Family Medicine Flashcards

1
Q

At what age do you screen for breast ca?

A

50-74 yo

Q2-3 years

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2
Q

For who do you breast lung cancer with a CT?

A

Low dose CT scan
55 - 74 yo
Current 30 pack year smoking hx
Quit < 3 years ago, with 30 pack year smoking hx

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3
Q

Up to how may times can you screen for lung cancer?

A

3 consecutive times

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4
Q

Who is at average risk of colorectal cancer?

A

Asymptomatic

No FHx of UC polyps or CRC

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5
Q

How and at what age do you screen for CRC?

A

FOBT Q2 years
OR flexible sigmoidoscopy every Q10 years
50 yo - 74 yo

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6
Q

Screen for CRC with positive FHx for HNPCC?

A
Colonoscopy 
Q1-2 years 
Starting at 20 yo 
OR
Starting 10 years before earliest diagnosed case in the family
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7
Q

Screen for CRC with positive FHx for FAP?

A

Sigmoidoscopy
Yearly
Starting at 10 - 12 yo

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8
Q

Screen for CRC with positive FHx for AAPC?

A

Colonoscopy
Yearly
Starting at 16-18 yo

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9
Q

What age do you start screening if you have one second or 3rd degree relative with CRC?

A

Average screen

At 50 yo

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10
Q

What age do you start screening if you have one first degree relative or > 1 second degree relative with polyp or CRC at age > 60 yo `?

A

Average screen

At 40 yo

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11
Q

Screen for CRC with positive FHx and polyp found?

A

1-2 tubular adenomas < 1cm: colonoscopy in 5 years

> 2adenoma’s: colonoscopy in 3 years

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12
Q

What age do you start screening if you have one first degree relative with CRC or adenomatous polyp < 60yo?

A
Colonoscopy 
Q5 years
At 40 yo
OR 
Starting 10 years before earliest case of polyp or cancer in the family
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13
Q

What age do you start screening if you have > 1 first degreee relative with polyp or CRC at any age?

A
Colonoscopy 
Q5 years
At 40 yo
OR 
Starting 10 years before earliest case of polyp or cancer in the family
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14
Q

What is the routine screening for cervical cancer?

A

> or equal 25 yo
Q 3 years

If over > 70 and have had 3 consecutive negative tests in 10 years can stop?

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15
Q

Do you screen for cervical cancer with a total hysterectomy?

A

No if no hx of cervical cancer or no HPV infection or was for benign disease

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16
Q

Diagnosis of HTN on first visit to office?

A

> 180/110

17
Q

When to investigate for HTN on first office visit?

A

Automated Office BP > 135 / 85

Office BP > 140/90

18
Q

How to diagnose BP out of office?

A

Ambulatory blood pressure monitor

19
Q

How to diagnose HTN on second visit after having donne the ambulatory BP monitor?

  • Daytime
  • Over 24 hours
A

Daytime: > 135/85
24Hours: > 130/80

20
Q

BP targets after treatment in:

  1. Normal patient
  2. DM patient
  3. Elderly (> 80yo)
A
  1. < 140/90
  2. < 135/85
  3. < 150