Adult Wellness Flashcards
When should chemoprophylaxis being with ASA?
Men older than 45
Postmenopause Women
Young People risk for CHD
– Stop at 79 years old –
What are the colon cancer screening requirements?
Age 50+ for average risk Age 40 for FamHx --Fecal occult blood, yearly --Sigmoidoscopy, 3-5 years --Colonoscopy, every 10 years
When do you screen for diabetes?
Adults with elevated blood pressure, 135/80+ (sustained) - Check with fasting glucose / A1C
- Overweight or Obese Adults
- Under 45 years old, if inactive, FamHx, HTN, HLD
When do you screen for hyperlipidemia?
Men 35+
Women 45+
Anyone 20+, if increased risk
What is the general rule of thumb for screening tests for UTI, Hepatitis, Ovarian, Pancreatic, Testicular cancers?
Do not test for them, unless they have symptoms or an indication for testing. Extra costs and unnecessary worry from the patient with false positives.
What is the most common cause of death in 25-45 year olds?
Unintentional Injuries
What is the most common cause of death of 45-65 year olds?
Malignant Neoplasms
What is the most common cause of death of 65+?
Heart Disease
Who should get the pneumococcal polysaccharide vaccine?
- -65+
- -Smokers / Chronic Disease
- Alaskans
- Nursing Home Residents
Who should get the meningococcal vaccine?
Asplenic, College/Military, international travel
Who should get the herpes Zoster vaccine?
Adults 60+
When should the HPV vaccine be given and for whom?
Males/Fems – 11-16 years
– Abnormal Pap with positive HPV
What screening tests should be performed on every office visit?
Alcohol, BP, Depression, Obesity, Tobacco
What is breast cancer screening recommendation?
Every 2 years after age of 50, but some believe 40. Patient’s decision based on their worry, increased risk of false positives the younger
What is the RISE mnemonic in preventative care?
Risk Assessment
Immunizations
Screening Tests
Education
