Family Medicine Aquifer Exam|
Questions AND 100% Correct Verified
Answers
When should someone with hypertension not meeting goals be referred to a cardiologist
or nephrologist? - ANSWER max dose of 3 medications including a diuretic
What risk factor reduction is least likely to reduce CVD in someone with HTN? -
ANSWER Moderate alcohol consumption
moderate levels actually lower BP and stopping may actually increase BP, but people
should not be encouraged to start drinking
What are 4 risk factors for cervical cancer? - ANSWER early intercourse
multiple partners
cigarette smoking
immunosuppressed patient
Lung cancer screening recommendations? - ANSWER 55--80 with a 30 year
smoking history that is currently smoking or quit within the past 15 years
American cancer society screening recommendations for breast cancer? -
ANSWER 40-44: women can choose to start getting screened
45: annual mammograms
55: every other year
What are 6 risk factors for breast cancer - ANSWER family hx in a first degree relative
prolonged estrogen exposure
estrogen exposure
age
post-menopause obesity
excessive alcohol intake
TF people who smoke go through menopause earlier? - ANSWER T
,Should healthy pre and post menopausal woman receive calcium and Vit D
supplementation/ - ANSWER No
**increasing dairy consumption and weight bearing exercise is the best thing you can do
***excess Ca can increase the risk of atherosclerotic disease and kidney stones
6 risk factors for osteoporosis? - ANSWER -Early menopause
-sedentary lifestyle
-history of a previous fracture as an adult
-low weight
-white race
-smoking
What age of menarche and menopause is considered prolonged estrogen exposure?
- ANSWER 12-45
When can you stop pap smears? - ANSWER between 65-70 if they have had 3 or
more normal paps in the last 10 years
According to the newest USPSTF guidelines for mammography, when should women
receive screening? - ANSWER starting at 50 every 2 years
What is the quit rate for medication in comparison to the placebo? - ANSWER 1.5 to 3
times the placebo
What are the positive effects of alcohol? - ANSWER increase in HDL
resveratrol found in alcohol keeps platelets from sticking together
What age should shingrix be given? - ANSWER @ 50
2 shots 2-6 months apart
age for zostavax, CI? - ANSWER 60
immunocompromised, those in contact with immunocompromised, or pregnant women
When does prostate cancer screening start? - ANSWER 55-69
**C recommendation and should be discussed between the patient and doctor. If
no symptoms then less likely to need it
,What 3 things are good screening labs in asymptomatic individuals? - ANSWER BMP
Lipid
Glucose
Indications for exercise stress test - ANSWER over 45 with one or more risk factors:
HTN
high cholesterol
smoking
fm hx
How do you take buproprion for smoking cessation? - ANSWER 1 week before quit
date: 1 pill a day for the first 3 days
2 pills a day for the next 4 days
after that week, stop smoking and continue pills BID for about 2 months, nicotine
gum for bad cravings, gradually stop after the 2 months
What drug therapy is approved for insomnia tx in the eldery? - ANSWER Zolpidem
How do you treat depression in the elderly? - ANSWER CBT
SSRI
Exercise
***less chance of spontaneous remission in the elderly `
What time period is needed to diagnose depression? - ANSWER 2 weeks
What are the 6 Ps of compartment syndrome? - ANSWER Pain
Pallor
Pulselessness
Paresthesia
Perishing cold
Paralysis
Differential for lateral malleolus tenderness following an inversion injury (5) - ANSWER
Lateral ankle sprain
peroneal tendon tear
fibular fracture
talar dome fracture
, subtalar dislocation
What is the complication of a talar dome fracture? - ANSWER avascular necrosis
can be missed on initial X-ray
What is the most common mechanism of injury in ankle sprains? - ANSWER plantar
flexion and inversion
What other ligament is commonly injured with the anterior talofibular ligament? -
ANSWER calcaneofibular ligament
What tests can be used to test the anterior talofibular ligament and the calcaneofibular
ligament? - ANSWER AT: anterior drawer
CF: inversion stress test
What are the three grades of sprains? - ANSWER I: small stretching or tearing, little to
no functional loss, swelling or pain
II: incomplete tear,mild to moder pain and loss of function and instability
III: complete tear
According to the Ottawa rules, what is needed to justify an x-ray of an ankle sprain? -
ANSWER -pain in malleolar zone
-bony tenderness along the distal 6 cm of the posterior edge of either malleoli
OR
-inability to bear weight 4 steps immediately after the injury and in the ER
What will a positive cross leg test indicate? - ANSWER high ankle sprain
How should you instruct a patient to take care of their ankle sprain? - ANSWER -rest for
the first 72 hours
-stretch after the first few days to improve range of motion and
outcomes -ensure good pain control as this improves outcomes
then, daily ankle exercises, no flip flops until the ankle heals and wear a
protective device when returning to sports
