Questions and Answers
Adult male physical exams should screen for which of the following conditions? (Select all that apply)
HLD screening age for men is ________.
35
HLD screening age for women is ________.
45
Blood pressure screening starts at age ________.
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What age is diabetes screening recommended?
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Colon cancer screening begins at age ________.
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CAGE questions help assess for which condition?
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AAA screening is recommended for which demographic?
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Influenza immunization is only necessary at age 60 and above.
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What is included in the well-child check?
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What is the first-line treatment for an asthma exacerbation?
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What are the risk factors for colonic adenocarcinoma?
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Routine imaging is recommended for stage I or II breast cancer.
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Amoxicillin is prescribed for ________ days to treat Acute Otitis Media.
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What treatment is recommended for recurrent AOM?
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Study Notes
Adult Male Physical Exam Screenings
- Screen for HLD, HTN, T2DM, colon cancer, and substance abuse.
- HLD screening starts at age 35 for men, 45 for women with fasting lipid panels every 5 years.
- BP should be screened annually for patients over 18 with readings >120/80, every 2 years if <120/80.
Diabetes and Colon Cancer Screening
- Diabetes screening recommended at age >45, or with BMI >25, or BP >135/80 if <45.
- Colon cancer screening begins at age 50 with annual FOBT or colonoscopy every 10 years for ages 50-75.
CAGE Alcohol Screening
- CAGE questions assess history of alcohol use:
- Cut Down
- Annoyed
- Guilty
- Eye Opener
- Positive response requires alcohol cessation support.
AAA and Immunization Guidelines
- AAA screening via abdominal ultrasound for men aged 65-75 who have smoked.
- Adult immunizations include Tetanus (Td or Tdap every 10 years), Meningococcus, Hepatitis B, Pneumococcus, Influenza (annual), Hep A, and Zoster (after 60).
Statin Guidelines
- High-intensity statins: Atorvastatin 80 mg, Rosuvastatin 20 mg.
- Recommended for adults >40 with LDL >70 and ASCVD risk >7.5%.
Osteoarthritis Management and Post-Op Orders
- Nonoperative treatment: weight loss, physical therapy and directed exercise focused on quadriceps.
- Post-op orders for TKA include DVT prophylaxis (LWMH) and physical therapy.
Alcoholic Hepatitis Diagnosis and Treatment
- Diagnosed with elevated AST/ALT ratio (typically 2:1), jaundice, fever, and abdominal pain.
- Treatment is supportive with IV fluids and abstinence; corticosteroids for severe cases.
Evaluating and Treating Childhood Conditions
- Well-child checks at specific milestones; assess growth, development, and behavioral issues.
- Tetanus immunization at scheduled intervals, starting with DTaP at 2, 4, 6 months and DTaP at 11-18 years.
Asthma Management
- Symptoms of asthma: dry cough, SOB, chest tightness; diagnosed with spirometry and bronchodilator response.
- Treatment of exacerbation: inhaled albuterol, systemic corticosteroids if severe.
Angina and PE Management
- Stable angina is treated with aspirin, statins, and beta-blockers.
- Unstable angina presents as chest pain at rest; managed with MONA BASH protocol and potential PCI.
Work up for Fatigue and Anemia
- Fatigue in the elderly requires CBC, TSH, BMP, and heme occult stool eval.
- Microcytic anemia requires ferritin and iron studies; positive heme-occult tests necessitate endoscopy/colonoscopy.
Risk Factors for Adenocarcinoma
- Risk factors include alcohol and tobacco use, obesity, insulin resistance, and high red meat consumption.
Breast Cancer Workup and Imaging Guidelines
- For palpable breast masses in women >40, diagnostic mammography is essential.
- Following ductal carcinoma confirmation, order liver enzymes, HER-2 status, and lymph node biopsies, avoiding routine metastasis imaging.
Acute Otitis Media
- First-line treatment is amoxicillin for 10 days; if previously used, Augmentin is preferred.
- No benefit from decongestants or antihistamines in acute management.
Tympanostomy Otorrhea
- Characterized by purulent drainage from the tympanostomy tube; treat with topical antibiotics like ofloxacin or ciprofloxacin-dexamethasone drops.
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Description
This quiz covers the recommended physical exam screenings for adult males, including checks for high cholesterol, hypertension, diabetes, and colon cancer. It also addresses substance abuse assessment and guidelines for immunizations and AAA screening. Test your knowledge on these important health screenings.
