Intro to Routine Health Maintanence

Question 1

Levels of Evidence (USPTF)

Answer 1

A- highly recommend- high net effective

B- somewhat recommend

C- recommend against routinely giving this treatment or recommend only giving infrequently; evidence of low effectiveness

D- recommend against; harmful

I- insufficient evidence to recommend either way

Question 2

What is the Level of Evidence (LOE) of alcohol screening?

Answer 2

18+ age- B

under 18- I

Question 3

What is binge drinking in men?

Answer 3

14 drinks a week or 4 in one setting

Question 4

What is binge drinking in women?

Answer 4

7 drinks in a week or 3 in one setting

Question 5

What is the Level of Evidence (LOE) of tobacco screening?

Answer 5

A for pregnant and non-smoking people and we should advice to stop (smoking decreases fetal birth rate)

Question 6

5 A’s of smoking

Answer 6

Ask about tobacco use
Advice quitting
Assess willingness to quit
Assist in quit attempt
Arrange follow-up

Question 7

What is the Level of Evidence (LOE) of blood pressure screening?

Answer 7

18+ y/o- Atreatment should be initiated

if over 150/90 in 60+ y/o people and 140/90 in those youngerrecommend getting a reading every 2 years

Question 8

What is the Level of Evidence (LOE) of intimate partner violence screening?

Answer 8

B for women of childbearing age
I for elderly or vulnerable adults

“Are you in a relationship where you have been hit or threatened”

Question 9

What is the Level of Evidence (LOE) of syphillis screening in men?

Answer 9

A- people with increased risk and pregnant women

D- asymptomatic people

Question 10

What is the Level of Evidence (LOE) of clymdia and gnorrhea screening in men who are asymptomatic?

Answer 10

I

Question 11

What is the Level of Evidence (LOE) of clymdia gnorrhea, syphillis, and HIV screening in women who are high-risk?

Answer 11

chalymdia- A
gnorrhea- B
syphillis-A
HIV- A

all adults under 65 should be screened for HIV

Question 12

What is the Level of Evidence (LOE) of folic acid supplement in pregnant women?

Answer 12

A (prevents neural tube defects)

Question 13

Human papilloma virus (HPV) recommendations

Answer 13

there is a vaccination that can be given up to 26 y/o (after 26 they aren’t as effective). recommended to men and women.

vaccinations- Gardasil and Cervarix

Question 14

Cervical cancer screening recommendations

Answer 14

a) pap tests should begin at 21 y/o
b) low risk women should get a test every 3 yrs
c) screening should be discontinued at age 65+ or after total hysterectomy
d) can combine HPV at age 30 which extends screening interval every 5 yrs

Question 15

LOE for Pap smears

Answer 15

women 12-65 (pap smear) or 30-65 (in combo with HPV)- A
women younger than 30 (HPV)-D
women younger than 21 or older than 65 or had a hysterectomy- D

Question 16

Mammography recommendations

Answer 16

USPTF

50-74 y/o biennially- B
40-49- C

Question 17

Mammography recommendations (American cancer society)

Answer 17

starting age for mammography-45
annual screening between 45-54
biennially after age 55

recommends AGAINST clinical breast exam (CBE) for any woman

Question 18

LOE for ovarian cancer screening

Answer 18

D

Question 19

Colon cancer screening LOE (USPTF)

Answer 19

adults 50-75- A
adults 76-85- B
adults 85+- D

colonoscopy every 10 yearsfecal occult blood every year

American College of Gastrocoloy recommended black people start testing at 45

Question 20

How to test for Prostate cancer

Answer 20

PSA (prostate specific antigen) blood testlifetime risk of prostate cancer- 16%

Question 21

Prostate cancer screening LOE (USPTF)

Answer 21

using PSA AT ALL or 75+ y/o- D

american urological association- offers to men starting at age 40 and continuing until life expectancy is less than 10 yrs

american cancer society- 75+ y.o men- discuss and assess the risks and benefits

Question 22

Osteoporosis

Answer 22

half of post-menupausal women will have some type of osteoporosis related injury

1 in 4 men over 50 will also have an osteoporosis related injury

Question 23

Osteoporosis screening LOE (USPTF)

Answer 23

men- I
women who are 65+ y/o- B

no recommendation on screening interval

Question 24

Abdominal aortic aneurysm

Answer 24

occur in 10% in men 65-79 y/o

risk factors: smoking, hypertension, family history, atheroscolersis

Question 25

Abdominal aortic aneurysm LOE (USPTF)

Answer 25

men 65-79 who have smoked- B
men 65-79 who have never smoked- C
women 65-79 who have smoked- I
women who have never smoked- D

Question 26

Lung cancer screening LOE (USPTF)

Answer 26

adults, aged 55-80, who have smoked- B