PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP
ABFM HEALTH COUNSELING AND PREVENTIVE P P P P P
CARE /60 Questions And Answers Latest 2023-2024 P P P P P P
Quiz :You are counseling a 45-year-old male with elevated LDL-
P P P P P P P P P
cholesterol. When discussing dietary changes to promote healthy lipid levels, w
P P P P P P P P P P
hich one of the following would be accurate advice?
P P P P P P P P
He should minimize his consumption of nuts
P P P P P P
The Dietary Approaches to Stop Hypertension (DASH) diet recommended for re
P P P P P P P P P P
ducing hypertension will help lower his LDL-cholesterol level
P P P P P P P
Saturated fats should comprise 15% or less of his caloric intakeP P P P P P P P P P
He should aim for a fiber intake of 25 g daily
P P P P P P P P P P
He should record what he has eaten in a food diary at the end of each day -
P P P P P P P P P P P P P P P P P
Answer :B
PP P
In 2013, the American Heart Association (AHA) issued lifestyle management gui
P P P P P P P P P P
delines designed to reduce cardiovascular risk. For adult patients with elevated
P P P P P P P P P P P
LDL-
cholesterol levels the AHA advises following diet plans such as the Dietary Appro
P P P P P P P P P P P P
aches to Stop Hypertension (DASH) diet, the AHA diet, or the USDA Food Pattern
P P P P P P P P P P P P P
. The AHA specifically recommends reducing the percentage of calories from sat
P P P P P P P P P P P
urated fat, aiming for a goal of 6%- P P P P P P P
7% of calories from this source. The AHA also recommends a diet that emphasiz
P P P P P P P P P P P P P
es the consumption of fruits, vegetables, and whole grains, and which includes fi
P P P P P P P P P P P P
sh, poultry, low- P P
fat dairy products, legumes, nontropical vegetable oils, and nuts. Consumption
P P P P P P P P P P
of red meat, sweets, and sugar-
P P P P P
sweetened beverages should be discouraged.Although dietary fiber has been sh
P P P P P P P P P
own to have several beneficial health effects, the average daily intake for most
P P P P P P P P P P P P P
Americans is 15 g daily, which is much lower than the recommended amount. Th
P P P P P P P P P P P P P
e recommended daily fiber intake for males age 14-
P P P P P P P P
50 is 38 g daily. For other populations the recommended amount is lower, and v
P P P P P P P P P P P P P P
aries according to age and sex. Several randomized, controlled trials have shown
P P P P P P P P P P P
Pa reduction of LDL-
P P P
cholesterol with higher fiber consumption. A food diary is an important aspect o
P P P P P P P P P P P P
f dietary behavior change but it is most accurate if entries are made immediatel
P P P P P P P P P P P P P
y after food is consumed.
P P P P
Quiz :A 24-year-
P P P
old female sees you for a preconception visit and removal of her IUD. This will be
P P P P P P P P P P P P P P P
,PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP
her first pregnancy and she tells you that she has smoked ¼-
P P P P P P P P P P P P
½ pack of cigarettes a day for the past 5 years.Which one of the following would
P P P P P P P P P P P P P P P P
be appropriate advice regarding the risks from smoking?
