FM and Prevention Flashcards
How do I know I’m a Diabetic?
One of the following
- HgA1C 6.5+
- Fasting blood glucose 126+
- 2H blood glucose 200+ during 75g PO challenge
- symptoms of hyperglycemia with random blood glucose of 200+
AAA screening
for male smokers age 65-70 one time (USPTF)
Diabetics & statins?
Need statin from 40-75ASCVD score 7.5%?
high-intensity statin (atorvostatin/ Lipitor, rosuvostatin (Crestor)
Diabetics & statins?
Need statin from 40-75ASCVD score 7.5%?
high-intensity statin (atorvostatin/ Lipitor, rosuvostatin (Crestor)
1st line tx for sinusitis
amoxacillin + clavulonate (this is augmentin)
this is also the 1st line tx for bites (animal or human)
when do you start mammograms?
50.
generally go from 50-74
when do you start colonoscopies? what if they have a family hx?
- generally go from 50-75
Family hx? do 40 years old, or 10 years before their relative had it. Whichever comes sooner
when do you start DEXA screening for osteoporosis?
65
When is it time to start a statin (old guidelines)?
- 45-75 with DM
- 10 yr ACSVD risk score >7.5%
- LDL >190
- any big RF: hx of MI, stroke, PAD, angina (even stable)
ACOG guidelines: when to start pap smears? how often? HPV testing?
start: 21 years
do every 3 years
once 30, do HPV testing with cytology and now it becomes every 5 years
JNC 8 recommendations on HTN?
DM, CKD, or less than 60: 140/90
60+ years old: 150/90
Recommended for women of child bearing age
0.4-0.8mg of folic acid daily
Primary prevention?
Preventing a disease process.
ex: using condoms to prevent STDs/HIV
quitting smoking before you have COPD
Secondary prevention?
Early disease detection
ex: annual HIV blood test
low dose CT scan for ppl with 30pack-year smoking hx ages 55-80
Tertiary prevention
Reduces the impact of an already established disease
ex: HIV and Cancer support groups, taking your meds
