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OB Gyn Oral Boards Topics > Columbus: well woman visit > Flashcards

Columbus: well woman visit Flashcards

0
Q

What are the American Cancer Society guidelines on diet and nutrition?

A

Choose most foods from plant sources
Limit intake of high fat foods particularly from animal sources
Be physically active and maintain healthy weight
Limit consumption of alcoholic beverages

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1
Q

When does ACOG recommend annual pelvic examinations?

A

Starting at age 21

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2
Q

What are the “five A’s” used for smoking intervention?

A

Ask about smoking history
Advise smokers to quit
Assess whether patient is willing to quit
Assist patient in quitting; consider nicotine replacement, bupropion, varenicline
Arrange follow-up care

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3
Q

When does ACOG recommend mammography?

USPSTF?

A

Starting at age 40 and then annually

Age 50-74 biennially

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4
Q

What are the major sequelae of smoking?

A 
Cancer of the lung, oropharynx, esophagus, kidney, bladder, pancreas, cervix
CAD/COPD
Osteoporosis
Thrombotic disease/stroke
Persistent dysplasia
Pregnancy complications
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5
Q

When does ACOG recommend clinical breast examination?

USPSTF?

A

Age 20-39 every one-three years
Age 40 and above annually

Insufficient evidence to justify exam

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6
Q

When does the CDC recommend HPV vaccination?

A

Girls and boys aged 11 or 12 years. Females up to age 26. Males up to age 21.

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7
Q

When does ACOG recommend breast self-examination?

USPSTF?

A

Recommends breast “self-awareness” and consider instruction of breast self-examination for high-risk patients

Recommends against instruction

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8
Q

How long should screening be continued with a history of CIN 2-3 or AIS?

A

Age-based screening for 20 years

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9
Q

When should Pap screening begin and at what frequency?

When can be stopped?

A

Age 21: Pap alone every 3 years
Age 30-65: HPV plus cytology every 5 years

No screening greater than age 65 or hysterectomy for benign disease

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10
Q

What special populations should have more frequent screening?

A

HIV positive
Immunosuppressed
DES exposed

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11
Q

Who should receive annual influenza vaccination?

Who should relieve receive live attenuated vaccine?

A

Recommended for all adults since 2010-11 flu season.

Healthy non-pregnant people age 2-49

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12
Q

When does ACOG recommend colorectal cancer screening?

What tests are suggested?

A

Age 50 and over.

Colonoscopy every 10 years
Flexible sigmoidoscopy every 5 years
Double contrast barium enema every 5 years
Virtual colonoscopy every 5 years

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14
Q

When is pneumococcus vaccination recommended?

A

Page 65 or older
Significant chronic disease
Immunocompromised individuals
Second dose given at age 65 unless immunized within the past five years

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14
Q

When is tetanus booster indicated?

A

Every 10 years or if more than 5 years since last booster at the time of wound management

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15
Q

When is varicella zoster vaccination indicated?

A

All people 60 or more years. Previous varicella infection is not a contraindication.

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17
Q

When is Tdap vaccination indicated?

A

Adults age 19-64 should receive Tdap once
Pregnant women during each pregnancy between 27-36 weeks
Anyone not previously vaccinated who anticipates close contact with infant

17
Q

When is meningococcus vaccination recommended?

A

All adolescents age 11-18

College students or military personnel not previously vaccinated

18
Q

When is routine chlamydia screening recommended?

A

sexually active women age 25 and younger

19
Q

Hepatitis B vaccination is a routine childhood series. What high-risk adults should be screened for immunity or revaccinated?

A 
Sexual contact with known carrier
Multiple sexual partners
Recent treatment for STD
IV drug user
Blood product recipient
Healthcare worker
20
Q

When is hepatitis C screening indicated?

A

One-time screening for all the adults born between 1945 and 1965

21
Q

When is HIV screening recommended?

