PCM MIDTERM EXAM 3 ACTUAL QUESTIONS AND ANSWERS
Components of health maintenance? - CORRECT ANSWER✅✅1) Prevent illness
2) Maintain maximum function
3) Promote health
3 levels of preventing illness - CORRECT ANSWER✅✅1) Primary (prevent illness before it occurs -
vaccination)
2) Secondary (screening)
3) Tertiary (prevent further progression, complication in established dz)
What is USPSTF? - CORRECT ANSWER✅✅United States Preventive Services Task Force
Who makes up USPSTF? - CORRECT ANSWER✅✅16 independent, volunteer panel of national experts in
preventative medicine, EBM and primary care
USPSTF Grade A - CORRECT ANSWER✅✅The USPSTF recommends the service. There is high certainty
that the net benefit is substantial.
USPSTF Grade B - CORRECT ANSWER✅✅The USPSTF recommends the service. There is high certainty
that the net benefit is moderate.
USPSTF Grade C - CORRECT ANSWER✅✅The USPSTF recommends selectively offering or providing this
service to individual patients based on professional judgment and patient preferences
USPSTF Grade D - CORRECT ANSWER✅✅The USPSTF recommends AGAINST the service
USPSTF Grade I - CORRECT ANSWER✅✅Insufficient evidence to recommend
AAA screening
Who should be screened? - CORRECT ANSWER✅✅1 time screening for M 65-75 yo who ever smoked
,AAA screening
What is the recommendation grade for W who have NEVER smoked? - CORRECT ANSWER✅✅D (dont
do it)
AAA screening
What is the recommendation for screening men 65-75 who have NEVER smoked? - CORRECT
ANSWER✅✅Not strong, based on risk factors and personal choice (C)
Who should be screened for anxiety? - CORRECT ANSWER✅✅All pts btw 8-64 yo
Who should be screened for asymptomatic bacteriuria? - CORRECT ANSWER✅✅Pregnant pts
Who should be screened for unhealthy alcohol use? - CORRECT ANSWER✅✅>=18 yo & provide
behavioral counseling
Who should be screened for breast cancer? - CORRECT ANSWER✅✅1) W 50-74 yo
2) W w/ FH or personal hx of BRCA
Who should be screened for cervical cancer? - CORRECT ANSWER✅✅21-65 yo
Frequency of screening for breast cancer? - CORRECT ANSWER✅✅q2 years screening mammogram
Do you need to screen pts who had a hysterectomy for cervical cancer? - CORRECT ANSWER✅✅No
Frequency of screening for cervical cancer in pts 21-29 yo? - CORRECT ANSWER✅✅q3 years w/ cervical
cytology alone
Frequency of screening for cervical cancer in pts 30-65 yo? - CORRECT ANSWER✅✅1) q3 years w/
cervical cytology alone
, 2) q5 years w/ high risk HPV testing alone
3) q5 years w/ cotesting
Who should be screened for colorectal cancer? - CORRECT ANSWER✅✅45-75 yo pts
What do the guidelines say about screening a pt >75 yo for colorectal cancer? - CORRECT
ANSWER✅✅Needs to be individualized
Who should be screened for CVD risk w/ EKG? - CORRECT ANSWER✅✅No one
Who should be screened for cholesterol? - CORRECT ANSWER✅✅No one
Who should be screened for depression? - CORRECT ANSWER✅✅Everyone >=12 yo
Who should be screened for unhealthy drug use? - CORRECT ANSWER✅✅Everyone >=18 yo
Who should be screened for HTN? - CORRECT ANSWER✅✅Everyone >=18 yo (+ Pregnant pts)
Who should be screened for HIV? - CORRECT ANSWER✅✅1) Everyone 15-65 yo
2) Pregnant pts
3) <15 or >65 if at increased risk
Who should be screened for Hep B? - CORRECT ANSWER✅✅1) All pregnant pt at 1st visit
2) Non pregnant adolescents and adults at high risk
Who should be screened for Hep C? - CORRECT ANSWER✅✅Everyone 18-79 yo (at least once)
Who should be screened for intimate partner violence? - CORRECT ANSWER✅✅W of reproductive age
Components of health maintenance? - CORRECT ANSWER✅✅1) Prevent illness
2) Maintain maximum function
3) Promote health
3 levels of preventing illness - CORRECT ANSWER✅✅1) Primary (prevent illness before it occurs -
vaccination)
2) Secondary (screening)
3) Tertiary (prevent further progression, complication in established dz)
What is USPSTF? - CORRECT ANSWER✅✅United States Preventive Services Task Force
Who makes up USPSTF? - CORRECT ANSWER✅✅16 independent, volunteer panel of national experts in
preventative medicine, EBM and primary care
USPSTF Grade A - CORRECT ANSWER✅✅The USPSTF recommends the service. There is high certainty
that the net benefit is substantial.
