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Preventive Medicine

Internal Medicine

QuestionAnswer
At what age is screening for colon cancer done for individuals without a family history? 50
At what age is screening for colon cancer done for individuals with a FMH of 1st degree relative? age 40 or at an age that is 10 years younger than the age at which the youngest affective relative was diagnosed (whichever is earlier)
Recommendation for breast cancer screening. mammography every 1-2 years from age 50 and over
Recommendation for cervical cancer screening. 1. pap smear annually at age 21 (or 3 yrs after sexually active) 2. pap smear every 2-3 years after age 30 is always normal 3. screening stops at age 65
1. Malaria prophylaxis standard 2. Malaria prophylaxis in resistant regions 1. chloroquine 2. mefloquine or doxycycline
Recommendations for vaccination in adults. 1. pneumococcal vaccine in adults over age 65 2. varicella zoster vaccine in adults over age 60
Two pharmacologic agents used to assist smoking cessation 1. bupropion 2. varenicline
Recommendation for osteoporosis screening 1. all women older than 65 2. age 60 if low body weight or risk of fractures
Recommendation for cholesterol screening 1. men at age 35 without risk factors 2. women at age 45 without risk factors
Diagnosis of diabetes. 1. 2 fasting glucose measurements of greater than 125 mg/dL 2. HbA1c > 6.5% 3. random glucose > 200 mg/dL accompanied by symptoms
CAGE questionnaire 1. ever felt need to Cut down on drinking 2. Annoyed by criticism of drinking 3. Guilty about drinking 4. Eye opener
Treatment for traveler experiencing loose stools without fever or blood loperamide (imodium) - has an opiate
Treatment for traveler with moderate-to-severe diarrhea possibly bloody fluoroquinolone or azithromycin
guideline for screening of AAA? ultrasound once in men older than age 65 who have ever smoked
Who should be screened for diabetes? only individuals with hypertension