P P P P P P P
Smoking during pregnancy increases the risk of attention-
P P P P P P P
deficit/hyperactivity disorder P
Smoking during pregnancy increases the risk of clubfoot
P P P P P P P
Smoking during pregnancy increases the risk of congenital atrial septal defects
P P P P P P P P P P
Stopping smoking now will reduce the increased risk of orofacial defects in her i
P P P P P P P P P P P P P
nfant
Reducing smoking now will reduce the risk of preterm delivery - Answer :D
P P P P P P P P P P PP P
There are many reproductive problems related to smoking, including conceptio
P P P P P P P P P
n delay and both primary and secondary infertility; an increased risk of ectopic p
P P P P P P P P P P P P P
regnancy and spontaneous abortion; an increased risk of abruption, preterm ru
P P P P P P P P P P
pture of membranes, placenta previa, and premature delivery; and increased pe
P P P P P P P P P P
rinatal morbidity and mortality, including stillbirth, low birth weight, and SIDS-
P P P P P P P P P P
related deaths. The 2001 Surgeon General's Report on women and smoking mak
P P P P P P P P P P P
es it clear that stopping smoking during pregnancy reduces and sometimes elimi
P P P P P P P P P P P
nates many of these consequences.Small for gestational age (SGA) infants are a
P P P P P P P P P P P P
dose-
dependent outcome of maternal smoking, with an odds ratio (OR) of 2.11 when
P P P P P P P P P P P P P
women smoke throughout pregnancy. Risks for prematurity (OR 1.15) and fetal
P P P P P P P P P P P
death (OR 1.15) are also increased. The risk of having an SGA infant is avoided if
P P P P P P P P P P P P P P P P
smoking is reduced, but the risks for prematurity and increased fetal death are n
P P P P P P P P P P P P P
ot.In 2014 the U.S. Surgeon General issued a new report on the health conseque
P P P P P P P P P P P P P
nces of smoking that noted that the evidence was strong enough to infer a causa
P P P P P P P P P P P P P P
l link between maternal smoking and orofacial clefts. This was still true when the
P P P P P P P P P P P P P
PSurgeon General issued a report on smoking cessation in 2020. No link could be
P P P P P P P P P P P P P P
inferred, however, between smoking and other congenital defects, including clu
P P P P P P P P P
bfoot, gastroschisis, and atrial septal defects. There is no evidence that materna
P P P P P P P P P P P
l smoking leads to increased rates of childhood attention-
P P P P P P P P
deficit/hyperactivity disorder. P
Quiz :A 55-year-
P P P
old male expresses concern about his inability to maintain an erection that allow
P P P P P P P P P P P P
s for satisfactory sexual intercourse with his wife. He takes over-the-
P P P P P P P P P P
counter diphenhydramine (Benadryl) at night for sleep and takes a daily multivit
P P P P P P P P P P P
amin. He says he drinks one 12-ounce beer 2-
P P P P P P P P
,PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP
3 times per week. A physical examination is normal, including his blood pressure
P P P P P P P P P P P P
.Which one of the following would you tell him?
P P P P P P P P
Most cases of erectile dysfunction (ED) have a psychogenic etiology
P P P P P P P P P
Diphenhydramine has little impact on his ED P P P P P P
Abstaining from alcohol use will improve his symptoms P P P P P P P
Erectile dysfunction may be an early indication of vascular disease
P P P P P P P P P
About 5% of men his age experience ED - Answer :D
P P P P P P P P PP P
Erectile dysfunction (ED) is common, affecting an estimated 30 million men in th
P P P P P P P P P P P P
e United States, and becomes more common with advancing age. The Health Pr
P P P P P P P P P P P P
ofessionals Follow- P
up Study reported moderate to severe ED in 12% of men younger than 59, 22%
P P P P P P P P P P P P P P P
of men ages 60-
P P P
69, and 30% of men older than 69.It was previously thought that the majority of
P P P P P P P P P P P P P P P
cases of ED were caused by psychogenic factors such as family or occupational s
P P P P P P P P P P P P P
tress. However, evidence suggests that approximately 80% of ED is due to organ
P P P P P P P P P P P P
ic disease, which can be divided into hormonal, vasculogenic, and neurogenic ca
P P P P P P P P P P P
uses. Vasculogenic etiologies are the most common, with arterial or "inflow" dis
P P P P P P P P P P P
orders accounting for more problems than venous disorders. The patient should
P P P P P P P P P P
Pbe advised that their ED is a risk factor for underlying cardiovascular disease an
P P P P P P P P P P P P P
d that further evaluation may be appropriate. It is important to remember, how
P P P P P P P P P P P P
ever, that even though the primary etiology of ED is most often organic, psychol
P P P P P P P P P P P P P
ogical factors frequently coexist and play a role in the dysfunction.Many medica
P P P P P P P P P P P
tions can cause or contribute to ED. It is estimated that as many as 25% of ED cas
P P P P P P P P P P P P P P P P P
es are due to medication side effects. This highlights the crucial role of the prima
P P P P P P P P P P P P P P
ry care physician in reviewing medication lists and modifying treatment regimen
P P P P P P P P P P
s as part of addressing ED. Common offenders include antihistamines, antihyper
P P P P P P P P P P
tensives and diuretics such as hydrochlorothiazide and spironolactone, psychoa
P P P P P P P P
ctive medications including SSRIs, and anti-
P P P P P
epilepsy medications. It is not clear whether low amounts of alcohol cause erect
P P P P P P P P P P P P
ile dysfunction.P
PQuiz :A 42-year- P P
old female sees you for a routine health maintenance visit. Her neighbor was jus
P P P P P P P P P P P P P
t diagnosed with ovarian cancer and has encouraged her to have her CA-
P P P P P P P P P P P P
125 level checked. The patient asks about ovarian cancer risk factors, preventio
P P P P P P P P P P P
n, and screening. Which one of the following would be appropriate advice?
