Health Maintenance in Women

Question 1

When to start checking lipids women vs men

Answer 1

women with risk factors - 45 and older routinely,
one-time after 20 years old
men with risk factors - 35 and older

Question 2

Risks of postmenopausal hormone replacement therapy (HRT)

Answer 2

adverse cardio effects: CHD, stroke, venous thromboembolic disease…

so don’t use for chronic conditions (only acute vasomotor symptoms) and only for lowest effective dose for shortest effective time

Question 3

risk factors for breast cancer

Answer 3

older age, nulliparity or late child bearing, family hx, atypical hyperplasia found on pvs breast biopsy, carrier of BRCA1 or 2

Question 4

What does the USPTF say about clinical breast exam and teaching of manual breast exam

Answer 4

against teaching BSE due to no difference in mortality and increased anxiety, unnecessary biopsies/tests (Level D)

insufficient evidence (Levil I) for CBE, no benefits in conjunction with mammography

Question 5

When to start mammography

Answer 5

50 (biennial) - 75 or 10 years under life expectancy, judging individual risk

40-49 - individual decision

Question 6

risk factors for cervical cancer

Answer 6

THINK ABOUT A THOT WOULD DO

multiple sexual partners, starting sex early, smoking, no HPV shot

Question 7

When to screen for cervical cancer

Answer 7

21-65
every 3 years with Pap smear
every 5 years with Pap smear + HPV cotesting

applies even if you’ve gotten HPV vaccine