health and risk assessment Flashcards
Example of primary prevention
Health education program
immunizations
Example of secondary preventeion
screening
mamogram
prostate exam
example of tertiary prevention
radiation for cancer
a therapy or treatment
The proportion of a population that is affected by a disease or disorder at a particular time
Prevalence of disease
Less than 1% of women living in Atlanta in 2010 would be considered what measure of the disease
Prevalence of disease
Major causes of death 12-19
Motor Vehicle accidents other accidents homicide suicide malignancy cardiovascular or congenital dz
Major causes of death 20-39
Motor vehicle crashes homicide suicide injuries heart disease AIDS
Major causes of death 40-59
Accidents heart disease COPD lung ca breast ca Colorectal ca CVA
Major causes of death 60 and older
Heart Dz Lung or colorectal ca copd pneumonia/flu cva
osteoporosis common causes
vit D low sex hormone low menopause aging alcoholism high dose corticosteriods
signs and symptoms of osteoporosis
backache
loss of height
asymptomatic until fracture
labs for osteoporosis
Serum Ca
phosphate
PTH
Vit D
Osteoporosis measured in what type score? Whats normal? whats severe?
Osteoporosis is measured in T-score. Normal is > -1. Severe is
Osteoporosis screening for postmenopausal women with T-score -1 to -1.5 should be every how many years
5
Osteoporosis screening for postmenopausal women with T-score -1.5 to -2 should be every how many years
3
Osteoporosis screening for postmenopausal women with T-score
1
Education for prevention of osteoporosis Nutrition, exercise, safety, meds
Nutrion: protien, calcium, vitd, avoid ETOH
Exercise: impact exercise, stairs, weight train, balancing
Safety: avoid falls
Meds: limit steroids
Osteoporosis treatment with vitD
supplement 800-2000 IU daily
Osteoporosis treatment with calcium citrate
0.4-0.7 grams per day
Osteoporosis treatment with bisphosphonate
70mg weekly
Osteoporosis treatment with Ibandronate
150mg monthly for vertebral improvement only
Osteoporosis treatment with Zoledronic acid
2-4 mg IV yearly
according to us task force women should be screened for osteoporosis at what age
> 65
at 60 if risk factors
nothing under 60
Glaucoma Screening looking at what in eye
optic disk cupping and peripheral vision decrease
Screening for glaucoma optic disk exam indicator
over 50 every 3-5 years
Adults with sustained BP of >135/80 should be screened for
type 2 DM
Sensitivity of test proves
true positives
specificity of test proves
true negatives
Incidence of disease
the frequency or rate of new cases
30 cases of e coli per 200,000 people reported in washington in 2011 would be called incidence or prevalence
incidence