Questions AND 100% Correct Verified
Answers
When should someone with hypertension not meeting goals be referred to a cardiologist
or nephrologist? - ANSWER max dose of 3 medications including a diuretic
What risk factor reduction is least likely to reduce CVD in someone with HTN? -
ANSWER Moderate alcohol consumption
moderate levels actually lower BP and stopping may actually increase BP, but people
should not be encouraged to start drinking
What are 4 risk factors for cervical cancer? - ANSWER early intercourse
multiple partners
cigarette smoking
immunosuppressed patient
Lung cancer screening recommendations? - ANSWER 55--80 with a 30 year
smoking history that is currently smoking or quit within the past 15 years
American cancer society screening recommendations for breast cancer? -
ANSWER 40-44: women can choose to start getting screened
45: annual mammograms
55: every other year
What are 6 risk factors for breast cancer - ANSWER family hx in a first degree relative
prolonged estrogen exposure
estrogen exposure
age
post-menopause obesity
excessive alcohol intake
TF people who smoke go through menopause earlier? - ANSWER T
,Should healthy pre and post menopausal woman receive calcium and Vit D
supplementation/ - ANSWER No
**increasing dairy consumption and weight bearing exercise is the best thing you can do
***excess Ca can increase the risk of atherosclerotic disease and kidney stones
6 risk factors for osteoporosis? - ANSWER -Early menopause
-sedentary lifestyle
-history of a previous fracture as an adult
-low weight
-white race
-smoking
What age of menarche and menopause is considered prolonged estrogen exposure?
- ANSWER 12-45
When can you stop pap smears? - ANSWER between 65-70 if they have had 3 or
more normal paps in the last 10 years
According to the newest USPSTF guidelines for mammography, when should women
receive screening? - ANSWER starting at 50 every 2 years
What is the quit rate for medication in comparison to the placebo? - ANSWER 1.5 to 3
times the placebo
What are the positive effects of alcohol? - ANSWER increase in HDL
resveratrol found in alcohol keeps platelets from sticking together
What age should shingrix be given? - ANSWER @ 50
2 shots 2-6 months apart
age for zostavax, CI? - ANSWER 60
immunocompromised, those in contact with immunocompromised, or pregnant women
When does prostate cancer screening start? - ANSWER 55-69
**C recommendation and should be discussed between the patient and doctor. If
no symptoms then less likely to need it
,What 3 things are good screening labs in asymptomatic individuals? - ANSWER BMP
Lipid
Glucose
Indications for exercise stress test - ANSWER over 45 with one or more risk factors:
HTN
high cholesterol
smoking
fm hx
How do you take buproprion for smoking cessation? - ANSWER 1 week before quit
date: 1 pill a day for the first 3 days
2 pills a day for the next 4 days
after that week, stop smoking and continue pills BID for about 2 months, nicotine
gum for bad cravings, gradually stop after the 2 months
What drug therapy is approved for insomnia tx in the eldery? - ANSWER Zolpidem
How do you treat depression in the elderly? - ANSWER CBT
SSRI
Exercise
***less chance of spontaneous remission in the elderly `
What time period is needed to diagnose depression? - ANSWER 2 weeks
What are the 6 Ps of compartment syndrome? - ANSWER Pain
Pallor
Pulselessness
Paresthesia
Perishing cold
Paralysis
Differential for lateral malleolus tenderness following an inversion injury (5) - ANSWER
Lateral ankle sprain
peroneal tendon tear
fibular fracture
talar dome fracture
, subtalar dislocation
What is the complication of a talar dome fracture? - ANSWER avascular necrosis
can be missed on initial X-ray
What is the most common mechanism of injury in ankle sprains? - ANSWER plantar
flexion and inversion
What other ligament is commonly injured with the anterior talofibular ligament? -
ANSWER calcaneofibular ligament
What tests can be used to test the anterior talofibular ligament and the calcaneofibular
ligament? - ANSWER AT: anterior drawer
CF: inversion stress test
What are the three grades of sprains? - ANSWER I: small stretching or tearing, little to
no functional loss, swelling or pain
II: incomplete tear,mild to moder pain and loss of function and instability
III: complete tear
According to the Ottawa rules, what is needed to justify an x-ray of an ankle sprain? -
ANSWER -pain in malleolar zone
-bony tenderness along the distal 6 cm of the posterior edge of either malleoli
OR
-inability to bear weight 4 steps immediately after the injury and in the ER
What will a positive cross leg test indicate? - ANSWER high ankle sprain
How should you instruct a patient to take care of their ankle sprain? - ANSWER -rest for
the first 72 hours
-stretch after the first few days to improve range of motion and
outcomes -ensure good pain control as this improves outcomes
then, daily ankle exercises, no flip flops until the ankle heals and wear a
protective device when returning to sports
