Exam Questions and CORRECT Answers
Grade A - CORRECT ANSWER - Strongly Recommends
high certainty that net benefit is substantial, improves important health outcomes
offer/provide service to all patients
Grade B - CORRECT ANSWER - Recommends
high certainty that the net benefit is moderate
moderate certainty that the net benefit is moderate to substantial
offer/provide
Grade C - CORRECT ANSWER - Nor recommendation for or against
at least moderate certainty that net benefit is small
offer selectively or based on individual
Grade D - CORRECT ANSWER - Recommends against
Moderate to high certainty that service has no benefit
Harms outweigh benefits
Discourage service
Grade I - CORRECT ANSWER - Insufficient evidence to assess balance of benefits or
harms
patient should understand uncertainty
Criteria of Good Screening Test - CORRECT ANSWER - prevalence/suffering high
enough to justify widespread screening
asymptomatic period-treatment can decrease morbidity/mortality
, Treatment available at reasonable cost
Test/Intervention effective with few ADR
High sensitivity-low false negative
Abdominal Aortic Aneurysm - CORRECT ANSWER - men 65-75 who have ever smoked
Screening: Abdominal ultrasound
one time
Aspirin for Prevention of CVD - CORRECT ANSWER - age 50-59 with ASCVD risk
>10%
if life expectancy over 10 years
Blood Pressure Screening - CORRECT ANSWER - 2 or more elevated readings, at least 2
visits over 1 week apart
Lipid Screening - CORRECT ANSWER - Every 5 years with serum lipids
men >35
women >45 with increased CHD risk
men 20-35 with increased CHD risk
women 20-45 with increased CHD risk
Statin Prevention Medication - CORRECT ANSWER - Adults without CVD history low
to moderate dose with all criteria
age 40-75
CVD risk factor-dyslipidemia, diabetes, HTN, smoking
10 year ASCVD >10
Diabetes Mellitus - CORRECT ANSWER - 40-70 overweight or obese
fasting plasma glucose, OGTT, Hgb A1C