Family Practice Exam Preventive Medicine 4

Question 1

Which vaccine is contraindicated in a 32-year-old woman who is 10 weeks pregnant?

Accepted Answer

MMR vaccine

Answer

MMR is a live attenuated vaccine and is contraindicated during pregnancy due to theoretical risk of fetal infection; it should be given postpartum.

Question 2

A 45-year-old woman with no family history has a routine Pap smear with HPV co-test. Her result is HPV-negative with normal cytology. What is the recommended rescreening interval?

Accepted Answer

5 years

Answer

Women aged 30–65 who undergo co-testing (Pap + HPV) with both results negative may be screened every 5 years per ACS/USPSTF guidelines.

Question 3

What is the recommended screening interval for prediabetes and type 2 diabetes screening in asymptomatic adults aged 35–70 who are overweight or obese, per USPSTF?

Accepted Answer

Every 3 years

Answer

USPSTF recommends screening every 3 years for prediabetes/type 2 diabetes in overweight or obese adults aged 35–70 when results are normal.

Question 4

Which counseling intervention does the USPSTF recommend as part of primary prevention for sexually active adolescents and adults at increased risk for STIs?

Accepted Answer

Intensive behavioral counseling

Answer

USPSTF recommends intensive behavioral counseling for all sexually active adolescents and adults at increased risk for STIs to reduce infection rates.

Question 5

Aspirin use for primary prevention of cardiovascular disease in adults aged 40–59 with ≥10% 10-year CVD risk is classified as which USPSTF grade?

Accepted Answer

Grade C — individualized decision

Answer

USPSTF gives a Grade C recommendation for aspirin in adults 40–59 with ≥10% CVD risk, meaning clinicians should offer it selectively based on individual patient circumstances.

Family Practice Exam Practice Test

Family Practice Exam Practice Test

Family Practice Exam Preventive Medicine 4