Health Maint. & Disease Prevention Flashcards

1
Q

Primary prevention

A

Aim is to remove or reduce disease risk factors (immunization, smoking, etc.)

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2
Q

Secondary Prevention

A

Promote early detection or precursor of disease (routine PAP, etc.)

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3
Q

Tertiary Prevention

A

aimed at limiting the impact of established disease (partial mastectomy, radiation therapy)

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4
Q

What are the two most common causes of morbidity & mortality in developed countries?

A

Coronary Artery Disease (CAD) & Cerebral Vascular Accident (CVA)

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5
Q

What are the 5 “A’s” of motivational interviewing when trying to assess a patient’s physical activity level?

A

Ask (identify who can benefit)
Assess (current activity level)
Advise (individualized plan)
Assist (provide written exercise Rx & support)
Arrange (appropriate referral & follow up)

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6
Q

What percentage of the US population has metabolic syndrome?

A

25%

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7
Q

A waist measurement equal to or greater than ____ for male and equal to or greater than ____ for females is a sign of metabolic syndrome

A

40” & 35”

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8
Q

A triglyceride value greater than or equal to _____ is a sign of metabolic syndrome

A

150 mg/dL

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9
Q

HDL levels less than or equal to ____ in males and ____ in females is a sign of metabolic syndrome

A

40 mg/dL & 50 mg/dL

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10
Q

As a provider, when dealing with patients who are overweight and/or obese, what two things do we need to do with regards to prevention?

A

Initiate the conversation

Recognize our biases

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11
Q

Systolic Bruits

A

middle or upper portions of the carotid arteries indicate possible partial arterial obstruction from atherosclerosis

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12
Q

Cardiac output (CO) equations

A

CO = heart rate (HR) x stroke volume (SV)

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13
Q

If someone older than 40 yo has an S3 heart sound, it is indicative of what?

A

heart failure

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14
Q

If someone has an S4 heart sound, it is indicative of possible…..

A

decreased ventricular compliance

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15
Q

Aortic sclerosis & aortic stenosis both carry risks of increased:

A

cardiovascular morbidity and mortality

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16
Q

Aortic sclerosis

A

thickening at base of cusps w/ fibrous tissue & calcification
causes a BRISK carotid upstroke

17
Q

Aortic stenosis

A

Valve leaflets are calcified & immobile, which results in outflow obstruction
causes a DELAYED carotid upstroke

18
Q

How many years after aortic sclerosis does Mitral Regurgitation occur?

A

~10 years