Master the Boards Preventative medicine Flashcards
Age to start mammogram
50
Who should self screen for breast cancer
no one
Pap smear guidlines
21-29 every 3 years
30-65 Pap smear with HPV contesting every 5 years.
If ASCUS is and HPV + next step
Colposcopy
Colon cancer screening start and end
start colonoscopy at 50 every ten Yeats until 85
colon cancer screening if close family member has it?
start at age 40 or ten years before relative got it. every 5 years if family member had it before 60 otherwise even ten.
Lynch syndrome/ HNPCC age for first colonoscopy and frequency
25, every 1-2 years
Frequency for sigmoidoscopy, FOBT, FIT
Sig=5
FOBT =1
FIT =3
Who has specific evidence against getting a PSA
men over 75
who gets yearly low dose ct
Greater than 30 pack years age 50-85, if they quit > 15 years ago don’t do.
What age should women be screened for osteoporosis
65
Abdominal Aortic Aneurysm guidelines
Men age 65-75 who have ever smoked should be screened with X1 US
Diabetes screening recs
routine for those with HTN or Obese
HIV screening recs
Everyone age 15-65, interval unclear
Hep C screening recs
Everyone 18 and over especially if Men who have sex with Men or IV drug use, or have received blood products
3 groups that get most benefit from flu shot
- over 50
- prego
- Healthcare worker
is egg allergy a contraindication to flu shot
no
when to get PNA vac
65 or if immunocompromised
PNA vac order
13 then 23 one year later, if immunocompromised give 23 valentinet 8 weeks after
Meningitis vacine age
11-18
Meningitis serotonin groups covered by vac
B,C,Y
if the question says “ the patient is to receive the medication with ocrelizumab the answer is____
Vaccinate against meningitis
HPV recs
females 15-45
probably all females and males up to age 21
Shingles vac age
50, higher dose than the one given to children
