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ACR 1 Screening/HEENT > ACR 1 (Screening/Vaccination/Wellness visits) > Flashcards

ACR 1 (Screening/Vaccination/Wellness visits) Flashcards

1
Q

Screening test are performed to ID (symptomatic/asymptomatic) dz

A

asymptomatic

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2
Q

Criteria for screening include characteristic of the ___, ___, and ____

A

Disease Test Population screened

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3
Q

What characteristic of disease are criteria for screening? (5)

A
  • Impacts quality/length of life - Prevalence vs Cost - There are acceptable methods of tx - There is an asymptomatic period - Can treat in the asymptomatic period
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4
Q

Characteristics of testing that are important for screening

A

The tests are specific and sensitive

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5
Q

Characteristic of the population that count as criteria for screening

A
  • High dz prevalence - Accessibility - Compliance
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6
Q

_____ occurs when a dz that would have gone undiagnosed during a pt’s lifetime is dx because of a screening test

A

Over-diagnosis

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7
Q

5-A’s of Behavioral counseling?

A
  • Ask - Advise - Assess willingness - Assist - Arrange f/u
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8
Q

What does CAGE stand for and what is it used for?

A
  • Cut down? - Annoyed by criticizing - Guilt - Eye opener Questionnaire to assess alcohol abuse
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9
Q

What systems should be included in the ROS and PE for wellness exams

A

ALL of them

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10
Q

What are the 5 immunization categories

A
  • Routine vaccinations of childhood/adolescence - Routine vaccinations of adults - Post exposure prophylactic - Travel related - Work-related/special circumstances
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11
Q

What are the 2 immunization types?

A

Active Passive

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12
Q

The following describes what type of immunization? - Contains live attenuated microorganisms, killed organisms, purified proteins or polysaccharides, or deactivated toxins - Provides long-term protection - Immunity is not achieved until 2-4 wks post injxn

A

Active

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13
Q

The following describes what type of immunization? - Performed antibody (immunoglobulin) - Immediate protection, but is shorter term of protection

A

Passive

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14
Q

What are the 7 vaccines that we should be familiar with?

A

influenza pneumococcal herpes zoster meningococcal tetanus HPV varicella

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15
Q

Then is the Influenza vaccine indicated?

A

all adults, every year

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16
Q

Then is the Pneumococcal vaccine indicated?

A

>65 y.o. Or ↑risk

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17
Q

Then is the Herpes zoster vaccine indicated?

A

adults >60 y.o. (contraindicated: preg, immunocomp)

18
Q

Then is the Meningococcal vaccine indicated?

A

college, military, immunocompromised

19
Q

Then is the Tetanus vaccine indicated?

A

10yrs, pregnant (27-36wks) one Tdap

20
Q

Then is the HPV vaccine indicated?

A

Females to 26y.o. & males to 21

21
Q

Then is the Varicella vaccine indicated?

A

Immunity

22
Q

Adults can receive up to __ vaccines in 1 day in the ___

A

Adults can receive up to 4() vaccines in 1 day in the (deltoid)

23
Q

If >1 live attenuated viral vaccine is indicated, administer them on the same day or at least __(time) apart

A

4 weeks

24
Q

Immunoglobulin preparations + live viral vaccines (should/should not) be administered together as the Ig carries antibodies against such viruses

A

Immunoglobulin preparations + live viral vaccines (should NOT) be administered together as the Ig carries antibodies against such viruses

25
Q

Live viral vaccine should be administered at least __ (time) prior to Ig prep.

A

2 wks

26
Q

If Ig prep is given 1st, __ (time) should elapse before live viral vaccine can be given

A

3-11 months

27
Q

Ig + non-living vaccines (can/cannot) be given together

A

Ig + non-living vaccines (CAN) be given together

28
Q

Generally live-attenuated viral vaccines (should/should not) be administered to pregnant women & immunocompromised

A

Generally live-attenuated viral vaccines (SHOULD NOT) be administered to pregnant women & immunocompromised

29
Q

What population should be screened for lung cancer?

What are the recommendations for the screen?

When should lung CA screening be discontinued?

A

55-80 y/o w/ a History of Smoking

Annual Screening if; ≥ 30 pack-year smoking hx, currently smoking or have quit w/in the past 15 yrs, and who are in relatively good health.

  • Have not smoked for 15 yrs - Develops a health problem that substantially limits life expectancy or ability/willingness to have curative lung surgery.
30
Q

What population should be screened for COPD

For who is COPD screening not recommended?

A

Asymptomatic adults

THE FUCK?

asymptomatic adults.

31
Q

What population should be screened for Osteoporosis

What are other recommendations for Osteoporosis screening

A

Women, 65 y/o +

Recommended in Younger women whose fx risk is =/> a 65-year-old w/ no additional risk factors.

32
Q

What population should be screened for Prostate CA?

A

Age 50 : average risk of prostate cancer and expected to live at least >10 years.

Age 45: high risk, includes; AAs, 1st-degree relative dx w/ prostate cancer at an early age (<65y/o).

Age 40 : higher risk (>1 first-degree relative who had prostate cancer at an early age).

33
Q

What population should be screened for Breast CA?

What population can discontinue Breast CA screening

A

40-44 : should have the choice to start annual breast cancer screening if they wish to do so.

45-54 : should get mammograms every year.

55+ : mammograms every 2 years, or can continue yearly screening.

Screening should continue as long as a woman is in good health and expected to live >10 yrs

>75 y.o. and women w/ dense breasts can d/c screening

34
Q

What population should be screened for Cervical CA?

When can Cervical CA screening be d/c

A

Age 21-65 y/o: every 3 years

Women >65 w/ adequate prior screening Women who have had a hysterectomy

35
Q

What population should be screened for Colon CA?

How often should Colon CA screenings be performed?

When are colon CA not recommended?

A

50-75 y.o.

African Americans begin screening at 40-45 y/o

  • Repeat e. 10 yrs in average-risk pts
  • PMHx of colon polyps, e. 5 yrs
  • Pt w/ 1st-degree family member who has had CRC, screening should start at 50 y/o, or 10 yrs before age of dx, whichever is younger and repeated e. 5 yrs

Not recommended: >85 y/o

36
Q

What population is eligible for ASA therapy

A

50-59 y.o. - highest benefit from tx with low dose (81mg) is ASCVD is >10%

60-69 y.o. - likely to benefit if ASCVD is >10%

37
Q

What populations are eligible to take Statins?

A
38
Q

What population should be screened for DM?

A

45 y/o, ↑BP over-wt

39
Q

Who gets screening for; HTN, obesity, smoking, alcohol, depression

A

Everyone gets screened e. visit

40
Q

an infant should be Crawling around __ months

A

9 months

41
Q

A child hsould be Walking by __ months

A

16 months

42
Q

A child should be Talking by age __ and have a vocabulary of __ words

A

2 years

20 words

ACR 1 Screening/HEENT (3 decks)

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