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Self Made Shizz > A & B Recommendations > Flashcards

A & B Recommendations Flashcards

1
Q

When should you screen men for AAA who have ever smoked? What constitutes repair?

A

Age 65 to 75; Repair >5.5cm or expansion >0.5cm over 6 months, 1cm in a year, symptomatic (B)

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2
Q

Age for screening anxiety in adults (USPSTF)

A

Adults 64 or younger including pregnant and postpartum (B)

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3
Q

Age for screening anxiety in children and adolescents

A

8-18 years of age (B)

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4
Q

Aspirin use guideline to prevent preeclampsia (USPSTF)

A

Low-dose aspirin (81mg/day) after 12 weeks gestation in high risk patients (B)

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5
Q

Guidelines for asymptomatic bacteriuria in pregnancy (USPSTF)

A

Screen asymptomatic bacteriuria using urine culture in pregnant persons (B)

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6
Q

Work up on women with PMH or FH of breast, ovarian, tubal, or peritoneal cancer or ancestry associated BRCA1/2 (USPSTF)

A

PCP risk assessment tool for women with risk factors-> genetic counselling with + risk assessment-> if indicated, genetic testing (B)

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7
Q

Medication use for risk reduction in women at increased risk for breast cancer 35yrs or older (USPSTF)

A

In women with low risk for adverse medication effects, prescribe meds such as tamoxifen, raloxifene, or aromatase inhibitors (B)

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8
Q

Breast cancer screening in women at what age, how often?

A

40-74yrs Q2yrs (B)

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9
Q

Primary care interventions in breastfeeding (USPSTF)

A

Recommended provided intervention during pregnancy and after birth to support breastfeeding

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10
Q

Who should receive the HPV vaccine? (USPSTF)

A

Both men and women age 11-26

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11
Q

Guideline for cervical cancer screening (USPSTF)

A

Women 21-29 every 3 years w/cervical cytology alone. Women 30-65 every 3 years with cytology + every 5 years HPV testing or co-test every 5 years (A)

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12
Q

Chlamydia & Gonorrhea screening (USPSTF)

A

Recommended screening in all sexually active women/pregnant women 24 yrs or younger and women 25 yrs or older at increased risk for infection

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13
Q

Colorectal cancer screening in pt w/ no risk factors/FH

A

Every 10yrs beginning at 45yrs old

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14
Q

Colorectal cancer screening in pt w/ CRC in 1st degree relative diagnosed <60

A

Screening starting at 40yrs old or ten years younger than earlier family diagnosis, whichever comes first (ex. Father dx at 45, screening starts at 35yrs) ; screening every 5yrs afterward

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15
Q

Screening in pt with Hx of CRC

A

Test 1 yr later, then 3 yrs later, then every 5yrs + council relatives

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16
Q

Screening for colorectal cancer If strong family history such as Lynch syndrome

A

Screening beginning at 20-25yrs old

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17
Q

Depression and suicide risk in adults (USPSTF)

A

Screen at >65yrs including pregnant and postpartum (B)

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18
Q

Fall prevention in community older adults (USPSTF)

A

Exercise intervention to prevent falls for adults >65yrs (B)

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19
Q

Depression and suicide risk in adolescent (USPSTF)

A

Screening for adolescents 12-18yrs (B)

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20
Q

Skin cancer prevention screening

A

Counselling about minimizing UV exposure for persons 6 months to 24yrs with fair skin (B)

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21
Q

Recommendation for statin use for CVD prevention (USPSTF)

A

Adults 40 to 75 w/ 1 or more CVD RF (i.e dyslipidemia, diabetes, HTN, or smoking) and estimated 10yr risk of cardiovascular event of 10% or more (B) *Hx of stroke, stable angina, LDL >190 in person >40 need statin

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22
Q

Syphillis screening recommendation (USPSTF)

A

Screening in at-risk or any pregnant women for syphilis infection (A)

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23
Q

Tobacco smoking cessation in adults recommendation

A

Ask all adults including pregnant women about tobacco use, advise cessation, and provide behavioural interventions. FDA approved pharmacotherapy in non-pregnant (A)

24
Q

Tobacco use in children/adolescents (USPSTF)

A

Provide interventions including education, counselling, to prevent initiation of smoking (B)

25
Q

Unhealthy alcohol use in adolescents/adults (USPSTF)

A

Screen for unhealthy use in adults 18yrs or older, including pregnant, providing behavioural counselling interventions for those with hazardous drinking (B)

26
Q

Osteoporosis screening

A

Bone measurement testing to prevent fractures in women >65yrs (B)

