Adult Preventive Health care

5 Questions | By Uscsom_im | Last updated: Mar 20, 2022 | Total Attempts: 85

Read the following ACP article and complete the quiz by choosing the single most appropriate answer to the question. Article link:https://rms1. Newinnov. Com/Administration/GetFile. Aspx? File=16B646D128E0 817650F08CEF8BB9E14E

Questions and Answers

1.

A 40-year-old female with hypertension presents to your office for a routine examination. She has no new complaints today. Her blood pressure is well controlled with hydrochlorothiazide. During your examination, you counsel her on the need to consider screening for breast cancer with a mammogram. The patient asks, in addition, if you will screen her for ovarian and gastric cancer as she had two friends who died of these illnesses. You review her family history, which is unremarkable except for breast cancer in a great aunt diagnosed at age 78. You explain that screening for cancer is evidence based, includes both benefi ts and potential harms, and is not done for every type of cancer. Which of the following are principles that should guide the creation of guidelines?
- A.
  
  The panel members should be free from financial conflicts of interest.
- B.
  
  The members should use their personal experience alone above consideration of available evidence.
- C.
  
  Guidelines should be explicit and easy to follow in clinical practice.
- D.
  
  Both A and C.
2.

A 50-year-old male with paraplegia secondary to a motor vehicle accident is in your offi ce to establish care after recently moving to the area. He has no new health complaints. He gets around easily on his wheelchair and is remarkably fi t as an ongoing downhill skier in the Para-Olympics. After a thorough review of systems and a physical examination, you bring up age-appropriate cancer screening.Which of the following cancer screenings for men holds a United States Preventive Services Task Force (UPSTF) grade A (strongest recommendation)?
- A.
  
  Prostate cancer by digital rectal examination (DRE) and prostate-specific antigen (PSA)
- B.
  
  Gastric cancer by esophagastroduodenoscopy
- C.
  
  Colon cancer screening through fecal occult cards
- D.
  
  Lung cancer screening with periodic chest x-rays
3.

A 55-year-old female returns to your offi ce to review her screening mammogram fi ndings. Six previous yearly mammograms have been unremarkable; however, her most recent mammogram shows an area of concern in her right breast. Further testing was recommended by the radiologist. The patient has no new complaints today. She has noticed no new lumps, skin changes, or nipple discharge from her breasts. Her family history is unremarkable for breast or ovarian cancer. In discussing the results with your patient, she becomes tearful and asks, “Does this mean I have cancer?”Which of the following regarding screening for breast cancer is true?
- A.
  
  Women who get 10 annual mammograms have about a 50% chance of having a false positive result.
- B.
  
  The majority of abnormal mammograms requiring a biopsy result in a cancer diagnosis.
- C.
  
  Mammograms have been shown to decrease mortality in women 40 to 70.
- D.
  
  Both A and C.
4.

A 76-year-old male with atrial fi brillation, coronary artery disease, and hypertension presents for a followup visit. He has no new complaints today except for a need for medication refi lls. Review of systems is relatively unremarkable; his angina remains stable, occurring only very rarely with heavy physical exertion. Physical examination reveals an irregularly irregular heart rhythm and trace pedal edema. After addressing his medical problems, you ask the patient to have his lipids and thyroid-stimulating hormone checked. The patient asks if his blood work should also include his “yearly prostate test.”Which of the following regarding the USPSTF recommendations on prostate cancer screening is true?
- A.
  
  A yearly PSA and DRE are recommended for all males > 50.
- B.
  
  Mortality from prostate cancer is declining in the United States.
- C.
  
  Prostate cancer is not a major cause of cancer death in men.
- D.
  
  Screening in men age > 75 years is not recommended.
5.

A 62-year-old male with a history of depression presents to your offi ce for follow-up. His depression has been improving on medications and weekly visits with a psychologist. Review of his chart reveals that he has had a recent colonoscopy with no abnormalities; he has elected to forego prostate cancer screening. The patient, who recently returned from visiting family in another country, asks about pancreatic cancer screening.Which of the following statements regarding USPSTF pancreatic cancer screening guidelines is true?
- A.
  
  Screening is recommended for persons of Asian heritage.
- B.
  
  Screening is not recommended.
- C.
  
  Screening is recommended for persons who drink alcohol and coffee.
- D.
  
  Screening is recommended for persons with a family history of ovarian cancer.