Brainscape's Knowledge GenomeTM

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


See full index

PCM II Exam 1 > Intro To Well Patient Exam > Flashcards

Intro To Well Patient Exam Flashcards

1
Q

Top 10 leading causes of death in US (2014)

A
  1. Heart disease
  2. Cancer (malignant neoplasms)
  3. Chronic lower respiratory disease
  4. Accidents (unintentional injury)
  5. Stroke (CVD)
  6. Alzheimer’s
  7. Diabetes
  8. Influenza and pneumonia
  9. Kidney disease
  10. Suicide
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Top 3 Cancers by rates of new cancer cases

A

Breast (female)
Prostate
Lung and bronchus

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

Top 3 cancers by rates of cancer deaths

A

Lung and bronchus
Breast (female)
Prostate

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

What is the leading cause of injury mortality in the US?

A

Unintentional poisoning

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

What is the leading cause of mortality in the US?

A

Cardiac disease

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

What is the difference between A and B recommendations set forth by the USPSTF?

A

A = USPSTF recommends this service; high certainty that the net benefit is substantial

B = USPSTF recommends this service; high certainy that the net benefit is moderate or there is moderate certainty that net benefit is moderate to substantial

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

Which grade of recommendation set forth by the USPSTF indicates recommending a service selectively to individual patients based on professional judgement and patient preference?

A

Grade C

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

Which grade given by the USPSTF indicates that they recommend against that service?

A

Grade D

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

What is an I statement recommendation as defined by USPSTF?

A

It means that the USPSTF concludes that current evidence is insufficient to assess balance of benefits and harms of service

Service may be given if patient understands uncertainty about balance of benefits and harms

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

Why is A the strongest grade given by the USPSTF in terms of recommendation strength?

A

Because grade A indicates consistent, good quality PATIENT-ORIENTED evidence

Whereas B has limited quality patient-oriented evidence and C has disease-oriented evidence

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

What is SORT

A

Strength of Recommendation Taxonomy

Assesses strength, consistency, and quality of evidence

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

Definition and examples of patient oriented outcomes

A

Outcomes that matter to patients and help them live longer or better lives

Examples: mortality, symptom improvement, quality of life, lower cost, hospitalizations, etc.

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

Definition and examples of disease oriented outcomes

A

Histopathologic, physiologic, or surrogate results that may or may not reflect improvements in patient outcomes

Examples: blood glucose, blood pressure, coronary plaque thickness, carotid artery thickness, etc.

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

Primary difference between screening and testing

A

Screening = done on asymptomatic patient

Testing = done on symptomatic patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Influenza immunization guidelines

A

Everyone age 6 months+ should have annually

Age 65+ may get high-dose vaccine if available

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Pneumococcal vaccine guidelines according to the CDC

A

PCV13 for all children <2 years, all adults 65+, and people 2-64 years old with certain medical conditions

PPSV23 for all adults 65+ years old, people 2-64 years old with certain conditions, AND adults 19-64 years who smoke cigarettes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

HPV vaccine guidelines

A

3 doses for girls starting age 11-26

3 doses for boys starting at age 11-21

3 doses recommended for MSM or have other risk factors to age 26

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Meningococcal vaccine guidelines

A

MenACWY is routine and MenB is for special populations

Single dose of Menactra or Menveo vaccine at age 11 or 12, with booster dose at age 16 years

Recommend in upper teen years as they approach communal living areas like dorms or military

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

What does Tdap stand for

A

T = tetanus

d = diptheria

ap = acellular pertussis

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

Tdap vaccine guidelines

A

One dose of Tdap, then every 10 years thereafter give Td booster

For people who are infants, may wish to give a Tdap to protect the adult as well as infants they care for from pertussis

Give Tdap once per pregnancy, usually around 27-36 weeks gestation, regardless of last Td or Tdap

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

What are the 3 primary live vaccines that cannot be given to immunocompromised individuals?

A

Varicella
Varicella Zoster (shingles)
MMR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Varicella vaccine guidelines

A

2 doses for anyone without documentation of 2 varicella vaccines in lifetime or who hasn’t had physician-documented chicken pox

Contraindicated in pregnancy, immune-compromising conditions and HIV with CD4 count <200

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Varicella Zoster (shingles) vaccine guidelines

A

Start at age 50, all adults should get one whether or not they have had a previous case of shingles

Contraindicated in pregnancy, immune compromising conditions and HIV with CD4 count <200

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

MMR vaccine guidelines

A

Adults born before 1957 considered immune

Certain adults need second booster

Contraindicated in pregnancy, immune compromising conditions and HIV with CD4 count <200

25
Q

Hep A vaccine recommendations

A

Reserved for special high risk populations: MSM, drug users (injection and non injection), people travelling to or adopting from areas where hep A is endemic, etc.