27
Q

Perinatal depression screening

A

Counselling for pregnant and postpartum women at increased risk of perinatal depression (B)

28
Q

Prediabetes/DM2 screening (USPSTF)

A

Screening for adults 35-70 with obesity, HTN, or hyperlipidemia. Preventative intervention for prediabetics (B)

29
Q

Prevention of HIV (USPSTF)

A

Preexposure prophylaxis with antiretrovirals to persons at increased risk (A)

30
Q

Dental carie prevention in children younger than 5 (USPSTF)

A

Application of fluoride varnish to primary teeth of all infants/children at age of primary tooth production. Oral fluoride supplementation starting at 6 months in children with fluoride-deficient water supply. (B)

31
Q

Rh (D) incompatibility screening (USPSTF)

A

Rh (D) blood typing and antibody testing for all pregnant women during first pregnancy-related care (A)

32
Q

Rh (D) incompatibility screening in unsensitized rh negative pregnant women

A

Repeated antibody testing at 24-28wks unless biological father is known Rh (D) negative (B)

33
Q

STI counselling (USPSTF)

A

Behavioural counselling for all sexually active adolescents and at-risk adults for STIs (B)

34
Q

Folic Acid for NTD prevention

A

All persons planning to become pregnant take a daily folic acid supplement 0.4-0.8mg (400 to 800mcg) (A)

35
Q

Gestational diabetes screening

A

Screening in asymptomatic pregnant persons at 24-28wks gestation (B)

36
Q

Healthy diet and Physical Activity (USPSTF)

A

Offer or refer adults with CVD RFs to behavioural counselling interventions to promote healthy diet and physical activity (B)

37
Q

Healthy weight + weight gain in pregnancy (USPSTF)

A

Offer pregnant persons effective behavioural counselling interventions to promote healthy weight gain and prevent excess gestational weight gain (B)

38
Q

HepB screening in adolescent and adults

A

Screen for HepB in adolescent and adults with increased risk (B)

39
Q

HepB screening in pregnancy

A

HepB screening at first prenatal visit (A)

40
Q

HepC screening in adolescent and adult (USPSTF)

A

Screen for HepC in adults aged 18-79 (B)

41
Q

HIV Screening (USPSTF)

A

Screening for infection in 15-65yrs. Anyone younger or older than this with increased risk should be screened. (A)

42
Q

HIV screening in pregnancy (USPSTF)

A

Screen in all pregnant women, including those present in labor or at delivery with unknown HIV status (A)

43
Q

HTN treatment in blacks vs non-blacks

A

Black: CCB, Thiazide; Non-black: ACE/ARB, CCB, Thiazide

44
Q

Hypertension Screening (USPSTF)

A

Screen adults 18+ with office BP + have patient obtain BP outside of clinical setting for diagnostic confirmation before starting treatment (A) *Screen BP Q3-5yrs or Annually if 40+ w/ RFs

45
Q

Hypertensive disorder screening in pregnancy (USPSTF)

A

Recommended screening for HTN disorders in pregnant persons with BP measurements throughout pregnancy (B)

46
Q

Intimate partner violence + elder abuse (USPSTF)

A

Provide or refer persons for support services (B)

47
Q

Latent TB screening (USPSTF)

A

Screen at-risk populations for LTBI (B)

48
Q

Lung cancer screening

A

Annual screening with low-dose CT (LDCT) in adults 50-80 who have 20 pack-year history and either currently smoke or quit within past 15 years. Discontinue screening when smoking cessation >15yrs or development of illness with significantly reduced life expectancy (B)

49
Q

Obesity screening in children and adolescents

A

Screen in children/adolescents >6yrs old and refer to behavioural interventions for improvement in weight status (B)

50
Q

Ocular prophylaxis in newborn

A

Prophylactic ocular topical medication for all newborns to prevent gonococcal opthalmia neonatorum (A) DOC: 0.5% topical erythromycin

51
Q

Osteoporosis screening (USPSTF)

A

Bone measurement testing to prevent osteoporotic fractures in women <65yrs at increased risk (B) DOC: bisphosphanates

52
Q

Unhealthy drug use screening

A

Unhealthy drug use inquiry in adults 18+ (B)

53
Q

Vision screening

A

Screening for amblyopia or its risk factors at least once in all children 3-5yrs old (B)

54
Q

Weight loss related morbidity and mortality (USPSTF)

A

Offer or refer patients with BMI 30+ to intensive, multicomponent behavioural interventions (B)

55
Q

Autism screening age

A

18 months and 2 years

56
Q

When should rotavirus vaccine be given

A

2-8 months

Self Made Shizz (5 decks)

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