Family Practice Exam Preventive Medicine 5 ā Questions and Answers
Question 1: Which primary prevention strategy most effectively reduces the incidence of skin cancer in fair-skinned adults?
- Annual full-body skin examination by a dermatologist
- Daily broad-spectrum sunscreen use and sun-protective clothing (Correct answer)
- Vitamin D supplementation
- Avoidance of all outdoor activities
Correct answer: Daily broad-spectrum sunscreen use and sun-protective clothing
Daily use of broad-spectrum SPF 15+ sunscreen combined with protective clothing and shade significantly reduces UV exposure and skin cancer risk.
Question 2: The USPSTF recommends that clinicians screen for unhealthy alcohol use in adults 18 and older using which validated tool?
- PHQ-9
- CAGE questionnaire
- AUDIT-C (Correct answer)
- DAST-10
Correct answer: AUDIT-C
The AUDIT-C (Alcohol Use Disorders Identification Test ā Consumption) is a validated 3-item screen recommended by USPSTF for unhealthy alcohol use in primary care.
Question 3: What is the recommended duration of low-dose aspirin for preeclampsia prevention in high-risk pregnant women, per USPSTF?
- 12 weeks until delivery
- After 12 weeks of gestation until delivery (Correct answer)
- 16 weeks until 36 weeks gestation
- Entire pregnancy starting at conception
Correct answer: After 12 weeks of gestation until delivery
USPSTF recommends initiating low-dose aspirin (81 mg/day) after 12 weeks of gestation in women at high risk for preeclampsia and continuing through delivery.
Question 4: Which of the following is a Grade B USPSTF recommendation for women who have never been pregnant and are at average risk?
- Annual mammography starting at age 40
- Biennial mammography starting at age 50 (Correct answer)
- Cervical cancer screening with Pap smear every 5 years starting at age 21
- Biennial mammography starting at age 40
Correct answer: Biennial mammography starting at age 50
USPSTF gives a Grade B recommendation for biennial mammography screening for women aged 50ā74 at average risk for breast cancer.
Question 5: A child in your practice has not received any vaccines due to parental refusal. Now at age 11, the parents consent to vaccination. Which vaccine combination is MOST important to administer at this visit?
- MMR + varicella + IPV
- HPV + Tdap + meningococcal conjugate (MenACWY) (Correct answer)
- Hepatitis B + DTaP + Hib
- Rotavirus + PCV15 + hepatitis A
Correct answer: HPV + Tdap + meningococcal conjugate (MenACWY)
The 11ā12-year-old platform includes HPV series initiation, Tdap booster, and meningococcal conjugate vaccine as the highest-priority catch-up vaccines at this age.
Question 6: Which intervention is recommended to prevent falls in community-dwelling adults aged 65 and older at increased fall risk, per USPSTF?
- Vitamin D supplementation alone
- Exercise interventions (balance and strength training) (Correct answer)
- Hip protector pads
- Sedative medication reduction only
Correct answer: Exercise interventions (balance and strength training)
USPSTF recommends exercise interventionsāparticularly balance, gait, and strength trainingāto reduce fall risk in community-dwelling adults 65 and older.
Question 7: A 50-year-old patient with a BMI of 31 kg/mĀ² and no diabetes has a fasting glucose of 108 mg/dL. What is the most appropriate next preventive step?
- Start metformin 500 mg twice daily immediately
- Refer to an intensive lifestyle change program (Correct answer)
- Repeat fasting glucose in 5 years
- Order HbA1c and recheck in 1 year only
Correct answer: Refer to an intensive lifestyle change program
Referral to an evidence-based intensive lifestyle intervention program (e.g., National DPP) is first-line for prediabetes to prevent progression to type 2 diabetes.
Family Practice Exam Preventive Medicine 5
Which primary prevention strategy most effectively reduces the incidence of skin cancer in fair-skinned adults?