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Family Medicine > Family Med + Screening > Flashcards

Family Med + Screening Flashcards

1
Q

4 principles of family medicine

A

Skilled
Community based
Serves as a health resource + advocates for public health
Pt-physician relationship is central

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2
Q

What is a periodic health exam?

A

Periodic preventative health visits are recommended in primary care

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3
Q

What is primary + secondary prevention?

A 
Primary = identifying RF + counsel pts 
Secondary = pre-symptomatic detection of disease to allow for early treatment
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4
Q

What should be involved in a preventative health visit?

A 
Dental hygiene 
Screen for poverty
Smokers?
Diet? 
Seat belt use 
Injury prevention 
Exercise 
Sun exposure 
Alcohol 
STIs
Nutrient advice
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5
Q

Breast cancer screening in canada

A

50-74 - routine screening with mammography every 2-3 years

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6
Q

Lung cancer screening Canada

A

Annual CT for 55-74 with 30 pack year history who currently smoke or quit less than 15 years ago

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7
Q

Colorectal cancer screening Canada

A

Begin testing at 50 for average risk
FOBT or FIT every 2 years OR flexi sig every 10 years
No screening after 75

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8
Q

What factors would mean that you should get colorectal cancer screening done earlier?

A

1st degree relative with cancer or polyps or >2 2nd degree relatives with polyps or cancer = begin at 40
If cancer was at <60, begin at 40 + have colonoscopy every 5 years

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9
Q

Cervical cancer screening guidelines canada

A

Pap or liquid based cytology
All women >25 every 3 years
Women over 70 = if 3 normal tests in a row + no abnormal tests in last 10 years, discontinue

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10
Q

What to do with inadequate sample?

A

Repeat cytology in 3 months

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11
Q

What to do with ASCUS (+ what is it?)

A

ASCUS = abnormal squamous cells of unknown significance
Age <30 = repeat cytology in 6 months, if negative, repeat again in 6 months
If positive, colposcopy

Age >30 = HPV test, if negative, repeat in 12 months, if positive, colposcopy

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12
Q

What to do with ASC-H (+ what is it?)

A

Go for colposcopy

Abnormal squamous cells cannot rule out HSIL

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13
Q

What to do with LSIL + HSIL (+ what is it?)

A

LSIL - low grade squamous intraepithelial lesion
Colposcopy or repeat in 6 months (follow ASCUS path)
HSIL = colposcopy

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14
Q

What is the WAST-SHORT tool?

A

Screening for domestic violence (woman abuse screening tool)
How would you describe relationship (RE tension)
Difficulty in working out arguments

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15
Q

What is the HITS scale?

A 
How often does partner:
•	Hurt you physically 
•	Insult you 
•	Threaten you 
•	Scream/ curse at you
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16
Q

What is chronic fatigue syndrome?

A
  • New onset of unexplained chronic fatigue, not relieved by rest, resulting in dysfunction
  • Minimum of 6 months and >4 of:
  • Impaired memory/ concentration
  • Sore throat
  • Tender lymph nodes
  • Muscle pain
  • Joint pain, no swelling
  • New headache
  • Unrefreshing sleep
17
Q

DDx for fever

A 
Infection 
Leukaemia 
Lymphoma 
Allopurinol 
Heparin 
Nifidepine 
Phenytoin 
Diuretics 
Barbiturates
Antihistamines 
IBS 
DVT
18
Q

What is parasomnia?

A

Night terrors, restless leg, sleepwalking

19
Q

Management of insomnia

A

CBT

Short term benzo/ Z drugs

20
Q

Primary care models

A

Comprehensive care model

Family health team, group, network or organisation

21
Q

What is a comprehensive care model?

A

FPs in solo practice

Fee for service

22
Q

What is a family health team?

A

Groups of HCP, wide range of services

Blended capitation model for payment

23
Q

What is a family health group?

A

> 3 FPs, physicians commit to enrol patients
Provides round the clock care
Blended capitation model

24
Q

What is a family health network?

A

> 3 FPs, same as health group

Salaried

25
Q

What is a family health organisation?

A

Same as FHT but on larger scale

Must sign governance agreements

Family Medicine (10 decks)

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