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WorksheetsPBS Quiz 17 Unit 4.1. Preventive Medicine
Total questions: 28
Worksheet time: 14mins
What is USPSTF grading?
A - Strongly recommended
B - Recommended
C - No recommendation
D - Not recommended
I - Insufficient
A. Contraindicated: MMR, Varicella, Oral polio, BCG, Small pox, Yellow fever
B. Small risk: Td, Hep A, Hep B, Flu, Pneumovax, IPV (polio), Rabies.
C. Not recommended: HPV
First deg relative with AAA
A - 3 Routine shots to kid: 2mo, 4mo, 6-18mo, booster at 4-6 yo.
B - Live PO (Sabin): IgA protection in gut prevent viral replication. (CD8 T cell). Not used anymore.
C - Inactivated IM (Salk, dead IPV): IgG in circulation. (Humeral)
Give to elderly > 60 yo
What is Pregnancy vaccines?
A - Strongly recommended
B - Recommended
C - No recommendation
D - Not recommended
I - Insufficient
A. Contraindicated: MMR, Varicella, Oral polio, BCG, Small pox, Yellow fever
B. Small risk: Td, Hep A, Hep B, Flu, Pneumovax, IPV (polio), Rabies.
C. Not recommended: HPV
First deg relative with AAA
A - 3 Routine shots to kid: 2mo, 4mo, 6-18mo, booster at 4-6 yo.
B - Live PO (Sabin): IgA protection in gut prevent viral replication. (CD8 T cell). Not used anymore.
C - Inactivated IM (Salk, dead IPV): IgG in circulation. (Humeral)
Give to elderly > 60 yo
What is Strong predictor of AAA?
A - Strongly recommended
B - Recommended
C - No recommendation
D - Not recommended
I - Insufficient
A. Contraindicated: MMR, Varicella, Oral polio, BCG, Small pox, Yellow fever
B. Small risk: Td, Hep A, Hep B, Flu, Pneumovax, IPV (polio), Rabies.
C. Not recommended: HPV
First deg relative with AAA
A - 3 Routine shots to kid: 2mo, 4mo, 6-18mo, booster at 4-6 yo.
B - Live PO (Sabin): IgA protection in gut prevent viral replication. (CD8 T cell). Not used anymore.
C - Inactivated IM (Salk, dead IPV): IgG in circulation. (Humeral)
Give to elderly > 60 yo
What is Polio vaccine?
A - Strongly recommended
B - Recommended
C - No recommendation
D - Not recommended
I - Insufficient
A. Contraindicated: MMR, Varicella, Oral polio, BCG, Small pox, Yellow fever
B. Small risk: Td, Hep A, Hep B, Flu, Pneumovax, IPV (polio), Rabies.
C. Not recommended: HPV
First deg relative with AAA
A - 3 Routine shots to kid: 2mo, 4mo, 6-18mo, booster at 4-6 yo.
B - Live PO (Sabin): IgA protection in gut prevent viral replication. (CD8 T cell). Not used anymore.
C - Inactivated IM (Salk, dead IPV): IgG in circulation. (Humeral)
Give to elderly > 60 yo
When is Zoster vaccine given?
A - Strongly recommended
B - Recommended
C - No recommendation
D - Not recommended
I - Insufficient
A. Contraindicated: MMR, Varicella, Oral polio, BCG, Small pox, Yellow fever
B. Small risk: Td, Hep A, Hep B, Flu, Pneumovax, IPV (polio), Rabies.
C. Not recommended: HPV
First deg relative with AAA
A - 3 Routine shots to kid: 2mo, 4mo, 6-18mo, booster at 4-6 yo.
B - Live PO (Sabin): IgA protection in gut prevent viral replication. (CD8 T cell). Not used anymore.
C - Inactivated IM (Salk, dead IPV): IgG in circulation. (Humeral)
Give to elderly > 60 yo
When is Varicella vaccine given?
2 doses at 1yo and 4 yo.
Adult if no evidence of immunity (Ab test for prior infection / vaccination, documentation)
Gardasil. Viral proteins.
2 types = Bivalent (only for 16, 18) and Quadrivalent (6, 11, 16, 18).
3 doses between age 9 - 26 yo. Usually at 11 or 12yo --> 1mo after --> 6mo after the first.
Give a 1 yo.
Additional coverage (two shots, 6 mo apart) for Travelers to Asia/Mexico/South or Central America
HepB- mother: 3 routine shots at birth, 1-2 mo, 6-18 mo
2 shots in 11-15 yo adult formula, 4 months apart
PAD, DM, AAA, Carotid aa stenosis
When is HPV vaccine given?
2 doses at 1yo and 4 yo.
Adult if no evidence of immunity (Ab test for prior infection / vaccination, documentation)
Gardasil. Viral proteins.
2 types = Bivalent (only for 16, 18) and Quadrivalent (6, 11, 16, 18).
3 doses between age 9 - 26 yo. Usually at 11 or 12yo --> 1mo after --> 6mo after the first.
Give a 1 yo.
Additional coverage (two shots, 6 mo apart) for Travelers to Asia/Mexico/South or Central America
HepB- mother: 3 routine shots at birth, 1-2 mo, 6-18 mo
2 shots in 11-15 yo adult formula, 4 months apart
PAD, DM, AAA, Carotid aa stenosis
When is Hepatitis A vaccine given?
2 doses at 1yo and 4 yo.
Adult if no evidence of immunity (Ab test for prior infection / vaccination, documentation)
Gardasil. Viral proteins.
2 types = Bivalent (only for 16, 18) and Quadrivalent (6, 11, 16, 18).
3 doses between age 9 - 26 yo. Usually at 11 or 12yo --> 1mo after --> 6mo after the first.
Give a 1 yo.
Additional coverage (two shots, 6 mo apart) for Travelers to Asia/Mexico/South or Central America
HepB- mother: 3 routine shots at birth, 1-2 mo, 6-18 mo
2 shots in 11-15 yo adult formula, 4 months apart
PAD, DM, AAA, Carotid aa stenosis
When is Hepatitis B vaccine given?
2 doses at 1yo and 4 yo.
Adult if no evidence of immunity (Ab test for prior infection / vaccination, documentation)
Gardasil. Viral proteins.
2 types = Bivalent (only for 16, 18) and Quadrivalent (6, 11, 16, 18).
3 doses between age 9 - 26 yo. Usually at 11 or 12yo --> 1mo after --> 6mo after the first.
Give a 1 yo.
Additional coverage (two shots, 6 mo apart) for Travelers to Asia/Mexico/South or Central America
HepB- mother: 3 routine shots at birth, 1-2 mo, 6-18 mo
2 shots in 11-15 yo adult formula, 4 months apart
PAD, DM, AAA, Carotid aa stenosis
What is CAD equivalents?
2 doses at 1yo and 4 yo.
Adult if no evidence of immunity (Ab test for prior infection / vaccination, documentation)
Gardasil. Viral proteins.
2 types = Bivalent (only for 16, 18) and Quadrivalent (6, 11, 16, 18).
3 doses between age 9 - 26 yo. Usually at 11 or 12yo --> 1mo after --> 6mo after the first.
Give a 1 yo.
Additional coverage (two shots, 6 mo apart) for Travelers to Asia/Mexico/South or Central America
HepB- mother: 3 routine shots at birth, 1-2 mo, 6-18 mo
2 shots in 11-15 yo adult formula, 4 months apart
PAD, DM, AAA, Carotid aa stenosis
What is Jet lag, med?
Zolpidem (Ambien), Melatonin, BZD
Tdap once then Td every 10 years
Mammorgram starting >40yo, then annually.
FHx of breast cancer, 5-10 years before the youngest and then annually +/- Masectomy
Smoking, > 60yo, Male
When is Tetanus vaccine given?
Zolpidem (Ambien), Melatonin, BZD
Tdap once then Td every 10 years
Mammorgram starting >40yo, then annually.
FHx of breast cancer, 5-10 years before the youngest and then annually +/- Masectomy
Smoking, > 60yo, Male
When is Breast Screening performed?
Zolpidem (Ambien), Melatonin, BZD
Tdap once then Td every 10 years
Mammorgram starting >40yo, then annually.
FHx of breast cancer, 5-10 years before the youngest and then annually +/- Masectomy
Smoking, > 60yo, Male
What are Other risk factors for AAA?
Zolpidem (Ambien), Melatonin, BZD
Tdap once then Td every 10 years
Mammorgram starting >40yo, then annually.
