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Preventive Medicine
Internal Medicine
Question | Answer |
---|---|
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 |