NMS Q&A Family Medicine

chapter 46Care and Prevention,Ages 21 to 40 YearsExamination questions: Unless instructed otherwise, choosethe ONE lettered answer or completion that is BEST ineach case.1 In screening for obesity which of the following is thedefinition of obesity by body mass index (BMI):(A) 22(B) 25(C) 30(D) 35(E) 402 The U.S. Preventive Services Task Force takes a veryconservative approach to screening for diabetes mellitus.Which of the following is a valid criterion forroutine screening for type 2 diabetes in asymptomaticadults according to the US Preventive ServicesTask Force (USPSTF)?(A) BMI 30(B) BMI 35(C) Obese people who have first degree family historyof diabetes(D) Blood pressure 135/80(E) Abdominal obesity3 What category among the following accounts for thelargest proportion of deaths in the age group of 25 to40 years?(A) Homicide(B) Accidental injuries(C) Cancer(D) Suicide(E) Human immunodeficiency virus (HIV)infection4 Cancers are the third leading cause of death in theage group of 25 to 44 years. In this age group, whichcancer is the leading cause of cancer death?(A) Lung(B) Breast(C) Prostate(D) Colorectal(E) Cervix5 A 30-year-old man who weighs 170 pounds at aheight of 5 ft 10.5 in. has a repeatable blood pressurein the 110–130/70–75 range. His family historyreveals that his parents are living and well at 50 and55 years of age. He wishes to know when he should bescreened for “cholesterol.” You reply that according tothe U.S. Preventive Services Task Force that shouldbegin at what age?(A) 25 years(B) 30 years(C) 35 years(D) 45 years(E) 50 years6 A 35-year-old woman is sent for a pre-employmentphysical examination but had all scheduled immunizationsto the age of 20. She has not seen a doctor orother health care professionals for 15 years. Which ofthe following immunizations should she have, assumingno special occupational risk factors and compliancewith recommendations for immunizations atearlier ages?(A) Measles, mumps, rubella (MMR) vaccine(B) Pneumococcal vaccine(C) Influenza vaccine(D) Tetanus booster(E) Hepatitis B vaccine7 Which of the following is the least statistically importantcondition for which to screen in a 30-year-oldwoman who has no known special risk factors orfamily history and presents for an annual physicalexamination?(A) Breast cancer(B) Papanicolaou smear(C) Blood pressure(D) Complete blood cell count(E) Presence of a smoke detector in the home271