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Family > 2- annual male > Flashcards

2- annual male Flashcards

1
Q

Most Frequent Causes of Death for a 55-Year-Old Male in the U.S.

A 
malignant neoplasm
heart disease
unintentional injury (accident)
diabetes mellitus
chronic lung disease
chronic liver disease
cirrhosis
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2
Q

How effective are oral medications, such as bupropion or varenicline in helping smokers quit?

A

Somewhat effective (Quit rate at 12 months is 1.5 to 3 times the placebo quit rate.)

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3
Q

interventions that help quit smoking

A
  • group settings
  • one-to-one counseling
  • relaxation and breathing techniques
  • meds
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4
Q

positive effects of moderate alcohol intake (1x/day for women, 2x/day for men)

A
  • small increase in HDL

- prevent platelets sticking- clots

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5
Q

positive effects of red wine

A

flavonoids and other antioxidants in reducing heart disease risk

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6
Q

24-hour Dietary Recalls:

A

WAVE- “Weight, Activity, Variety and Excess.

each meal and snacks and drinks

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7
Q

Food Frequency Questionnaire:

A

over a month

REAP: Rapid Eating and Activity assessment for Patients

determine nutritional deficiencies and excesses

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8
Q

food diary

A

Ask the patient to bring in a complete record of everything consumed over a three- to four-day period.

include Saturday and Sunday, since many people eat differently on the weekend.

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9
Q

what is the most accurate method of assessing dietary intake?

A

Weighed Intakes: All food and drink are weighed before intake.

highly motivated patient

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10
Q

lifetime risk of becoming obese in US is

A

25%

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11
Q

corneal arcus

A

yellow ring around iris

associated with dyslipidemia

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12
Q

xanthelasmas,

A

yellow blobs on inner eye lids

associated with dyslipidemia

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13
Q

Changes associated with atherosclerosis:

A

Decreased peripheral pulses, carotid bruit

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14
Q

hep C screening guidelines

A

one-time screening for HCV infection to adults born between 1945 and 1965.

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15
Q

USPSTF Recommendations for a 55-Year-Old Asymptomatic Man Who Smokes

A 
colorectal
obesity, DM, lipid disorders, HTN
tobacco use
alcohol misuse
depression
hep c, lung, if indicated
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16
Q

when should you screen for depression?

A

only when staff-assisted depression care supports are in place to assure accurate diagnosis, effective treatment, and follow-up.

17
Q

should you do PSA screening in average-risk males?

A

no class D

18
Q

colonoscopy screening

A

50-75

fecal occult blood testing
sigmoidoscopy
colonoscopy

19
Q

how often screen for lipid panel

A

starting at age 21, every 4-6 years

20
Q

Treat with statins all patients over 21 with an LDL-c >

A

190 mg/dL

21
Q

do we reguarly test LFTS?

A

no

22
Q

abnormal U waves and what do they indicate

A

greater than 1.5 mm in any lead

ssociated with bradycardia, electrolyte imbalance such as hypokalemia, hypercalcemia or hypomagnesemia, drug effect (digitalis, quinidine, procainamide), CNS disease, hyperthyroidism, left ventricular hypertrophy or mitral valve prolapse.

23
Q

instructions for taking buproprion for smoking cessation

A
  1. Start one week before the quit date with one pill a day for the first three days, then increase to one pill twice a day, morning and evening.
  2. After another four days, stop smoking and continue on the pills twice a day.
  3. Add nicotine gum for bad cravings, if needed.
  4. After about two months on the pills, gradually stop.
24
Q

recommended exercise per week

A

at least 150 minutes of moderate-intensity aerobic exercise per week, as well as muscle strengthening at least twice per week.

25
Q

Using the Borg perceived level of exertion scale, patients should exercise to a level of

A

12-14

26
Q

Appropriate steps to manage high risk for an ASCVD event include:

A

starting aspirin and begining a moderate-to high-intensity statin.

27
Q

Zoster vaccine is recommended to all adults at age

A

60

28
Q

Pneumococcal vaccination indicted when you

A

smoke or have COPD or have asthma

29
Q

Diameter of what is considered a red flag supporting biopsy

A

> 6mm

Family (42 decks)

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