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According to the USPSTF grade A & B recommendations, which of the following most accurately reflects

the preventive measures that would be appropriate to offer to a 65 year-old male with a 20 pack-year
smoking history (quit at age 45 years), who is otherwise healthy and sexually active in a monogamous
relationship of 40 years?
Colorectal and prostate cancer screening
Screening for HTN and Carotid Artery Stenosis
AAA screening with ultrasound and lung cancer screening with low dose CT scan
Alcohol misuse screening and AAA screening with ultrasound

Which of the following is an example of an activity related to the secondary level of


prevention?
Education on nutrition and exercise to every patient
Immunizations
Checking HbA1C in a 45-year-old male with a BMI of 35%
Cardiac rehab for a patient who suffered an MI

According to the CDC immunization schedule for adults, which of the following
vaccinations would you recommend for a healthy 62 year-old female who is a non-smoker?
Shingles and PCV13
Tdap and Shingles
MMR and Shingles
Influenza and HBV

According to the CDC immunization schedule for adults, which of the following adults
should receive the 13-valent pneumococcal conjugate vaccine (PCV13) in addition to the 23
-valent pneumococcal polysaccharide vaccine (PPSV23 or Pneumovax-23)?
57 year-old smoker
50 year-old T2DM
67 year-old healthy adult
28 year-old patient with asthma

What is the role of the National Vaccine Program Office?


Record and report on adverse events from immunizations
Coordinate and ensure collaboration among Federal agencies involved in immunization
Regulate drug companies who produce vaccines for safety and cost
Provide evidence based research to the CDC to drive vaccine recommendations

Which of the following is likely the most significant barrier to achieving national goals for
adult vaccination?
Inadequate vaccine supply
Lack of awareness about recommended vaccinations
Lack of safety data regarding vaccines
Vaccine costs

According to the USPSTF grade A recommendations, which preventive measures would


be appropriate to offer to a healthy 40 year-old female who is not pregnant, has regular
menses, does not smoke, and is sexually active in a monogamous relationship of 15 years?
Her last pap smear with HPV co-testing was one year ago and was negative for HPV and
any abnormal cytology.
High blood pressure and cholesterol screening
Cervical cancer screening and mammogram
Cervical cancer and chlamydia screening
High blood pressure screening and folic acid supplementation

Which of the following is an example of an activity related to the primary level of


prevention?
Education on nutrition and exercise for all patients
Checking HbA1C in a 45-year-old male with a BMI of 35%
Cardiac rehab for a patient who is post-MI
Recommend low dose aspirin in patients at high risk for a cardiac event

Which of the following is an example of an activity related to the tertiary level of


prevention?
Routine eye exam for a patient with uncontrolled diabetes
Recommending daily low dose aspirin
Checking HbA1C in a 45-year-old male with a BMI of 35%
Routine chlamydia screening for women ages 24 years and younger

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