CORRECT ANSWERS
Adult male physical exam should screen for which of the following conditions: - CORRECT
ANSWER HLD
HTN
T2DM
colon cancer
substance abuse
HLD screening age - CORRECT ANSWER > 35 in men
> 45 in women
Fasting lipid panel q5
BP screening - CORRECT ANSWER > 18 years old: annually if >120/80
q2yrs if < 120/80
Diabetes screening - CORRECT ANSWER Age > 45
if BMI > 25
If BP > 135/80 and < 45
Fasting blood glucose, A1c, or 2 hour OGTT is ok
Colon cancer screening - CORRECT ANSWER Ages 50-75
FOBT (fecal occult blood test) annually at 50y, or at 40y if 1st degree relative
Colonoscopy q 10y
Sigmoidoscopy q 5y with FOBT q 3y
, CAGE questions - CORRECT ANSWER CUT DOWN
ANNOYED
GUILTY
EYE OPENER
Ask if history of alcohol use
If 1 or more is yes, alcohol cessation is answer.
AAA screening - CORRECT ANSWER -all men 65-75 who have ever smoked
-abdominal US
Adult Immunizations - CORRECT ANSWER Tetanus - series during childhood and
then Td or Tdap q10 years
Meningococcus - Booster at 16 years old or college students/military who don't have booster.
Hepatitis B - healthcare providers, patients who use IV drugs, chronic liver disease
Pneumococcus:
- see image, but in short:
- 19-64: PPSV23 if heart, lung, liver disease. Diabetes, smoking, alcoholism.
- > 65 or high risk (sequential PCV13 + PPSV23)
Influenza:
- annual
Hep A
- traveling to endemic areas (or work with those from endemic areas)