Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

issues and policy > general health assessment > Flashcards

general health assessment Flashcards

1
Q

adolescent age 11-10
first exam
how often
what to look for

A

first exam 11-14 years
three visits 11-14, 15-17, 18-21

height, weight, skin, oral cavity (gingivitis and dental caries) abuse, neglect, depression , look for eating disorders, BP normal is less than 120/80

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

adolescent age 11-10

vaccine for HPV

A 
gardisil 9
age 9-14
15-26
series of tow six months apart
series of 3 at 0,2 and 6 months
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

adolescent age 11-10 syphilis screening for both

A

when sexually active, PRN or with pap smear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

reccomend breast and testicular exam

A

self exam monthly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

adolescents 11-19 and hiv

A

depends on level of sex or drugs, talk abouut prevention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

adolescents 11-19 meningococal (menactra/menveo

A

all adolescents ages 11-18- controversial- revac 1x for high risk, college freshman living in dorms 5 years from last vax

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

adolescents 11-19 pneumococcal vax

A

age 19-64 if smoking, asthma, COPD or ETOH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

adolescents and PPD

A

once during adolescence, and every two years or with exposure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

age 20-39 physical females

A

pap smear (with with GC and chlamydia screens)
cytology - conventional or liquid based
HPV co test (Cytology +HPV test administerd together
self breast exam
clinical breast exam
and HPV vax

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

tetanus and diptheria boster timing

A

every 10 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

mammography timing

A

annually for age 45-54 and q 2 theirafter

USPSTF q2 50-74

ACOG annually 50-74

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

all males over 50years of age should have a digital rectal exam and a PSA test.

A

annually

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

colorectal cancer screening

A

annual FOBT
flex sig q5 years
colonoscopy q 10 starting at age 45

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

major mortality cause age 12-19

A 
MVC
suicide
accidents
homicide
malignancy
CV or congenital disease
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

major mortality cause age 20-39

A 
MVC's 
Homicide
suicide
injuries
heart disease 
AIDS
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

major mortality cause age 40-59

A 
heart disease
accidents
lung cancer
CVA
breast and colorectal CA
COPD
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Elderly adult over 60 years

A 
Heart disease
CVA
COPD
pneumonia or influenza
lung and colorectal CA
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

my plate

A

half your plate is fruits and veggies
switch to skim milk or 1%
half your grains are whole grains
vary protein in food choices

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

diet recs for carbs

A

55-60%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

diet recs for fats

A

less than 30% of total calories with less than 10 percent being saturated fats

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

diet recs for proteins

A

0.8-1.0g/kg/day

22
Q

protien needs with illness

A

overall nutritional and protein needs increase with illness, trauma etc

23
Q

benifits of exercise

A 
decreases LDL's 
increases basal metabolic rate'
reduces stress
improves cardiovascular fitness
decreases the signs of aging
24
Q

AHA exercise recs

A

at lease 30mins or more on most days

25
Q

if you are over 35 and have never exercised you should

A

complete physical with history
physical exam
exercise stress test

26
Q

antigens

A

substences capable of inducing a specific immune response

27
Q

antibodies

A

molecules synthesized in reaction to antigen

28
Q

active immunity

A

conferrd by atbody formation stimulated with a specific antigensuch as typhoid fever immunization and toxoids

29
Q

passive immunity

A

maternal or from gamma globulin

30
Q

PPSV vax who gets it

A 
over 65 years old
19-64 who smoke or have asthma
heart, lung, kidney, liver disease, 
chronic disease, like DM, cirrhois, sickle cell, CSF leak, cochlear implant and ETOH
weak immune system or no spleen
nursing home or LTC patients
31
Q

hep A vaccine

A

for military personel, travelers to endemic areas, dudes banging dudes,

32
Q

hep B vaccine

A

health care workers, and high risk pts including sexually active adults

33
Q

mumps va for health care workers before and after 1957 birth

A

born before- 1 dose unless evidence of immunity, clinically diagnosed mumps or positive serology

born after 57- 2 doses of vax unless documented immunity

34
Q

in mumps outbreak

A

give people 2 doses of vax unless immune

35
Q

mumps post vaccine titers

A

post vax serology may be negative, vax gives lower antibody titers than natural infection.

36
Q

meningococcal vax

A

approved for ages 2-55, reccomended routinely fr adolescents age 11-12 at the annual visit, and a “catch up” for college students, military personnel, immunocompromised, travelers to africa, clinical effectivness is questionable

37
Q

herpes zoster vax shingrix

A

CDC preferred , reccomended for immnocompetent adults, aged 50 or older, even if pt has had zostavax previously

38
Q

herpes zoster vax zostavax

A

for age 60 or older, efficacy waynes after 5 years.

39
Q

cultural considerations AA

A

may discontinue meds when symptoms resolve
touch is viewed as essential, personal space may be minimal
rely on religion and ministers
health is a gift from god

40
Q

cultural considerations AA folk remidies

A

cod liver oil to prevent colds
copper or siler braclets to protect from harm
voodoo for hatians

41
Q

cultural consideratins hispanics

A

discontinue meds when symptoms abate- particular problems for diabetics
high esteem for matriarchs
balance of hot and cold and wet dry concepts
PCNis a Hot med

42
Q

cultural consideations hispanics mal de ojo

A

evil eye

illness prevention strategies include eating well, working, sleeping with relics and being religious

43
Q

cultural considerations hispanics caranderas

A

holistic healer- erbs etc

44
Q

cultural consideration hispanic adiction

A

it is a concern

may expect injections as a componenet of effective treatment oral may be viewed as less effective

45
Q

cultural considerations asians

A

eye contact my be seen as disrespectful
diabetes is less common
well insured only 18% uninsured
longer life expectancy and lower death rates

46
Q

cultural consideratioons asians religion

A

shinto relgion- pleasing good spirits is essential to good helath

47
Q

japanese cultural considerations

A

may prefer femal to femal providers
drug safety is more important than effectivness
may explain habid of using lower doses to get fewer side effects

48
Q

chinese cultural considerations

A

yin is cold yang is hot
cold illness is diarrhea- treated with erbs and food
hot illness HTN treated with cold erbs and food
may diagnose illness by pulses texture and or color of tongue

49
Q

traditional chinese medicine

A

may teach that you can permenantly remote the underlying disorder symptoms and the disease as well.

often try traditional medicine first

50
Q

philipino

A

agin yin and yang

amulets can be a shield

51
Q

native americans CC

A

50years or older can be an elder

ilness may be imbalance between spirtual and physical world

issues and policy (22 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions