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Health screening

Total questions: 10

Worksheet time: 3mins

Name
Class
Date
1.

Who will you recommend to undergo osteoporosis screening?

You may choose more than one answer.

a)

all elderly aged >or at 65year old

b)

Postmenopausal women <65 years with low body weight

c)

Postmenopausal women <65 years with history of fracture

d)

Men with clinical manifestation of low bone mass, history of low trauma fracture, risk factors for fracture (such as androgen deprivation therapy for prostate cancer, hypogonadism, primary hyperparathyroidism, or intestinal disorders).

2.

A 24 year old sexual worker comes to see you for health screening. She has no family history of any medical illness.

Her BMI is 21.1 kg/m2

Which is/are screening test that you will recommend to her?

a)

chlamydia and gonorrhea screening

b)

syphilis screening

c)

mammogram

d)

blood glucose

3.

A 24 year old man presents to you after a motor vehicle accident. He sustains multiple clean abrasion wounds. He has completed his childhood tetanus immunization.

He has had a similar injury before and was given im tetanus 4 years ago.

What should you do now?

a)

Administer iv tetanus immunoglobulin

b)

Administer im tetanus vaccination

c)

no need to administer im tetanus vaccine

d)

Admister both iv tetanus immunoglobulin andim tetanus vaccination

4.

Who will you perform blood sugar testing?

You may choose more than one option.

a)

A 30 year old lady with no known medical illness and in general good health.

b)

A 30 year old lady with history of gestational diabetes mellitus.

c)

A 23 year old lady with BMI of 23.5kg/m2 and has PCOS

d)

A 23 year old lady with waist circumference of 78cm and family history of diabetes mellitus

5.

A 56 year old man comes to clinic for a health check.

Which of the following is/are test that you will order for him?

You may choose more than one answer.

a)

faecal occult blood test

b)

serum PSA

c)

Serum Fasting Lipid Profile

d)

ECG

6.

A 65 year old man comes to see you requests for vaccination.

He has had a tetanus vaccination 2 years ago during a motor vehicle accident.

Which vaccine will you recommend to him?

you can choose more than one answer.

a)

pneumococal

b)

tetanus

c)

herpes zoster

d)

hepatitis B

7.

a 24 year old intern comes requests for health screening before he starts his work in hospital.

He is generally in good health with BMI of 22.5kg/m2. His father was diagnosed with colorectal carcinoma at 55year old.

a)

check his blood pressure

b)

check his blood sugar

c)

check his blood cholesterol

d)

colorectal screening with FOBT

8.

A 28 year old lady comes to see you requests for vaccination. She is planning to go to India.

Her last immunization was during her high school.

a)

hepatitis A

b)

typhoid

c)

Hepatitis B

d)

Tetanus

9.

After completion of the 3 dose hepatitis B vaccination series two months ago, a 46 year old nurse comes to review her blood result. Her anti-HBs is less than 10mIU/ml (normal > 10mIU/ml).

What is your next step?

You may choose more than ONE answer.

a)

Reassurance and inform her no need to take booster

b)

administer a booster dose and repeat the anti HBs again

c)

repeat a second 3 dose vaccine series

d)

check her HbsAg

10.

A 40-year-old lady with no known medical illness, comes to review her blood test.

You notice her

total cholesterol - 6.2 mmol/l (up to 5.2)

Triglycerides - o.82 mmol/l (up to 2.3)

LDL -C - 3.6 mmol/l (<2.6)

HDL -C - 2.82 mmol/l (>0.9)

What is your next step?

a)

start her on tablet simvastatin

b)

advice her on healthy diet and exercise

c)

assess her 10 years CVD risk

d)

send her for ultrasound liver to assess for fatty liver