Test Bank For Family Practice Guidelines 5th Edition By Jill C.
Cash; Cheryl A. Glass; Jenny Mullen
Abdominal aortic aneurysm screening: men - ANSWER: one-time screening for
abdominal aortic aneurysm by ultrasonography in men ages 65 to 75 years who have
ever smoked.
Alcohol misuse: screening and counseling - ANSWER: Screen adults age 18 years or
older for alcohol misuse and provide persons engaged in risky or hazardous drinking
with brief behavioral counseling interventions to reduce alcohol misuse.
Aspirin preventive medication: adults aged 50 to 59 years with a ≥10% 10-year
cardiovascular risk - ANSWER: Initiating low-dose aspirin use for the primary
prevention of cardiovascular disease and colorectal cancer in adults aged 50 to 59
years who have a 10% or greater 10-year cardiovascular risk, are not at increased
risk for bleeding, have a life expectancy of at least 10 years, and are willing to take
low-dose aspirin daily for at least 10 years.
Bacteriuria screening: pregnant women - ANSWER: Screening for asymptomatic
bacteriuria with urine culture in pregnant women at 12 to 16 weeks' gestation or at
the first prenatal visit, if later.
Blood pressure screening: adults - ANSWER: screening for high blood pressure in
adults aged 18 years or older. The USPSTF recommends obtaining measurements
outside of the clinical setting for diagnostic confirmation before starting treatment.
BRCA risk assessment and genetic counseling/testing - ANSWER: Screen women who
have family members with breast, ovarian, tubal, or peritoneal cancer with one of
several screening tools designed to identify a family history that may be associated
with an increased risk for potentially harmful mutations in breast cancer
susceptibility genes (BRCA1 or BRCA2). Women with positive screening results
should receive genetic counseling and, if indicated after counseling, BRCA testing.
Breast cancer preventive medications - ANSWER: The USPSTF recommends that
clinicians engage in shared, informed decisionmaking with women who are at
increased risk for breast cancer about medications to reduce their risk. For women
who are at increased risk for breast cancer and at low risk for adverse medication
effects, clinicians should offer to prescribe risk-reducing medications, such as
tamoxifen or raloxifene.
Breast cancer screening - ANSWER: The USPSTF recommends screening
mammography for women, with or without clinical breast examination, every 1 to 2
years for women age 40 years and older.
, Breastfeeding interventions - ANSWER: The USPSTF recommends providing
interventions during pregnancy and after birth to support breastfeeding.
Cervical cancer screening - ANSWER: The USPSTF recommends screening for cervical
cancer in women ages 21 to 65 years with cytology (Pap smear) every 3 years or, for
women ages 30 to 65 years who want to lengthen the screening interval, screening
with a combination of cytology and human papillomavirus (HPV) testing every 5
years.
Chlamydia screening: women - ANSWER: The USPSTF recommends screening for
chlamydia in sexually active women age 24 years or younger and in older women
who are at increased risk for infection.
Colorectal screening - ANSWER: The USPSTF recommends screening for colorectal
cancer starting at age 50 years and continuing until age 75 years.
Dental caries prevention: infants and children up to age 5 years - ANSWER: The
USPSTF recommends the application of fluoride varnish to the primary teeth of all
infants and children starting at the age of primary tooth eruption in primary care
practices. The USPSTF recommends primary care clinicians prescribe oral fluoride
supplementation starting at age 6 months for children whose water supply is fluoride
deficient.
Depression screening: adolescents - ANSWER: The USPSTF recommends screening
for major depressive disorder (MDD) in adolescents aged 12 to 18 years. Screening
should be implemented with adequate systems in place to ensure accurate
diagnosis, effective treatment, and appropriate follow-up.
Depression screening: adults - ANSWER: The USPSTF recommends screening for
depression in the general adult population, including pregnant and postpartum
women. Screening should be implemented with adequate systems in place to ensure
accurate diagnosis, effective treatment, and appropriate follow-up.
Diabetes screening - ANSWER: The USPSTF recommends screening for abnormal
blood glucose as part of cardiovascular risk assessment in adults aged 40 to 70 years
who are overweight or obese. Clinicians should offer or refer patients with abnormal
blood glucose to intensive behavioral counseling interventions to promote a
healthful diet and physical activity.
Falls prevention in older adults: exercise or physical therapy - ANSWER: The USPSTF
recommends exercise or physical therapy to prevent falls in community-dwelling
adults age 65 years and older who are at increased risk for falls.
Falls prevention in older adults: Vitamin D - ANSWER: The USPSTF recommends
vitamin D supplementation to prevent falls in community-dwelling adults age 65
years and older who are at increased risk for falls.
