an effective strategy for reducing TB transmission, morbidity and mortality? - Answers
identification and treatment of LBT to prevent progression to active disease
3 sizes of induration that indicate a positive TB test - Answers 5 mm--> positive in persons with highest
risk for developing TB (HIV, organ transplant, or immunocompromised, recent contacts with TB, fibrotic
changes after TB)
10mm--> positive in recent immigrants ( 5 years) from countries with high TB rates, IV drug abusers,
prisons, nursing homes, homeless shelters or hospitals
15mm--> no known risk factor for TB
2 indirect tests for TB - Answers TST
IGRA--> better one
single visit, results within 24 hours, no cross reactivity with BCG vaccine
, USPSTF recommendation for Syphillis screening - Answers A, all persons who are at increased risk and
pregnant women should be screened
When should pregnant patients be screened for syphilis - Answers at the first prenatal visit
an additional screening should occur at 28 weeks and at delivery for women who are at high risk of
syphilis infection
when syphilis treatment the safest - Answers 1st half of pregnancy
When has it been suggested that patients who are HIV positive and MSM should be screened for
syphilis? - Answers every 3 months
Syphilis testing is done with both... - Answers treponemal and non-treponemal tests
Pregnant women should be treated with *** (syphilis tx) - Answers parenteral benzathine PCN G ONLY
Doxycycline can be used in patients who are NOT pregnant
USPSTF recommendation for tobacco smoking cessation - Answers A for adults >18 who are not
pregnant and pregnant women
B, school aged children and adolescents
When should patients be screened for tobacco use? - Answers at EVERY office visit
The 5 A's model is used for - Answers patients who ARE willing to quit
The 5 R's model is used to - Answers motivate patients who are UNWILLING to quit smoking
Pharm interventions for tobaccos cessation include - Answers OTC nicotine replacement therapy
Two FDA approved non-nictotine medications for tobacco cessation - Answers Chantix and Zyban
Pharm therapy for tobacco cessation is NOT recommended for - Answers pregnant women and children
Smoking while pregnant increases the risk of - Answers birth defects such as a cleft lip
*** is key to ending the tobacco epidemic in the US - Answers prevention
most smokers begin smoking before - Answers their 18th birthday
USPSTF recommendation for obesity screening - Answers B
For obesity screening, what is usually measured annually? - Answers BMI
When should an obesity intervention occur? - Answers BMI > 25 = overweight
USPSTF grade for screening against PSA measurement - Answers D, meaning that it should be
discouraged by clinicians as the harms appear to outweigh the benefits
As of May 2018, it is now a grade C
service should be provided to certain patients based on their individual circumstances, small net benefit
Demographics for PSA screening - Answers males ages 55-69
Does the patient need to be symptomatic to initiate screening for PSA? - Answers No, however certain
symptoms can initiate PSA screening
PSA is a screening tool utilized in diagnosis and treatment of - Answers prostate cancer and related
malities
Recent data reported by the National Cancer Institute stated that an American male has an ****%
chance of developing prostate cancer in his life time - Answers 11.2%
what is currently the 3rd leading cause of cancer death, trailing just behind breast and lung cancer -
Answers prostate cancer
What is the USPSTF recommendation for amblyopia - Answers B, vision screening should be done at
least once in children 3-5 years old to detect amblyopia or its risk factors
What does a grade B recommendation mean? - Answers there is a high certainty that the net benefit is
moderate
What does grade I recommendation mean? - Answers there is insufficient evidence to determine the
benefits vs harms of the service
Children <3 years old, what is the USPSTF recommendation for amblyopia? - Answers I
When should the screening intervention for amblyopia occur? - Answers 3-5 years old
What is the most important way to prevent amblyopia? - Answers detecting its risk factors (strabismus,
anisomentropia, media opacities, refractive errors) early intervention
