preventative Flashcards
1
Q
USPSTF recommendations for 21-65
A
- Cytology (pap smear) every 3 years
* Grade A*
2
Q
USPSFT recommendations for 30-65
A
- combination of cytology and human papillomavirus (HPV) testing every 5 years
- Grade A recommendated
3
Q
USPSFT recommendations for 65+
A
- Grade D (not recommended) for patients who have had adequate prior screenings and are NOT otherwise at high risk for cervical cancer
4
Q
What are the major risk factors for osteoporosis
A
- WT less than 60kg single best predictor of low bone density
- alcohol
- smoking
- family history
- caffeine
5
Q
USPSTF recommendation for ostoporosis screening
A
- B rating for women aged 65 or older and in younger women whose fracture risk is equal to or greater than that of a 65 year old
- Insufficient to assess the balance of benefits and harms of screening for OSTEOPOROSIS IN MEN
6
Q
USPSTF recommendation for PROSTATE CANCER
A
- D recommendation against PSA-based screening for prostate cancer (DON’t DO IT)
- Despire this 1/3rd of men with limited life expectancy continue to receive PSA
7
Q
Risk factors for prostate cancer
A
- first degree relative has prostate cancer
- african american
8
Q
Risk factors for colon cancer
A
- AFRICAN AMERICAN MEN (high risk for colon cancer)
9
Q
describe epidemiology of colon cancer
A
- 90% of colon cancers occur after age of 50%
10
Q
USPSTF recommendation for colon cancer
A
- A recommendation for screening for colorectal cancer using fecal occult blood testing, sigmoidoscopy, or colonoscopy beginning at age 50 years and CONTINUING UNTIL AGE 75 YEARS (every 10 years)
11
Q
when is USPSTF recommendation against colon cancer screening
A
- colon cancer screening with FOBT/sigmoidoscopy/colonoscopy in adults OVER THE AGE OF 85 years OLD!
- D RATING*
12
Q
Geri prevention
A
- improves diability free life expectancy = increase function (ADL and IADLs)
- improves health quality of life (QL)
13
Q
what is health maintenance
A
- health promotion
- disease prevention
- -> primary (immunization)
- -> secondary (screening/detection of asymptomatic)
- -> tertiary (prevent of complications)
14
Q
describe the ratings for USPSTF
A
- A and B = discuss services with eligible patients and offer it to them
- C = clinicians may provide this service to select patients
- D - discourage the use of services
- I = evidence that the service effectiveness is lacking, poor quality
15
Q
Breast cancer Recommendations
A
- biennial screening mammography for women aged 50 to 74 years
- Grade B*
- evidence is insufficient to assess the additional benefits and harms of screening mammography in women 75 and older (I statement)
- TEACHING BREAST SELF-EXAM is a D recommendation
- insufficient to assess clinical breast examination in women 40 years or older (I rating)
