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Integrated Primary and Preventive Care Flashcards

6 cards from real CPC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 Integrated Primary and Preventive Care flashcards as text

  1. Which clinical finding during a home visit MOST warrants immediate escalation to emergency services for a patient with known Type 2 diabetes?

    Answer: Blood glucose of 42 mg/dL with diaphoresis and altered mentation

    A blood glucose of 42 mg/dL with diaphoresis and altered mental status indicates severe hypoglycemia, a medical emergency requiring immediate treatment (oral glucose or IV dextrose/glucagon) and emergency escalation if the patient cannot self-treat.

  2. The USPSTF recommends screening for type 2 diabetes in adults aged 35–70 who are overweight or obese. Which laboratory test is used to both diagnose and monitor diabetes?

    Answer: Hemoglobin A1c (HbA1c)

    HbA1c reflects average blood glucose over the preceding 2–3 months and is both a diagnostic tool (≥6.5% = diabetes) and a monitoring parameter for glycemic control in established diabetes.

  3. Which preventive service is specifically recommended by USPSTF for adults with prediabetes to prevent progression to type 2 diabetes?

    Answer: Referral to an intensive behavioral lifestyle intervention program

    USPSTF recommends offering referral to intensive behavioral lifestyle interventions (based on the Diabetes Prevention Program model) to prevent or delay type 2 diabetes in adults with prediabetes.

  4. A patient's BMI is 34 kg/m². According to standard classification, this patient is classified as:

    Answer: Class I obesity

    BMI classification: 25–29.9 = overweight, 30–34.9 = Class I obesity, 35–39.9 = Class II obesity, ≥40 = Class III (severe/morbid) obesity. A BMI of 34 falls in Class I obesity.

  5. Which of the following lipid panel values is considered a HIGH risk marker that warrants further evaluation and possible statin therapy?

    Answer: LDL-C of 160 mg/dL in a patient with known atherosclerotic cardiovascular disease (ASCVD)

    In patients with established ASCVD, LDL-C ≥70 mg/dL is considered above target and warrants high-intensity statin therapy. An LDL-C of 160 mg/dL in this context represents very high risk requiring prompt treatment intensification.

  6. A community paramedic notices a patient has not received a pneumococcal vaccine. Per ACIP guidelines, which pneumococcal vaccine is recommended for ALL adults aged 65 and older who have not previously received pneumococcal vaccination?

    Answer: PCV15 followed by PPSV23 at least 1 year later

    ACIP's 2021 updated recommendations advise 1 dose of PCV15 (or PCV20) for pneumococcal vaccine-naive adults aged ≥65. If PCV15 is used, it should be followed by PPSV23 at least 1 year later.