Preventative Medicine (Actual) Exam
Rated A+
1st line medications for obesity - ANSWER-semaglutide
liraglutide
lorcaserin
2nd line medications for obesity - ANSWER-phentermine-topiramate
bupropion-naltrexone
orlistat
behavioral change in quitting smoking - ANSWER-set a quit date
changing brand of tobacco
break association between smoking and certain activities
keep journal of smoking
tell support person about decision to quit
prepare a survival kit: gum, toothpicks, healthy snacks etc
biological hazards? - ANSWER-parasites, bacteria, viruses (health care workers, dog
groomer/walker, zoo keepers)
both public health and clinical practice share same goal of what? - ANSWER-improving
population health
chantix careful with use in what kind of patients? - ANSWER-careful with renal failure
sleep disturbances, causes vivid disturbing dreams
Chemical Hazards? - ANSWER-exposure to noxious gases, dust, fumes, toxic metals,
organic compounds
chemicals in cigs - ANSWER-known carcinogens
heavy metals free radicals toxic substances
nicotine=addictive substance but does not cause cancer
cigarettes - ANSWER-produced to be more addictive and more toxic than in past
definition of social determinants of health? - ANSWER-conditions in the environments in
which people are born, live, learn, work, play, worship, and age that affect a wide range
of health, functioning, and quality of life outcomes and risks
do and example of clinical practice alone and clinical + public health integration with the
following situation: mammograms - ANSWER-clinical practice alone: patient is due for
screening mammogram but is uninsured and can't afford the screening out of pocket
, clinical + public health integration: refer them to nearest provider of services through
national breast and cervical cancer early detection program or find radiology clinic that
offers free services to the uninsured.
effective care does what? - ANSWER-focuses on the individual and considers the social
and physical environments in which patients live
EMR - ANSWER-allows clinicians to provide surveillance data to public health
practitioners w/o adding extra work time
also provide notification for certain reportable dzs
endocrine complications of obesity - ANSWER-type 2 dm
example: USPSTF update on STIs
who is making rec, who is the rec focused on, who are you NOT making rec to, what
kind of prevention? - ANSWER-who is making rec: USPSTF
who are you making rec to:
all sexually active adolescents
adults who are in increased risk for STIs (multiple partners, previous STI, not using
condoms, preg women)
who are you NOT making recommendation to?
asx 7 yo girl
asx 77 yo male
what kind of prevention: primary
(secondary if screening and it is +)
first step in helping your patient quit smoking - ANSWER-accurately screen for tobacco
use at every encounter
GI and obesity? - ANSWER-fatty liver dz
cholelithiasis
HIV prevention - ANSWER-healthier ways to shoot up drugs: clean needles
how can we monitor and/or identify public health issues in clinical practice? - ANSWER-
EMR
lab reporting
how do OEM clinicians enhance the health of workers? - ANSWER-clinical care (pre
employment/annual work physicals)
disability management
Rated A+
1st line medications for obesity - ANSWER-semaglutide
liraglutide
lorcaserin
2nd line medications for obesity - ANSWER-phentermine-topiramate
bupropion-naltrexone
orlistat
behavioral change in quitting smoking - ANSWER-set a quit date
changing brand of tobacco
break association between smoking and certain activities
keep journal of smoking
tell support person about decision to quit
prepare a survival kit: gum, toothpicks, healthy snacks etc
biological hazards? - ANSWER-parasites, bacteria, viruses (health care workers, dog
groomer/walker, zoo keepers)
both public health and clinical practice share same goal of what? - ANSWER-improving
population health
chantix careful with use in what kind of patients? - ANSWER-careful with renal failure
sleep disturbances, causes vivid disturbing dreams
Chemical Hazards? - ANSWER-exposure to noxious gases, dust, fumes, toxic metals,
organic compounds
chemicals in cigs - ANSWER-known carcinogens
heavy metals free radicals toxic substances
nicotine=addictive substance but does not cause cancer
cigarettes - ANSWER-produced to be more addictive and more toxic than in past
definition of social determinants of health? - ANSWER-conditions in the environments in
which people are born, live, learn, work, play, worship, and age that affect a wide range
of health, functioning, and quality of life outcomes and risks
do and example of clinical practice alone and clinical + public health integration with the
following situation: mammograms - ANSWER-clinical practice alone: patient is due for
screening mammogram but is uninsured and can't afford the screening out of pocket
, clinical + public health integration: refer them to nearest provider of services through
national breast and cervical cancer early detection program or find radiology clinic that
offers free services to the uninsured.
effective care does what? - ANSWER-focuses on the individual and considers the social
and physical environments in which patients live
EMR - ANSWER-allows clinicians to provide surveillance data to public health
practitioners w/o adding extra work time
also provide notification for certain reportable dzs
endocrine complications of obesity - ANSWER-type 2 dm
example: USPSTF update on STIs
who is making rec, who is the rec focused on, who are you NOT making rec to, what
kind of prevention? - ANSWER-who is making rec: USPSTF
who are you making rec to:
all sexually active adolescents
adults who are in increased risk for STIs (multiple partners, previous STI, not using
condoms, preg women)
who are you NOT making recommendation to?
asx 7 yo girl
asx 77 yo male
what kind of prevention: primary
(secondary if screening and it is +)
first step in helping your patient quit smoking - ANSWER-accurately screen for tobacco
use at every encounter
GI and obesity? - ANSWER-fatty liver dz
cholelithiasis
HIV prevention - ANSWER-healthier ways to shoot up drugs: clean needles
how can we monitor and/or identify public health issues in clinical practice? - ANSWER-
EMR
lab reporting
how do OEM clinicians enhance the health of workers? - ANSWER-clinical care (pre
employment/annual work physicals)
disability management