A

Women and girls age 13-64
Patients presenting for TB treatment
Patients presenting for STD treatment
Pre-conceptual evaluation or routine prenatal care
Repeat screening annually for high risk patients

USPSTF recommends screening everyone age 15-65

22
Q

What are the three leading causes of death for women aged 19-39?

A
  1. Accidents
  2. Cancer
  3. HIV
23
Q

When should women be screened for domestic violence?

What medical conditions are associated with domestic violence?

A

All women of reproductive age

Chronic pain, depression, alcohol and substance abuse

24
Q

What is the TACE screening tool for alcohol abuse?

What quantity suggests at-risk drinking?

A

Tolerance, annoyed, cutdown, eye-opener

More than 7 drinks per week or more than three drinks on one occasion in the past 90 days

25
Q

What are suggested depression screening questions?

A

Over the past two weeks, have you felt down, depressed, or hopeless?

Or

Over the past two weeks, have you felt little interest or pleasure in doing things?

26
Q

What therapies are helpful for preventing heart disease?

A

Consuming fish twice a week, Omega-three fatty acids may be considered in women with CHD

Low-dose aspirin in women 65 or older

27
Q

When is pharmacotherapy indicated for elevated blood pressure?

A

Greater than or equal to 140/90

Or greater than or equal to 130/80 if diabetic or renal disease

28
Q

When does UW Health recommend lipid screening?

What frequency is recommended?

A

Age 20 and above

Every 5 years

29
Q

When does USPSTF recommend cholesterol screening for women?

What women are thought to be at higher risk?

A

Page 45 and older every five years. Starting at age 35 for high-risk women.

Family history of lipid disorder
Family history of premature coronary artery disease
Personal history of coronary artery disease
Diabetes
Smoker

30
Q

What cholesterol screening is recommended by the USPSTF?

Does this require fasting?

A

Total cholesterol and HDL cholesterol

No

32
Q

When is diabetes screening recommended?

A

Age 45 or older and every three years.

Screen earlier for obesity, strong family history, history of fetal macrosomia or gestational diabetes, hypertension, hypertriglyceridemia, PCOS

33
Q

Are the criteria for diagnosis of diabetes?

A

Fasting plasma glucose greater than equal to 126
2-hour plasma glucose greater than or equal to 200
Symptoms of diabetes and random plasma glucose greater than or equal to 200

34
Q

When is osteoporosis screening recommended?

A

Age 65 and older

Under age 65 if history of fracture, alcoholism, smoker, frail stature, medications causing bone loss, FRAX 10 year risk of 9.3% or greater

34
Q

What medications are approved for prevention of osteoporosis?

A

Hormone replacement therapy
Bisphosphonates
Raloxifene

35
Q

What doses does ACOG recommend by age for calcium and vitamin D supplementation?

A

19-50: 1000 milligrams per day calcium, 600 IU per day vitamin D
51-70:1200 mg per day, 600 IU per day
Greater than 70:1200 mg per day, 800 IU per day

36
Q

What reference does ACOG recommend for complete recommendations for well woman examinations?

A

www.acog.org/wellwoman

37
Q

What T-score indicates osteoporosis?

How often should women be screened for osteoporosis based on T-score results?

A

Greater than or equal to 2.5

Less than or equal to 1.5: 15 years
1.5 to 1.99: 5 years
2 to 2.49: 1 year

39
Q

According to ACC/AHA cardiovascular risk screening guidelines, when should statin therapy be given?

A

Clinical atherosclerotic CVD
LDL greater than or equal 290 mg/dL
Age 40-75 with diabetes and LDL 70-189 mg/dL
Age 40-75 with no diabetes and LDL 70-189 mg/dL AND 10-year atherosclerotic CVD risk greater than or equal to 7.5

40
Q

When do the new ACA/AHA guidelines recommend starting cardiovascular risk screening?

A

Age 21

OB Gyn Oral Boards Topics (82 decks)

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