Module 1 Health Risk Assessment

Question 1

Health Risk Assessment (HRA)

Answer 1

systematic and comprehensive evaluation of a persons overall health through collection and data analysis
- 1st step in planning interventions r/t health promotion and disease prevention

Question 2

Why conduct HRA

Answer 2

• improve health outcomes and quality of life
• address current problems as well as potential
• reduce health disparities
• encourage and empower pt to take active role

Question 3

What is a health risk

Answer 3

Factor that raises the probability of adverse health outcomes
- Smoking -> Cancer, Lung disease, dec. quality of life

Question 4

disease model

Answer 4

Goal is to mitigate disease
based on allopathic medicine
dx based on hx, physical exam, and diagnostic testing

Question 5

Cura Personalis

Answer 5

• Goal is to promote optimal health
• based on combo of allopathic, osteopathic, and naturopathic medicine
• Assessment based on hx, physical exam, diagnostic testing, functional status, spiritual beliefs, health beliefs, and modifiable/non-modifiable risk factors.

Question 6

Leading causes of death age 1-44

Answer 6

unintentional injury

Question 7

3 steps in core competencies for genetic family hx

Answer 7

collection
interpretation
intervention

Question 8

values of family fx

Answer 8

aids in diagnosis and tx of 
- single gene disorders: CF, fragile X 
- common complex diseases: CV disease, DM 
Helps identify risk factors
Provides info for child bearing

Question 9

benefits of knowing FMH for patient

Answer 9

pt risk of developing disease
identify pt who would benefit from genetic testing
implementation of early screening
instruction of preventative changes

Question 10

Collection of pt and FH

Answer 10

general health info
chronic medical conditions
list of medications: doses and indications
hospitalizations, surgeries, birth defects
developmental delays, learning disabilities, autism
target specific concerns

Question 11

To be included in FH

Answer 11

age, DOB
Relevant health info
diagnosis and age of diagnosis
age of death, cause of death
ethnic background of biologic grandparents

Question 12

Proband

Answer 12

affected individual

Question 13

square vs circle

Answer 13

square = male
circle = female

Question 14

Pedigree crucial elements (4)

Answer 14

• be reasonable accurate
• be updated easily
• allow for pattern direction and interpretation
• provide clear communication and interpretation between health care providers

Question 15

Red flags on pedigree

Answer 15

several closely related individuals with same or related conditions.

• breast and ovarian cancer
• colon and endometrial cancer
• diabetes, CV disease, HTN
• thyroid cancer, colon polyps

Question 16

Pedigree early onset red flags

Answer 16

breast cancer: < 45-50, premenopausal
colon cancer: <45-50
Prostate cancer: <45-60
Heart disease: <40
vision loss: <50
hearing loss: <50
dementia: <60
stroke: <60

Question 17

other pedigree red flags

Answer 17

diagnosis in less-often-effected sex: male breast CA
multifocal or bilateral occurrence in paired organs
one or more major malformations
disease in absence of risk factors or after preventative
developmental delays
sudden death in otherwise healthy individual
pregnancy losses: >3
ethnicity

Question 18

complicating factors for pedigree

Answer 18

missing info
nontraditional families
adoption
cultural definitions of family
cultural biases
consanguinity: blood relation between parents 
confidentiality

Question 19

Risk classification average

Answer 19

standard public health prevention recommendations

Question 20

rask classification moderate

Answer 20

personalized prevention recommendations

Question 21

risk classification high

Answer 21

personalized prevention recommendations and referral for genetic evaluation

Question 22

thorough risk assessment includes

Answer 22

known medical diagnosis
risks related to environment
complications that may occur r/t chronic illness
barriers that may increase other risk factors