Mometrix - CARE CONTINUUM Flashcards

1
Q

Sensitivity

A

how sensitive a test is to the outcome for which it is testing
ex: ESR is specific to inflammation but not for where it is occuring

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2
Q

Specificity

A

how accurate a test will be in testing for one particular item
ex: ESR is specific for inflammation

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3
Q

Predictive Value

A

refers to the chance a test will have a false reading

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4
Q

Mass Screening

A

testing that is done to a large population
ex: state mandated testing that is performed on newborns after delivery

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5
Q

Selective or Prescriptive Screening

A

testing that is done for a specific disease on pt who are at risk for developing that disease
ex: genetic testing or tumor markers if there is a family history of disease

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6
Q

Single Screening

A

check for the presence of a specific disease

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7
Q

Multiple Screening

A

looking for at least two abnormalities at a time

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8
Q

Multiphasic Screening

A

looking at a pt over a period of time
ex: ax a child for appropriate development

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9
Q

What age should colon cancer screening begin?

A

50 y/o
earlier if there is a family history of disease

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10
Q

How often should FOBT be done?

A

yearly

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11
Q

How often should sigmoidoscopy be done?

A

Q5Y

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12
Q

How often should a colonoscopy be done?

A

Q10Y

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13
Q

How often should cervical cancer screening be done?

A

Q3Y

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14
Q

At what age should mammograms be done?

A

40 y/o

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15
Q

How often should breast examinations be done?

A

monthly for self exam
yearly with a provider

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16
Q

What is the recommendation for lung cancer screening?

A

current and former smokers between 55-74 y/o should have CT scan done or people with 30+ pack-years

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17
Q

Cancer Incidence

A

amount of new cases that are dx each year

usually a ratio of how many dx of a certain cancer out of 100,000

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18
Q

Cancer Prevalence

A

number of people who had a dx of cancer in the past

this statistic includes those who are currently fighting, remission, and cured

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19
Q

Cancer Mortality

A

number of people who have died from cancer

cancer is the #2 cause of death, this number is very high

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20
Q

Case Fatality

A

mortality from a specific cancer

this specific number gives information on how deadly a certain cancer may be

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21
Q

Cancer Survival

A

refers to the number of pt who were dx with cancer at least 5 years previously

can include pt who are in remission, currently battling cancer, or have been cured

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22
Q

Absolute Risks

A

refers to the number of cancer dx as far as incidence and deaths

average of cancer dx within a group of 100,000 pt

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23
Q

Relative Risk

A

refers to the chance of being dx with cancer because of certain risk factors

ex: smoker developing lung cancer is > than a nonsmoker

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24
Q

Attributable Risk

A

number of cancer dx that could be prevented if pt did not have certain risk factors

ex: development of lung cancer would decrease if people did not smoke

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25
Cumulative Risk
chance a person has of developing cancer throughout their lifetime, does NOT take into account specific risk factors in individuals
26
What are some risk factors for developing bladder cancer?
smoking working w/ industrial chemicals poor dietary habits (eating fried/fatty foods)
27
How to screen for prostate cancer?
through PSA and DRE
28
What are some risk factors for head and neck cancers?
smoking alcoholism chewing tobacco UV / sunlight exposure carcinogenic inhalants (smoke, asbestos, dust) poor oral hygiene
29
Who is most at risk for colon cancer?
pt > 50 y/o pt who do not have access to regular screenings chronic inflammatory disease (Crohn's, colitis, polyps) diets high in fat + low in fiber family hx
30
How many doses is the HPV vaccine?
3 doses
31
What is the recommendation for HPV vaccine?
females 13-26 and males 13-21
32
What is the "extended stage" of survival?
occurs after tx is completed and includes long term therapy
32
Who should not receive the HPV vaccine?
pt w/ yeast allergy
33
What is the "acute stage" of survival?
initial stage of disease when pt is first dx
34
What is the "permanent stage" of survival?
when pt is considered to be cancer-free monitored by pt being cancer-free for 5 years
35
Who is considered a survivor? Secondary survivor?
the pt is considered a survivor from the moment of dx and through recurrence family members, friends, caregivers are considered secondary survivors
36
What are interventions for "acute stage"?
focuses on education educate pt on disease process, tx options, community resources, compliance, etc.
37
What are interventions for "extended stage"?
focuses on continued compliance with therapy educating pt on continuing screening procedures
38
What are interventions for "permanent stage"?
education and compliance w screenings
39
What medication is known for pulmonary toxicity?
bleomycin
40
What category of drugs are known for cardiac effects?
anthracycline agents
41
Which cancer has the highest risk for recurrence?
breast cancer pt within 2 years following tx HER2+ is more likely to reoccur than HER2- triple-negative breast cancer is most likely to reoccur
42
Colon cancer reoccurrence risk factors include:
pt age, prep CEA level, tumor location/size, lymph node involvement, and cell differentiation
43
When is colon cancer likely to reoccur? What is the common site?
3 years after initial tx common site of recurrence is the live
44
How often should CEA be tested for colorectal cancer survivors?
Q 3-6M for 5 years
45
What are s/e of XRT?
skin irritation, fatigue, anemia head/neck issues (dry mouth, dysphagia) chest issues (fibrosis, heart failure, pneumonitis, anorexia) abdominal issues (N/V/D) pelvic issues (incontinence, painful urination, fertility and sex problems)
46
What are some interventions for skin irritation d/t XRT?
warm showers - avoid cold/hot water wear loose clothing topical abx, topical steroid, aloe, aquaphor
47
What are some interventions for fatigue d/t XRT?
having adequate rest periods avoid over-exertion
48
What are some interventions for head/neck issues d/t XRT?
mouth rinses for dry mouth, avoid dental floss and whitening toothpaste, use soft -bristled toothbrush small meals for dysphagia
49
What are some interventions for chest issues d/t XRT?
sleeping with HOB elevated, fans to circulate air, oxygen for severe dyspnea
50
What are some interventions for abdominal issues d/t XRT?
dietary modifications, antiemetics, antidiarrheals, etc.
51
What are some interventions for pelvic issues d/t XRT?
monitor urinary output, fertility preservation, absorbent pads, and good skin care for incontinence
52
What are some interventions for anemia d/t XRT?
transfusions and nutrition supplementation
53
What are some s/e from chemotherapy?
fatigue itching N/V diarrhea hair loss neutropenia
54
What are some interventions for fatigue from chemotherapy?
adequate rest periods and recognize signs of physcial overactivity
55
What are some interventions for itching from chemotherapy?
changing medications, adding antihistamines, topical corticosteroids, moisturizers
56
What are some interventions for N/V from chemotherapy?
antiemetics, cold foods, small frequent meals, ginger ale
57
What are some interventions for diarrhea from chemotherapy?
dietary modifications, bulk formers, antidiarrheals
58
What are some interventions for hair loss from chemotherapy?
wigs, hairpieces, or scarves
59
What are some interventions for neutropenia from chemotherapy?
abx for infection, monitor blood counts, transfusions, granulocytes, filgrastim