USPSTF Grade B - CORRECT ANSWER✅✅The USPSTF recommends the service. There is high certainty
that the net benefit is moderate.
USPSTF Grade C - CORRECT ANSWER✅✅The USPSTF recommends selectively offering or providing this
service to individual patients based on professional judgment and patient preferences
USPSTF Grade D - CORRECT ANSWER✅✅The USPSTF recommends AGAINST the service
USPSTF Grade I - CORRECT ANSWER✅✅Insufficient evidence to recommend
AAA screening
Who should be screened? - CORRECT ANSWER✅✅1 time screening for M 65-75 yo who ever smoked
,AAA screening
What is the recommendation grade for W who have NEVER smoked? - CORRECT ANSWER✅✅D (dont
do it)
AAA screening
What is the recommendation for screening men 65-75 who have NEVER smoked? - CORRECT
ANSWER✅✅Not strong, based on risk factors and personal choice (C)
Who should be screened for anxiety? - CORRECT ANSWER✅✅All pts btw 8-64 yo
Who should be screened for asymptomatic bacteriuria? - CORRECT ANSWER✅✅Pregnant pts
Who should be screened for unhealthy alcohol use? - CORRECT ANSWER✅✅>=18 yo & provide
behavioral counseling
Who should be screened for breast cancer? - CORRECT ANSWER✅✅1) W 50-74 yo
2) W w/ FH or personal hx of BRCA
Who should be screened for cervical cancer? - CORRECT ANSWER✅✅21-65 yo
Frequency of screening for breast cancer? - CORRECT ANSWER✅✅q2 years screening mammogram
Do you need to screen pts who had a hysterectomy for cervical cancer? - CORRECT ANSWER✅✅No
Frequency of screening for cervical cancer in pts 21-29 yo? - CORRECT ANSWER✅✅q3 years w/ cervical
cytology alone
Frequency of screening for cervical cancer in pts 30-65 yo? - CORRECT ANSWER✅✅1) q3 years w/
cervical cytology alone
, 2) q5 years w/ high risk HPV testing alone
3) q5 years w/ cotesting
Who should be screened for colorectal cancer? - CORRECT ANSWER✅✅45-75 yo pts
What do the guidelines say about screening a pt >75 yo for colorectal cancer? - CORRECT
ANSWER✅✅Needs to be individualized
Who should be screened for CVD risk w/ EKG? - CORRECT ANSWER✅✅No one
Who should be screened for cholesterol? - CORRECT ANSWER✅✅No one
Who should be screened for depression? - CORRECT ANSWER✅✅Everyone >=12 yo
Who should be screened for unhealthy drug use? - CORRECT ANSWER✅✅Everyone >=18 yo
Who should be screened for HTN? - CORRECT ANSWER✅✅Everyone >=18 yo (+ Pregnant pts)
Who should be screened for HIV? - CORRECT ANSWER✅✅1) Everyone 15-65 yo
2) Pregnant pts
3) <15 or >65 if at increased risk
Who should be screened for Hep B? - CORRECT ANSWER✅✅1) All pregnant pt at 1st visit
2) Non pregnant adolescents and adults at high risk
Who should be screened for Hep C? - CORRECT ANSWER✅✅Everyone 18-79 yo (at least once)
Who should be screened for intimate partner violence? - CORRECT ANSWER✅✅W of reproductive age
