Final Exam Study Guide Flashcards
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Primary care includes these 4 things
- General/family practice
- general internal medicine
- pediatrics
- OBGYN
Public health definition
The science and art of preventing disease, prolonging life, and promoting health through organized efforts and informed choices of society, communities, and individuals
3 core goals of public health
- assessment of health status (monitoring)
- policy development to support individual and community health efforts
- assurance thru enforcement of these policies and providing proper information
4 levels of disease prevention
primary - preventative,
secondary - early detection to slow or stop progression
tertiary - minimize side effects that affect quality of life
quaternary - avoidance of unnecessary interventions
Reliability = \_\_\_\_ Precision = \_\_\_\_\_
Validity
Accuracy
Sensitivity
Ability of a test to pick up positives, including some false positives, used to rule out disease because a negative value is useful
Specificity
Ability of a test to pick up negatives, including some false negatives, used to rule in disease because a positive value is useful
A rapid strep test, where if the result is positive we are sure they have strep but if the result is negative we have to culture it to confirm, is an example of what?
High specificity, we can’t rule out strep if its negative but we can rule in strep if its positive
A highly sensitive test is preferred for use in….
….screening
Screening is not a ____
Diagnosis, just a confirmation of an actual disease case
3 levels of evidence
A - randomized controlled trials or meta analysis, strongest evidence
B - Study, decent evidence
C - expert opinion, can be supplemental but shouldn’t be considered evidence
What is included in standard precautions, and what is not?
- blood, body secretions (semen, vaginal secretions, CSF, synovial fluid, pleural fluid, peritoneal fluid, pericardial fluid, and amniotic fluid, non intact skin, mucous membranes
- feces, nasal secretions, saliva, sputum, sweat, tears, urine, vomit
Once exposed, what do you have to do as a student?
- report to supervising physician
- report to LHU program director
- see personal physician or clinician for treatment
___ has the greatest rate of seroconversion, ___ has the lowest rate
HepB, HIV
Drug schedules
I - high potential abuse, no medical application
II - high abuse potential, but accepted medical use
III - moderate abuse potential and accepted medical use
IV - low abuse potential and accepted medical usage
V - limited abuse potential and highly accepted medical usage
