FAMILY MEDICINE SHELF EXAM PREP 2026 | USPSTF, BLUEPRINTS & AAFP
QUESTIONS
Screening for AAA - (answer)-Men 65-75 who have ever smoked (A)
Test used to screen for AAA - (answer)-Abdominal duplex ultrasonography
Treatment for AAA - (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 - (answer)-Persons older than 18 years
Screening Tests for Alcohol Misuse - (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 - (answer)-Behavioral Counseling interventions
Recommendation for Aspirin Usage - (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 - (answer)-Men
Other NSAID usage
Hx of GI ulcer
Uncontrolled HTN
,Anticoagulation
Screening for Asymptomatic Bacteriuria - (answer)-Women at 12-16 weeks of pregnancy or first prenatal
visit if farther along
Screening Test for Asymptomatic Bacteriuria - (answer)-Urine culture
Dipstick and microscopy have poor PPV and NPV
Treatment for Asymptomatic Bacteriuria - (answer)-Nitrofurantoin
Prophylactic Aspirin for the Prevention of Colon Cancer - (answer)-The USPSTF DOES NOT recommend
this due to risk of GI hemorrhage
Bacterial Vaginosis Screening in Pregnant Women - (answer)-The USPSTF DOES NOT recommend this
due to lack of evidence that it reduces mortality or morbidity
Amsel Criteria - (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 - (answer)-Oral Metronidazole or oral Clindamycin
or
Vaginal Metronidazole or Vaginal Clindamycin creams
,Screening for Bladder Cancer - (answer)-The USPSTF DOES NOT recommend this due to lack of accurate
screening methods
Screening for HTN - (answer)-Adults > 18 years
Diagnosis of HTN - (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 - (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 - (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 - (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) - (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 - (answer)-Thiazide Diuretic
ACE-I
ARB
CCB
Treatment of HTN for Black without CKD - (answer)-Thiazide Diuretic
CCB
Treatment of HTN for All Races with CKD +/- DM - (answer)-ACE-I
ARB
BRCA-Related Cancer Screening - (answer)-All women with family members who had breast, ovarian,
tubal, and/or peritoneal cancers
Medications for Breast Cancer Risk Reduction - (answer)-Offer tamoxifen or raloxifene to women at high
risk with low risk for adverse side effects
QUESTIONS
Screening for AAA - (answer)-Men 65-75 who have ever smoked (A)
Test used to screen for AAA - (answer)-Abdominal duplex ultrasonography
Treatment for AAA - (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 - (answer)-Persons older than 18 years
Screening Tests for Alcohol Misuse - (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 - (answer)-Behavioral Counseling interventions
Recommendation for Aspirin Usage - (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 - (answer)-Men
Other NSAID usage
Hx of GI ulcer
Uncontrolled HTN
,Anticoagulation
Screening for Asymptomatic Bacteriuria - (answer)-Women at 12-16 weeks of pregnancy or first prenatal
visit if farther along
Screening Test for Asymptomatic Bacteriuria - (answer)-Urine culture
Dipstick and microscopy have poor PPV and NPV
Treatment for Asymptomatic Bacteriuria - (answer)-Nitrofurantoin
Prophylactic Aspirin for the Prevention of Colon Cancer - (answer)-The USPSTF DOES NOT recommend
this due to risk of GI hemorrhage
Bacterial Vaginosis Screening in Pregnant Women - (answer)-The USPSTF DOES NOT recommend this
due to lack of evidence that it reduces mortality or morbidity
Amsel Criteria - (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 - (answer)-Oral Metronidazole or oral Clindamycin
or
Vaginal Metronidazole or Vaginal Clindamycin creams
,Screening for Bladder Cancer - (answer)-The USPSTF DOES NOT recommend this due to lack of accurate
screening methods
Screening for HTN - (answer)-Adults > 18 years
Diagnosis of HTN - (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 - (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 - (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 - (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) - (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 - (answer)-Thiazide Diuretic
ACE-I
ARB
CCB
Treatment of HTN for Black without CKD - (answer)-Thiazide Diuretic
CCB
Treatment of HTN for All Races with CKD +/- DM - (answer)-ACE-I
ARB
BRCA-Related Cancer Screening - (answer)-All women with family members who had breast, ovarian,
tubal, and/or peritoneal cancers
Medications for Breast Cancer Risk Reduction - (answer)-Offer tamoxifen or raloxifene to women at high
risk with low risk for adverse side effects
