MedU Cases Flashcards
fam hx - when do you have incr risk of breast CA?
if first degree relative had it
populations that need more frequent pap smears
compromised immunity
HIV positive
h/o CIN 2, 3 or cancer,
exposed to DES in utero
when to stop paps
older than 65 with adequate testing in past 10 years
when can you start doing pap smears every 5 years (with HPV testing)
age 30
pap results: ASCUS. next step?
repeat pap with HPV
only indication for endometrial cancer screening (and what to do)
HNPCC pt or at high risk, start endometrial biopsy at 35
indication for lung cancer screening
age 55-65 with at least 30 pack year history with low dose CT scan
workup of solid vs cystic breast mass
solid: mammo
cystic: FNA and cytology
milky breast discharge, next step
check prolactin leve
age cutoffs for “prolonged exposure to estrogen”
menarche before age 12
menopause after age 45
recommended calcium intake for pre and post menopausal
pre: 1000 mg daily
post: 1500 mg daily
main theme for risk of osteoporosis
low estrogen stores
when to start diabetes screening
age at least 45
OR if BMI at least 25 and have one risk factor
lab dx of diabetes
HbA1c 6.5 or greater
2 fasting glucose > 125
OGTT >200
random glucose >200 and sxs of DM
pap is ASCUS with neg HPV. What next?
next screening in 3 years, do pap and HPV
