I. Start the exam by click the “Start” button
See all quizzes of the Preventive Medicine at here:
II. Preview all questions below
1.You are doing a preoperative history and physical examination on a 58-year-old woman who will be undergoing a cholecystectomy later in the She is obese, sedentary with type 2 diabetes, hyperlipidemia and a history of congestive heart failure in the past. She reports that she is unable to walk four blocks without stopping to rest. She denies chest pain with activity. Which of her historical features is not a risk factor for adverse post- operative outcomes?
- Functional capacity
- Type 2 diabetes
- Congestive heart failure
2. You are doing a routine preoperative clearance for an otherwise healthy 60-year-old man undergoing a knee Which of the fol- lowing laboratory tests should be ordered?
- Blood glucose
- Serum creatinine
3. A 50-year-old male patient is presenting for preoperative testing before undergoing arthroscopic knee Which of the following is true regarding ordering a preoperative ECG for this patient?
- The patient should have a preoperative ECG done regardless of history or phys- ical examination
- The patient should have a preoperative ECG done if he has a family history of hypertension
- The patient should have a preoperative ECG done if he has a family history of coronary artery disease
- The patient should have a preoperative ECG done if he is found to have ele- vated blood pressure during the preoperative evaluation
- The patient should have a preoperative ECG done if he has a history of tobacco use
4. You are counseling one of your patients who is planning a trip over- He is concerned about becoming ill while traveling. Which of the fol- lowing illnesses is the most common seen in international travelers?
- Upper respiratory infection
- Parasitic infection
5. You are counseling a patient who is planning a trip with his wife to cel- ebrate their 30th They are going on an African Safari, and wonder about health risks associated with international travel. What would you tell him is the most common cause of death among interna- tional travelers?
- Heart disease
- Vascular disease (i.e., deep venous thrombosis and pulmonary embolus)
6. You are performing a physical examination on a student traveling to Mexico with her college Spanish class. She is concerned about traveler’s diarrhea, and asks about antibiotic prophylaxis. Which of the following best represents the current guideline from the Centers for Disease Control (CDC) for prevention of traveler’s diarrhea?
- The CDC does not have an antibiotic guideline regarding antibiotic prophylaxis for traveler’s diarrhea
7. You are discussing vaccinations for a patient who is traveling interna- Due to a significant fear of needles, he is unwilling to obtain any vaccination unless he feels there is significant risk of acquiring the condi- tion. Which of the following vaccine preventable illness is the most com- mon one acquired by travelers?
- Yellow fever
- Hepatitis A
8. One of your patients is a medical student planning a mission trip to equatorial He is asking about the yellow fever vaccine and the risks of complications from the vaccine. Which of the following is true regarding yellow fever vaccination?
- The yellow fever vaccine is a killed vaccine, and therefore has minimal associ- ated side effects
- The yellow fever vaccine is a live vaccine, and does not have clinically signifi- cant risks associated with its use
- The complications associated with the vaccine are rarer than the risk of devel- oping yellow fever in equatorial Africa
- The risk of yellow fever vaccine associated encephalitis is higher than the risk of becoming infected with yellow fever, therefore vaccination is not recommended
- The risk of developing a syndrome resembling wild-type yellow fever after vac- cination is higher than the risk of becoming infected with yellow fever, there- fore vaccination is not recommended
9. You are discussing required vaccinations for an HIV infected Which of the following vaccines is recommended for immunodeficient patients?
- Yellow fever vaccine
- Inactivated polio vaccine
- Cholera vaccine
- Oral typhoid vaccine
- MMR vaccine
10. You are re-evaluating a 32-year-old woman in your You started her on combination oral contraceptives (COCs) 3 months ago, and at each of three visits since then, her blood pressure has been elevated. Which of the following is an appropriate next step?
- Discontinue the oral contraceptive and recommend a barrier method
- Change to a pill with a higher estrogen component
- Change to a pill with a lower estrogen component
- Change to a pill with a lower progestin component
- Change to a progestin-only pill
11. Which side effect of COCs is most frequently cited as the reason for discontinuing their use?
12. You are counseling a 23-year-old woman who is interested in starting COC Which of the following is true regarding risks associated with COC use?
- Users of COC pills have an increased risk of ovarian cancer
- Users of COC pills have an increased risk of endometrial cancer
- Users of COC pills have an increased risk of thromboembolism
- Users of COC pills have an increased risk of hemorrhagic stroke
- Users of COC pills have an increased risk of diabetes mellitus
13. A 29-year-old obese woman with type 2 diabetes mellitus is asking you about progestin-only pills as a method of Which of the following is true?
- Progestin-only pills are contraindicated in women with diabetes
- Progestin-only pills would increase her risk of thromboembolic events
- Progestin-only pills are only Food and Drug Administration (FDA) approved for nursing women
- Progestin-only pills increase her risk for ectopic pregnancy
- Progestin-only pills should be taken every day of the month, without a hormone- free period
14. You are counseling a patient regarding contraception She is 36-years-old, she smokes, weighs 145 lb, and has no other medical con- cerns. She is sexually active, but not in a monogamous relationship. Of the following, which is her best contraception option?
- Combination oral contraceptive pills
- An intravaginal ring system delivering estrogen and progestin
- A transdermal contraceptive patch delivering estrogen and progestin
- An injectable form of long-acting progestin
- An intrauterine device (IUD)
15. A 28-year-old monogamous married woman comes to you for emer- gency She and her husband typically use condoms to pre- vent pregnancy, but when they had sex 2 evenings ago, the condom broke. She does not want to start a family at this time. Which of the following state- ments is true regarding the use of emergency contraception pills (ECPs)?
- She is too late to use ECPs in this case
- ECPs are 90–100% effective when used correctly
- There are no medical contraindications to the use of ECPs, other than allergy or hypersensitivity to the pill components
- ECPs disrupt the pregnancy, if given within days of implantation
- Clinicians should perform a pregnancy test before prescribing ECPs