FAMILY PRACTICE GUIDELINES JILL C
COMPREHENSIVE STUDY GUIDE 2026 PRIMARY
CARE AND CLINICAL PRACTICE PRINCIPLES
◉ Test used to screen for AAA. Answer: Abdominal duplex
ultrasonography
◉ Treatment for AAA. Answer: >5.5 cm --> surgery
3.0-5.4 cm --> repeated surveillance Q3-12 months
Growth >1.0 cm/yr --> surgery
◉ Screening for Alcohol Misuse. Answer: Persons older than 18
years
◉ Screening Tests for Alcohol Misuse. Answer: AUDIT, AUDIT-C, or
number of times person drank >5 (4 if woman or older than 65)
drinks in the past year
◉ Treatment for Alcohol Misuse. Answer: Behavioral Counseling
interventions
◉ Recommendation for Aspirin Usage. Answer: Men 45-79 years old
(MI protection)
,Women 55-79 (Stroke protection)
*Benefit of MI reduction must outweigh the risk of GI hemorrhage
◉ Risk Factors For GI Hemorrhage. Answer: Men
Other NSAID usage
Hx of GI ulcer
Uncontrolled HTN
Anticoagulation
◉ Screening for Asymptomatic Bacteriuria. Answer: Women at 12-
16 weeks of pregnancy or first prenatal visit if farther along
◉ Screening Test for Asymptomatic Bacteriuria. Answer: Urine
culture
Dipstick and microscopy have poor PPV and NPV
◉ Treatment for Asymptomatic Bacteriuria. Answer: Nitrofurantoin
◉ Prophylactic Aspirin for the Prevention of Colon Cancer. Answer:
The USPSTF DOES NOT recommend this due to risk of GI
hemorrhage
,◉ Bacterial Vaginosis Screening in Pregnant Women. Answer: The
USPSTF DOES NOT recommend this due to lack of evidence that it
reduces mortality or morbidity
◉ Amsel Criteria. Answer: Need 3/4:
1. Fishy odor with addition of KOH
2. Vaginal pH >4.7
3. Clue cells on wet mount
4. Thin, homogenous discharge
◉ Treatment of BV. Answer: Oral Metronidazole or oral Clindamycin
or
Vaginal Metronidazole or Vaginal Clindamycin creams
◉ Screening for Bladder Cancer. Answer: The USPSTF DOES NOT
recommend this due to lack of accurate screening methods
◉ Screening for HTN. Answer: Adults > 18 years
◉ Diagnosis of HTN. Answer: >140 systolic or >90 diastolic
Must have 2 different BP readings that are elevated over a period of
1-several weeks
, ◉ Categories of BP. Answer: Normal = <120/<80
PreHTN = 120-129/80-89
Stage 1 HTN = 140-159/90-99
Stage 2 HTN = 160+/100+
◉ Major CV Risk Factors. Answer: HTN
Obesity
Dyslipidemia
DM
Cigarette smoking
Inactivity
Age >55 (men) or >65 (women
Family History of premature CVD: <55 (men) and <65 (women)
◉ Causes of HTN. Answer: Sleep Apnea
Drug-induced (diuretics, cyclosporine, glucocorticoids, amiodarone)
Chronic kidney disease
Primary Aldosteronism (Conn's Syndrome)
Cushing's Syndrome
Pheochromocytoma (MEN II and III)
Coarctation of aorta (Turner's)
COMPREHENSIVE STUDY GUIDE 2026 PRIMARY
CARE AND CLINICAL PRACTICE PRINCIPLES
◉ Test used to screen for AAA. Answer: Abdominal duplex
ultrasonography
◉ Treatment for AAA. Answer: >5.5 cm --> surgery
3.0-5.4 cm --> repeated surveillance Q3-12 months
Growth >1.0 cm/yr --> surgery
◉ Screening for Alcohol Misuse. Answer: Persons older than 18
years
◉ Screening Tests for Alcohol Misuse. Answer: AUDIT, AUDIT-C, or
number of times person drank >5 (4 if woman or older than 65)
drinks in the past year
◉ Treatment for Alcohol Misuse. Answer: Behavioral Counseling
interventions
◉ Recommendation for Aspirin Usage. Answer: Men 45-79 years old
(MI protection)
,Women 55-79 (Stroke protection)
*Benefit of MI reduction must outweigh the risk of GI hemorrhage
◉ Risk Factors For GI Hemorrhage. Answer: Men
Other NSAID usage
Hx of GI ulcer
Uncontrolled HTN
Anticoagulation
◉ Screening for Asymptomatic Bacteriuria. Answer: Women at 12-
16 weeks of pregnancy or first prenatal visit if farther along
◉ Screening Test for Asymptomatic Bacteriuria. Answer: Urine
culture
Dipstick and microscopy have poor PPV and NPV
◉ Treatment for Asymptomatic Bacteriuria. Answer: Nitrofurantoin
◉ Prophylactic Aspirin for the Prevention of Colon Cancer. Answer:
The USPSTF DOES NOT recommend this due to risk of GI
hemorrhage
,◉ Bacterial Vaginosis Screening in Pregnant Women. Answer: The
USPSTF DOES NOT recommend this due to lack of evidence that it
reduces mortality or morbidity
◉ Amsel Criteria. Answer: Need 3/4:
1. Fishy odor with addition of KOH
2. Vaginal pH >4.7
3. Clue cells on wet mount
4. Thin, homogenous discharge
◉ Treatment of BV. Answer: Oral Metronidazole or oral Clindamycin
or
Vaginal Metronidazole or Vaginal Clindamycin creams
◉ Screening for Bladder Cancer. Answer: The USPSTF DOES NOT
recommend this due to lack of accurate screening methods
◉ Screening for HTN. Answer: Adults > 18 years
◉ Diagnosis of HTN. Answer: >140 systolic or >90 diastolic
Must have 2 different BP readings that are elevated over a period of
1-several weeks
, ◉ Categories of BP. Answer: Normal = <120/<80
PreHTN = 120-129/80-89
Stage 1 HTN = 140-159/90-99
Stage 2 HTN = 160+/100+
◉ Major CV Risk Factors. Answer: HTN
Obesity
Dyslipidemia
DM
Cigarette smoking
Inactivity
Age >55 (men) or >65 (women
Family History of premature CVD: <55 (men) and <65 (women)
◉ Causes of HTN. Answer: Sleep Apnea
Drug-induced (diuretics, cyclosporine, glucocorticoids, amiodarone)
Chronic kidney disease
Primary Aldosteronism (Conn's Syndrome)
Cushing's Syndrome
Pheochromocytoma (MEN II and III)
Coarctation of aorta (Turner's)
