Male Annual Exam Flashcards
Not so common risks for CAD and ASCVD
EtOH
Low selenium
How often should ASCVD be assessed in health 20 to 79 year olds?
4 to 6 years
Effects of moderate EtOH
Increase HDL (So can exercise) Decrease platelet aggregation
When should the zoster vaccine be given?
one dose at age 60
What does a C rec from USPSTF mean?
Do not do routine screening
When do you screen for lung cancer
55 to 80
30 pack year hx
Current smoker or quit within 15 years
Hep C
Screen high risk
Offer one time screen for those born between 1945 & 65
What two questions should be used to screen for depression?
Feeling down, depressed or hopeless
Little interest in doing things
What tests have D recommendations?
Bladder cancer Pancreatic cancer Testicular cancer Spirometry Herpes Gonorrhea Hep B
USPSTF for PSA?
Grade D (Do not do)
ACS or AUA on PSA?
55 to 69 should think about it and act based on their own thoughts
Colonoscopy
FOCT (X 3 stools) and Sigmoidoscopy
Double-contrast enema
CT colography
10 yrs
Annual and 5 yrs
5 yrs
Experimental
Indication for exercise stress test
Asymptomatic male > 45 yrs with 1+ risk factor
Which vitamins do no reduce risk of heart attacks or strokes?
C, E and folic acid
3 Cs of addiction
Control lacking
Compulsion to use
Continue used with adverse consequensces
5 As
Ask about behvaior Assess willingness to change Advise Assist Arrange
What is a normal BMI?
18.5 to 24.9
Signs of dyslipidema
Corneal arcus
Xanthelasmas
Acanthosis nigricans
What is the diameter of a suspicious skin lesion?
> 6
What does the E stand for in ABCDE of skin lesions?
Evolution or change over time
At what LDL is a stating recommended?
> 190
When is smoking cessation most successful?
Group settings with medications
Bupropion before varenicline
How should they take bupropion?
Start 1 week before quit date 1 pill qD for 3 days 1 pill BID for 4 days then quit smoking Continue 1 pill BID and add gum if needed Gradually decrease pills after 2 months
How long should exercise be done?
40 minute x 3 days for CV health
20 to 40 min qD for weight loss
What is the THR?
What is the borg level?
70 to 80% of (220 - age)
12 to 14 or somewhat hard
General exercise recommendations by DHHS?
150 min of aerobics
Strength x 2 days
What steps should be take to prevent ASCVD event in high risk patients?
Start ASA & moderate to high intensity statin