FHx of breast cancer, 5-10 years before the youngest and then annually +/- Masectomy
Smoking, > 60yo, Male
The answer is:
HbA1c > 6.5
Random glucose > 200 + Symptoms --> confirm.
Glucose tolerance test: > 200: x2
Fasting glucose: > 126 x2
When to do lipid screening?
What is HiB conjugated vaccine screening?
How to diagnose DM?
What is Hepatitis A vaccine screening?
What is this vaccine called? 3 in1. Live attenuated.
2 shots: give at 1 yo & 4-6yo. > 18yo if missing one dose or unsure. Females check at reproductive age.
Contraindicated in pregnant ladies, immunocompromised (HIV < 200).
Mumps and Rubella: No post-exposure ppx
LDL
HiB conjugated
MMR
MMR contraindications
Answer is: Polyp is completely excised, proper staging, no LN or BV invovlement, margins not involved, not poorly differentiated
When are Vaccines to give / not to give to HIV patients?
When is polypectomy enough for cure colon carcinoma?
What is meant by preventive medicine?
When is Chemoprophylaxis for Meningococcus given?
When are these used? Vareniciline and Bupropion
Vaccines to give / not to give to HIV patients
Screening test
help quit smoking
treating Bariatric sx
What is this for? PAP: 21yo, Q2yrs until 30yo or 3 consecutive negative (whichever comes first), PAP Q 2-3yr or PAP and DNA Q5yrs. Q2yrs if new sex partners. Until 70 yo
When to repeat colonoscopy?
Screening schedule for AAA
Screening test
Medications that help quit smoking
When is Meningococcal vaccine given?
2 shots: at 11-12 yo then a booster at 16 yo
when there is Impaired Glucose Tolerance
when there is Impaired Fasting Glucose
when no significant contraindications are present
What is perform on the General population: 50 yo, then q10yrs. or
One 1st degree relative having colon ca or advanced adenoma before age 60 (>1cm, high grade dysplasia, villous adenoma) --> Screen at 40 yo or 10 yrs prior --> then q5yrs. or
2 or more 1st deg relatives having cancer or high grade adenoma at any age --> Screen at 40 yo or 10 years prior, then q5yrs
When to repeat colonoscopy?
Colon ca screening
Breast Screening
When giving Polio vaccine?
What vaccine is given PCV 13 (prevnar): < 5 yo (Routine 4 shots at 2 mo, 4 mo, 6 mo, 12 mo), > 65yo, 5-64yo with certain medical conditions?
Hepatitis B vaccine
Pneumococcal vaccine
Breast Screening vaccine
Hepatitis A vaccine
AAA stands for?
Medications that help quit smoking
Hypotension, abdominal pulsating mass, back pain
preventive medicine
Impaired Glucose Tolerance
If Withdrawal symptoms peaks in 3-4 days, lasts 3-4 wks.
Recommend high dose nicotine replacement for heavy smokers, what is happening?
preventive medicine
Indications for Bariatric sx
DTaP was given
Medication for smoke cessation are needed
If there is Colorectal carcinoma epidemiology 3rd most common cancer; 3rd most deadly in United States. Most patients are > 50 years of age. 25% have a family history
Shape: sessile or pedunculated
Types: Inflammatory, Hyperplastic, Adenoma, Villous adenoma, What is wrong?
Have Rotavirus
Have HPV
Have Polyps
Have Breast Cancer
If a Simple cyst is found?
give Pneumococcal vaccine
it is a Palpable breast mass
repeat colonoscopy
give DTaP
If a patient has >10 adenomatous polyps or suboptimal colonoscopy: repeat at 1 yr.
- Large sessile adenomatous ployp (>2cm) or any large polyps not completely excised: repeat in 3 to 4 months to ensure complete removal.
- Polyp removed in total and has CARCINOMA in situ in the head with clear margins, what do you do?
do lipid screening
remove Palpable breast mass
give Hepatitis B vaccine
repeat colonoscopy
What vaccine is Inactivated virus
For 6 mo - 18 yo, > 65 yo, pregnant 2nd-3rd trimester,
Contraindicated in < 6 mo, fever, egg allergy, GBS in previous shot
HiB conjugated vaccine
Hepatitis A vaccine
Influenza vaccine
Pregnancy vaccine
