BARKLEY REVIEW- RISK
ASSESSMENT EXAM QUESTIONS &
UPDATED CORRECT ANSWERS
adults (19-64 yrs) with certain medical conditions should receive the pneumococcal
conjugate vaccine (PCV13) in _____ dose(s) - CORRECT ANSWER 1 dose; but must
be given *before* giving any recommended doses of PPSV23
**basically, pt doesn't need it until age 65 unless they have one of the following:
-medical conditions can include: tobacco use (smoker), Alcoholism, Chronic heart
disease, Chronic liver disease, Chronic lung disease, including chronic obstructive
pulmonary disease, emphysema, and asthma, Diabetes mellitus, Cerebrospinal fluid
leaks, Cochlear implant(s), Sickle cell disease or other hemoglobinopathies, Anatomic
or functional asplenia, Congenital or acquired immunodeficiency HIV infection, Chronic
renal failure or nephrotic syndrome, Leukemia or lymphoma, Hodgkin disease,
Generalized and metastatic malignancies, Iatrogenic immunosuppression, including
radiation therapy, Solid organ transplant, Multiple myeloma
adults (19-64 yrs) should receive the pneumococcal polysaccharide vaccine (PPSV23)
in _____ dose(s) - CORRECT ANSWER 1-2 doses depending on medical condition;
dose should be given *after* any required PCV13 doses
*geriatric* pt indicates an age of - CORRECT ANSWER >/= 65 years
*elderly* pt indicates an age of - CORRECT ANSWER >/= 60 years
A pt aged 65-75 yrs who has *ever* smoked should be screened for an abdominal aortic
aneurysm via ultrasound how frequently? - CORRECT ANSWER one time
-selectively screen if the pt has never smoked
**Which population is most at risk of suicide?**
1. adolescents
2. elderly
3. white males > 45 yrs - CORRECT ANSWER elderly (particularly in men)
**Considering vaccinations in adults, which of these is LEAST important to consider in
routine practice?**
1. Menactra
2. Pneumovax
3. Seasonal Influenza
4. Zostavax - CORRECT ANSWER Menactra (meningococcal vaccine)
-is more appropriate for *young* adult heading to college, for example
, **routine vaccines for adults aged 65 and older** - CORRECT ANSWER *"TIPS"*
*T*dap (tetanus, diphtheria, and pertussis)
*I*nfluenza
*P*neumococcal (Pneumovax)
*S*hingles (Zostavax)
top 3 causes of death in adolescents (age 12-19 yrs) - CORRECT ANSWER 1.
accidents (unintentional injuries, MVCs, etc.)
2. homicide
3. suicide
top 3 causes of death in young adults (age 20-39 yrs) - CORRECT ANSWER 1. MVCs
2. homicide (esp in male AAs)
3. suicide
top 6 causes of death in middle aged adults (age 40-59 yrs) - CORRECT ANSWER 1.
heart disease
2. accidents
3. lung cancer
4. CVA
5. breast and colorectal cancer
6. COPD
top 5 causes of death in elderly adults (age 60 yrs and older) - CORRECT ANSWER 1.
heart disease
2. CVA
3. COPD
4. pna and/or influenza
5. lung and colorectal cancer
**top 5 "killers" of adults in the US** - CORRECT ANSWER 1. heart disease/CAD (MI)
2. cancer
3. accidents
4. lower respiratory disease (asthma & COPD specifically)
5. CVA
**Which type of cancer is responsible for the highest mortality in women?** -
CORRECT ANSWER lung cancer
**Which type of cancer is the leading GYN-associated cancer "killer" in women?** -
CORRECT ANSWER ovarian cancer
**Which type of cancer has the highest incidence in women other than skin cancer?** -
CORRECT ANSWER breast cancer
ASSESSMENT EXAM QUESTIONS &
UPDATED CORRECT ANSWERS
adults (19-64 yrs) with certain medical conditions should receive the pneumococcal
conjugate vaccine (PCV13) in _____ dose(s) - CORRECT ANSWER 1 dose; but must
be given *before* giving any recommended doses of PPSV23
**basically, pt doesn't need it until age 65 unless they have one of the following:
-medical conditions can include: tobacco use (smoker), Alcoholism, Chronic heart
disease, Chronic liver disease, Chronic lung disease, including chronic obstructive
pulmonary disease, emphysema, and asthma, Diabetes mellitus, Cerebrospinal fluid
leaks, Cochlear implant(s), Sickle cell disease or other hemoglobinopathies, Anatomic
or functional asplenia, Congenital or acquired immunodeficiency HIV infection, Chronic
renal failure or nephrotic syndrome, Leukemia or lymphoma, Hodgkin disease,
Generalized and metastatic malignancies, Iatrogenic immunosuppression, including
radiation therapy, Solid organ transplant, Multiple myeloma
adults (19-64 yrs) should receive the pneumococcal polysaccharide vaccine (PPSV23)
in _____ dose(s) - CORRECT ANSWER 1-2 doses depending on medical condition;
dose should be given *after* any required PCV13 doses
*geriatric* pt indicates an age of - CORRECT ANSWER >/= 65 years
*elderly* pt indicates an age of - CORRECT ANSWER >/= 60 years
A pt aged 65-75 yrs who has *ever* smoked should be screened for an abdominal aortic
aneurysm via ultrasound how frequently? - CORRECT ANSWER one time
-selectively screen if the pt has never smoked
**Which population is most at risk of suicide?**
1. adolescents
2. elderly
3. white males > 45 yrs - CORRECT ANSWER elderly (particularly in men)
**Considering vaccinations in adults, which of these is LEAST important to consider in
routine practice?**
1. Menactra
2. Pneumovax
3. Seasonal Influenza
4. Zostavax - CORRECT ANSWER Menactra (meningococcal vaccine)
-is more appropriate for *young* adult heading to college, for example
, **routine vaccines for adults aged 65 and older** - CORRECT ANSWER *"TIPS"*
*T*dap (tetanus, diphtheria, and pertussis)
*I*nfluenza
*P*neumococcal (Pneumovax)
*S*hingles (Zostavax)
top 3 causes of death in adolescents (age 12-19 yrs) - CORRECT ANSWER 1.
accidents (unintentional injuries, MVCs, etc.)
2. homicide
3. suicide
top 3 causes of death in young adults (age 20-39 yrs) - CORRECT ANSWER 1. MVCs
2. homicide (esp in male AAs)
3. suicide
top 6 causes of death in middle aged adults (age 40-59 yrs) - CORRECT ANSWER 1.
heart disease
2. accidents
3. lung cancer
4. CVA
5. breast and colorectal cancer
6. COPD
top 5 causes of death in elderly adults (age 60 yrs and older) - CORRECT ANSWER 1.
heart disease
2. CVA
3. COPD
4. pna and/or influenza
5. lung and colorectal cancer
**top 5 "killers" of adults in the US** - CORRECT ANSWER 1. heart disease/CAD (MI)
2. cancer
3. accidents
4. lower respiratory disease (asthma & COPD specifically)
5. CVA
**Which type of cancer is responsible for the highest mortality in women?** -
CORRECT ANSWER lung cancer
**Which type of cancer is the leading GYN-associated cancer "killer" in women?** -
CORRECT ANSWER ovarian cancer
**Which type of cancer has the highest incidence in women other than skin cancer?** -
CORRECT ANSWER breast cancer