26
Q

Hep B vaccine recommendations

A

Reserved for special high risk populations: healthcare workers, public safety workers, high risk sexual populations

27
Q

Hib vaccine recommendations

A

Recommended for all children <5 years in US, and the vaccine is usually given to babies starting at 2 months old. In certain situations, people at increased risk for invasive Hib disease who are fully vaccinated need more doses of Hib

Unimmunized older children and adults with certain medical conditions should also get Hib vaccine

28
Q

AAA screening recommendations per USPSTF

A

Screen men who have every smoked at ages 64-75 for AAA with ultrasonography

29
Q

Breast cancer screening recommendations

A

Mammograms begin at age 50, then do every 2 years until age 75

(ACA recommends starting age 40 then annually)

30
Q

Colon cancer screening recommendations

A

Begin at age 50, typically stop at 75

3 options: fecal occult blood testing, sigmoidoscopy, or colonoscopy

31
Q

Cervical cancer screen recommendations

A

Start paps at 21, then every 3 years to age 65

For women over 30, can to Pap+HPV screen every 5 years

32
Q

Lung cancer screening guidelines per USPSTF

A

Annual screening recommended with LDCT in adults 55-80 who have 30 pack year history and currently smoke OR have quit within the past 15 years

Screening should be discontinued if health problem develops that limits life expectancy or decreased ability or willingness to have curative lung surgery

33
Q

USPSTF level A evidence

A

BP screen in adults 18+

Cervical cancer screen in women 21-65

Colorectal cancer screen in 50-75

HIV screen in non-pregnant adolescents and adults 15-65

Tobacco use counseling and interventions: non-pregnant adults

Syphilis screen in non-pregnant persons at increased risk

34
Q

USPSTF level B evidence

A

AAA screen

Alcohol misuse screen

Aspirin prevention medication

Breast cancer screen

Chlamydia screen

Depression screen

Diabetes screen

Fall prevention

Gonorrhea screen

Healthy diet and PE counselling for CVD risk

Hep B screen

Hep C screen

Intimate partner violence screen

Lung cancer screen

Obesity screen

Osteoporosis screen

STI counselling

Skin cancer counselling

Tb screen

35
Q

PSA guidlines

A

USPSTF recommends against PSA-based screening for prostate cancer (Grade D)

Expected to become Grade C for men ages 55-69: USPSTF recommends that clinicians inform men in this age group about potential harms and benefits of reducing the chance of dying of prostate cancer but may experience harms of screening including false positive results, overdiagnosis and overtreatment complications such as incontinence and impotence

36
Q

Lipid disorder guidelines for Grade A classification

A

Screen for lipid disorders:

Men age 35+

Women age 45+ who are at increased risk for CHD

37
Q

PSA guidelines for men 70+

A

Grade D recommendation — USPSTF recommends against PSA-based screening for prostate cancer in men 70+

38
Q

Lipid disorder guidelines for Grade B classification

A

Screen for lipid disorders:

Men ages 20-35 years who are at increased risk for CHD

Women ages 20-45 who are at risk for CHD

39
Q

Lipid disorder guidelines for Grade C classification

A

No recommendation for or against screening:

Men ages 20-35 years

Women age 20+ who are not at increased risk for CHD

40
Q

Guidelines for level B evidence: AAA screening

A

Men 65-75 who have ever smoked

41
Q

Guidelines for level B evidence: alcohol misuse

A

Screening (CAGE) and counselling ages 18+

42
Q

Guidelines for level B evidence: aspirin preventative medication

A

Adults age 50-59 with >10% 10 yr risk cardiovascular risk

43
Q

Guidelines for level B evidence: breast cancer screening

A

Women starting age 50 q2years

44
Q

Guidelines for level B evidence: chlamydia screening

A

Sexually active women 24+ at increased risk

45
Q

Guidelines for level B evidence: Depression screening

A

Adults including postpartum

46
Q

Guidelines for level B evidence: diabetes screening

A

40-70 years who are overweight or obese

47
Q

Guidelines for level B evidence: fall prevention in older adults

A

Age 65+ encourage exercise or physical therapy

48
Q

Guidelines for level B evidence: gonorrhea screening

A

Sexually active women 24+, women at increased risk

49
Q

Guidelines for level B evidence: healthy diet and physical activity counselling to prevent cardiovascular disease

A

Adults with cardiovascular risk factors (if overweight or obese and have additional CVD risk factors)

50
Q

Guidelines for level B evidence: Hepatitis B screening

A

Non-pregnant adolescents and adults (at high risk for infection)

51
Q

Guidelines for level B evidence: hepatitis C virus infection screening

A

Adults at high risk (one time)

52
Q

Guidelines for level B evidence: intimate partner violence screening

A

Women of childbearing age

53
Q

Guidelines for level B evidence: lung cancer screening

A

55-80 with 30 pack year smoking history and currently smoke OR have quit in the past 15 years

54
Q

Guidelines for level B evidence: obesity screening/counselling

A

Adults

55
Q

Guidelines for level B evidence: osteoporosis screening

A

Women 65 years and younger women at increased risk

56
Q

Guidelines for level B evidence: STI counselling

A

Sexually active adolescents and adults at increased risk

57
Q

Guidelines for level B evidence: skin cancer behavioral counseling

A

10-24 yrs with fair skin

58
Q

Guidelines for level B evidence: statin preventative medication

A

Adults 40-75 yrs with no hx of CVD, 1 or more CVD risk factors and 10 year risk or >10%

59
Q

Guidelines for level B evidence: tuberculosis screening

A

Adults at increased risk

PCM II Exam 1 (5 decks)

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