Cash; Cheryl A. Glass; Jenny Mullen
Abdominal aortic aneurysm screening: men - ANSWER: one-time screening for
abdominal aortic aneurysm by ultrasonography in men ages 65 to 75 years who have
ever smoked.
Alcohol misuse: screening and counseling - ANSWER: Screen adults age 18 years or
older for alcohol misuse and provide persons engaged in risky or hazardous drinking
with brief behavioral counseling interventions to reduce alcohol misuse.
Aspirin preventive medication: adults aged 50 to 59 years with a ≥10% 10-year
cardiovascular risk - ANSWER: Initiating low-dose aspirin use for the primary
prevention of cardiovascular disease and colorectal cancer in adults aged 50 to 59
years who have a 10% or greater 10-year cardiovascular risk, are not at increased
risk for bleeding, have a life expectancy of at least 10 years, and are willing to take
low-dose aspirin daily for at least 10 years.
Bacteriuria screening: pregnant women - ANSWER: Screening for asymptomatic
bacteriuria with urine culture in pregnant women at 12 to 16 weeks' gestation or at
the first prenatal visit, if later.
Blood pressure screening: adults - ANSWER: screening for high blood pressure in
adults aged 18 years or older. The USPSTF recommends obtaining measurements
outside of the clinical setting for diagnostic confirmation before starting treatment.
BRCA risk assessment and genetic counseling/testing - ANSWER: Screen women who
have family members with breast, ovarian, tubal, or peritoneal cancer with one of
several screening tools designed to identify a family history that may be associated
with an increased risk for potentially harmful mutations in breast cancer
susceptibility genes (BRCA1 or BRCA2). Women with positive screening results
should receive genetic counseling and, if indicated after counseling, BRCA testing.
Breast cancer preventive medications - ANSWER: The USPSTF recommends that
clinicians engage in shared, informed decisionmaking with women who are at
increased risk for breast cancer about medications to reduce their risk. For women
who are at increased risk for breast cancer and at low risk for adverse medication
effects, clinicians should offer to prescribe risk-reducing medications, such as
tamoxifen or raloxifene.
Breast cancer screening - ANSWER: The USPSTF recommends screening
mammography for women, with or without clinical breast examination, every 1 to 2
years for women age 40 years and older.
, Breastfeeding interventions - ANSWER: The USPSTF recommends providing
interventions during pregnancy and after birth to support breastfeeding.
Cervical cancer screening - ANSWER: The USPSTF recommends screening for cervical
cancer in women ages 21 to 65 years with cytology (Pap smear) every 3 years or, for
women ages 30 to 65 years who want to lengthen the screening interval, screening
with a combination of cytology and human papillomavirus (HPV) testing every 5
years.
Chlamydia screening: women - ANSWER: The USPSTF recommends screening for
chlamydia in sexually active women age 24 years or younger and in older women
who are at increased risk for infection.
Colorectal screening - ANSWER: The USPSTF recommends screening for colorectal
cancer starting at age 50 years and continuing until age 75 years.
Dental caries prevention: infants and children up to age 5 years - ANSWER: The
USPSTF recommends the application of fluoride varnish to the primary teeth of all
infants and children starting at the age of primary tooth eruption in primary care
practices. The USPSTF recommends primary care clinicians prescribe oral fluoride
supplementation starting at age 6 months for children whose water supply is fluoride
deficient.
Depression screening: adolescents - ANSWER: The USPSTF recommends screening
for major depressive disorder (MDD) in adolescents aged 12 to 18 years. Screening
should be implemented with adequate systems in place to ensure accurate
diagnosis, effective treatment, and appropriate follow-up.
Depression screening: adults - ANSWER: The USPSTF recommends screening for
depression in the general adult population, including pregnant and postpartum
women. Screening should be implemented with adequate systems in place to ensure
accurate diagnosis, effective treatment, and appropriate follow-up.
Diabetes screening - ANSWER: The USPSTF recommends screening for abnormal
blood glucose as part of cardiovascular risk assessment in adults aged 40 to 70 years
who are overweight or obese. Clinicians should offer or refer patients with abnormal
blood glucose to intensive behavioral counseling interventions to promote a
healthful diet and physical activity.
Falls prevention in older adults: exercise or physical therapy - ANSWER: The USPSTF
recommends exercise or physical therapy to prevent falls in community-dwelling
adults age 65 years and older who are at increased risk for falls.
Falls prevention in older adults: Vitamin D - ANSWER: The USPSTF recommends
vitamin D supplementation to prevent falls in community-dwelling adults age 65
years and older who are at increased risk for falls.