what is the MC risk factor for developing amblyopia in patients under 3? - Answers Strabismus
Treatment for amblyopia - Answers cause specific, correcting the underlying refractive error
(corrective lenses, eye patching, atropine eye drops or surgical interventions)
USPSTF recommendation for men and women with NO hx of CHD - Answers I
,Concerning CHD, as of January 2018, the USPSTF is currently in the process of - Answers updating the
2009 recommendations possibly resulting in a change of the USPSTF grade for these screening
recommendations
Despite the grade I USPSTF recommendation concerning CHD, some cardiologists will use several of the
nontraditional screening methods such as - Answers elevated CRP levels and coronary calcification as a
way of screening for CHD
USPSTF recommendation for pregnant woman at 12-16 weeks gestation for asymptomatic bacteriuria
(ABU) - Answers A, 12-16 weeks or at their first prenatal visit
USPSTF recommendation for men and non-pregnant woman with ABU - Answers D, recommends
against screening
To be screened for ABU, all pregnant women should provide...? - Answers a clean catch urine specimen
for a screening culture at 12-16 weeks gestation or at their first prenatal visit, if later
What is the ONLY diagnostic procedure indicated for ABU in pregnancy due to the limited range of
treatment options and lack of sensitivity/specificity of other testing modalities - Answers urine culture
Inability to detect and treat ABU in pregnancy can lead to - Answers cystitis/pyelonephritis in the
mother, pre-mature, LBW infants and increased perinatal mortality
USPSTF recommendation for latent TB testing - Answers B, moderate health benefit
Is TB a preventable disease? - Answers YES
whats an effective strategy for reducing TB transmission, morbidity and mortality? - Answers
identification and treatment of LBT to prevent progression to active disease
3 sizes of induration that indicate a positive TB test - Answers 5 mm--> positive in persons with highest
risk for developing TB (HIV, organ transplant, or immunocompromised, recent contacts with TB, fibrotic
changes after TB)
10mm--> positive in recent immigrants ( 5 years) from countries with high TB rates, IV drug abusers,
prisons, nursing homes, homeless shelters or hospitals
15mm--> no known risk factor for TB
2 indirect tests for TB - Answers TST
IGRA--> better one
single visit, results within 24 hours, no cross reactivity with BCG vaccine
, USPSTF recommendation for Syphillis screening - Answers A, all persons who are at increased risk and
pregnant women should be screened
When should pregnant patients be screened for syphilis - Answers at the first prenatal visit
an additional screening should occur at 28 weeks and at delivery for women who are at high risk of
syphilis infection
when syphilis treatment the safest - Answers 1st half of pregnancy
When has it been suggested that patients who are HIV positive and MSM should be screened for
syphilis? - Answers every 3 months
Syphilis testing is done with both... - Answers treponemal and non-treponemal tests
Pregnant women should be treated with *** (syphilis tx) - Answers parenteral benzathine PCN G ONLY
Doxycycline can be used in patients who are NOT pregnant
USPSTF recommendation for tobacco smoking cessation - Answers A for adults >18 who are not
pregnant and pregnant women
B, school aged children and adolescents
When should patients be screened for tobacco use? - Answers at EVERY office visit
The 5 A's model is used for - Answers patients who ARE willing to quit
The 5 R's model is used to - Answers motivate patients who are UNWILLING to quit smoking
Pharm interventions for tobaccos cessation include - Answers OTC nicotine replacement therapy
Two FDA approved non-nictotine medications for tobacco cessation - Answers Chantix and Zyban
Pharm therapy for tobacco cessation is NOT recommended for - Answers pregnant women and children
Smoking while pregnant increases the risk of - Answers birth defects such as a cleft lip
*** is key to ending the tobacco epidemic in the US - Answers prevention
most smokers begin smoking before - Answers their 18th birthday
USPSTF recommendation for obesity screening - Answers B
For obesity screening, what is usually measured annually? - Answers BMI
When should an obesity intervention occur? - Answers BMI > 25 = overweight
