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Family Medicine Aquifer Test- 2024| Questions Solved 100% Correc
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Family Medicine Aquifer Test- 2024| QuestionsSolved 100% Correct
51 - ANSWER Average age at menopause
- younger in smokers
Perimenopause
- can still get pregnant
- lasts 2-8 yrs - ANSWER Gradual transition to menopause
- Hot flashes
- Vaginal dryness
- Mood swings - ANSWER 3 Symptoms of menopause
- light layers
- regular exercise
- avoid spicy foods
- managing stress - ANSWER 4 recommendations for hot flashes
- neck and face flush
- last 30s to 10 min
- Water soluble lubricant - ANSWER Recommendation for vaginal dryness with
menopause
- Insufffienct evidence to assess calcium and vit D supplementation
- Recommending against in pre- and post-menopausal women - ANSWER USPSTF
osteoporosis prevention recommendations
,- increase dairy intake
- include weight bearing exercise - ANSWER Two recommendations to prevent
osteoporosis
> 65 DEXA
< 65 if risk of facture is >65 white woman (9.3% over 10 yr) - ANSWER USPSTF
recommendation for osteoporosis screening
- low estrogen state
- menopause
- prolonged amenorrhea
- low weight/BMI
- low physical activity
- low CA intake
- FHx
- Hx fracture as an adult
- Cigarette smoking
- White race - ANSWER Risk factors for osteoporosis (7)
- HTN
- CAD
- Stroke
- OA
- DM 2 - ANSWER 5 disease that increase wiht increased BMI
- exacerbated by smoking, sedentary lifestyle, old age
Choose my plate - ANSWER Webstie for healthy eating
- 150 m moderate intensity exercise
- 75 min vigorous exercise
- 2d/wk strength - ANSWER Recommendations for exercise
,- set a quit date
- use nicotine replacement
- join a support group
- choose a substitute
- make a list of why you quit
- throw away all tobacco and related products
- take medication - ANSWER 7 tips to quit smoking
1) specimen adequacy - >5000 squamous cells and endocervical cells
2) General catagorization of results (malignancy or not)
3) Interpretation of results - ASC, LSIL, HSIL, SCC - ANSWER Bethesda System for
Cervical Cytology
- Visual inspection - symmetry, skin
- Palpation - vertical strips and axillary and SC lymph nodes - ANSWER Steps in Breast
exam
- elevate head of table and place patient in stirrups
- Inspection and palpation or exterior
- Speculum exam - ANSWER Vaginal Exam Steps
- Sample from ectocervix
- Sample from Os
- place in liquid - ANSWER Obtaining a Pap
- Co-testing in 3 y - ANSWER Recommendations for women with ASC-US and negative
HPV
Mammography - ANSWER BCx screening
method - can detect early disease
, - false positives and false negatives
- radiation exposure
- discomfort
Breast MRI - ANSWER BCx screening method
- no recommended for average risk women
- indicated in women with >20% lifetime risk
- diagnostic tool in women with diagnosis
- can be used in women with breast augmentation
Breast US - ANSWER BCx screening method
- USPSTF insuffiecient evidence for use in screening with dense breasts
- Increased false positives
- used instead to investigate abnormalities
- Risk factors
- Immunizations
- Screening
- Education - ANSWER RISE pneumonic for preventative
- neoplasm
- heart disease
- accident
- CLD
- chronic lower respiratory disease
- DM
- CVA - ANSWER Top 7 causes of death in 55 yo males
- HTN
- HLD
- diabetes
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