Community Preventative Medicine Flashcards
Cervical cancer screening in women?
21 q3 till 30 then q 5 if done with HPV testing
Patient not previously vaccinated against Tdap. When should they get vaccinated and how many doses/now far apart?
1st dose Tdap now, 2nd dose Td 4 weeks later. Then 3rd dose Td 6 months later.
*Will need booster Td q10 years
When can kids get the HPV vaccine?
CDC recommends starting@ 11-12 yo(but may start as early as 9) up until 26 yoa
When do u get shingles shot?
Once 60 +
Who gets screened for domestic violence?
All women of childbearing age…
Who do u check for GC?
ALL Sexually active women <24 yoa and those >25 YOA if at increased risk
When do you screen for asymptomatic bacteriuria in pregnancy
12-16 weeks
Patients who have roux-en-y bypass will require lifelong vitamin supplementation with…
Multivitamin, B12, Iron, Zinc, Magnesium
**need check levels yearly.
Sx of pellagra
Dermatitis, diarrhea and dementia; due to B3 def
Side effect of black licorice
HTN
Side effect of chromium
Low blood sugar
Common shared side effect of: garlic, ginger, gingko, ginseng?
Prolong INR
Garlic powder is used to treat…
HLD
Dosage of saw palmetto for BPH
160 mg BID or 310 mg once a day
Person was exposed to person with known TB. How do u test them for TB?
PPD now and repeat PPD in 6-12 weeks(can take a bit to become positive)
What does Medicare part A cover?
Inpatient, SNF HHC and Hospice
What does Medicare part B cover?
Outpatient care, Imaging, DME
What does Medicare part C cover?
Allows enrollment in Medicare HMOs or PPOs as well as dentures, eyeglasses and drugs
What does Medicare part D cover?
RX
CRC screening
45-75yoa q 10y
75+ shared decision making
Screening for AAA
MEN 65-75 yoa once
Lung cancer screening
50-80 yoa w/20 pack year history who still smoke or who have quit within the last 15 years
Who gets ASA for preeclampsia?
Women at high risk >12 weeks prego
When do u test for Rh antibodies in pregnancy?
At first visit and at again at 24-28 weeks
Which patients should be considered for gastric bypass?
BMI >40 or BMI >35 with comorbidities
What can you offer to patients as prophylaxis for travelers diarrhea?
Bismuth subsalicylate (active ingredient in pepto bismol)
Who is considered positive with PPD of 5mm?
Those with recent contact, HIV infection, chronic steroid use, organ transplant or immunosuppression or those with inactive TB on x-ray.
(Basically ppl with shit immune system)
What are randomized controlled trial’s?
Subjects are assigned to an exposure, and disease outcomes are observed
What are cohort studies?
Exposed to subjects are identified and then followed for disease outcome
What are case-control studies?
Cases and non-cases of disease are identified before the defying exposure than investigated.
What are cross-sectional studies?
Exposures and disease outcomes are identified at the same time within a specific population of subjects
What is a type one statistical error? A.k.a. Alpha error?
False positive. Probability of detecting a difference when none exist and that’s rejecting the null hypothesis.
What is a type to statistical air? A.k.a. Beta error?
False negative. Probability of failing to detect a difference when one exist in this failing to reject the no hypothesis.
