Family Practice Exam Preventive Medicine 3

Question 1

Which breast cancer risk reduction medication is recommended by the USPSTF for high-risk women aged 35 and older who do not have a prior breast cancer diagnosis?

Accepted Answer

Tamoxifen or raloxifene

Answer

USPSTF recommends clinicians offer risk-reducing medications (tamoxifen, raloxifene, or aromatase inhibitors) to women at increased risk for breast cancer.

Question 2

At what blood pressure level does the JNC/ACC-AHA define Stage 2 hypertension?

Accepted Answer

≥140 / ≥90 mmHg

Answer

The 2017 ACC/AHA guidelines define Stage 2 hypertension as a systolic BP ≥140 mmHg or diastolic BP ≥90 mmHg.

Question 3

Hepatitis C screening is recommended by USPSTF for all adults in which age range, regardless of risk factors?

Accepted Answer

18–79 years

Answer

USPSTF recommends hepatitis C virus screening for all adults aged 18–79 years, reflecting high prevalence in birth cohorts beyond just 1945–1965.

Question 4

Which immunization series requires 3 doses and provides protection against cervical cancer caused by HPV types 16 and 18?

Accepted Answer

Gardasil 9 given at 15 or older

Answer

When HPV vaccination is started at age 15 or older, a 3-dose schedule is required; starting before age 15 requires only 2 doses.

Question 5

Primary prevention of type 2 diabetes in a prediabetic patient is best achieved with which intervention?

Accepted Answer

Intensive lifestyle intervention (5–7% weight loss + 150 min/week exercise)

Answer

The Diabetes Prevention Program demonstrated that intensive lifestyle changes reducing 5–7% body weight and achieving 150 min/week of physical activity reduce diabetes onset by ~58%.

Family Practice Exam Practice Test

Family Practice Exam Practice Test

Family Practice Exam Preventive Medicine 3