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PCM 4 Midterm > 1. LECT: Wellness Recommendations > Flashcards

1. LECT: Wellness Recommendations Flashcards

1
Q

USPSTF recommends the service bc high certainty that net benefit is substantial

=> offer or provide

A

Grade A

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2
Q

USPSTF recommends the service bc high certainty that net benefit is moderate or moderate - substantial

=> offer or provide

A

Grade B

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3
Q

USPSTF recommends selectively offering or providing service based on professional jusgement and patient preference. There is at least MODERATE certainty that net benefit is SMALL

=> offer or provide for selected pts depending on indiv circumstances

A

Grade C

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4
Q

USPSTF recommends AGAINST servicee. Moderate - high certainty that service has NO benefit or that harm > benefits

=> discourage use of serve

A

Grade D

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5
Q

Grade I

A

USPSTF says currevent evidence is insuffienct to assess balance of harm vs benefit. Evidence is lacking, poor aor conflicting.

-> if offer service, pt should understaind unceraintty

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6
Q

When is colorectal cancer screening given grade A for screening

A

Ages 50 - until 75

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7
Q

Outline common barriers to patient compliance when considering preventive health recommendations.

A

quality

cost

access

Diverse populations

Resources: Financial, Access, Community Education, Government

Patient Buy-in

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8
Q

important things to consider in childhood

A
  1. Vaccination Schedules
  2. •Growth and Development
  3. •Safety
  4. •Illness Prevention
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9
Q

imp things to consider in preventative health in adolescents

A
  1. vaccines
  2. sexual health
  3. behavioral med
  4. suicide prevention
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10
Q

Recognize the scope of preventive medicine guidelines associated with global health issues focusing on those that differ from those in the U.S.

Top cause of death in kenya

A

HIV/AIDS

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11
Q

top cause of death in US in M and F

A

HEart disease > cancer

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12
Q

top cause of death in 25-44 YO in us

A

unintentional injuries

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13
Q

Global Health Initiative get what?

Rwanda: Global Fund has supported the expansion of community health insurance coverage for 3.3 million people on low-incomes, including approximately 300,000 people living with HIV/AIDS and 150,000 orphans.

•About one-third of expenditures supported by the Global Fund are already devoted to upgrading health-care infrastructures and to training and capacity building for health-care personnel.

A

Significant funds from multiple countries

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14
Q

Global funds contribute to what 4 thins?

A
  1. Reducing mortality among health-care personnel
  2. Reducing the incidence of infectious diseases via prevention interventions
  3. Limiting hospitalization rates for appropriately treated individuals
  4. Disease-targeted programs ==> allow better use of the scarce resources for health systems
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15
Q

what global health intiiaves are occuring in

  1. haiti
  2. republic of congo
  3. lebabnon
A
  1. H = new vaccination programs with broader scopes related to epi
  2. ROC = Privatized clean water programs
  3. lebanon = funding outpatient clinics
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16
Q

Routine health care includes what?

A
  1. Screenings
  2. Checkups
  3. Counselign and education

Goal: prevent illness, diseases and other health problems

17
Q

Primary prevention

Secondary

A
  1. Primary = prevent (immunzations, counseling, bariatric surgery); screen for risks of illness and diseae
  2. Secondary = detect early disease when asx to stop from progressing
18
Q

26 YO F; no pregnant but sexually active, no hx of smoking.

Recommendations?

A
  1. Cervical Cancer: Screening –Women 21 to 65YO
  2. Folic Acid for the Prevention of Neural Tube Defects: Preventive Medication –Women who are planning or capable of pregnancy
  3. HIV Screening: –Adolescents and adults 15 to 65YO
  4. HIV PrEP: Preventive Medications –Persons at high risk of HIV acquisition
  5. High Blood Pressure: Screening and Home Monitoring – Adults
  6. Syphilis: Screening –Asymptomatic, nonpregnant adults and adolescents who are at increased risk for syphilis infection
19
Q

Who should get a sphyllis screening?

A

Asymptomatic, nonpregnant adults and adolescents who are at increased risk

20
Q

72YO M; erectile dysfunction; smokes; sexual

A
  1. Coloreactal cancer screening: 50-75YO
  2. HIV PrEP: Preventive Medications –Persons at high risk of HIV acquisition
  3. High BP: Screening and Home Monitoring – Adults
  4. Syphilis: Screening –Asymptomatic, nonpregnant adults and adolescents who are at increased risk for syphilis infection
  5. Tobacoo smoking cessation = adults not PG
21
Q

Grade B recomendation for 72YO m

A

Abdominal Aortic Aneurysm: Screening – Men aged 65 - 75YO who have ever smoked

PCM 4 Midterm (6 decks)

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