Prev Med Flashcards
Characteristics of screening test?
effective intervention must exist, and the
course of events after a positive test result must be acceptable to the patient
The 4 malignancies for which regular screening is recommended are cancers of the
colon, breast, cervix, and lung.
In the patient with no significant family history of colon cancer, screening should begin at age
The preferred screening modality for colon cancer is colonoscopy every______
Other choices include annual fecal occult blood testing and sigmoidoscopy with barium enema every _____
50.
10 years
5 years
In the patient with a single first-degree relative diagnosed with colorectal cancer before age 60 or multiple first-degree relatives with colon cancer at any age, colonoscopy should begin at age ________ or 10 years before the age at which the youngest affected relative was diagnosed, whichever age occurs earlier
40
In these high-risk patients, colonoscopy should be repeated every_______.
5 years
Mammography with or without clinical breast exam is recommended every 1–2 years from
age _______
50–74.
T or F
The American Cancer Society no longer recommends monthly self breast examination
alone as a screening tool
T
Patients with very strong family histories of breast cancer (defined as multiple first-degree relatives) should consider prophylactic ________ discussing
risks and benefits with a physician
tamoxifen,
In average risk women, screening with Pap smear should be started at age _____ regardless of onset of sexual activity. It should be performed every 3 years until age
65.
21,
As an alternative, women age 30-65 who wish to lengthen the screening interval can do co-testing with ______ every 5 years
Pap and HPV testing
Current recommendation s for lung cancer screening are as follows:
• Annual screening with low-dose CT in adults
1
2
3
age 55 - 80
who have a 30-pack-year smoking history and
currently smoke or have quit within past 15 years
It is important to set up a pretravel counseling session________ weeks before the patient’s departure
4–6
_______ infection is travelers’ most common vaccine-preventable disease
Hepatitis A
Hep A prevention
If a patient is leaving within 2 weeks of
being seen, _______are recommended
both the vaccine and immune serum globulin
Hep A
A booster shot given 6 months after the initial vaccination confers immunity for approximately ______
10 years.
All travelers to less-developed countries should get ______
hep A vaccine.
Whom to give Hep B vaccination
patients who work closely with indigenous
populations.
plan to engage in sexual intercourse with the local populace,
receive medical or dental care, or to remain abroad for >6 months should be
vaccinated.
______ is the agent of choice for malaria prophylaxis
Mefloquine
SE of Mefloquine
may cause adverse neuropsychiatric effects such as hallucinations, depression, suicidal ideations, and unusual behavior
_________ is an acceptable alternative to mefloquine, although
photosensitivity can be problematic
Doxycycline
For pregnant patients requiring chemoprophylaxis for malaria, ______ is the preferred regimen
chloroquine
______ is recommended for patients traveling to areas where rabies is common
among domesticated animals (India, Asia, Mexico)
Rabies vaccination
______ can blunt the response to the
intradermal form of rabies vaccine
Chloroquine
Therefore, in patients who require malaria prophylaxis, in addition to rabies prophylaxis the _______ should be administered.
intramuscular form of the vaccine
