Day 2

Question 1

Define primary preventative care.

Answer 1

Intends to avoid the development of the disease

Question 2

Define secondary preventative care.

Answer 2

Diagnose and treat an existing disease in its early stages

Question 3

Define tertiary preventative care.

Answer 3

Treatments that aim to slow disease progression and prevent complications.

Question 4

Define health promotion.

Answer 4

enabling people to increase control over their health

Question 5

What is the number one cause of death in the US?

Answer 5

Heart disease

Question 6

Name four aspects of preventative exam.

Answer 6

Risk assessment, immunizations, screening tests, education

Question 7

What are the risk factors for disease?

Answer 7

Genes, environment, behaviors

Question 8

What is recommended amount of excercise for kids?

Answer 8

60 minutes/day

Question 9

What is the recommended amount of excercise for adults?

Answer 9

150 min moderate intensity or 75 min/week vigorous activity.

plus twice weekly muscle strengthenin

Question 10

What three categories are included in medical history?

Answer 10

Past medical/surgical history. Family history. Social history

Question 11

What should you review with the history of primary family members?

Answer 11

cancers, clotting disorders, heart disease, stroke, diabetes

Question 12

Describe type I diabetes.

Answer 12

No production of insulin, autoimmune disease, not as common

Question 13

Describe type II diabetes.

Answer 13

deficient production or improper utilization of insulin. Generally a result of obesity

Question 14

What are DM screening recommendations?

Answer 14

BMI > 25 + one or more risk factors or without risk factors screen at >45 years

Question 15

What are the diabetes screening tests?

Answer 15

A1C, fasting plasma glucose, oral glucose tolerance test

Question 16

What is the primary prevention of heart attack in men and ischemic stroke in women?

Answer 16

aspirin

Question 17

Define hypertension.

Answer 17

Systolic BP > 140 Diastolic BP > 90

Question 18

When do you screen for lipid disorders?

Answer 18

Routinely screen btw 20-45 if other risk factors present

Question 19

What is the leading cause of preventable and premature death?

Answer 19

Tobacco use

Question 20

What medications can be used for tobacco cessation?

Answer 20

Bupropion (wellbutrin, zyban), varenicline (chantix)

Question 21

How does chantix work?

Answer 21

Binds with nicotine receptor in the brain.

Question 22

How does bupropion work?

Answer 22

Increases dopamine levels

Question 23

What are questions of CAGE?

Answer 23

Have you felt you should cut down, have you felt annoyed by criticism of drinking, have you felt guilty about your drinking, have you ever had to have an eye-opener?

Question 24

What is the most rapidly increasing drug abuse among teens?

Answer 24

prescription drug misuse

Question 25

What are the two categories of sexual history taking?

Answer 25

Risk assessment for STD and assessment of sexual dysfxn

Question 26

When should monthly breast exams begin?

Answer 26

Age 20

Question 27

When should monthly testicular exams begin?

Answer 27

Age 15

Question 28

What are the three categories of skin cancer?

Answer 28

basal cell, squamous cell, melanoma

Question 29

What are risk factors for osteoporosis?

Answer 29

female, age, caucasian, low body weight, bilateral oophorectomy

Question 30

How often should self breast exams be conducted?

Answer 30

once a month

Question 31

What are the steps to self breast exam?

Answer 31

examine in mirror, raise arms, squeeze nipple, palpate lying down, palpate sitting or standing,

Question 32

When do should you do a mammogaphy?

Answer 32

avg size lump w/occasional BSE

Question 33

What are the steps of a testicular exam?

Answer 33

examine in mirror, check for scrotal swelling, examine each testicle by gently rolling testicle between fingers and thumb.

Question 34

Where are cancerous lumps usually found on the testicles?

Answer 34

usually on the sides, but can sometimes show up on the front.