P P P P P P P P P P P
A past history of oral contraceptive use increases the risk for ovarian cancer
P P P P P P P P P P P P
, PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP
Hormone replacement therapy after menopause decreases the risk for subsequ
P P P P P P P P P
ent ovarian cancer
P P
CA-125 has a false-positive rate of 98% when used to screen for ovarian cancer
P P P P P P P P P P P P P
Bimanual examinations are recommended to screen for ovarian cancer
P P P P P P P P
Transvaginal ultrasonography is recommended to screen for ovarian cancer -
P P P P P P P P P
Answer :C
PP P
Ovarian cancer is the fifth leading cause of cancer death among women in the U
P P P P P P P P P P P P P P
nited States. Risk factors associated with ovarian cancer include a positive famil
P P P P P P P P P P P
y history and having the BRCA1 or BRCA2 gene mutation. A first or second degre
P P P P P P P P P P P P P P
e relative with ovarian cancer increases the risk by about threefold. The use of o
P P P P P P P P P P P P P P
ral contraceptives during the reproductive years, and pregnancy, especially afte
P P P P P P P P P
r age 35, reduce the risk of ovarian cancer, but postmenopausal estrogen use m
P P P P P P P P P P P P P
ay increase the risk.The U.S. Preventive Services Task Force does not currently r
P P P P P P P P P P P P
ecommend screening for ovarian cancer, as it is likely to have a relatively low yie
P P P P P P P P P P P P P P
ld (D recommendation). Almost all women with a positive screening test for CA-
P P P P P P P P P P P P
125 will not have ovarian cancer. In women at average risk, the positive predicti
P P P P P P P P P P P P P
ve value of an abnormal CA-
P P P P P
125 is approximately 2%, so 98% of women with positive test results will not hav
P P P P P P P P P P P P P P
e ovarian cancer. There are no current recommendations for ovarian cancer scr
P P P P P P P P P P P
eening by either transvaginal ultrasonography or pelvic examination.
P P P P P P P
Quiz :A male who was born in 1970 comes to your office for a preoperative exa
P P P P P P P P P P P P P P P P
mination for an orthopedic procedure on his knee. He is otherwise healthy and
P P P P P P P P P P P P P
does not take any medications, but he has not seen a physician for 6 years. He us
P P P P P P P P P P P P P P P P
ed illicit drugs for a brief period at age 23 but has not done so since that time an
P P P P P P P P P P P P P P P P P P
d has had three sexual partners, all of them female. You use this opportunity to
P P P P P P P P P P P P P P P
counsel him on preventive health screenings, including hepatitis C.Which one of
P P P P P P P P P P
the following is true regarding screening for hepatitis C?
