Intro to Well Patient Exam Flashcards

1
Q

purpose of well patient exam

A
screen for diseases
asses risk of future medical problems 
update vaccinations
encourage a healthy lifestyle
maintain a relationship with a health care provider in case of an illness
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2
Q

define morbidity

A

condition of being diseased
relative incidence of a particular disease
quality of being unhealthy and generally bad for you

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3
Q

top three leading causes of death in the US

A

heart disease
cancer
chronic lower respiratory disease

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4
Q

number one accidental cause of death

A

unintentional poisoning

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5
Q

leading cause of cancer in males and females

A

prostate

breast cancer

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6
Q

top three cancers by death

A

lung and bronchus
breast
prostate

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7
Q

what is the leading cause of injury mortality in the us?

A

unintentional poisoning

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8
Q

what is the leading cause of mortility in the US

A

cardiac disease

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9
Q

what did the USPSTF do

A

us preventative services task force

improves health of americans by making evidence based recommendaitons about clinical preventative services such as screenings, sounseling services, and preventative medications

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10
Q
USPSTF grades 
A
B
C
D
I
A

A and B - (high to moderate benefit) offer/provide this servcie
C - selective offering based on individual circumstances
D - do not recommend this service
I - insufficient evidence

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11
Q

areas considered for SORT

Strenght of recommendation grades

A

consistency

quality

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12
Q

outcomes that matter to patients and help them liver longer/better lives

A

patient-oriented outcomes

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13
Q

histopathologic, physiologic or surrogate results that may or may not reflect improvement sin patient outcomes

BP, blood glucose, coronary plaque thickness, carotid artery thickness

A

disease oriented outcomes

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14
Q

screening vs testing

A

screening - asymptomatic patient is tested

testing - symptomatic patient is tested due to some sign/symptom indicated the test should be performed

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15
Q

influenza recommendation

A

all people older than 6 months

65 or older can opt for higher dose

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16
Q

pneumococcal vaccine recommendations

PCV13 and PPSV23

A

PCV13 - all children younger than 2 and adults over 65, or those in between with certain medical conditions

PPSV23 - adults 65 or older, people 2-64 with certain medical conditions
adults 19-64 who smoke

17
Q

HPV vaccine recommendations

A

3 doses for all girls age 11-26
3 doses for all boys age 11-21
3 doses for men who have sex with other men and hwo have risk factors to age 26

18
Q

MenACWY and MenB meningococcal vaccine recommendations

A

MenACWY is routine
MenB is for special populations

administer a single dose of menactra or menveo vaccine at age 11,12 with booster at 16
recommended in upper teens as they approach communal living areas like dorms or military

19
Q

Tdap recommendation
T - tetanus
d- diptheria
ap - acellular pertussis

A

one dose and a booster every 10 years after

for people around infants, may wish to give a Tdap to protect the adult as well as infants they care for from pertussis (whooping cough)

give Tdap once per pregnancy, usually around 27-36 weeks gestation regardless of last

20
Q

Varicella recommendations

A

two doses for anyone who doesnt have documenation of 2 varicella vaccines in their lifetime

contraindicated in pregnancy, immune compromised people with HIV and CD4 count less than 200

21
Q

immunizations contraindicated in pregnancy, immune-compromised conditions and HIV and CD4 count <200

A

varicella
varicella zoster
measles, mumps, rubella

22
Q

varicella zoster vaccine recommendations

A

starting at age 50, all adults hsould get one, whether or not they have had a previous case of shingles
goal is to prevent a painful rash and postherpetic neuralgia

23
Q

MMR vaccine recommendations

A

adults born before 1957 are immune
certain adults need second booster
contraindicated in pregnancy, immune-compromised conditions with HIV an d CD4 count <200