NR567 Final Flashcards
For what ages does the USPSTF recommend screening for breast cancer and at what frequency?
biennial mammography starting at age 50 until age 74
For what ages does the American Cancer Society recommend screening for breast cancer and at what frequency?
annually starting at age 40
For what ages does the National Comprehensive Cancer Network recommend screening for breast cancer and at what frequency?
annually starting at age 40
For what ages does the National Cancer Institute recommend screening for breast cancer and at what frequency?
every 1-2 years starting at age 40
What location and pattern of pain is expected with a gastric ulcer?
Epigastric pain, may radiate straight to the back, quality may be gnawing, burning, aching, or hunger like, is worsened by eating, associated symptoms may include nausea, vomiting, belching, bloating, more common in those over 50 years old
What location and pattern of pain is expected with a duodenal ulcer?
Epigastric, may radiate straight to the back, quality may be gnawing, burning, aching, or hunger like, onset can be intermittent over a few weeks disappearing then recurs, is relived by eating, associated symptoms may include nausea, vomiting, belching, bloating, heartburn, more common in those aged 30-60
What location and pattern of pain is expected with pancreatitis?
RUQ/epigastric pain which may radiate to the back (right scapular region or right posterior thorax), rebound tenderness
What location and pattern of pain is expected with acute cholecystitis? What special assessment technique is used?
RUQ (may be referred to the right scapular region or right posterior thorax); Murphys sign
What location and pattern of pain is expected with appendicitis? What special assessment technique is used?
poorly localized periumblical pain that usually migrates to the RLQ, quality is steady and severe, increasing, possibly cramping, lasts roughly 4-6 hours, aggravated by movement or cough, no relieving factors (if relieved, consider perforation), associated symptoms include anorexia, nausea, possibly vomiting which typically follows the onset of pain, low fever, positive Rovsing sign, positive psoas sign, rebound tenderness at McBurney’s point
What are the normal values for liver size?
6-12 cm in right midclavicular line, 4-8 cm in midsternal line
What screening is recommended for colon cancer?
The USPSTF, ACS Colorectal Cancer Advisory Group, the US Multi-Society Task Force on Colorectal Cancer, and the American recommend high-sensitivity FBOT annually OR sigmoidoscopy every 5 years with high-sensitivity FBOT every 3 years OR colonoscopy every 10 years. It is recommend against screening adults aged 76-85.
Unilateral painful testicle, “high riding testicle”, negative prehn’s sign and absent cremasteric reflex is concerning for which condition?
testicular torsion
Unilateral or bilateral painful testicle, dysuria, urinary frequency, urethral discharge, fever, positive prehn’s sign, positive cremaster reflex are concerning for what condition?
Epididymitis which may be caused by e. coli, chlamydia, or gonorrhea
Apainless enlarged testicle that transilluminates is concerning for what?
hydrocele; a communicating hydrocele will increase with valsalva while a non-communicating hydrocele will not
A painless enlarged testicle, does not transilluminate, feels like a “bag of worms”, increases in size with valsalva maneuver and decompress in the recumbent position is concerning for what condition?
varicocele
A painless painless testicular mass with palpable inguinal lymph nodes in an 18-year-old patient is concerning for what?
testicular cancer, peak incidence is ages 15-34
What is the most common type of hernia?
indirect inguinal hernia is the most common, direct inguinal hernia is less common, and a femoral hernia is the least common
For who are HPV vaccines recommended?
HPV vaccination is recommended in males and females ages 11-21
What STI screening is recommended for men?
The CDC recommends chlamydia, gonorrhea, and syphilis screening at least once a year for all sexually active gays, and HIV testing every 3-6 months.
What STI screening is recommended for women?
The USPSTF recommends screening for chlamydia and gonorrhea screening in women aged 24 and younger and HIV screening for adolescents and adults from age 15-65 and for all pregnant women.
The CDC recommends universal HIV testing for adolescents and adults ages 13-64 and prenatal testing of all pregnant women.
The CDC recommends HIV testing at least once a year for anyone having unsafe sex or IVDU, annual screening for chlamydia and gonorrhea for all sexually active women ages <25 and older women with risk factors, and screening for chlamydia, syphilis, hep B, and HIV for all pregnant women. Screening for gonorrhea for at-risk pregnant patients starting early in pregnancy with repeat testing as needed
What cervical cancer screening is recommended?
The USPSTF, ACS/ASCCP/ASCP, and ACOG recommends cytology every 3 years for ages 21-65 OR cytology every 3 years for ages 21-29 AND cytology plus HPV testing for high-risk or oncogenic HPV types every 5 years for ages 30-65
What screening is recommended for prostate cancer?
The American Urological Association recommends offering annual screening with SPA or DRE from ages 40 to <10 years life expectancy.
The American Cancer Society recommends offering annual screening for average risk patients at age 50 and high risk patients at age 40-45 and stop offering at <10 years life expectancy.
The USPSTF has no recommendations.
A patient complaints of elbow pain that is increased by extending the wrist against resistance. What condition is this?
Lateral Epicondylitis (tennis elbow) follows repetitive extension of the wrist or pronation-supination of the forearm. Pain is increased by extending the wrist against resistance
A patient complaints of elbow pain that is increased by pain increases with wrist flexion against resistance. What condition is this?
Medial Epicondylitis (pitcher’s elbow/golfer’s elbow follows repetitive wrist flexion such as in throwing. Pain increases with wrist flexion against resistance.