P P P P P P P P P
The high cost of treatment outweighs the potential benefit of screening
P P P P P P P P P P
The CDC recommends testing for hepatitis C virus every 3-
P P P P P P P P P
5 years in patients who have a history of drug injection
P P P P P P P P P P
The U.S. Preventive Services Task Force recommends routine screening for hepa
P P P P P P P P P P
titis C only for those born between 1945 and 1965
P P P P P P P P P
This patient should be screened with hepatitis C RNA polymerase chain reaction
P P P P P P P P P P P P
(PC - Answer :E P PP P
In 2019 the U.S. Preventive Services Task Force (USPSTF) recommended screeni
P P P P P P P P P P
ng all patients 18-79 years of age at least once for hepatitis C with the anti-
P P P P P P P P P P P P P P P
ABFM HEALTH COUNSELING AND PREVENTIVE P P P P P
CARE /60 Questions And Answers Latest 2023-2024 P P P P P P
Quiz :You are counseling a 45-year-old male with elevated LDL-
P P P P P P P P P
cholesterol. When discussing dietary changes to promote healthy lipid levels, w
P P P P P P P P P P
hich one of the following would be accurate advice?
P P P P P P P P
He should minimize his consumption of nuts
P P P P P P
The Dietary Approaches to Stop Hypertension (DASH) diet recommended for re
P P P P P P P P P P
ducing hypertension will help lower his LDL-cholesterol level
P P P P P P P
Saturated fats should comprise 15% or less of his caloric intakeP P P P P P P P P P
He should aim for a fiber intake of 25 g daily
P P P P P P P P P P
He should record what he has eaten in a food diary at the end of each day -
P P P P P P P P P P P P P P P P P
Answer :B
PP P
In 2013, the American Heart Association (AHA) issued lifestyle management gui
P P P P P P P P P P
delines designed to reduce cardiovascular risk. For adult patients with elevated
P P P P P P P P P P P
LDL-
cholesterol levels the AHA advises following diet plans such as the Dietary Appro
P P P P P P P P P P P P
aches to Stop Hypertension (DASH) diet, the AHA diet, or the USDA Food Pattern
P P P P P P P P P P P P P
. The AHA specifically recommends reducing the percentage of calories from sat
P P P P P P P P P P P
urated fat, aiming for a goal of 6%- P P P P P P P
7% of calories from this source. The AHA also recommends a diet that emphasiz
P P P P P P P P P P P P P
es the consumption of fruits, vegetables, and whole grains, and which includes fi
P P P P P P P P P P P P
sh, poultry, low- P P
fat dairy products, legumes, nontropical vegetable oils, and nuts. Consumption
P P P P P P P P P P
of red meat, sweets, and sugar-
P P P P P
sweetened beverages should be discouraged.Although dietary fiber has been sh
P P P P P P P P P
own to have several beneficial health effects, the average daily intake for most
P P P P P P P P P P P P P
Americans is 15 g daily, which is much lower than the recommended amount. Th
P P P P P P P P P P P P P
e recommended daily fiber intake for males age 14-
P P P P P P P P
50 is 38 g daily. For other populations the recommended amount is lower, and v
P P P P P P P P P P P P P P
aries according to age and sex. Several randomized, controlled trials have shown
P P P P P P P P P P P
Pa reduction of LDL-
P P P
cholesterol with higher fiber consumption. A food diary is an important aspect o
P P P P P P P P P P P P
f dietary behavior change but it is most accurate if entries are made immediatel
P P P P P P P P P P P P P
y after food is consumed.
P P P P
Quiz :A 24-year-
P P P
old female sees you for a preconception visit and removal of her IUD. This will be
P P P P P P P P P P P P P P P
,PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP
her first pregnancy and she tells you that she has smoked ¼-
P P P P P P P P P P P P
½ pack of cigarettes a day for the past 5 years.Which one of the following would
P P P P P P P P P P P P P P P P
be appropriate advice regarding the risks from smoking?
