osce screening Flashcards
AAA screening
one-time US in men ages 65 to 75 years who have ever smoked.
GRADE B
breast cancer screening
mammography for women aged 50 to 74 years old
every 2 years
GRADE B
ages of cervical cancer
21-29: every 3 years
30-65: every 5 with co-test or every 3 without
GRADE A
colon cancer screening
age 50-75
every ten years if colonoscopy
GRADE A
lung cancer screening
annual low-dose CT in adults aged 55 to 80 years who have a 30 pack-year smoking history and currently smoke or have quit within the past 15 years.
GRADE B
osteoporosis screening
in women aged 65 years and older and in younger women whose fracture risk is equal to or greater than that of a 65-year-old white woman who has no additional risk factors.
GRADE B
tests used for osteoporosis
dual-energy x-ray absorptiometry (DXA) of the hip and lumbar spine
and quantitative ultrasonography of the calcaneus
prostate cancer screening
against prostate-specific antigen (PSA)–based screening for prostate cancer. GRADE D
testicular cancer screening
recommends against screening for testicular cancer in adolescent or adult men. GRADE D
HTN
annual screening for adults aged 40 years or older and for those who are at increased risk for high blood pressure ( those who have high-normal blood pressure (130 to 139/85 to 89 mm Hg), those who are overweight or obese, and African Americans. )
Adults aged 18 to 39 years with normal blood pressure (<130/85 mm Hg) who do not have other risk factors should be rescreened every 3 to 5 years.
risk factors AAA
**>100 cigarettes
atherosclerosis
male, white, age
family history
Tdap recommendations
every 10 years
19-64
who gets pneumo 13?
adults >65
kids under <2
or people prone to pneumonia
who gets pneumo 23?
> 65 y/o
19-64 who smoke
2-64 if certain conditions (CF)
shingles vaccine
one-time dose above age 60
hep c
‘45-65’ one time dose
hep b
if you have sex
influenza vaccine
> 6 months
annual
breast cancer risk factors
age estrogens, early men, late menopause 1st degree relative in age 40-49 HRT alcohol obesity DES
clinical breast exam?
insufficient evidence
risk factors for cervical cancer
age at first intercourse
number of sex partners
smoking
immunocompromised, HIV
colon cancer risk factors
family history
genetic- FAP or lynch
IBD
age 50, male, black
lifestyle:
low exercise
alcohol, tobacco
low fiber/fruits/veggies, high fat, obese
lung cancer risk factors
smoking family history age history of COPD, pulmonary fibrosis occupational- asbestos, arsenic, diesel exhaust, and some forms of silica and chromium radon (basement) radiation to chest
osteoporosis
white, female low BMI alcohol, smoking, bad diet corticosteroid use no weight bearing exercise low estrogen, menopause low calcium vit D
risk factors ovarian
family history genetic- BRCA, lynch nulliparity endometriosis ashki jews
protective factors for ovarian
OCPs, pregnancy, breastfeeding
BSO
risk factors for prostate
family history
age
african americans
testicular cancer risk factors
undescended testis
family history
HIV
