MTB 1 Flashcards
When do we do mammography
Start at 50
What is BRCA ass’d with
INcreased risk of cancer:
Breast
Ovarian
What are SERMs
Selective Estrogen Receptor Modulators
Tamoxifen
Raloxifine
When do we use SERMs as PPX
Those with 2 first degree relatives with breast cancer
Who gets HPV vaccine
Women b/t 11-26
When is Pap smear done
Ages 21- 65
How often do we do Pap in Ages 21-29
Every 3 years
How often do we do Pap in Ages 30+
Every 5 years w HPV
OR
Every 3 years
When do we stop paps in Ages 65+
When all of these are met:
- Regular paps until 65
- 3 Normal paps in a row
- No Abnormal paps in last 10 years
When do we do cholesterol and LDL screening in healthy patients
Men above 35
Women above 45
When do we do lipid screening
All pts with Diabetes HTN CAD Carotid Dz PVD Aortic Dz
When do we screen for DM withclevels
Pts with HTN and Hyperlipidemia
What is fasting blood glucose screening
2 measurements over 125
2 most beneficial vaccinations
Influenza
Pneumococcal
Indication for Influenza vaccine
Everyone yearly
Healthcare workers
Pregnant patients
Indications for Pneumococcal vaccine
Everyone above 65
Cochlear Implant
CSF leaks
Alcoholics
How often do we give Pneumococcal vaccine
One vaccine above 65
Single revaccination after 5 years if pt is IC’d OR first injection was before 65
Which patients get Herpes VZV
All pts above 60
Which adults get Hep A and B vaccines
Chronic Liver Dz
Men who have sex with men or multiple sexual partners
Household contacts with Hep A or B
IVDA
Which hepatitis vaccine to end stage renal dz pts (dialysis)
Hep B
When to give Meningococcal Vaccine
Routinely starting at Age 11 Asplenia Terminal Complement Deficiency Military Recruits College kids living in dorms Travelers for Hajj
Who do we screen for Osteoporosis
All woman at age 65 with DEXA scan
Who do we screen for AAA
All men at age 65 with smoking history
One time US
When do we repair AAA’s
IF > 5 cm width
OR
Growing > 0.5 cm over 6 months