P P P P P P P
Smoking during pregnancy increases the risk of attention-
P P P P P P P
deficit/hyperactivity disorder P
Smoking during pregnancy increases the risk of clubfoot
P P P P P P P
Smoking during pregnancy increases the risk of congenital atrial septal defects
P P P P P P P P P P
Stopping smoking now will reduce the increased risk of orofacial defects in her i
P P P P P P P P P P P P P
nfant
Reducing smoking now will reduce the risk of preterm delivery - Answer :D
P P P P P P P P P P PP P
There are many reproductive problems related to smoking, including conceptio
P P P P P P P P P
n delay and both primary and secondary infertility; an increased risk of ectopic p
P P P P P P P P P P P P P
regnancy and spontaneous abortion; an increased risk of abruption, preterm ru
P P P P P P P P P P
pture of membranes, placenta previa, and premature delivery; and increased pe
P P P P P P P P P P
rinatal morbidity and mortality, including stillbirth, low birth weight, and SIDS-
P P P P P P P P P P
related deaths. The 2001 Surgeon General's Report on women and smoking mak
P P P P P P P P P P P
es it clear that stopping smoking during pregnancy reduces and sometimes elimi
P P P P P P P P P P P
nates many of these consequences.Small for gestational age (SGA) infants are a
P P P P P P P P P P P P
dose-
dependent outcome of maternal smoking, with an odds ratio (OR) of 2.11 when
P P P P P P P P P P P P P
women smoke throughout pregnancy. Risks for prematurity (OR 1.15) and fetal
P P P P P P P P P P P
death (OR 1.15) are also increased. The risk of having an SGA infant is avoided if
P P P P P P P P P P P P P P P P
smoking is reduced, but the risks for prematurity and increased fetal death are n
P P P P P P P P P P P P P
ot.In 2014 the U.S. Surgeon General issued a new report on the health conseque
P P P P P P P P P P P P P
nces of smoking that noted that the evidence was strong enough to infer a causa
P P P P P P P P P P P P P P
l link between maternal smoking and orofacial clefts. This was still true when the
P P P P P P P P P P P P P
PSurgeon General issued a report on smoking cessation in 2020. No link could be
P P P P P P P P P P P P P P
inferred, however, between smoking and other congenital defects, including clu
P P P P P P P P P
bfoot, gastroschisis, and atrial septal defects. There is no evidence that materna
P P P P P P P P P P P
l smoking leads to increased rates of childhood attention-
P P P P P P P P
deficit/hyperactivity disorder. P
Quiz :A 55-year-
P P P
old male expresses concern about his inability to maintain an erection that allow
P P P P P P P P P P P P
s for satisfactory sexual intercourse with his wife. He takes over-the-
P P P P P P P P P P
counter diphenhydramine (Benadryl) at night for sleep and takes a daily multivit
P P P P P P P P P P P
amin. He says he drinks one 12-ounce beer 2-
P P P P P P P P
,PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP
3 times per week. A physical examination is normal, including his blood pressure
P P P P P P P P P P P P
.Which one of the following would you tell him?
P P P P P P P P
Most cases of erectile dysfunction (ED) have a psychogenic etiology
P P P P P P P P P
Diphenhydramine has little impact on his ED P P P P P P
Abstaining from alcohol use will improve his symptoms P P P P P P P
Erectile dysfunction may be an early indication of vascular disease
P P P P P P P P P
About 5% of men his age experience ED - Answer :D
P P P P P P P P PP P
Erectile dysfunction (ED) is common, affecting an estimated 30 million men in th
P P P P P P P P P P P P
e United States, and becomes more common with advancing age. The Health Pr
P P P P P P P P P P P P
ofessionals Follow- P
up Study reported moderate to severe ED in 12% of men younger than 59, 22%
P P P P P P P P P P P P P P P
of men ages 60-
P P P
69, and 30% of men older than 69.It was previously thought that the majority of
P P P P P P P P P P P P P P P
cases of ED were caused by psychogenic factors such as family or occupational s
P P P P P P P P P P P P P
tress. However, evidence suggests that approximately 80% of ED is due to organ
P P P P P P P P P P P P
ic disease, which can be divided into hormonal, vasculogenic, and neurogenic ca
P P P P P P P P P P P
uses. Vasculogenic etiologies are the most common, with arterial or "inflow" dis
P P P P P P P P P P P
orders accounting for more problems than venous disorders. The patient should
P P P P P P P P P P
Pbe advised that their ED is a risk factor for underlying cardiovascular disease an
P P P P P P P P P P P P P
d that further evaluation may be appropriate. It is important to remember, how
P P P P P P P P P P P P
ever, that even though the primary etiology of ED is most often organic, psychol
P P P P P P P P P P P P P
ogical factors frequently coexist and play a role in the dysfunction.Many medica
P P P P P P P P P P P
tions can cause or contribute to ED. It is estimated that as many as 25% of ED cas
P P P P P P P P P P P P P P P P P
es are due to medication side effects. This highlights the crucial role of the prima
P P P P P P P P P P P P P P
ry care physician in reviewing medication lists and modifying treatment regimen
P P P P P P P P P P
s as part of addressing ED. Common offenders include antihistamines, antihyper
P P P P P P P P P P
tensives and diuretics such as hydrochlorothiazide and spironolactone, psychoa
P P P P P P P P
ctive medications including SSRIs, and anti-
P P P P P
epilepsy medications. It is not clear whether low amounts of alcohol cause erect
P P P P P P P P P P P P
ile dysfunction.P
PQuiz :A 42-year- P P
old female sees you for a routine health maintenance visit. Her neighbor was jus
P P P P P P P P P P P P P
t diagnosed with ovarian cancer and has encouraged her to have her CA-
P P P P P P P P P P P P
125 level checked. The patient asks about ovarian cancer risk factors, preventio
P P P P P P P P P P P
n, and screening. Which one of the following would be appropriate advice?
