Chapter 1: Adult Male Health Maintenance Flashcards

1
Q

Recommended screening tests for Cardiovascular conditions

A
Blood pressure (HTN)
Lipid measurement (dyslipidemia)
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2
Q

Recommended screening tests for cacner

A

FOBT
Flex Sig
Colonoscopy
Double contrast barium enema

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3
Q

Recommended immunizations

A

Tetanus toxoid
Diphtheria toxoid
Acellular pertussis vaccine (if it has been 10 years since Td vaccine, or if pt requires booster protection against pertussis)
Influenza

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4
Q

Colonoscopy

A

age 50yo

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5
Q

Influenza

A

annually

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6
Q

tetanus

A

Q10yrs

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7
Q

Screening test

A

assessment device or test that should be cost-effective with high sensitivity and can be used on a large population to identify persons with disease

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8
Q

Health maintenance

A

systemic program or procedure planned to prevent illness, maintain maximum function, and promote health

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9
Q

Primary prevention

A

prevent disease before it happens (ME!)

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10
Q

Secondary prevention

A

promote early detection of a disease or condition, so prompt treatment can be initiated

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11
Q

Tertiary prevention

A

involves both therapeutic and rehabilitation measures once a disease has been diagnosed

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12
Q

Effective screening

A

high prevalence

test available that has sufficient sensitivity and specificity, cost effective, acceptable to patients

intervention available during asymptomatic period that will prevent the development of the disease or reduce morbidity/mortality of disease process

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13
Q

USPSTF Recommendation Grade C

A

There may be considerations that support providing the service in an individual patient. There is moderate or high certainty that there is no net benefit or harm.

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14
Q

USPSTF Recommendation Grade D

A

There is moderate or high certainty that there is no net benefit or that the harms outweigh the benefits

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15
Q

USPSTF Recommendation Grade I

A

There is sufficient evidence, or the available evidence is of such poor quality, that the balance of benefits and harms cannot be weighed and recommendations for or against the service cannot be made.

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16
Q

HTN

A

USPSTF Grade A

age 18yo or older

17
Q

Screen for lipid d/o

A

USPSTF Grade A

age > 35yo in males, > 45 in females

> 20yo who are at increased risk for cardiovascular disease (Level B)

18
Q

Aspirin recommendations?

A

45-79 in males to reduce the risk of MI as long as benefit outweighs their risk of GI bleed (Level A)

19
Q

AAA screen

A

65-75 in males who ever smoked (Level B)

No recommendation for men who never smoked (LevelC)

AGAINST to women who have never smoked (Level D)

65-75 in females who have smoked, insufficient evidence (Level I)

20
Q

Screen for coronary artery disease

A

Not recommended (Level D)

21
Q

Colon cancer screening

A

> 50yo (Level A)

22
Q

Prostate cancer screening

A

strongly against (Level D)

23
Q

Lung cancer screening

A

55-80yo with 30 pack-year history and quit within 15 yrs (Level B)

24
Q

Testicular and Pancreatic cancers screening

A

asymptomatic recommended against (Level D)

25
Q

Bladder cancer screening

A

insufficient evidence (Level I)

26
Q

T2DM screening

A

insufficient evidence (Level I)

However, recommended for adults with HTN and hyperlipidemia (Level B)

27
Q

Depression screening

A

Recommended if there are mechanisms in place for ensuring accurate diagnosis, treatment, and follow-up

28
Q

Tobacco use screening

A

Screening and counseling strongly recommended (Level A)

29
Q

Alcohol misuse/abuse screening

A

Recommended (Level B)

30
Q

Thyroid disease in asymptomatic pts

A

insufficient evidence (Level I)

31
Q

Influenza vaccination

A

Annual vaccination for everyone >6mo

32
Q

PPSV-23 and PCV-13

A

all adults >65yo

immunocompromised or comorbid condition <65yo

33
Q

Healthy lifestyle

A
Exercise
Smoking cessation / Alcohol misuse
Diet
Safe sex practices
Seat belts