On-Demand Lectures Flashcards

APEA on-demand lectures include content on depression screening tools. Which screening tool is recommended by the USPSTF for depression screening in adults in primary care?

Answer: PHQ-9 (Patient Health Questionnaire-9)

The USPSTF recommends depression screening in the general adult population using validated tools such as the PHQ-9, which is widely used in primary care settings.

An APEA on-demand lecture on antibiotic prescribing emphasizes antibiotic stewardship. The most common reason for inappropriate antibiotic prescribing in primary care is:

Answer: Prescribing antibiotics for viral infections such as the common cold or viral sinusitis

The most common source of antibiotic misuse in primary care is prescribing antibiotics for viral upper respiratory infections and sinusitis, which do not respond to antibiotics and contribute to resistance.

APEA on-demand content covers chest pain evaluation. A 52-year-old male presents with exertional chest pressure radiating to the left arm, diaphoresis, and nausea. The most appropriate immediate management is:

Answer: Obtain a 12-lead ECG immediately and activate emergency services if STEMI is confirmed

Classic symptoms of ACS require immediate 12-lead ECG and emergency evaluation. Delay in STEMI diagnosis significantly increases mortality.

APEA on-demand lectures on women's health cover cervical cancer screening. According to current USPSTF recommendations, when should cervical cancer screening begin and what is the preferred method for adults aged 30 to 65?

Answer: Begin at age 21; Pap smear every 3 years OR co-testing (Pap plus HPV) every 5 years for ages 30 to 65

USPSTF recommends cervical cancer screening beginning at age 21 with cytology every 3 years. For ages 30 to 65, options include cytology alone every 3 years, high-risk HPV testing every 5 years, or co-testing every 5 years.

An APEA on-demand lecture addresses community-acquired pneumonia (CAP) in an otherwise healthy outpatient adult with no recent antibiotic use. According to IDSA/ATS guidelines, the recommended first-line treatment is:

Answer: Amoxicillin, doxycycline, or azithromycin as oral options

For otherwise healthy outpatients without comorbidities or recent antibiotic use, IDSA/ATS guidelines recommend amoxicillin, doxycycline, or azithromycin as first-line CAP treatment.

APEA on-demand lectures emphasize that urinalysis interpretation is a high-yield board topic. In a clean-catch urine sample, which finding is most consistent with a bacterial urinary tract infection?

Answer: Positive leukocyte esterase, positive nitrites, and more than 10 WBCs per high-power field

Positive leukocyte esterase, positive nitrites, and more than 10 WBCs per high-power field together strongly suggest bacterial UTI and indicate treatment.