P P P P P P P P P P P
A past history of oral contraceptive use increases the risk for ovarian cancer
P P P P P P P P P P P P
, PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP
Hormone replacement therapy after menopause decreases the risk for subsequ
P P P P P P P P P
ent ovarian cancer
P P
CA-125 has a false-positive rate of 98% when used to screen for ovarian cancer
P P P P P P P P P P P P P
Bimanual examinations are recommended to screen for ovarian cancer
P P P P P P P P
Transvaginal ultrasonography is recommended to screen for ovarian cancer -
P P P P P P P P P
Answer :C
PP P
Ovarian cancer is the fifth leading cause of cancer death among women in the U
P P P P P P P P P P P P P P
nited States. Risk factors associated with ovarian cancer include a positive famil
P P P P P P P P P P P
y history and having the BRCA1 or BRCA2 gene mutation. A first or second degre
P P P P P P P P P P P P P P
e relative with ovarian cancer increases the risk by about threefold. The use of o
P P P P P P P P P P P P P P
ral contraceptives during the reproductive years, and pregnancy, especially afte
P P P P P P P P P
r age 35, reduce the risk of ovarian cancer, but postmenopausal estrogen use m
P P P P P P P P P P P P P
ay increase the risk.The U.S. Preventive Services Task Force does not currently r
P P P P P P P P P P P P
ecommend screening for ovarian cancer, as it is likely to have a relatively low yie
P P P P P P P P P P P P P P
ld (D recommendation). Almost all women with a positive screening test for CA-
P P P P P P P P P P P P
125 will not have ovarian cancer. In women at average risk, the positive predicti
P P P P P P P P P P P P P
ve value of an abnormal CA-
P P P P P
125 is approximately 2%, so 98% of women with positive test results will not hav
P P P P P P P P P P P P P P
e ovarian cancer. There are no current recommendations for ovarian cancer scr
P P P P P P P P P P P
eening by either transvaginal ultrasonography or pelvic examination.
P P P P P P P
Quiz :A male who was born in 1970 comes to your office for a preoperative exa
P P P P P P P P P P P P P P P P
mination for an orthopedic procedure on his knee. He is otherwise healthy and
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does not take any medications, but he has not seen a physician for 6 years. He us
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ed illicit drugs for a brief period at age 23 but has not done so since that time an
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d has had three sexual partners, all of them female. You use this opportunity to
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counsel him on preventive health screenings, including hepatitis C.Which one of
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the following is true regarding screening for hepatitis C?
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The high cost of treatment outweighs the potential benefit of screening
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The CDC recommends testing for hepatitis C virus every 3-
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5 years in patients who have a history of drug injection
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The U.S. Preventive Services Task Force recommends routine screening for hepa
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titis C only for those born between 1945 and 1965
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This patient should be screened with hepatitis C RNA polymerase chain reaction
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In 2019 the U.S. Preventive Services Task Force (USPSTF) recommended screeni
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ng all patients 18-79 years of age at least once for hepatitis C with the anti-
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